Tuesday, May 12, 2009
So Thats What Obama Was Talking About...
A 13 year old boy was transferred to our trauma center yesterday for neurosurgical evaluation. He fell off the back of a golf cart and suffered a skull fracture with a small amount of bleeding in his brain. The docs at the outside hospital did a great job copying his chart and burning a CD with all of his cat scans. When he arrived I paged neurosurgery. Just as I was expecting....they wanted a new cat scan of his head and neck before they saw him. I explained to them he had a CD with his scan from 2 hours ago that was perfectly fine, plus there was no need to radiate a child unnecessarily. They balked at this, said they needed one to be able to look on their computer system whenever they needed, and said they would not see him until the scans were done. So after much debate....a couple thousand more dollars in tests and more radiation was eventually ordered.
Yesterday policy makers announced a new plan on health care reform that is aimed to reduce wasteful spending. One way proposed to do this is to eliminate ordering duplicate or unnecessary tests. This was a great example on how we waste money in medicine. I am all for this kind of reform....but its going to take way more to make a big impact on health care. I think we should also start with end of life care....but we will save that for another day
Posted by SerenityNow at 6:03 PM