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Re: Hysterectomy - reasonable length of stay in hospitalFrom: karen (anonymous@obgyn.net)Wed, 25 Feb 1998 19:31:33 -0600 (CST)
At Mon, 23 Feb 1998, Tracy wrote: > >At Sat, 21 Feb 1998, J.Glenn Bradley MD wrote: >> >>At Sat, 21 Feb 1998, Kiki wrote: >>> >>>At Wed, 24 Dec 1997, Jean wrote: >>>> >>>>Would be interested in length of stay in the hospital for anyone who has >>>>recently had a hysterectomy and/or any physician's recommendation on >>>>this topic. In this day of managed care it is hard to know what is >>>>reasonable to expect. Thanks. >>>Hi Jean - I had a TAH on 1/28/98. I went into surgery at 12:30 p.m. on >>>Wednesday the 28th and was home in my own bed at 3:30 p.m. on Friday >>>the 30th. I think this is appalling. I was told I would have to pay >>>$1000 out of pocket to stay another day. My blood pressure in the >>>hospital went as low as 88/56. One more day would have really helped >>>since I really don't believe we actually "rest" when we get home. If >>>they keep this up, the insurance companies will probably change >>>hysterectomies to same day surgery. Perhaps if our male counterparts >>>could experience that which we do, I guarantee major changes in hopsital >>>stay. Thanks and Good Luck - Kiki >> >>Kiki: It is not the unsympathetic male physician that discharges you, >>but rather any managed care MD who must abide by the directives of your >>insurance company.Unless the patient meets specific criteria set by the >>company for longer hospitalization, coverage will be denied.The only >>answer is to seek out alternative coverage companies that allow your >>doctor more latitude in making medical ldecisions.Newer surgical >>techniques,such as laparoscopic SUPRACERVICAL hysterectomy, which is >>usually associated with much less pain, make sameday or next day >>discharge very feasable.With this technology,most patients are home the >>next day, pain pill consumption is often less than a dozen tablets, and >>most activities can be resumed in a couple of days.Smaller incisions >>usually mean faster recovery! >> >>Dr.B > >-- >My insurance company only allowed 48 hours after my hysterectomy, which I think for some is not quite long enough, just as with both of my pregnancies, they boot you out the door in 12 hours! > on dec 9th i had a lavh done at 3pm,post op my hematocrit bottomed out at 24.i was still sent home at 8 am dec 10th.i could barely stand,faded in to the sheets etc.i call this my drive by surgery,i stay longer at burger king.the hospitals do not care about patient outcome,only what they can bill the insurance companies for and how productive the day was.we need to demand better care!!
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