Blogging Bayport Alameda

July 7, 2014

Perforation problems

Filed under: Alameda — Lauren Do @ 6:07 am

Despite the insistence by some people that Alameda Hospital is some awful place that mistreats its patients, apparently this dude was rather grateful for his experience there.  From Health Leaders Media:

 

So, that night, into surgery I went. Initially, the surgeon detected “no sign of perforation” and I remained “alert and oriented” going under anesthetic. But, once inside, he found a “gangrenous appendix with perforation” and what should have been a 30-minute procedure took two and a half hours.  It sounds just about as awful as it felt.

Just so you know, he survived and apparently uploaded video of what his appendectomy looked like.   It’s not clear if the video is of HIS appendectomy but I didn’t watch because I’m squeamish.

According to this guy here’s his overall impression of his care:

My care at the hospital was attentive and responsive. I am so impressed by what nurses accomplish day after day, night after night. I was one of the younger patients on the floor, and some there naturally had much graver conditions than mine.

There was one victim though.   During the shift of rooms his leather jacket went missing.

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31 Comments

  1. So add robbery to maltreatment and incompetence.

    Comment by Jack — July 7, 2014 @ 9:19 am

  2. I have had two stays at Alameda Hospital over the past 8 years. One of which was for 11 days! I could not have asked for better care and attention. The nursing staff was wonderful and very competent and whenever I asked from something, the response was fast and courteous. Everyone from Admittance to X-Rays to Nurses and General staff were all helpful and attentive. I am so pleased that Alameda Hospital is there.

    Comment by Bill — July 7, 2014 @ 9:24 am

  3. I am glad this fellow’s first experience with urgent surgery went well. Appendectomies used to be the first thing one learns to do on the surgical rotation; the bread and butter of general surgery.

    However, I visited BBA this AM after reading this:

    http://cironline.org/reports/california-doctors-used-fake-hardware-spine-surgeries-lawsuits-say-6523

    and then, there’s part of the reason our mentally ill patients go untreated for so long: http://nuhw.org/wp-content/uploads/2014/01/CareDelayedCareDenied.pdf

    Comment by vigi — July 7, 2014 @ 9:34 am

  4. For the one complaining about Alameda Hospital ,
    I strongly recommend a trip to highland hospital in Oakland ,
    Hospital around the country KILL every year around 210 000 patient , should we add the wrong prescrition by MD we jump to 400 000 {talk about mass murder and free ride}
    gun violence take 32000
    vehicle accident 33000
    As far as the Alameda hospital it is ok on the average , the main problem like all hospital they do not take criticism seriousely , they are all number driven insted of health care , my new porsche , new mansion , new boat and yes that great Mistress ,
    They are the one with the degree , in reality the vast majority push medication just like you see on TV , not based on knowledge and fact but presention , why do you think most pharmceutical representant are sexy women , not an accident.
    The statistics speak for themselves?
    No one should die in any hospital or elderly care center due to prescription , we have the technology to handle th problem , it is only a matter on “bytes” , no one over ride the MD decision , why not ? I have found nurses more competent that egotistic MD .
    I have experienced the Alameda Hospital far more than anyone would wish and I give them a good rating .
    The MD who was supposed to remove shrapnel in the chest never did and closed it back by saying forget it , if I van’t get it no one will has long retired, it beep at european airport earning me several full strip search and the comment by the MRI technician did you know you have metal in the chest , yes I even paid $2000 to get them removed .
    American Hospital do have a very long way to go to meet European standards.

    Comment by joel Rambaud — July 7, 2014 @ 10:18 am

  5. I have Kaiser and I would give it a AAA. I actually have my yearly doctors appointment today. My friend who lives relatively close to Alameda Hospital and has insurance though work which would cover Alameda Hospital and Doctor Appointments actually chooses to pay for a Kaiser plan for her family out of pocket. If you live on the west end it take just about the same time to drive it either. One other thing I like about Kaiser is you get all your lab results online and you can communicate with your doctor online as well as get your prescriptions online and they are delivered free to your house in a couple of days. All your Heath records are online. I have high cholesterol and high blood pressure so you can see trends and graph it out. I have not been to Alameda Hospital so I can’t compare the 2. I do have a $10 copay for every doctor or hospital visit at Kaiser. I do have to pay like $1,000/year for coverage, but if we went for Blue Cross it was more, but most employee/employer play you have something that comes out of your pay check for Medical/Dental.

