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	<title>Comments on: Hospital employee stole patients’ shots &#8211; spread hepatitis C</title>
	<atom:link href="http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/</link>
	<description>General interest observations and true web-log.</description>
	<lastBuildDate>Sat, 21 Nov 2009 16:22:27 -0800</lastBuildDate>
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		<title>By: Mr. Fusion</title>
		<link>http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/comment-page-1/#comment-1549721</link>
		<dc:creator>Mr. Fusion</dc:creator>
		<pubDate>Mon, 06 Jul 2009 14:03:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.dvorak.org/blog/?p=52399#comment-1549721</guid>
		<description>#15, noname,

I agree that intentionally inflicting anyone with hep C is a crime. My point was that if she could have gotten help with her addiction, she would not have had to &quot;steal&quot; the patients dosages and substitute the dirty needles.

A person&#039;s mental state when they voluntarily use drugs or alcohol is well established in law. You are guilty. 

A similar program is to promote the use of a designated driver in order to cut down on drunk drivers. Several cities have &quot;clean needle&quot; exchanges in an effort to reduce HIV and hepatitis transmission. BUT, we need to get past the addiction as a crime and treat it as a medical condition.</description>
		<content:encoded><![CDATA[<p>#15, noname,</p>
<p>I agree that intentionally inflicting anyone with hep C is a crime. My point was that if she could have gotten help with her addiction, she would not have had to &#8220;steal&#8221; the patients dosages and substitute the dirty needles.</p>
<p>A person&#8217;s mental state when they voluntarily use drugs or alcohol is well established in law. You are guilty. </p>
<p>A similar program is to promote the use of a designated driver in order to cut down on drunk drivers. Several cities have &#8220;clean needle&#8221; exchanges in an effort to reduce HIV and hepatitis transmission. BUT, we need to get past the addiction as a crime and treat it as a medical condition.</p>
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		<title>By: noname</title>
		<link>http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/comment-page-1/#comment-1549626</link>
		<dc:creator>noname</dc:creator>
		<pubDate>Mon, 06 Jul 2009 02:17:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.dvorak.org/blog/?p=52399#comment-1549626</guid>
		<description>Mr. Fusion, 

exposing &quot;hundreds, or even thousands, of surgical patients to hepatitis C after taking their fentanyl injections and replacing them with used syringes filled with saline solution.&quot;

is not a disease, it&#039;s a crime; don&#039;t, confuse the two!</description>
		<content:encoded><![CDATA[<p>Mr. Fusion, </p>
<p>exposing &#8220;hundreds, or even thousands, of surgical patients to hepatitis C after taking their fentanyl injections and replacing them with used syringes filled with saline solution.&#8221;</p>
<p>is not a disease, it&#8217;s a crime; don&#8217;t, confuse the two!</p>
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		<title>By: Mr. Fusion</title>
		<link>http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/comment-page-1/#comment-1549619</link>
		<dc:creator>Mr. Fusion</dc:creator>
		<pubDate>Mon, 06 Jul 2009 02:04:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.dvorak.org/blog/?p=52399#comment-1549619</guid>
		<description>There is such a social and professional stigma to being addicted to painkillers. She should have been allowed to seek help anonymously.

Addiction is a disease. Unfortunately, it is treated as a crime and people don&#039;t get the help they need until it is too late.</description>
		<content:encoded><![CDATA[<p>There is such a social and professional stigma to being addicted to painkillers. She should have been allowed to seek help anonymously.</p>
<p>Addiction is a disease. Unfortunately, it is treated as a crime and people don&#8217;t get the help they need until it is too late.</p>
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		<title>By: Mr. Fusion</title>
		<link>http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/comment-page-1/#comment-1549615</link>
		<dc:creator>Mr. Fusion</dc:creator>
		<pubDate>Mon, 06 Jul 2009 01:52:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.dvorak.org/blog/?p=52399#comment-1549615</guid>
		<description>#12, Nimby,

it has been my experience that physicians are prone to underdose narcotics than give enough or too much. After the last episode, I am more than convinced it was my wife&#039;s (an RN) insistence that got me sufficient painkillers.

A few years ago, just after I moved to this little burg, I saw a newer physician who was just setting up shop. I had a painful sinus infection. She wouldn&#039;t write me anything stronger than ibuprofen. About three years later she had her appendix out and I again saw her shortly afterward with a broken foot. She was now prepared to write a script for nearly anything I wanted.</description>
		<content:encoded><![CDATA[<p>#12, Nimby,</p>
<p>it has been my experience that physicians are prone to underdose narcotics than give enough or too much. After the last episode, I am more than convinced it was my wife&#8217;s (an RN) insistence that got me sufficient painkillers.</p>
<p>A few years ago, just after I moved to this little burg, I saw a newer physician who was just setting up shop. I had a painful sinus infection. She wouldn&#8217;t write me anything stronger than ibuprofen. About three years later she had her appendix out and I again saw her shortly afterward with a broken foot. She was now prepared to write a script for nearly anything I wanted.</p>
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		<title>By: Nimby</title>
		<link>http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/comment-page-1/#comment-1549606</link>
		<dc:creator>Nimby</dc:creator>
		<pubDate>Mon, 06 Jul 2009 01:17:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.dvorak.org/blog/?p=52399#comment-1549606</guid>
		<description>Who in the world would hire a heroin addict, ex or otherwise, to work in area where there are controlled drugs? 

