
Back with you in the new year. Enjoy.
On the morning of Aug 1, 2005, I awoke about 4am at home with severe chest pain. It was an intense pain I had never had before.So this is the organization that wants to put in a specialty Heart Hospital? Is this the same place that put up the signs for 'The Chest Pain Center'...and then didn't bother to inform the ER, nor staff appropriately?
Heartburn is something I almost never have, but I got up and chewed a couple of Alka-mints. The pain did not go away and seemed to gain intensity, so I woke my partner, significant other or whatever you want to call him. We have been livingtogether for over 33 years and we have lived in ____ 22 years. He is also an ex-EMT basic. He had me lie down and administered oxygen. This helped a little bit, but I still had chest pain and trouble breathing. We decided I needed to go to the ER in Paris.
He drove me there and we arrived at 5:46am. Once in the ER, I sat at a desk while a nurse took my name, address, etc. and finally I was laid down and hooked up to a monitor with my blood pressure all over the chart and pulse as low as 37. When my pulse dropped below 40, an alarm went off and no one came in. I had to tell the nurse that it had gone off. She just looked at me with a blank look on her face.
Over several hours, I was given an Xray, an ECG and had blood drawn. I was left unattended all of the time while they worked on a couple of more patients that they said were critical. I was there forty-nine minutes before I was given nitro several times with no let up of chest pain.I was never given any aspirin or any other drug of any kind. I was never asked if I had a history of heartburn or upset stomach. Dr Hobbs came in only once for a very short visit. He never listened to my heart or lungs or asked any questions about my history. My partner was in the room with me when asked by nurse Debra Crews who he was. He replied that he was my significant other.
After that statement, the atmosphere seemed to change and I was left lying there with only occasional checks on the monitor. Thirty minutes after shift change at eight a.m., Dr. Rowe came and stood in the door. He said I had GERD and gave me a prescription for a prev-pak ($300). He said my sugar level was high at 146. I asked what should it be and he said "140". Then he sent me home.
All the time Dr. Rowe was in the room he didn't come near me. He never examined me or listened to my heart and lungs. He never asked me any questions or medical history. I went home and the chest pain mostly went away late that afternoon. This visit cost the VA over $2,500. I believed the doctor and thought I had GERD.
The rest of the week was spent in agony. My arms hurt, my legs hurt, I couldn't eat, my blood pressure stayed very low and averaged about 70/50 which is really not enough for kidneys to work properly. By Friday morning, August 5th when I went to Bonham to the VA clinic, my blood was toxic and my heart in really bad shape.
They did an EKG and sent me by ambulance to the Bonham hospital to stabilize me before I was sent to Wilson N. Jones Medical Center in Sherman to the emergency room to be sent to a heart cath lab. There I had one stent put in and angioplasty. They left some blockages because I was on the verge of kidney failure, and more dye would have probably shut down my kidneys. I was told by the renal specialist that I came very, very close to death. Fortunately, I have good kidneys and passed the toxins quickly.
I was released on August 7th. Two days stay at the hospital in Sherman cost the VA $140,000. Later the next week, I was charged over $43 for a copy of my medical records from Paris Regional Medical Center to give to my VA doctor. There were no strips from the monitor in the ER in these records or doctor notes.
When I picked up the records, I asked if I was getting a copy of everything in my medical records and was assured that I was. The ECG in these records clearly showed abnormal heart functions.
On August 20th, I had chest pain and it felt as if I had a heavy weight on my chest. I called the Dallas VA hospital and was told to call 911 or go to the nearest ER. I told them I would rather take my chances on the road to Dallas than to go to the ER in Paris again. I went to the ER at the Dallas VA hospital and was admitted and had another heart cath on Monday, August 22nd. They put in another stent and more angioplasty. I was released on the 23rd with medications for my heart and will do follow-up in the cardiology clinic there.
