Re: Dirty Hospitals and MCS

[Guest guest]

3 trips in 2 weeks,bad mcs attacks everytime and next2 weeks in bed

with fevers, sinus,lung,kidney and urine infection, and i'm supposed

to have cataracts sergery there? no,i don't think so. the 3rd visit

was to a cataracts doctor, quite rude,nurse had wrote down

mcs,fibromyalgia and cfs and moldy environment and he came in and

said'so your healthy' needless to say,it went down hill from there.

he actually got angry because i told him i got the cataracts from

living in this moldy environment at age 39, no,no one in family has

cataracts. he did nothing and stomped out of the room. than they

expected me to make another trip to have done what he didn't do that

day. i don't think someone with his attitude will touch my eyes.

--- In , " tigerpaw2c " <tigerpaw2c@...>

wrote:

>

> Dirty Hospitals

> Two million patients are infected in hospitals each year and 90,000

> of those Americans die.

>

> By Katharine Greider

>

> http://www.netscape.com/viewstory/2007/01/03/dirty-hospitals/?

> url=http%3A%2F%2Fwww.aarp.org%2Fbulletin%2Fyourhealth%

> 2Fdirty_hospitals.html & frame=true

>

> January 2007

>

> Email This Page To A Friend Print This Page

> Of every 20 people who go into a U.S. hospital, one of them picks

up

> something extra: an infection. It's a lousy card to draw. Infection

> stalls recovery, sometimes requiring weeks of intravenous

> antibiotics or a grueling round of surgeries to remove infected

> tissue. And for 90,000 Americans a year, the infections are a death

> sentence.

>

> A growing number of hospitals are working harder to stop

infections,

> but as more bugs become resistant to antibiotics, it's an uphill

> struggle. Some 2 million patients get a hospital-acquired infection

> every year. In Pennsylvania alone, more than 19,000 infection cases

> occurred in 2005—up from 11,600 in 2004—out of 1.6 million

> admissions to 168 hospitals, according to a report issued in

> November by the state's Health Care Cost Containment Council.

> Pennsylvania, the first state to provide infection data collected

> directly from its hospitals, reported that nearly 13 percent of

> patients who got infections died, compared with slightly more than

2

> percent of patients who didn't have infections.

>

> Nationwide, hospital infections are the eighth-leading cause of

> death. One person who didn't recover was Dorothy Etheridge, a no-

> nonsense New Hampshire resident who raised five children and worked

> for 30 years as a mental health counselor. Etheridge had lung

> surgery in 2004 to remove an early-stage cancer, and doctors

> predicted a full recovery.

>

> But within days, the normally robust Etheridge took a sharp turn

for

> the worse. She had contracted a nasty antibiotic-resistant germ

> known as methicillin-resistant Staphylococcus aureus—MRSA—and she

> spiraled into respiratory failure. Through eight months of

> rehabilitation, bedsores and recurring infections, Etheridge fought

> back. " She was, to put it mildly, stoical and compliant and did

> everything and anything that she could to get herself home again, "

> her daughter Lori Nerbonne says.

>

> And get home she did. But after a week her temperature spiked. She

> was admitted to another hospital, where she died, at age 73, of a

> brain hemorrhage.

>

> Left with painful memories of their mother's last months, Nerbonne

> and one of her sisters set to writing letters and testifying before

> the state legislature, joining a burgeoning nationwide movement

that

> aims to stop infections in hospitals.

>

> A leading light of that movement is Betsy McCaughey, a health

policy

> expert and former lieutenant governor of New York. She founded the

> nonprofit Committee to Reduce Infection Deaths—RID—two years ago

> after hearing the story of Brad of Washingtonville, N.Y.

>

> In 2002 was mugged. He survived brain trauma—but got an

> infection in the hospital and died at age 28. McCaughey recalls

> sitting with his mother, Pat, in her kitchen. " We looked through

her

> family albums: Brad as a little boy. And then Brad's funeral. It

was

> impossible not to be very, very saddened, " she says. " I thought,

> enough is enough. "

>

> Now McCaughey pushes and cajoles hospitals to prevent the spread of

> infection. The necessary measures, she says, are simple and well

> documented in medical literature. Yet they're not consistently

> practiced or explained to patients. " A very good example, " she

says,

> is to tell patients to " shower with chlorhexidine soap if you're

> going in for surgery ... it's so easy. And you get it in the

> drugstore. "

>

> In fact, job number one for advocates like McCaughey is to debunk

> the notion that infection in the hospital is like bad weather—

> unfortunate but inevitable. Administrators, they insist, have set

> the bar way too low, content to keep their hospitals' infection

> rates to national averages—for example, a wound infection for one

of

> every 24 surgical patients and a urinary tract infection for up to

a

> quarter of those requiring a catheter for a week or longer.

