Posts Tagged ‘Intensive Care Unit’

Exhausted

October 9, 2010

By now you have heard or read of the unusually high number of Congenital Heart Defect (CHD) deaths during the past week. There have been at least six (some have stated that at least ten have passed, but I personally know of six. I’m not certain of the others.)

I’ve become e-mail friends with Joshua’s mom. Joshua was born August 16, 2010 and departed October 6. His mother was by his side practically the entire time, but what’s more, Joshua was never stable enough to travel. He never saw the world outside of the hospital.

52 days of hospitalization, two major heart operations…. the costs are going to be enormous. Joshua’s family is certainly physically exhausted, and before all is said and done they’re going to be fiscally exhausted.

When I was in the Intensive Care Unit after my first surgery in 1967, the cost was $66 per day. After I had a stroke in 2002, Intensive Care was $2200 per day. Note that in both cases the price quoted is basically a “rental fee”. It pays for the right to lay in the ICU bed for 24 hours. It does not include the cost of seeing a doctor, specialized nursing staff, drugs, or monitoring devices. I’ve stayed in hotels that cost $66 per night, but I have never stayed in a $2200 per night hotel. I doubt that I ever will.

The “average” Congenital Heart Surgery and hospitalization could easily cost $100,000. Where is a young family supposed to get that kind of money?

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Even More Flu News!

October 12, 2009

It always seem to happen – I save up some good links about the H1N1 Swine Flu, go back through them and read them carefully, type an informative post… and as soon as I publish it, I find even more information that I think you could use.

It’s happened again, as usual. But instead of saving them until my next Flu Update, I decided to post them today. They’re pretty important links that you should¬† read, but also I have to see the doctor today. It’s my first time seeing this doctor, so I don’t know how long it will take.

I’m not seeing a new specialist – my usual doctor (my Primary Care Physician, for those of you who don’t live in the United States) recently retired, and this is my first appointment with my new doctor. Since my heart is *ahem* quite unusual, I think I’ll be there for a while!

But on to the flu… If you have a TamiFlu prescription for your child, be very careful. Doctors usually prescribe liquid medication in milliliters, but the TamiFlu box has a syringe that measures Milligrams. These measurements are not the same, and you could easily give too much or too little of the drug.

Revere over at Effect Measure (who has become one of my favorite Flubloggers) has a look at Intensive Care Unit (ICU) occupancy in the Southern Hemisphere and has some disturbing news: ICU units could get slammed. It’s not so much that we don’t have enough ICU beds to deal with a crisis, you have to have a staff with the required amount of medical training.

The second wave of H1N1 is sweeping the United States, brought on my close contact. As I’ve mentioned before, Influenza loves a crowd, and it is fall – school is back in session. Flu is even altering our worship habits: The Archdiocese of Winnipeg is taking steps to limit the spread of the Flu. No Holy Water for a while (but there is hand sanitizer) and shaking hands is discouraged. The public area is sanitized after each service, and even the Chalice gets wiped after every use. It feels strange, I’m sure, but I think God understands.

And finally, a post that I hope will reassure those who have questions about the vaccine. You really do need this immunization, especially if you have a Chronic Illness. I’ve had my seasonal flu shot, I’m on the lookout for the H1N1 shot, and I highly recommend that you do the same.

And now, off to the doctor’s office!

READ THIS RIGHT NOW!

September 1, 2009

Two news articles just popped up in my daily research for Funky Heart. They are so urgent and important that I feel I need to bring them to you attention immediately, rather than saving them for tomorrow.

First, doctors at a Cardiology meeting in Europe are saying that the Swine Flu (H1N1) could hit patients with heart disease harder than usual, and even lead to a spike in heart disease related deaths.

While these doctors are specifically talking about the heart diseases that affect older people, in general that would include all people with weakened hearts Рwhich naturally include those of us with Congenital Heart Defects (CHDs).  They also mention patients with Heart Failure (Congestive Heart Failure, or CHF) Рand that includes a good percentage of CHD patients, also.

In many heart failure patients, fluid builds up in the lungs because blood isn’t pumped efficiently enough. Patients can take drugs to get rid of this excess fluid, but if they catch the flu, the drugs don’t work as well.

But before heart patients start taking Tamiflu, their doctors should ensure the antiviral won’t interfere with any other drugs they may be taking. Heart patients often take a cocktail of various drugs to lower their cholesterol and blood pressure or prevent bleeding.

Another article concerns ICU preparedness. It’s published in a Canadian newspaper, but it applies to the US and the rest of the developed world, also. The section that caught my attention was the percentage of people with H1N1 – estimates say it could be as many as 15% – whose breathing shuts down almost completely:

“As an ICU doctor, it’s very, very, very rare I can’t deliver enough oxygen to someone to keep him alive. They die of other things, right? They die because their organs fail.”

“In this case, we can barely oxygenate them.”

If you didn’t have a good reason to get the vaccine and actively take steps to avoid the flu (both seasonal and H1N1 varieties) before, here are two really good ones.

Click the links, and read the articles.

Two Boys

March 8, 2009

I was a the University of Alabama at Birmingham (UAB) for my second heart operation in 1977. I had only been there for a day or so when two boys about my age (11) were brought into the ICU. These two young men had been riding a go-cart – one in the seat, the other sitting on the engine cover and hanging on – when they collided head on with the local mailman. The only reason they weren’t killed right then and there was that the mailman was driving a vehicle that was higher off the ground than most.

Daddy was in the elevator lobby using the pay phone when the families came boiling out of the elevator. Standing with the phone to his ear, he could see the group standing together as they waited for the doctor’s report. Although he didn’t know any of them, it wasn’t hard to identify the two mothers by the looks on their faces.

It isn’t hard to miss that look: I’ve seen Heart Moms wear it too. Their tears are gone; they have sobbed but now the shock has worn off. Now their jaw is straight and their eyes are focused. I’m OK, doc, they seem to be thinking. Now tell me what we’re up against. What do we have to do to to save my child?

One of the boys was stabilized and transferred out of Intensive Care, but he was still a mess. Lying in his bed with scars on his chest, his right arm and his left leg both still in slings. My parents and his folks became friends and we visited together a couple of times. I even took a turn sitting with him while his parents took an hour or so away one afternoon; he seemed to be a nice enough guy. My folks became friends with the other family also – a shared crisis will do that – but I never saw the other boy. Apparently he had gotten the worst of it and was in the ICU a lot longer. Both of them were still patients when I was discharged.

Both of them survived and were discharged later… two more yanked back from the brink of death. An ER doctor once told me that kids were tough, it seemed that we got wimpy as we grow older, and these two seemed to prove him right. My friend in the slings did well, but about ten years later he contracted Meningitis. Came home feeling terrible, went to bed, and never woke up.

The other young man is now a trooper with the Alabama Highway Patrol. The only souvenir he has of his go-cart days is a scar on his chin.