The non conformer's Canadian Weblog

March 9, 2010

Leg and Heart surgery


 Firstly all of the governments need  to allot a lot more money for Medicare, heart and leg surgery and for decades now too as well .. and likely this money will be partially abused again as well..  some thing I still do see too often now too.. doctors and nurses even not properly supervised..
Quebec to address heart surgery delays Quebec Health Minister Yves Bolduc is promising to reduce the waiting list for heart surgery in the province after a 65-year-old patient died while on the waiting list for a relatively straightforward procedure.  Jean-Guy Pitre, a retired police officer, died Friday after waiting more than five months for the operation to repair a blocked aorta, which was to take place at Montreals Hotel Dieu hospital. Officials at the University of Montreal Health Centre (CHUM), said it was forced to postpone Pitres surgery because of a lack of beds in the intensive care unit

Anyone stupid to say that the main problem is due to the lack of nurses is a fool.. for the root problem is the fact the Hospitals have a limited annual budget for heart surgery teams overall and for decades now as well, and not just in Quebec. heart surgery at $50,000 plus is a costly undertaking.. so only about 10 percent of the people who need it get it.. and I have been writing that truth now for 15 years now too. In Quebec and in many of the other provinces they do often practice pretentious, token Medicare.. they in the pretentious McGill West Island Health Social Services Centre, McGill University Health Centre (MUHC) and in the University of Montreal Health Centre (CHUM),  allow the public to think they have adequate medical services only.. but do not have the staff, equipment, resources for it.. especially now for both heart and leg surgeries now.. and as the population in Canada gets older this is becoming even more obvious too.
The reality also is  that   a God/faith  based forgiveness approach still works only if one admits that one lies, one has to first admit he has sinned  before he or she can receive help, forgiveness for it.. like it or not.
Useless Watchdog ready to handle ER probes.
It is misleading to say that the lack of Hospital beds is the sole problem..
Do you even  know what the actual patient waiting time  is to see a cardiologist  for example outside of the hospital, or an eye doctor, or a  skin specialist, a knee specialist  for a start?
Having been to the emergency about 7 times at least this year alone with my senior father there are 3 things essential for all for a start  to note..
1 People who are seriously ill cannot generally  be helped by their family doctors, cause they  still generally  do not have the essential medical skills or even access to the essential medical tests..
Only hospital tend to have the best, essential testing equipment, medical personnel .. so the lack of emergency room or hospital beds  here  now is not the sole problem..
in reality rather the root problem is the lack of hospital staff to test the sick people 24 hours per day and seven days a week since the good hospital staff, medical technicians and doctors  tend to work 9-5 and  five days a week only.. and this is the root problem
Generally too many inadequate, pretentious medical test are also still being done initially too by the family doctors and emergency rooms one too.
2 What the lack of emergency and hospital  beds now also means though is that the patient cannot firstly get medically diagnosed and get get their blood tests done within the first 4 hours..
so they can if needed be put into an emergency bed for 48 hours and next if needed.. transferred to the Hospital bed for 10 days at the most where more medical  tests can be done…
what we here also really still do need is not more beds.. but hospital medical testing facilities to be available 7 days a week, 24 hours per day..
3 The lack of proven, skilled medical personnel is still problem especially, especially   in emergency rooms and elsewhere..
for instance inexperienced, nurses and inexperienced  doctors should not be allowed to look after  the patients in the emergency room.. Reality   rather here  we need qualified and experienced medical personnel here and   24 hours per day and seven days a week here.. which too often is not the case too…
4 Now I myself have been to the emergency room at least 5 times the last few years.. 
Note this I had 5 different doctors at the same hospital give 5 different reason for my sickness initially and none of them were right.. the actual sickness was determined only after I was admitted and serious testing done..
In many  other instances the emergency room could not help me or others cause they did not have at all the proper medical experts available at all in the emergency room.. since they tend to  too often concentrate, specialize in recognizing  heart attacks, cancer , broken bones mainly  it seems.
Oh well if you cannot get good medical servcie   in Canada you can go to the states if you are rich..