    Comment by Joseph — July 7, 2014 @ 10:57 am

  6. @5 If you only need yearly doctor’s appointments, then Kaiser is perfect for you! And you pay only $1000/ year! Ignorance is Bliss.

    Then there are the KP members who are paying >$1200/ MONTH. And see many docs per year. If you are planning on being hit by a car, I would advise against having Kaiser insurance.

    “All your health records are online”. WRONG. I ordered my chart = $15 on a CD. 652 pages. Although it supposedly goes back to 2006, not one of my 13 visits to my orthopedic surgeon [as listed in my “Past Visit Summary” at kp.org], 2009-2013, is in my chart. Not One. Which is why there are no accurate descriptions of my surgical history in my medical chart.

    I advise everyone with Kaiser insurance to order their chart from Medical Secretaries. It is well worth the $15. You may be quite surprised at what is [& is not] in there.

    Comment by vigi — July 7, 2014 @ 12:53 pm

  7. I say, again, that Alameda should open the enlisted barracks to Obama’s migrant kids. Take the pressure off Murrieta and gain national attention by helping kids who are escaping oppression. Alameda Hospital could also play its part in civic pride by checking each kid for third world diseases.

    Comment by Jack — July 7, 2014 @ 6:26 pm

  8. Jack, who is going to pay for this program? The enlisted barracks belong to ASD now.

    Vigil I have been going to Kaiser for 5 years now hand my health record is about 5 pages. I told my partner who is a Doctor how many pages your health record was and he couldn’t believe it. I think his is one page. BTW he doesn’t practice at Kaiser we just choose that option. My doctor at Kaiser is so much better than and Doctor I went to in private practice, but I have never been hit by a car.

    Comment by Joseph — July 7, 2014 @ 7:43 pm

  9. Vigil I forgot to say most places charge $.20 cents a page to print your health record…you got off cheap.

    Comment by Joseph — July 7, 2014 @ 7:45 pm

  10. Somebody told me they saw a distinguished gentleman with what looked like a white goat (could have been a dumb looking dog) walking along the Point blue lagoon Saturday. Wondered if it could have been one of Alameda’s esteemed histrionics?

    Comment by Jack — July 7, 2014 @ 7:47 pm

  11. 7 same people who pay for everything else.

    Comment by Jack — July 7, 2014 @ 7:50 pm

  12. China

    Comment by Jack — July 7, 2014 @ 7:50 pm

  13. Jack, I walked my dog there on Saturday, but I didn’t see anyone of that description.

    Comment by John P. — July 8, 2014 @ 8:12 am

  14. Quite frankly I do not see the relevance , of someone telling another one they may have saw someone which looked like a dog walking , nor any relevance of “Migrant kids” by the way pretty much everyone reading this blog is or come from an immigrant family , just in case you forgot .
    Sound that some have a distorted concept of life , everything for me nothing for the other , interestingly enough they always hide behind a nickname , what’s wrong putting your real name down . Afraid your neighbors will judge you for what you are .
    If you do not like the President , Mayor etc , run for office , we all like a little laugh once in a while ……

    Comment by joel Rambaud — July 8, 2014 @ 9:51 am

  15. #9: Joseph, $15 is what Kaiser charges every patient who asks for a copy of their medical record = base price, standardized form. No matter how small or large your record, what will fit on the first CD costs $15. [if you want to print it, making that happen & the attendant costs, are up to you]. If your medical record is larger than that [and the CD I received makes reference to five volumes of charts, which I DON’T HAVE YET], you may have to pay more. I didn’t mean to be so harsh [I am actually upset with KP], but it is a misconception of many Kaiser members that what they can access via “My Health Manager” is the same as their medical record. It is not. Your actual medical record is that password-protected stuff that your Kaiser doc accesses when s/he sits down at the computer terminal in your exam room & types away while you are trying to have a medical appointment.
    .
    I was appalled when I heard California Congresswoman Gloria Negrete-McLeod suggest during the VA hearings that Kaiser should run the VA, because in 30 years she has no complaints about her personal KP care.