I believe I was denied medical care for the heart attack I was having when I came into the ER at Paris Regional Medical Center for several reasons. First, I did not have the blank check of Medicare or Medicaid. Second, the personnel at the ER seemed to have no training in treatment of chest pain (heart attack) patients which is simply an aspirin and nitro glycerin under the tongue immediately. Third, Dr. Hobbs and Dr. Lowe acted like they really didn't care about me at all and neither listened to my heart, lungs or asked any questions and seemed to have no training in ER procedures.
I truly believe that if my heart attack had been diagnosed properly at the ER at Paris Regional Medical Center, I would not have gone through so much pain and agony and damage to my heart would have been minimal. By not treating me at all, Paris Regional Medical Center has taken years from my life and is liable for all medical expenses, ambulance trips, medicine and all other expenses incurred by the Veterans Administration clinic and hospitals.
While this is a California case, if you will note, the our appeals court utilized the Cahill decision in their call.May 26th, 2006
Huge Win for Online
Journalists' Source Protection
EFF Arguments Secure Reporters' Privilege for Internet News Gatherers
San Jose - A California state appeals court ruled in favor of the Electronic Frontier Foundation's (EFF's) petition on behalf of three online journalists Friday, holding that the online journalists have the same right to protect the confidentiality of their sources as offline reporters do.
"Today's decision is a victory for the rights of journalists, whether online or offline, and for the public at large," said EFF Staff Attorney Kurt Opsahl, who argued the case before the appeals court last month. "The court has upheld the strong protections for the free flow of information to the press, and from the press to the public."
In their decision, the judges wrote: "We can think of no workable test or principle that would distinguish 'legitimate' from 'illegitimate' news. Any attempt by courts to draw such a distinction would imperil a fundamental purpose of the First Amendment, which is to identify the best, most important, and most valuable ideas not by any sociological or economic formula, rule of law, or process of government, but through the rough and tumble competition of the memetic marketplace."
The case began when Apple Computer sued several unnamed individuals, called "Does," who allegedly leaked information about an upcoming product to online news sites PowerPage and AppleInsider. As part of its investigation, Apple subpoenaed Nfox -- PowerPage's email service provider -- for communications and unpublished materials obtained by PowerPage publisher Jason O'Grady. A trial court upheld the subpoena.
But Friday, the court said that O'Grady is protected by California's reporter's shield law, as well as the constitutional privilege against disclosure of confidential sources. The court also agreed with EFF that Apple's subpoena to email service provider Nfox was unenforceable because it violated the federal Stored Communications Act, which requires direct subpoenas of account holders.
"In addition to being a free speech victory for every citizen reporter who uses the Internet to distribute news, today's decision is a profound electronic privacy victory for everyone who uses email," said EFF Staff Attorney Kevin Bankston. "The court correctly found that under federal law, civil litigants can't subpoena your stored email from your service provider."
EFF worked with co-counsel Thomas Moore III and Richard Wiebe in this case.
For the full decision in the case.
For more on Apple v. Does: http://www.eff.org/Censorship/Apple_v_Does/
That's all you have to say about the appeals court decision?How bout a shout-out and a way-to-go for the 6th court of appeals making a stand for your first amendment rights?
62% of cases are disposed of with in 6 months.Realize these are last year's statistics, but will probably hold. What complicates this case are the issues involved. A 'constitutional' issue, a somewhat obtuse decision,
25% in 6-12
13% in 12-24
0% longer than 24.
David Mayer -Jazz Pharmaceuticals
Ron Wolford -ForHealth Technologies
James Elrod Jr. -Vestar Capital
Bryan Cressey -Thoma Cressey
Steven Silver -GoldToeMoretz
Jeff Goldsmith -Cerner
Bryan Marsal -GoldToeMoretz
Sharing ideas on a regular basis helps support economic development, job creation and the marketing efforts of area cities.Read more.
But for many chamber organizations in Greater Kansas City, networking is going global.
The potential for tapping into huge overseas markets, including India and China, is becoming increasingly important for chamber members, particularly ones with expertise in the biosciences and information technology.