$5M project targets heart failure Calgary Herald – Scientists and physicians have launched an Albertawide research project to better identify and treat heart failure, a condition that affects 80000 Albertans. Across Canada, the figure swells to over 500,000. Symptoms of heart failure include shortness of breath, chest pain, difficulty exercising, and swelling of the ankles.


Notice the spin doctors do not deal truthfully or specially with how many people who have been diagnosed with serious heart problems got treated within 6 months to 2 years at the most and why was that? Reality heart treatment is done at major hospitals only who do not get paid on a per patient basis, but only get an annual budget to work with, a budget which varies with each city,  province now too, so they firstly do not treat all the serious heart patients.

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August 27, 2009

Why heart attacks often kills still


Congestive heart failure, Coronary artery disease, Hypertension, Mitral valve collapse, Arrhythmias, Atrial fibrillation , Angina,  Cardiomyopathy, Heart attacks, Strokes, High cholesterol all likely can be effectively treated if we had a more competent, compassionated medical care system firstly..  On top of that as I know first hand and often, the quality of services you get THERE TOO depends on the quality of the doctor himself, and half of them, the clearly really poor ones should be employed for a start elsewhere, and have half of their salary cut as well next rightfully too. Too many medical professionals initially do not spot serious heart problems, even heart attacks still in reality for  Doctors, nurses mostly still do have to do a real medical test, even a blood work to tell if  ANY person is really having a heart attack, heart problems! The basic xray test  will not realy indicate at all if a person is having heart problems as well, more serious medical testing is required . Interpretation of the scans, results are very crucial, and on the interpretation side, there is also a very wide range of quality or accuracy, in reality. Even 90 percent poor ones.  Now  doctors can make an extra $500,000 to $1 million a year simply by acquiring their own  scanner that next still give poor results, for often  they are not even competent to interpret accurately the results.. only the  competent Cardiologists tend to understand heart problems.. and not the rest of the doctors.. and that is why it is so hard to get to see a good competent Cardiologist.   

Some things seem to never change, such as cold calloused, pretentious Ministers, Health Ministers included who really do not care if the others live or die, as long as they alone survive  it seems still too. I could not help but notice and read the great newspaper articles about heart care tips.. but what about all of those people where these tips are too late and the mostly pretentious health care is not there for them.. face it to get get real health care you have to get the attention of the emergency department, triage  care givers, that is if you can get past those preeminent security guards there, too often pretentious triage nurses, who screen all the patients firstly. and if you still are not dumb to recognize that now hiring 12 nurses who get the same pay as one doctor cannot, do not make up, compose one qualified medical doctor firstly as well. Nurses have 2 years of training while doctors have at least a decade, so they the real doctors do have both a deeper and wider applicable   knowledge base too. 


