Klebsiella pneumoniae and ventilator

[Anonymous]

Anonymous wrote:PCP office booked us for Dec. We asked for a quicker appt and we are apparently on a list. They told us to go to the ED or urgent care in the meantime. I remember not that long ago they saved a couple of last minute type spots for those that were unexpectedly unwell. Guess they don't do that anymore. Now I can see why people like concierge.

What? That's insane.....

[Anonymous]

Anonymous wrote:I don't want to mention hospital name but it's one of the ones most people would have heard of.

You should name it so others know, for multiple reasons based on your post.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:PCP office booked us for Dec. We asked for a quicker appt and we are apparently on a list. They told us to go to the ED or urgent care in the meantime. I remember not that long ago they saved a couple of last minute type spots for those that were unexpectedly unwell. Guess they don't do that anymore. Now I can see why people like concierge.

Health care provider here. That is absolutely insane to me. Even without the infection, he should have had a "check in" follow up due to having an ICU stay. My PCPs office reached out to me to schedule a follow up a week out of my 1 night ICU stay .

I would also recommend trying to get an appt with either an ID doc or pulmonologist.

+1 that’s not acceptable. I’d try again with pcp. I would send portal message saying you tried to make an appt but didn’t get one til Dec and “that seems too long for a 58 year old just discharged from the ICU currently being treated for hospital acquired pneumonia. Are you saying that’s an okay follow timeline and we should stick with the December appt?” That should do the trick.

Agree this might help move things along.

[Anonymous]

Anonymous wrote:

Anonymous wrote:PCP office booked us for Dec. We asked for a quicker appt and we are apparently on a list. They told us to go to the ED or urgent care in the meantime. I remember not that long ago they saved a couple of last minute type spots for those that were unexpectedly unwell. Guess they don't do that anymore. Now I can see why people like concierge.

Health care provider here. That is absolutely insane to me. Even without the infection, he should have had a "check in" follow up due to having an ICU stay. My PCPs office reached out to me to schedule a follow up a week out of my 1 night ICU stay .

I would also recommend trying to get an appt with either an ID doc or pulmonologist.

I agree with you and the others, but I did want to say that twice my kids have had emergency hospital stays (both times resulting in surgeries, once in the icu) and in neither case did their pediatrician suggest a follow up appointment with them. In one case my dc had post-surgery issues and the pediatrician was nice but nicely told us we needed to follow up with the hospital surgeon. When we did that, the surgeon said that their job was done and we needed to find a pediatric GI doctor. Which had a multi month wait and neither the pediatrician nor hospital surgeon assisted to help us get seen earlier.

My point here is that I bet this is more common than you’d think. But I’m heartened that you as a health care provider find it wrong.

[Anonymous]

That's still very poor coordination of care.
DH was in Sibley, got complications, was in ICU, pulmonary embolisms and saddle block. Seen in ICU by pulmonologist called at home by our PCP.
Follow up with pulmonologist, PCP, and then suggested blood testing to see if clots were a tendency (not as it turned out). Surgeon checked on the work he had done.

[Anonymous]

Anonymous wrote:That's still very poor coordination of care.
DH was in Sibley, got complications, was in ICU, pulmonary embolisms and saddle block. Seen in ICU by pulmonologist called at home by our PCP.
Follow up with pulmonologist, PCP, and then suggested blood testing to see if clots were a tendency (not as it turned out). Surgeon checked on the work he had done.

how did your pcp learn your dh was in the icu?

[Anonymous]

Anonymous wrote:

Anonymous wrote:That's still very poor coordination of care.
DH was in Sibley, got complications, was in ICU, pulmonary embolisms and saddle block. Seen in ICU by pulmonologist called at home by our PCP.
Follow up with pulmonologist, PCP, and then suggested blood testing to see if clots were a tendency (not as it turned out). Surgeon checked on the work he had done.

how did your pcp learn your dh was in the icu?

I had called him from DH's floor room when nurses were ignoring his lethargy and alarms. He got them to evaluate and call surgeon's partner (surgeon was in a long surgery) who ordered a scan and found the embolisms. I emailed pcp what was happening and that he was going to icu.