![]() ![]() ![]() We made her as stable as possible, then I sat down with her ObGyn, the interventional radiologist (a doctor who uses tubes threaded through the vascular system to attack disease minimally invasively), and her husband, Derek. It seemed if she didn’t die from clotting too much, she would certainly bleed out elsewhere from clotting too little.I am a surgical intensivist, a doctor who cares for the sickest surgical patients. ![]() We would have to dissolve the clot while, at the same time, performing major surgery. Problem was, Deborah still had an infant within her, for which she now required a C-section. The mainstay of treatment is clot busters - powerful enzymes which dissolve the clot and restore blood flow. Pregnant women, because of their anatomy and hormonal milieu, are at particularly high risk of these, although Deborah was previously healthy. In the very worst cases, such as Deborah’s, this clot plugs up the outflow tract of the heart as well. I also said no when Deborah, pulse regained, but still intubated, on the breathing machine and half awake, began scribbling notes regarding which IV fluid she felt was most appropriate for her.It was going to be a looooong night.Deborah had a PE- a pulmonary embolus- a deadly blood clot that breaks free from the legs and travels to the lungs, where it lodges, preventing oxygen from reaching the bloodstream. Her husband, Derek, an anesthesiologist, was present for the code and wanted to intubate her himself. As a doctor, what is it like when YOU have a doctor's appointment?ĭeborah was 40, a nephrologist, in labor with her second child, when she lost a pulse. Moral of the story? If you HAVE to be somewhere (work, app’t, etc) Do NOT tell the door attendant that you or your wife or whoever, is not feeling well. Alaska did not charge any penalties for our flight change. Which we did, and flew out three days later, saving $70.00 for the lower price fare. However, we did have to get a note from a Kaiser doctor saying she could fly again. as the plane flies entirely over water.“ We got off, went back to her brother’s house and spent three more days on the island. She came straight to our seat! She said, “we’re sorry but you cannot fly on this flight.” I asked why, she said, “I understand your wife is not feeling well and if she has a medical emergency, there would be no airport to divert to. Then we saw a ground attendant come up the row into the economy section. She smiled and said, “no problem.” We sat in our assigned seats, buckled up, and waited for the pushback. What happened once was as we were boarding our flight from Kauai to San Jose on Alaska Air I asked the door attendant if she would be kind enough to get a cup of 7-Up for my wife who was not feeling too well. But my wife and I once got removed from our seats. These services may be discontinued at any time without notice.Nope. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality.ĥWhen you get care from Kaiser Permanente facilities.ħTo use the Kaiser Permanente app, you must be a Kaiser Permanente member registered on kp.org.ĨThe services described are not covered under your health plan benefits and are not subject to the terms set forth in your Evidence of Coverage or other plan documents. ![]() Quality Compass® and HEDIS® are registered trademarks of NCQA. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass 2019 includes certain CAHPS® data. The source for data contained in this publication is Quality Compass 2019 and is used with the permission of NCQA. Kaiser Permanente combined region scores were provided by the Kaiser Permanente Department of Care and Service Quality. Benchmarks provided by the National Committee for Quality Assurance (NCQA) Quality Compass® and represent all lines of business. 2When you get care from Kaiser Permanente providers.ģKaiser Permanente 2019 HEDIS® scores. ![]()
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