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.
The question of appropriate ward garb is a problem for the ages. Compared to photo stills and films from the 1960s, the doctors of today appear like vagabonds. No ties, no lab coats, and scrub tops have become the norm for a number (a majority ?) of hospital-based docs—and even more so on the surgical […]
Prices from a chargemaster are “what a drunken billionaire would pay a hospital if his wife were not around to control the bastard.” — Uwe Reinhardt You might be asking why such an outlandish quote? Last week CMS proposed* to change the way patients see the costs of hospital bills. So what you might utter. […]
“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 […]