    Million-dollar Enforcement actions against KP: http://wpso.dmhc.ca.gov/enfactions/actionSearch.aspx

    Kaiser was just fined $4 million by the Department of Managed Health Care for doing exactly what the VA did = falsifying medical records by error & omission, keeping 2 sets of appointment lists to hide illegal wait times between appointments for patients in crisis. Kaiser is appealing the fine: the Oakland administrative hearing is set for September 2014.

    In November, please consider voting YES on Propositions 45 and 46 [Consumer Watchdog for Patient Safety]

    Comment by vigi — July 8, 2014 @ 10:10 am

  16. D’oh! Sorry; the link only admits to the start of the search. To get to clickable links, select “Kaiser Foundation/Permanente Med. Care Program” from the drop-down menu. For “Penalty” range, input $1,000,000 to $10,000,000. You can leave the Other boxes blank. Hit “search”. Terms in grey below will appear as links to the documents.

    [Remember, these are fines for Kaiser’s violating California law. None of this money [paid with your premiums!] goes to an individual patient as damages.]

    There are 4 enforcement actions that meet your search criteria. Kaiser Foundation Health Plan, Inc. (d.b.a. : Kaiser Foundation/Permanente Med. Care Program)

    Org. Type
    Health Plan

    Action Date
    06/24/2013

    Penalty
    $4,000,000.00

    Violation #

    1300.67.2 Failure to have readily available and accessible health care services
    1300.67.2.1 Geographic Accessibility Standards
    1300.67.2.2 Failure to provide timely access to non-emergency health care services.
    1374.72 Health plan to cover mental illness and emotional disturbance

    Document(s)
    Cease and Desist Order
    Accusation

    Kaiser Foundation Health Plan, Inc. (d.b.a. : Kaiser Foundation/Permanente Med. Care Program)

    Org. Type
    Health Plan

    Action Date
    07/30/2007

    Penalty
    $2,000,000.00

    Violation #

    1300.70 Health Care Service Plan Quality Assurance Program
    1370 Failure to establish and maintain procedures for review of quality of care

    Document(s)
    Stipulated Agreement

    Kaiser Foundation Health Plan, Inc. (d.b.a. : Kaiser Foundation/Permanente Med. Care Program)
    Org. Type
    Health Plan

    Action Date
    08/17/2006

    Penalty
    $2,000,000.00

    Violation #

    1367(d) Failure to provide continuity of care and ready referral of patients as appropriate and consistent with good professional practice.
    1367(e)(1) Failure to have all services readily available at reasonable times consistent with good professional practice and readily accessible consistent with Section 1367.03.
    1367(g) Failure to have organizational and administrative capacity to provide services. Failure to demonstrate that medical decisions are rendered by qualified medical providers, unhindered by fiscal and administrative management.
    1373.96 Completion of covered services

    Document(s)
    Consent Agreement
    Order
    Stipulated Agreement

    Kaiser Foundation Health Plan, Inc. (d.b.a. : Kaiser Foundation/Permanente Med. Care Program)
    Org. Type
    Health Plan

    Action Date
    12/02/2002

    Penalty
    $1,000,000.00

    Violation #

    1367(d) Failure to provide continuity of care and ready referral of patients as appropriate and consistent with good professional practice.
    1367(e)(1) Failure to have all services readily available at reasonable times consistent with good professional practice and readily accessible consistent with Section 1367.03.
    1368.01(a) Failure to resolve enrollee grievance within 30 days
    1368.04(b) Director has power to assess administrative penalties

    Document(s)
    Amended Accusation
    Amended Accusation
    Stipulated Agreement
    Order

    Comment by vigi — July 8, 2014 @ 10:25 am

  17. joel, if I put my real name on this site people would then know who I’am.

    Comment by John P. — July 8, 2014 @ 11:17 am

  18. vigi you seem to have a chip on your shoulder as far as Kaiser. Solution: Don’t go there, join Blue Cross or Blue Shield.

    I been to the VA hospital in Seattle and waited 12 hours in the emergency room, I been to Alta Bates which was nice but the people were sort of cold. I went to the emergency room to once in SF when I threw by back out and could barely get out of bed for 3 days…they just gave me Vicodin and finally after a week I went to a Chiropractor and he popped something back in and if a few hours I was back to normal. When I had my appendices taken out in Seattle…they admitted me, took it out and discharged me after one day. I had to find someone to stay with who could help me out of bed and get in to the bathtub as I was living in a college dorm and it wasn’t practical for me to stay there. The insurance only covered 80 or 90% so I paid like $100/month for like 20 months, which was a lot for a college student. When I went to the Kaiser Emergency room last year, when I threw my shoulder out, I had a $10 co-pay, saw an emergency room doctor, had x- rays, etcetera and was on my way home in a few hours. My regular doctor called me on Monday and asked me how I was doing.

