Excess Costs and Medical Services for Non-Breastfed Infants
Table 22-3 -- Excess Medical Cost Among 1,000 Never Breast-Fed Vs 1,000 Exclusive (>3 Months) Breast-Fed Infants
| EXCESS SERVICES PER YEAR/1,000 NEVER BREAST-FED | TOTAL EXCESS COST | |
|---|---|---|
| Office visits | 1,693 | $111,315 |
| Follow-up visits | 340 | $22,355 |
| Medications[*] | 609 | $7,669 |
| Chest radiography | 51 | $1,836 |
| Days of hospitalization[†] | 212 | $187,866 |
| Total excess cost per year | $331,031 |
Adapted from Ball TM, Wright AL: Health care costs of formula-feeding in the first year of life. Pediatrics 103:870, 1999.
Gunshot wound to the shoulder
18 year old male with a gunshot wound to the Right shoulder.
He was casted and released without any severe sequela.
He was casted and released without any severe sequela.
Art at 3am
I was finishing rounds this morning when I came across this patient I had admitted earlier in the night for seizures. He drew this with a simple Bic pen that the hospital gives out for free.
A simple, cheap pen.
He gave me permission to take his picture with his artwork.
It was an honor to have him share it with me.
He gave me permission to take his picture with his artwork.
It was an honor to have him share it with me.
Drug deaths now outnumber traffic fatalities in U.S., data show
Fueling the surge are prescription pain and anxiety drugs that are potent, highly addictive and especially dangerous when combined with one another or with other drugs or alcohol.
http://www.latimes.com/news/local/la-me-drugs-epidemic-20110918,0,5517691.story
http://www.latimes.com/news/local/la-me-drugs-epidemic-20110918,0,5517691.story
Pneumonia
Severe pneumonia in an 88 year old ICU patient.
Note the diffuse haziness in all lung fields. This is easily one of the worst cases of pneumonia I've seen on x-ray.Unfortunately, the pt died 12 hours later. He had chosen a few years ago not to be placed on a ventillator if he was seriously ill, so we followed his wishes and provided comfort-care with all of his family at the bedside.
Have you ever thought about making an advanced directive to let others know about how you wish to be treated if something catastrophic were to happen?
http://www.caringinfo.org/stateaddownload/
"I really dont believe in doctors. I dont get flu shots. I believe in Jesus, and that He will keep everything of harm away."
-My new patient who came to see me for management of his blood pressure medicine. She has a blood pressure of 187/98. (healthy goal blood pressure for an adult=130/80). I guess Jesus doesn't protect against hypertension? I didn't bother to ask.
-My new patient who came to see me for management of his blood pressure medicine. She has a blood pressure of 187/98. (healthy goal blood pressure for an adult=130/80). I guess Jesus doesn't protect against hypertension? I didn't bother to ask.
Collapsed lung
I was called by the ICU nurse and told that this patient's oxygen had dropped suddenly. I ordered a STAT Chest X-Ray and it came back with a collapsed Left lung (actual X-ray below. Notice the arrows that are pointing to the outline of the lung. It's shriveled up and much smaller than it should be.)