He bought hospitals that no one else wanted, but looked good on paper, tried to run "the big con" ala the Sting, and with him gone, things will probably fall apart.
He could sell the idea that the hospitals weren't profitable while they were being renovated. That renovation would take years. And years to start. Meanwhile, he could acquire some actually good properties (Muskogee comes to mind, as well as Weatherford) and borrow against the idea that his corporation owned five hospitals that they were willing to put money into. Sort of how they got Paris.
He actually believed that he could package a working system that would make the 15-20% return that he forecasted from bankrupt hospitals.Your choice.
Staff reportsActually, Hud's change in status happened in October. I posted the news on the 9th of November.
The Paris News
Published November 26, 2007
Officials at Essent Healthcare, the parent company of Paris Regional Medical Center, need to keep this community informed of events such as a change in leadership at the top as happened earlier this month in Nashville, Tenn.
The Paris News became aware through a third party, and almost a week later, the companys founder, Hud Connery, had been forced to step down as chief executive officer by the companys board of directors and that Mike Browder had been named acting chief executive officer.
Essent public relations specialist David Jarrard did respond to a request for information for a Nov. 19 story, but an e-mail communications problem prevented us from receiving a response in time for that days edition.
Jarrards response was brief, stating the board of directors has a commenced a search for a permanent chief executive officer. He also said in the written statement that Browder joined Essent in 2001 as chief financial officer and that he served in a similar post for TMC HealthCare. From 1993 to 1999, Browder served as vice president of finance operations for Health Management Associates, Inc., where he was responsible for financial operations at 32 hospitals.
We should have received that information as soon as an event of this magnitude took place, not a week later and only at our request.
Members of our community should be kept abreast of what is going on with Essent. Paris Regional Medical Center is one of this communitys largest employers and serves the medical needs of the majority of our residents. In the past this newspaper has been supportive of our local hospital, but being left out in the cold about major events does little to help a relationship. After all, it is the responsibility of this newspaper to keep residents informed. A change in Essent leadership certainly warranted an immediate notification.
Toyota is often cited as having one of the best suggestion programs of any corporation. They also had not laid off any employees since 1950 (not sure if that still holds true, but probably so.)His definition of bitching, pissing and moaning might be a
bit different than ours. For one thing, those that are recognizing problems, and suggesting solutions are the ones that aren't saying, "That's not my job." Maybe administration would prefer that they were, but patients don't.
Housekeeping used a wax that was softened by the cleaning solution they used to mop it. It produced a sensation of sticking to fly-paper as you walked. Solution: Change the wax, or change the cleaner. The extra money spent would be paid back in public perception almost immediately.
An effective suggestion program can make the difference between red and black ink, but the opinion is anyone that doesn't believe that the moon is made of green cheese (admin's view), is a troublemaker.
An aside: In searching for records on Connery and CT, I ran across a house owned by Hud and an Ann Moore. It would appear that Ann Moore used to be in the clique of former Governor John G. Rowland, who pleaded guilty to a corruption charge (his administration approved the Sharon conversion from not-for-profit to for-profit, first in CT). I can follow Ms Moore's career through the CT governmental positions she held, as a lobbyist, and to a law firm (UPDIKE, KELLY & SPELLACY, P.C), after which she disappears (career-wise), apparently not practicing. They even hired an attorney to prepare a variance for submission on the house.Looking at Hud's replacement, Mike Browder's duty description caused another series of questions, see if you can find and answer them:
"Michael Browder joined Essent in 2001, and is responsible for all traditional corporate financial functions including routine reporting and capital structure development. In addition, he is responsible for information systems development, corporate risk management/insurance and detailed acquisition support functions, including due diligence."Did you see? Corporate risk management, insurance, and due diligence. Responsibility for due diligence puts him in the hot seat for failing to recognize PRMC's shortcomings, insurance for the gay couple's lawsuit, and risk management for the go ahead on the actual Essent-Doe lawsuit. You wonder why he wasn't out the door before Hud....