Since some patients being discharged from the hospital will require air travel, this review from the Lancet offers some tangible advice on who is fit for travel (abstract). The notable recommendations include to defer air travel for 14 days after any major surgery and for 7-10 days after a bowel obstruction or diverticulitis. For patients with feeding tubes, urinary catheters, or tracheal tubes, the cuff should be inflated with water instead of air, to avoid gas expansion and rupture. For DVT prevention, they recommend hydration, compression stockings, and ambulation for any flight lasting > 4 hours. In general, the cardiopulmonary “fitness test” for safe travel includes being able to walk 50m or 1 flight of stairs without angina or significant dyspnea.
“Membership in the American Academy of Professional Coders has risen to more than 170,000 today from roughly 70,000 in 2008.” “The AMA owns the copyright to CPT, the code used by doctors. It publishes coding books and dictionaries. It also creates new codes when doctors want to charge for a new procedure. It levies a […]
Yeah, I know the headline drew you in. I sleuthed ya—but I have a reason. A study out in BMJ today, and its timing is uncanny given the immigration ban we are now experiencing. First, to declare my priors. I will take an IMG to work by my side any day of the week. You need […]
The Centers for Medicare & Medicaid Services (CMS) has not updated its rules (“conditions for participation”) for nursing homes in twenty-five years. Late last year they finally did. Many of the changes will have an impact on the daily lives of NH residents but are far removed from hospital medicine. Think a resident’s ability to […]