Now from years of experience I do also next a Hospital tour. I walk around the hospitals and observe how many hospital employees I can see talking in a group, or just floor walking, and  the medical personnel not at their desks, offices, and I had now clearly observed firstly that this hospital was not even being utilized to a 50 percent capacity, never mind now 75 percent. Clearly bad hospital mangers are responsible for this and there is a significant room for improvement. Being nice to even one bad person is still a major waste of time, and most Hospital managers, employees REALLY STILL do not care at all about the patient’s good welfare, sickness, problems, BUT ONLY THEIR OWN GOOD WELFARE, for  all they staff care about is keeping their own jobs,  getting a raise, promotion and doing the minimum amount of work possible too, because only the fear of firing can cause any hospital employee to do a better job.. So start by firing the bad Hospital managers. Bad School mangers, etc.. Health and all of the bad   Ministers firstly as well. 
A host of studies and reports by academics and the federal government shows that physicians who own scanners order many more scans than those who do not
 The  echocardiogram is a test in which ultrasound is used to examine the heart. The equipment is far superior to that used by fishermen. In addition to providing single-dimension images, known as M-mode echo that allows accurate measurement of the heart chambers, the echocardiogram also offers far more sophisticated and advanced imaging. The first test that should be done for most people with potential heart problems often seems rather firstly reserved for the pregnant mothers rather still too.”
Secondly most of the initial doctor  prescribed medical test for potentially serious  heart problems are really pretentious, cheap, ineffective, basically  all useless, and are mostly now used because the real valid medical tests such as the Echocardiogram   are mostly unavailable and too costly to be used immediatley too, for most people who reallly do need them.
A number of bad Cardiologists, doctors  refer patients for imaging done by rather very obsolete even equipment, equipment now  they own and thus profit more from.  I recently encountered this myself as well.More than 95 million high-tech scans are done each year in the US , and medical imaging, including CT, M.R.I. and PET scans, has ballooned into a $100-billion-a-year industry in the United States, with Medicare paying for $14 billion of that. But recent studies show that as many as 20 percent to 50 percent of the procedures should never have been done because their results did not help diagnose ailments or treat patients.Insurers pay the same for a scan done on a 10-year-old machine as one on the latest model, though the differences in the images can be significant. Insurers do not distinguish between scans that are done poorly or done well or read by less- or more-qualified doctors. Technologists must also be certified, and there are standards for supervising physicians. And the scanners must be regularly assessed to ensure they are properly functioning. But many test centers are not even accredited.In a recent report, the Government Accountability Office said nearly two-thirds of the money Medicare paid for imaging was for scans in doctors’ offices. And, the report added, doctors were receiving an ever larger part of their income from providing scanning services. Not only were patients more likely to have scans if a doctor did this, but the quality of some of the scans was questioned.    
 Some noninvasive Heart tests, and not all of them even are  fully effective .. most tests still do require professional diagnostic experiences solely by qualified cardiologists.
Doctors   are often ordering tests or procedures not based on THE ACTUAL need but A RIGHTFUL CONCERN OF LIABILITY or increasing their income is the biggest waste of health care dollars STILL… More insured and uninsured consumers are RIGHTFULLY getting their BETTER primary care in THE HOSPITAL’S emergency rooms.
  • Resting electrocardiogram (ECG or EKG)
  • Signal-averaged electrocardiogram (SAECG)
  • Chest X-ray
  • Holter monitor (ambulatory electrocardiogram)
  • Echocardiogram
  • Exercise stress test
  • Computed tomography (CT) scan
  • Magnetic resonance imaging (MRI)
  • Magnetic resonance angiography (MRA
Cancer and Cardiovascular disease ARE  the leading cause of death in both men and women,  Cardiovascular disease accounting for one-third of all deaths. MEDICAL NEGLIGENCE ACCOUNTING STILL  FOR 25 PERCENT?? Medical errors are costing the  billions a year in wasted expenses, something that makes ME irate too. The general belief that the hospitals are getting much better in managing this AND THEMSELVES STILL more than they have in the past is also still an unnacceptable myth.
NOW WE ALL KNOW THAT HEART ATTACKS CAN KILL.. WOULD BE NICE iF THEY COULD HAVE BEEN PREVENTED.. UNLIKELY.. WOULD ALSO HAVE BEEN NICE IF THEY CAN BE PROPERLY TREATED, DIAGNOSED AS WELL by the medical community including the doctors, nurses and YES more real money was available for the needed treatment as well in reality, not rather a pretentious amount. Both men and women’s  symptoms are often most likely to lead STILL to dismissal by most of the medical personnel.
Many persons seem to stereotype that men only   tend to have “heart attacks” while engaged in physical exertion, like shovelling snow.  I think they should stress that NOT ONLY MEN AND women present heart attacks  differently, each individual persons presentations can be different, non typical now as well.  Some persons  feel   tightness in the chest. Other  pain in the jaw or shoulder or back, others had  had an ‘upset stomach’,    I do agree that doctors and women should educate themselves more  on how men and women  symptoms of a heart attack.  We don’t need more badly trained doctors, nurses instead we need “more competent doctors.”
Women are almost twice as likely to die within 30 days of a heart attack compared with men, but the difference disappears when age, medical history and disease severity are taken into account.”
I have seen women die of heart attacks because the medical personnel were not able to recognize that heart attacks in women present differently than they do in men. Women’s heart attacks do not always present with the cardiac pain that men experience, they usually present with abdominal discomfort, a strong urge to defecate and some anxiety, the very symptoms that many doctors roll their eyes at and thus take those complaints very lightly, they are often dismissed as women complaining, and the women are not taken seriously. A good book to read for information is “Women are not small men” available at the library and gives a good description and health information to women with regard to cardiac health care and problems as they affect women. “
Also “many health conditions are greatly affected by gender, there is a big difference for many reasons.”
Now on top of all that the food you eat, unresolved negative stress, lack of exercise, hereditary aspects   as well can lead to a serious heart attack. Include the risky behavior such as smoking, obesity,  alcohol abuse, not washing hands, and the often over-prescribing of antibiotics. 
According to the medical experts many people die needlessly, even heart attacks and strokes are highly preventable. In fact, seven of ten Americans who die each year, die of a preventable chronic disease such as heart disease and diabetes While 95 percent of the health care dollars in the US are spent on treating disease,  little attention is paid to preventing disease, which should be a national priority  too.  
Most diabetics don’t eat healthily, and Cathy Chan wants to know why. More than two million Canadians have type 2 diabetes, and the number continues to rise. The cost of treating diabetes and its related conditions is estimated at up to $9 billion annually. Long-term studies show that people who follow the lifestyle recommendations they receive when diagnosed have better control of their diabetes and require fewer medications, says Chan, a researcher and professor of nutrition in the department of agricultural, food and nutritional science at the University of Alberta. “That’s less expensive for you and less expensive for the health-care system, but you’re also less at risk for developing the complications of diabetes, which include heart attack, stroke, amputation, blindness and renal failure,” Chan says. Yet only one in three diabetics eats what they should, which basically follows the Canada’s Food Guide. Most diabetics meet protein recommendations, but only 20% eat the required amounts of fibre found in whole grains, fruits and vegetables. According to the Canadian Diabetes Association, diet is the most difficult thing for people to deal with.
Diabetics  are not the only   people who do have problems making  diet changes, so do many heart patients even now as well.. Changing one’s eating habits often requires the cooperation of others such as one’s spouse, and yes falsely some spouse refuse to make any changes.  I estimate 80 percent of heart patients die as a direct result of failing to change their food  eating habits  


