How is it legal to have an ICU that isn’t staffed by a single doctor?
This would never happen to people who write the laws so it's not a priority.
Literally the anime Monster lol
It's probably staffed by Nurse Practitioners. They do a lot of stuff that used to be handled by doctors, even my primary care provider is a NP and not a Dr.
For 1/5 of the pay.
More like dr make twice the pay than np because dr requires 10x more hours to be certified over a np. Also the family will be sueing the dr not the np for medical malpractice here.
Oh, not that a doctors pay isn't justified (and still too less, for the requirements). But this here seems a saving money on the cost of quality, only the patient suffers from case.
The bourgeoisie does not care if the working class dies so long as they are maximizing profits and continuing to expand their ownership.
teledocs, and equity firms have been snatching up doctors all over the place, this hospital is likely part of a firm that does this, they can just staff 1 or few doctors in a hospital, and use teledoc soley.
Why would it not be? Why would that law be enforced if it existed?
And have the yacht-class pay doctors to help the non yacht class?
....wow
That timeline reads to me like he was in withdrawal, vomited, and likely aspirated on his own vomit. All due to lack of actual human care in a supposed ICU. I say "supposed", because that shit shouldn't even be legal for tele-health in the first place.
Marketing be like "this service pairs expert remote monitoring with skilled bedside care" and I translate that bullshit as "we farm monitoring jobs to cheaper labor markets and they watch people die, on Zoom".
I'm willing to bet his family can likely win their lawsuit . Hopefully that will be costly enough to reverse this bullshit.
Unlikely, without regulation against this. Fines are just a cost of business, since they are never, ever costly enough. Either a true penalty fine, or executives in prison, or both, are the only response to ensure change, here.
You mean five percent of the money they make when they decide these immoral choices? Which then gets appealed to a high court and reduced to one-tenth of one percent?
Totally depends. Usually in medical cases like this the margins for a hospital are thinner than you think. Healthcare gets so expensive thanks to all the middlemen.
It's a bit different than a company pollutes river and it costs 10 million in fines but they save 30 million.
In this case if the family wins the suit it can open up even more until it becomes unsustainable. It all depends on what is established in this case, the precedent alone could be effective in banning it.
I'd prefer legislation of course
The US is such a dumb fucking nation, I just cannot believe half this shit
It's like an ongoing slow motion trainwreck and I can't help but stare
Fun story:
I once got blocked from a flight by TSA because the inspector said my portable hard drive was an explosive device by looking at it via Facetime over an iPad while they were at an Arnold Schwarzenegger's body building conference instead of at work in the airport.
Great. We pay into health care that doesn’t offer physical care anymore.
taxes are mostly subsidizing the companies too, and patients never see it being used for them.
It makes me wonder how much can actually be taken from the American people before they'll do something.
Before, it was a necessary cost that could bankrupt someone's livelihood. Now it's pretty much just a Kubla Kraus tax.

I've been waiting for this since the 1990s, surprised it took so long.
Starting in the 90s, much of the administrative duties of a hospital are now done overseas, including chart notes.
The doctors being overseas? Worst case scenario is just starting.
Why would a hospital pay a US physician 200K a year when they can get a doctor from Pakistan to do the same work for 50K a year? They even have surgical robots that can be remotely piloted from anywhere.
It's not prevalent yet, but it will be.
This should have been such a straightforward case too.
Mr. Hylton's condition deteriorated in the ICU, and despite orders, there are no CIWA assessments, no intake/output monitoring, and no MD assessments for pain and/or change in mental status despite the RN's non-contemporaneous note indicating mental status change in a patient diagnosed with alcohol withdrawal and a history of alcohol withdrawal seizures for which he had "previously been given Keppra."
Hylton, who was admitted around 11 a.m., became unresponsive early the next morning around 4:30 a.m., the complaint says.
"Mr. Hylton slid down in bed, his eyes rolled back and he … exhibited seizure-like activity, vomited, became bradycardic and code was called," the complaint alleges. "He was intubated, but he could not be resuscitated, and he was pronounced dead."
What the fuck were they even trying to do? Some kind of tough love/cold turkey approach? Honestly wouldn't be surprised bc I've heard a lot of ignorant pieces of shit suggest that should be standard protocol for opiate withdrawal.
Aside from that being intentionally and unnecessarily cruel, there's this tricky thing about alcohol withdrawal vs withdrawal from other "more serious" substances, where you can literally fucking die. That's exactly what happened.
I shudder to think about my surgeon having to deal with a 400ms ping to the fucking robot cutting me open and how badly that could go...
"But people fly here from other countries for healthcare."
People get travel warnings about american "healthcare".
How is is legal to pronounce death without directly checking their pulse in person?
RNs can get the vitals that allows a pronouncement. I do it regularly for hospice folks and it certainly ain't my name on the death certificate. Having an RN verify vitals for an active code is a bit weird though. But so is running a code through telehealth.
Boomers will die this way en masse in nursing homes and even the regular hospital system. They are about to learn first hand the correlation between their precious tax cuts and nursing ratios/turnover.
This is Boring Dystopia. What will instead happen is everyone will shrug, just like when we let a bunch of boomers die from COVID, and then blame the Democrats somehow.
and then blame the Democrats somehow.
Yes, how could anyone possibly blame the guy who prematurely declared the end of the pandemic, resulting in the discontinuation of preventative measures and robust data tracking, for the consequences of that decision?
Only those crazy tankies!
Their insurance is better than yours they won't suffer this until it doesn't matter much and their vote doesn't really count anymore.
That is fucking horrifying.
Non contemporus notes don't really matter (ICU nurse isn't going to write a note while they're peeling this guy off the ceiling) and I'm not familiar with ICU level withdrawal care but I doubt CIWA is helpful in someone like this who's in full blown withdrawal already and going brady with current interventions. CIWA is good for preventing him from getting where he already obviously was.
What does "peeling this guy off the ceiling" mean in this context?
Before he started precedex he would've been essentially highly anxious and fighting everybody. When he wasn't having seizures that is.
Once again the Bigly Beautiful Bill encourages survival of the fittest, puh-raise JEE-zuz-ah!
First thought: "Must be USA". opened the link just to check and was not ~~dissapointed~~ wrong
Meanwhile in in the rest of the world we've got conservatives telling us how much more efficient it would be and how much quicker you'd see a doctor if we adopted America's for-profit healthcare system.
I know this is fucked up in general, but am I the only one who's slightly bothered by the description of him as a "dental student"? Maybe I'm overthinking things, but I worry that reporting would look different if it didn't happen to a person of high status.
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