    Comment by Joseph — July 8, 2014 @ 11:21 am

  19. #17 I don’t think people really care who you are unless you are Dave Howard. 🙂

    Comment by Joseph — July 8, 2014 @ 11:23 am

  20. Vigi , we are all adult here …
    Any hospital , any business can have a so called violation notice , with Kaiser’s size it is bound to happen .
    The effect on their revenue close to 53 billions dollars a year of a 5 millions fine is very much the equivalent of a parking ticket .
    On the positive side look what they have achieve since their inception .
    I am not Kaiser member by the way , nor a client .
    This remind me of a health Dept inspection in Houston , we just had finished a total sanitation on the facility , then came the health Dept. inspector , there was a stench from the bleach , nothing could be found , we had force air curtain to stop the bug from coming in , inspector left disappointed could not find anything wrong , then came rushing back in right back , Sir I want you to come outside now, yes 100 degrees 99% humidity .
    SHE pointed at the trash container , you see right there , Yes? the flies ! So it’s outside ! it is not acceptable ! one second please can you look closer for me , The health inspector came closer and I pointed out to 2 flies being on top of each other , Inspector they are having sex in public ,,,,Guess what was actually written on the official violation she hand me with a stern warning which I kept for many years but lost in so many move .
    ” observed 3 flies on the perimeter ,2 were reproducing ”
    As for the Club it would have made Studio 54 a place for preschooler ……

    Comment by joel Rambaud — July 8, 2014 @ 1:45 pm

  21. #20 is funny in a way but I worked for a Biotech company when I first moved to the Bay area and I put in 50/60 hours a week. The unfortunate thing was I didn’t get paid overtime because I was on salary. The head pharmacist and the Director of pharmacy came in a lot of times when I was working weekend. One weekend a person on the janitorial staff walked in on them in a restroom where they were having sex. Both were married, the Director was fired, everything came out, they both separated from their spouses and ended up moving in together when the dust all settled. So #20’s comments are not so far fetched. With all my years working in the Bay area they are not the only 2 which I found out were having sex with someone they worked with. When I worked for Babcock and Brown we had manitory sexual harassment classed like twice a year.

    Comment by Joseph — July 8, 2014 @ 4:06 pm

  22. Joseph , sound like you wanted not to get pay overtime ,
    because unless you are hiring , firing , make financial decision which can affect your company , any and all of them , then You can collect overtime , thing is all Employees in high tech and Bio tech believe they are another breed then later found out they are like the rest of American workers , a disposable commodity just like diapers . There are some great labor attorney out there .
    I like to understand the relevance with Kaiser ………….

    Comment by joel Rambaud — July 8, 2014 @ 5:03 pm

  23. Joel if you are paid salary you a company doesn’t have to pay you overtime. Only they are only required in the state of CA to pay hourly employees overtime. I have a college degree and supervised a couple of people. I have only met a handful of salary people who get paid overtime and that is because the employer need them to and chose to do so. My partner is a doctor (not with Kaiser) but when he first finished his residency, he worked at a place which didn’t pay overtime, but now where he works they are short of doctors and they do pay overtime. His regular work schedule is 29 hours a week so anything over that he gets paid overtime…and he complains because he works so hard. I told him to go work of Kaiser where he would be working at least 40 hours a week. His regular hours he has Saturday, Sunday, Monday and 1/2 of Tuesday off…some people don’t know how good they have it.

    The relevance to Kaiser goes back to comment #5. I just said I had Kaiser and liked them and have had no experience with Alameda Hospital. vigi kept the Kaiser thing going.

    Comment by Joseph — July 8, 2014 @ 5:42 pm

  24. 14
    Flies fucking (20) are ‘relevant’ but tens of thousands of kids aren’t?

