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Re: Hysterectomy - reasonable length of stay in hospitalFrom: Jean (anonymous@obgyn.net)Fri, 27 Feb 1998 20:21:41 -0600 (CST)
At Wed, 25 Feb 1998, karen wrote: > >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: >>>>>I had lavh at 3:00pm one day and left hospital at 3:00pm next day - no problem, feeling great at six weeks. I do notthink one can judge how each individual will react. I have managed care plan which approved one day - doc said no problem if I needed more. >>>>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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