Fibroid Co-existing With Pregnancy... HMO Not Coming Through

She's having it difficult, this patient on admission. The foetus in her womb is probably coping, though. Mrs Agatha has a Uterine Fibroid co-existing with a 26-weeks pregnancy and she has been thrice admitted in the last 2 months. And now the laboratory results prove she is Anaemic with her PCV count 25%. At least her vomiting is infrequent now.

There is a bit of a drama as to whether she should get a unit of blood transfusion or not. And who's to pay for the transfusion. Us, she or her HMO...

The matter would be soughted out between all parties; my maverick of a medical director never kin to give any breathing space to HMO's who appear to always assume that every manner of health-care cost must lie squarely on the shoulders of the health-care facility to which the patient is assigned.

Ours is a Medical Center and we are barely surviving in the harsh economy of today.

Comments

Post a Comment

Say something... Anything!... I'll shout right back at you inside 24 hours.

Popular posts from this blog

Sudden Unconsciousness - No Head Scans Available

You know when a medical emergency has arrived when the noise of several heavy, clumsy feet grow louder and louder towards you. So it was, as I sat in my consulting room three days ago, when this young man was rushed in semi-conscious. The accompanying elder sister calmly narrated how they had both eaten lunch at home before setting out on their journey to a popular open market quite close to the hospital where I work - when he began complaining of feeling ill; later leaning over on a stall just before passing-out on the ground. He was "drowsy" but rousable when I called out his name. I pondered what the diagnosis could be as the nurse gave the steroid (Hydrocortisone 200mg) shot through the i.v. line secured - no recent fever or complaints of ill-health whatsoever nor was there any history of Seizure Disorders. Then the fact came forward that he fell backward and hit his head while shooting basket ball hoops at home - but that was four days ago and he then didn't appear h
Read more

Vanishing Testes... Uterine Evacuation

I was mad with the father of a 10-year old whose child proved to have both his scrotal sacs empty - a case of bilateral Congenital Undescended Testes. The point is both parents had known for years the condition and were hoping against all hope that one day the testes would appear, never once thinking to seek medical advice. The poor young chap would have to visit the Paediatrics Surgeon soon. I'm just back from the labour room where I had to evacuate the womb of this married lady who began to bleed just a week after finding out she was in early pregnancy; she being childless till date - she's had a couple of miscarriages in the recent past and a scan today proved once again the same matter of a miscarriage with some products of pregnancy retained, hence the needed evacuation. She'll need to see the Gynaecologist for a thorough check, the poor woman.
Read more

Cancer, Right Breast

I'm somewhat in-human it seems when mechanically, I go about on the job, some of the time. Or to put it more aptly, more detached from the normal feelings lay persons would feel at certain instances. This of course comes with the terrain and in spite of sometimes having short spells of feeling besides myself, it's become second nature to me. These were my fleeting thoughts as I dressed the extensively sutured wound, left behind on the chest-wall of the 54-year old, after her right breast and all of the relevant surrounding tissues had been surgically removed completely, nine days back. She would wince and cry-out softly whenever I dabbed with EUSOL gauze. For many years she had suffered cancer of the right breast up until surgery. And a radical mastectomy indeed it was, that had been the procedure at theatre - leaving no room, hopefully, for any metastasised cancer cells to remain present. Now, she was able to move her right arm with less pain since after surgery, exerci
Read more