    Comment by Jack — July 8, 2014 @ 6:35 pm

  25. Joseph
    Most workers on salary are eligible for overtime , I work for a major corporation , one of the biggest in the world and like everyone else they had to hand out checks plus interest , In California .
    I have been paid on salary most of my life and made the mistake to go hourly when the law took effect .
    If you have not left for more than a year you still have the right to file with the labor board .
    In order to go around paying overtime employer wrongly assume they can hire on salary , as I previously said in order to do so they must be able to make full executive decision , hire fire , set company / division policy etc and supervise a certain number of people
    the second way they go around it is to hire peoples on part time ……
    By the way if you work over 5 hours it is counted as overtime and you can file a claim for it .

    This is when the dreaded UNIONS are useful because they keep lousy Employers in check .
    The only reason non Union Employer pay slightly more than private , with one major distinction , when it come to discipline any supervisor can fire you under California State law , with the Union , they must have a Union representative present as mediator , on our disciplinary form we do not even give the Employee the right to write anything .
    Should you ever be interested by Employee turn over it fluctuate between 40 to 60 % with 8 general Manager in 9 years …….and some 30 assistant manager and counting ……..

    Jack # 24
    I have been civil and polite , you can express your point without vulgarity .

    Comment by joel rambaud — July 8, 2014 @ 10:03 pm

  26. joel, if I have to put up with your constant illiteracy, you ought to be able to put up with my occasional vulgarity.

    Comment by Jack — July 8, 2014 @ 10:46 pm

  27. Adverse comparisons between Alameda & Highland Hospitals are rather moot, now that both are united under the same management: Alameda Health System.

    I do not have a chip on my shoulder re: Kaiser. But “see no evil, hear no evil, speak no evil” is a really bad approach to health care. I am not the National Union of Healthcare Workers, who wrote the letter to Eric Holder, asking that the Justice Department investigate KP for the same wrongdoings happening at the VA. I am not a nurse; yet the California Nurses Association is calling for “non-profit” KP to refund some of its obscene $22.7 billion surplus to its members. [Maybe KP should become a bank, instead of an HMO]. I am not a Sonoma County supervisor, whose husband committed suicide under Kaiser care, interviewed here: http://blogs.kqed.org/stateofhealth/author/jonbrooks/

    I am only a messenger, alerting you to events which may impact your lives. Don’t shoot me…if you wish to remain clueless, that is your business.

    Comment by vigi — July 9, 2014 @ 9:55 am

  28. Jack
    keeping with your thought which fit the perfect definition of a troll …..
    I am seriously wondering which Jack are you ?
    the one in the box ,
    the one of all trades
    Or the one from my favorite author Mark Twain, “which might be more qualifying for you”
    Then you should take a ride an enjoy California backcountry , namely Calaveras , there you will find a road leading to a Hill named in ,
    in May of every year they host a frog jumping contest , something which should be of your literacy / intellect level.
    As far as my illiteracy , I am extremely proud of it , now in my Sixties I have achieved what you will never be able to.
    For instance as an old man , it was interesting during the recession / depression while everyone was crying there are no jobs , I was actually turning them down ….Integrity , Honesty , Ethic and work knowledge have their rewards .
    For over 40 years I used one single resume .
    It is even more complimentary , when your Boss call you in His office and here seating , the business Agent of one of the most powerful man in the world asking you: We want you , what would it take for you to come to the USA …..
    I stayed for a year and left could not stand their Co culture.

    Jack your comprehension and understanding of literacy is just as good as the Wal-Mart or Target customers which always complain about goods made in China , yet leave with a cart full of Chinese made product …..

    Vigi. made a point about Kaiser, I respect it ,
    you are only a trolling chamber’s pot , sadly with the drought the stench start to permeate …

    Comment by joel Rambaud — July 9, 2014 @ 10:36 am

  29. Vigi
    Health care in the US is a joke and nothing else , absolutely all Hospital in the Bay area are non- profit ??? Check out list of non profit organization in Oakland it is Obscene , Alta Bates has been under construction for over 20 years ,and we laugh about the communists

    Comment by joel Rambaud — July 9, 2014 @ 10:54 am

  30. joel, damn, you nailed it I’m the one on the hill.

    Comment by Jack — July 9, 2014 @ 12:15 pm

  31. I thought so , by the way in pure Mark Twain writing , it is Jackass road and Jackass hill , glad you recognize your assets.

    Comment by joel Rambaud — July 9, 2014 @ 12:19 pm


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