>

> " There's this culture that says that when people are old or

> immunocompromised, they're just going to get infections, " says

> McGiffert, who heads the Stop Hospital Infections campaign at

> Consumers Union, the nonprofit publisher of Consumer

Reports. " Well,

> they aren't 'just going to get infections.' If you're careful, they

> won't. "

>

> Generally speaking, there's little debate about what it takes to

> check the spread of infection in hospitals, from giving patients

> antibiotics before surgery to avoiding overuse of catheters and

> intravenous lines. But hospitals are busy places, and the foe is

> invisible. Research suggests that more than half the time, health

> care workers even fail to wash their hands as recommended—a

critical

> bulwark against infection identified 160 years ago.

>

> " These bacteria are largely spread through touch, " says McCaughey

of

> the RID committee. " In the old days, " she says, " nurses and doctors

> were trained not to touch doorknobs, cabinets, curtains and blood

> pressure cuffs once they scrubbed and/or gloved. But all of that

> training really went by the wayside in the early '70s, when the

> liberal use of antibiotics replaced that attention to rigorous

> hygiene. "

>

> Not coincidentally, those same years brought a galloping increase

in

> germs you can't knock out with standard antibiotics. In 1974 only 2

> percent of staph germs in the United States were drug-resistant. By

> 2004, fully 63 percent—including the lethal one that attacked

> Dorothy Etheridge—proved impervious.

>

> One outcome of the crisis is that more hospitals are working harder

> to stop deadly infections. In early 2005, for example, the

nonprofit

> Institute for Healthcare Improvement in Cambridge, Mass., enlisted

> 3,000 hospitals to practice interventions proven to save lives. One

> approach targeted ventilator-associated pneumonia (VAP), a deadly

> infection that strikes about 15 percent of patients who have a

> breathing tube inserted. Hospital workers washed their hands

> frequently, closely monitored incision sites and raised patient

beds

> to at least 30 degrees to prevent stomach fluids from backing up

> into the lungs—measures that enabled more than 30 hospitals to

> report no VAPs for at least a year.

>

> Pittsburgh's Allegheny General Hospital is also waging war on

> infections. In the past few years, says , M.D., who

> until recently was chairman of Allegheny's Department of Medicine,

> the staff has reduced the rate of bloodstream infections caused by

> large-vein catheters by 90 percent and ventilator pneumonias by 85

> percent. demonstrated that devoting resources to

controlling

> infection saved the hospital $1.2 million over two years. He and

his

> team reported in a supplement to the November-December American

> Journal of Medical Quality that eliminating a single bloodstream

> infection case pays for nearly a year's worth of measures to stop

> the infections.

>

> The savings to patients and insurers are more obvious. The November

> report on Pennsylvania's hospitals noted that the average charge

for

> infection cases was $185,260, compared with $31,389 for

noninfection

> cases. Reducing infections is a win-win situation, says

> . " You not only make human beings better, you actually

> eliminate a huge amount of waste " in money and time.

>

> How did his hospital do it? By studying quality-control techniques

> of the industrial production line. One example: Signs everywhere

> remind workers to wash their hands. " You have to make it so it's

> second nature, you don't have to stop and think about it, "

> says.

>

> When an infection does happen, the treatment team meets to figure

> out what went wrong. In one case they identified a mistakenly

> reinserted, kinked IV line as a probable cause and explained their

> conclusions to the patient's family.

>

> In most hospitals, patients won't get such a thorough review and

> disclosure about the source of an infection. Moreover, in most

parts

> of the country, it's virtually impossible to find out how well

> hospitals are doing at infection control overall.

>

> But that's changing, too, with Pennsylvania and California among

the

> states leading the way. In the past three years, 14 states have

> passed laws requiring hospitals to report information about

> infections to the public.

>

> Public reporting not only informs consumers, it motivates doctors

> and nurses to work for better results, says Joyce Dubow, associate

> director at the AARP Public Policy Institute. In 1989, when New

York

> state started publishing hospitals' death rates after bypass

> surgery, the hospitals conducted internal reviews, hired new

> personnel and pushed out surgeons with the highest death figures.

> Statewide mortality dropped like a stone, by 41 percent in four

> years.

>

> " Nobody wants their deficiencies published, " says Dubow. " And

places

> that do well take pride in their good work. "

>

>

>

> Katharine Greider is based in New York and writes about health

> policy and medical issues.

>