Shameful.

#3 MacGuy - Pericarditis can be extremely painful and difficult to manage, painwise. Morphine is titrated, that is they modify the dose to achieve a result. If you don&#039;t complain enough, they think it&#039;s doing the job. Some idiots think, even if you do complain, that you just want more drugs. But, chances are you were getting the meds you were supposed to receive.</description>
		<content:encoded><![CDATA[<p>Who in the world would hire a heroin addict, ex or otherwise, to work in area where there are controlled drugs? </p>
<p>Shameful.</p>
<p>#3 MacGuy &#8211; Pericarditis can be extremely painful and difficult to manage, painwise. Morphine is titrated, that is they modify the dose to achieve a result. If you don&#8217;t complain enough, they think it&#8217;s doing the job. Some idiots think, even if you do complain, that you just want more drugs. But, chances are you were getting the meds you were supposed to receive.</p>
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		<title>By: Rick's Cafe</title>
		<link>http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/comment-page-1/#comment-1549598</link>
		<dc:creator>Rick's Cafe</dc:creator>
		<pubDate>Mon, 06 Jul 2009 01:04:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.dvorak.org/blog/?p=52399#comment-1549598</guid>
		<description>#6
What do you think a single payer system is?  Nothing but a government agency....duh!</description>
		<content:encoded><![CDATA[<p>#6<br />
What do you think a single payer system is?  Nothing but a government agency&#8230;.duh!</p>
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		<title>By: roastedpeanuts</title>
		<link>http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/comment-page-1/#comment-1549555</link>
		<dc:creator>roastedpeanuts</dc:creator>
		<pubDate>Sun, 05 Jul 2009 22:17:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.dvorak.org/blog/?p=52399#comment-1549555</guid>
		<description>Obviously a pretest for the coming mandatory flu shots!</description>
		<content:encoded><![CDATA[<p>Obviously a pretest for the coming mandatory flu shots!</p>
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		<title>By: Poppa Boner</title>
		<link>http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/comment-page-1/#comment-1549545</link>
		<dc:creator>Poppa Boner</dc:creator>
		<pubDate>Sun, 05 Jul 2009 21:55:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.dvorak.org/blog/?p=52399#comment-1549545</guid>
		<description>She sounds fat.</description>
		<content:encoded><![CDATA[<p>She sounds fat.</p>
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		<title>By: sargasso</title>
		<link>http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/comment-page-1/#comment-1549513</link>
		<dc:creator>sargasso</dc:creator>
		<pubDate>Sun, 05 Jul 2009 20:09:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.dvorak.org/blog/?p=52399#comment-1549513</guid>
		<description>Good people, become drug addicts. Well people, get sick in hospital.</description>
		<content:encoded><![CDATA[<p>Good people, become drug addicts. Well people, get sick in hospital.</p>
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		<title>By: Chris Mac</title>
		<link>http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/comment-page-1/#comment-1549489</link>
		<dc:creator>Chris Mac</dc:creator>
		<pubDate>Sun, 05 Jul 2009 19:17:57 +0000</pubDate>
		<guid isPermaLink="false">http://www.dvorak.org/blog/?p=52399#comment-1549489</guid>
		<description>Meanwhile, millions of other people had perfectly fine health care that day.</description>
		<content:encoded><![CDATA[<p>Meanwhile, millions of other people had perfectly fine health care that day.</p>
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		<title>By: Named</title>
		<link>http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/comment-page-1/#comment-1549450</link>
		<dc:creator>Named</dc:creator>
		<pubDate>Sun, 05 Jul 2009 17:22:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.dvorak.org/blog/?p=52399#comment-1549450</guid>
		<description>4 Rick&#039; Cafe,

What happens in a single payer system when an employee does a criminal act? Why, you get a large cash settlement of course.  

Good try on the fear mongering though.  I hope you are enjoying your nameless faceless bureaucratic insurance company.</description>
		<content:encoded><![CDATA[<p>4 Rick&#8217; Cafe,</p>
<p>What happens in a single payer system when an employee does a criminal act? Why, you get a large cash settlement of course.  </p>
<p>Good try on the fear mongering though.  I hope you are enjoying your nameless faceless bureaucratic insurance company.</p>
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		<title>By: noname</title>
		<link>http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/comment-page-1/#comment-1549449</link>
		<dc:creator>noname</dc:creator>
		<pubDate>Sun, 05 Jul 2009 17:18:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.dvorak.org/blog/?p=52399#comment-1549449</guid>
		<description>Looks like the system worked.  She was caught.  Could the system have worked better, caught her sooner, maybe.

