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  1. Today, while taking blood pressures for State Fair goers…

    "Your blood pressure is 168/109. You should probably follow up with your doctor within the next few days to have it rechecked and to talk about hypertension."

    "It’s fine. It’ll go down."

    Yeah. Ok. Enjoy your deep fried snickers with a side of stroke.



    In case anyone was under the delusion that “healthcare reform” was going to make people healthier.

  2. Today in the World of RN Case Management

    I spent the past few days arranging the discharge of a client from the hospital. He needs to have IV Antibiotics for 2 weeks, and would need a home health agency to do some cares for him outside of a hospital. No problem. He was all set to go back to his group home, which made special arrangements with the staffing schedule so he would be able to stay home during the day (the home generally isn’t staffed from 8am-3pm because all the residents go to a day program). The social worker at the hospital was going to make arrangements with a home health agency to go to the group home every day for skilled nursing cares. Everything was going to be just fine.

    Until today. I get a call from the home owner saying the hospital can’t find a provider for home health care. Ok. There are like 6 gazillion companies that do this. That makes no sense. I called the social worker at the hospital, who redirected me to the intake coordinator for one of the providers where I found out…

    Medicare won’t cover outpatient IV antibiotics so, instead of going home with a home care agency in place to manage the PICC line, my client has to go to a nursing home for 2 weeks for absolutely no reason. Thousands of dollars difference in cost for care, in addition to an increased risk of infection, wounds, communicable diseases, and readmission to the hospital. Nursing homes are just lovely. You’re welcome, taxpayers.

    If you want to know why health care isn’t affordable, it’s because shit like this, and completely not like this but just as stupid, happens every day. More than once. One bill isn’t going to fix that. It’s not even going to scratch the surface. But, hey. At least everyone can at least be financially covered while some politicians pretend they’re going to do something to fix things. Don’t get me wrong. I think it’s great that everyone gets health insurance. I’m just not going to sit here and pretend that makes health care more affordable or fixes anything wrong with the quality of care. Or the lack of emphasis on prevention, education, and community health. Or the way things are billed. Or the way records are kept. Or the lobbyists that influence every single decision made by politicians. Or even the overall uneducated and/or non-compliant American population. Seriously. Do you know how much Type 2 Diabetes and its complications cost to manage and treat every year? A lot. Type 2 Diabetes and its complications are almost 100% preventable. Twenty per cent of antibiotics prescribed every year are completely useless.

    America’s got work to do and no one willing to do it.

    So, I guess we took a tiny step in the right direction. Great. That’s enough. The bigger issues are all the way over there. But at least we made a little progress. 

  3. From the City of Milwaukee Public Health Department

    People at Higher Risk of Heat-Related Illness

    • Infants and young children

    • Older Adults

    • People with disabilities

    • Chronic heart or lung problems.

    • Overweight persons.

    • Those who work outdoors or in hot settings

    • Users of some medications: especially some drugs for mental disorders, movement disorders, allergies, depression and heart or circulatory problems.

    • Isolated persons who won’t know when or how to cool off or call for help

    Please remember to make frequent checks on elderly, ill or disabled relatives, friends or neighbors when a heat wave strikes - and help them keep cool.

    For more information, visit the CDC’s Heat Health Information Page.