US States with the highest diabetes prevalence in the analysis also have the highest levels of blood pressure and cardiovascular disease risk, cancer risk, and none of this surprising since diabetes is   often related to the type of food they eat too.. and poorer people tend to eat junkier foods..   U.S. scientists also say they’ve found that in human breast cancer cell tumors in mice, a diabetes drug worked better than chemotherapy in prolonging remission. It is interesting that diabetes medicine already has also been found to help 30 percent of heart patients get better too. The drug, metformin, appears to selectively kill cancer stem cells in culture dishes and in mice. Health Ministers and Health Canada should seriously be looking into this too


You can see also
I know for a fact that both the internet and non doctors, alternative approaches,  were unable to help me with my medical conditions many times.. it took real and competent doctors and real, valid  diagnostic equipment/testing  rather for my: heart problems, diabetes, congestive heart failure, gland problems, vitamin deficiencies, cataracts, etc

It is estimated that nearly one in three  adults have high blood pressure. People from lower socioeconomic backgrounds who suffer a heart attack come to the emergency department more often, are less likely to be treated aggressively and have higher mortality rates a year after heart attack, says new University of Alberta research that has important implications for access to cardiac care. If blood pressure is not brought back to the normal range it can lead to stroke, heart attack, heart failure or kidney failure. Magnesium, Cayenne Pepper, Onions, Garlic, Bananas   have also been demonstrated to be effective in bringing down high blood pressure. Eat also a food diet high in fiber, fresh fruit, more vegeatables  and food always low in sugar, or salt.  Avoid the negative side effects of today’s medicines such as Diuretics, Beta Blockers, Alpha Blockers and the related abusive, extortionate, crushing financial costs

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