Outcome based medicine is all about what works and what doesn&#039;t.  It isn&#039;t an open ended system based on a theory of what should work.  It is a closed loop system with constant correction feed back on how things are working.  If things don&#039;t work as prescribed then there is some thing wrong that needs to be understood and corrected.  

If Outcome based medicine was more rigorously practiced substituting saline for fentanyl would have been caught the first time.</description>
		<content:encoded><![CDATA[<p>Looks like the system worked.  She was caught.  Could the system have worked better, caught her sooner, maybe.</p>
<p>Outcome based medicine is all about what works and what doesn&#8217;t.  It isn&#8217;t an open ended system based on a theory of what should work.  It is a closed loop system with constant correction feed back on how things are working.  If things don&#8217;t work as prescribed then there is some thing wrong that needs to be understood and corrected.  </p>
<p>If Outcome based medicine was more rigorously practiced substituting saline for fentanyl would have been caught the first time.</p>
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		<title>By: Rick's Cafe</title>
		<link>http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/comment-page-1/#comment-1549445</link>
		<dc:creator>Rick's Cafe</dc:creator>
		<pubDate>Sun, 05 Jul 2009 17:03:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.dvorak.org/blog/?p=52399#comment-1549445</guid>
		<description>A horrible situation, with many lives ruined. Fortunately, money (and lots of it) will ease those destroyed lives.

So remember, when this hospital becomes government owned and the employee is a mindless, faceless, bureaucrat - how successful will your medical malpractice suit will be?  

Oh yeah - ya can&#039;t sue the government....just ask anyone stuck in a VA hospital. 

Ouch!</description>
		<content:encoded><![CDATA[<p>A horrible situation, with many lives ruined. Fortunately, money (and lots of it) will ease those destroyed lives.</p>
<p>So remember, when this hospital becomes government owned and the employee is a mindless, faceless, bureaucrat &#8211; how successful will your medical malpractice suit will be?  </p>
<p>Oh yeah &#8211; ya can&#8217;t sue the government&#8230;.just ask anyone stuck in a VA hospital. </p>
<p>Ouch!</p>
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		<title>By: Mac Guy</title>
		<link>http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/comment-page-1/#comment-1549427</link>
		<dc:creator>Mac Guy</dc:creator>
		<pubDate>Sun, 05 Jul 2009 15:51:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.dvorak.org/blog/?p=52399#comment-1549427</guid>
		<description>Makes me wonder...  I once went to the ER for acute pericarditis, and they kept giving me morphine.  It had zero effect upon the pain.

I&#039;ve never done any illicit drugs, nor have I ever abused any painkillers.  I wonder...</description>
		<content:encoded><![CDATA[<p>Makes me wonder&#8230;  I once went to the ER for acute pericarditis, and they kept giving me morphine.  It had zero effect upon the pain.</p>
<p>I&#8217;ve never done any illicit drugs, nor have I ever abused any painkillers.  I wonder&#8230;</p>
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		<title>By: RTaylor</title>
		<link>http://www.dvorak.org/blog/2009/07/05/hospital-employee-stole-patients%e2%80%99-shots-spread-hepatitis-c/comment-page-1/#comment-1549408</link>
		<dc:creator>RTaylor</dc:creator>
		<pubDate>Sun, 05 Jul 2009 14:58:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.dvorak.org/blog/?p=52399#comment-1549408</guid>
		<description>In a large hospital, especially in the morning, the surgical area can be a bit chaotic.  There are pre-filled syringes ready for use.  Fentanyl is hydromorphine, 10x stronger than morphine but shorter acting.  It&#039;s often used with a benzodiazepine for endoscopies.  On a hospital floor meds are tightly controlled.  Med carts are now computerized for access, loaded in the pharmacy.  Still a nurse can jab a syringe in her thigh before giving the rest of the dosage, but a drug screen will eventually get them, especially a hair sample screen.</description>
		<content:encoded><![CDATA[<p>In a large hospital, especially in the morning, the surgical area can be a bit chaotic.  There are pre-filled syringes ready for use.  Fentanyl is hydromorphine, 10x stronger than morphine but shorter acting.  It&#8217;s often used with a benzodiazepine for endoscopies.  On a hospital floor meds are tightly controlled.  Med carts are now computerized for access, loaded in the pharmacy.  Still a nurse can jab a syringe in her thigh before giving the rest of the dosage, but a drug screen will eventually get them, especially a hair sample screen.</p>
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