Tag Archives: Coach Marilyn

$3.4 Million Savings and Breathin’ Easy

A recent East Texas COPD (Chronic Obstructive Pulmonary Disease) educational study saved their health care system more than $3.4 million…savings worth a COPDers cough or two and huge savings for tax payers.

We don’t use catch the disease early by offering simple spirometry testing with minimal expense and time – saving money and grief in the home stretch.

The educational opportunities here in Kitsap County are almost non-existent.  Today’s Better Breather’s Support and Educational Group meeting at Harrison Silverdale is a once a month offering from Harrison Medical Center.   http://pugetsoundblogs.com/copd-and-other-stuff/2011/03/14/lung-disease-meeting-wednesday/

Teaching patients what we can do to help ourselves at little to no public expense could easily be done in a few minutes, in a few sentences by the doctor during a standard visit in the doctor’s office.  Mention the benefit of walking – proper breathing – a pulmonary rehab program – help patients help themselves.  Let them know they CAN improve their quality of life – tell them how, depending on the patient health situation.  If not their doctor – who?

Yesterday during the pool work-out with Coach Marilyn, I raised my left leg (bone on bone hip) about a foot high.  The range of motion has dramatically improved.  When we began, I could only raise that leg an inch or two and my left ankle didn’t move.  No pain pills masking the pain – only an innovative trainer teaching her student to wake up those forgotten muscles in a non-harmful buoyant water environment.

In my dreams-why not?!

“UNT Dallas College of LawA new report released by the UNT Health Science Center shows that residents of 12 counties in East Texas are breathing a little easier due in part to a year-long education campaign conducted by the Center for Professional and Continuing Education (PACE) regarding the diagnosis and treatment of chronic obstructive pulmonary disease (COPD).

The report shows that the educational program contributed to approximately 50% fewer hospital admissions due to complications of COPD, which saved the Texas’ health care system $3.4 million.

The educational initiative, proposed and conducted by the UNTHSC and funded by Boehringer Ingelheim and Pfizer (NYSE:PFE), educated more than 350 health care professionals in the rural areas of East Texas to improve their ability to talk to patients about the condition and more accurately test for and treat COPD.

COPD is responsible for one death every four minutes in the US and at least 12 million cases remain undiagnosed.

Between 2005 and 2008 in Texas, COPD was responsible for more than 109,000 hospitalizations costing more than $2.7 billion. The Health Science Center researched Texas health data and current literature, which formed the basis of the proposal. The grant requests were funded, and UNTHSC independently launched a series of continuing medical education (CME) activities and follow-up cases targeting the counties in East Texas with the highest rates of preventable hospitalizations due to COPD.

To measure the long-term outcomes, researchers looked at the number of prescriptions for drugs recommended to treat COPD, the number of new diagnoses and the number of potentially preventable hospitalizations caused by COPD reported by the Texas Department of State Health Services.

The Texas Public Use Data File, a combined set of statistics reported by each hospital in the state, shows that two to three months before the health care providers in these counties attended the activities, there were 1,538 potentially preventable hospitalizations due to COPD. In the same time period following the programs, only 1,402 were observed — a reduction of 136. The data also show that other counties of similar size and population saw reductions, but the counties targeted by the study saw a 49% greater reduction, saving the health care system more than $3.4 million”

http://untsystem.unt.edu/news/2011/march/11-03-08-unthsc-copd.htm

More later… Sharon O’Hara

February Heart Month – 911 – CK Medics and Me

February is Heart Month…. And I called 911 for help.

I called 911 for myself early morning a couple of Saturdays ago.  I thought I was having a heart attack.  I’d migrated from bed to sit right here in this chair in what is loosely called my ‘office’ next to my computer and a wall phone and waited until the pain in my throat and down into my chest subsided.  Trouble is it got worse and tighter.  The pain exploded in my throat and chest with every cough.  Pursed lip breathing didn’t seem to help.  My airway felt like it was closing.

I dialed 911 and told them how to get where I was.  Afterward, still conscious, I called the Old Guy and told him company was coming.

I remember the relief when the paramedics put a C Pap mask on me and I could breathe easier – most comfortable mask I’ve ever had on… and remember the tough time they had getting me out of here –too many steps – to the unit parked in the driveway.

Thank you CK 911 responders!  You were efficient and lifesaving…same with Harrison when you got me there. I appreciate the professional help, but especially those really special nurses and staff who understood that I have to maintain whatever degree of independence I have.

The Progressive Care Unit was a new area for me with – again – outstanding care.  Without exception, they helped me maintain my independence even though it took longer.  From the cheery “Darlin’” nurse to the incredibly kind assistants who make things work well for patients to the MD’s, Barbora Volovarova, (Attending) and Dr. Irina Case –to the well-done discharge RN, Debra Clough Russell and to the cheery Rhonda who wheeled me on out the front door to await the Old Guy bringing the gas guzzler.

The diagnosis was Bronchitis and the pain was pleurisy – the exact diagnosis the Norwegian doctor gave when I got sick in Norway in 1997.  The prescribed meds in Norway 1997 allowed me to finish a tight schedule there and get me home.

Shortly after getting home in 1997 and running out of the medications,  I was in Harrison and life changed forever.  I stopped a 40 year smoking habit and learned the real meaning of the word “addiction” as I fought against the sudden gut wrenching cravings to smoke that continued over the following two years and occasional cravings to a lesser degree, even beyond.

I was scheduled for a stress test at Harrison, but I opted out after the tech helped me do a perfect first scan and we had several delays.  The cardiologist asked about my throat and I told him the pain was still there and he kindly suggested that it probably wasn’t my heart but that the stress test would give a good base – I already have Right Heart Failure.

What I didn’t think to mention is that with all the sitting my legs, Restless Leg Syndrome (RLS) began acting up and I doubt I could have held them still for the second scan.  The Mirapex I take for RLS doesn’t work like it used to.  The stress effort would have been wasted without a good second scan.  They planned to do the chemical stress test since it seemed unlikely I could do a treadmill testing.  Too bad they don’t do water stress testing where they can get the heart pumping hard as they want without the external problems popping up – such as RLS.

The bottom line for me about Harrison is that they do not treat their patients all alike – they help each patient maintain what they are able to do and encourage that independence.  For that, they are unique and a special place for patients like me fighting to maintain strength even as we are there for medical help.

I missed that Saturday’s swim session with Coach Marilyn but her lessons stayed with me in that I was able to swing both legs up on the bed and gurneys using my new found core strength and beginning muscle protection for my left hip.  And we were back on track for the following Monday hour session.

I’m including a scan of a great morning tool Harrison gave me on discharge to keep track of such things as heart, weight to catch a heart attack before it happens.  I’ve added a blood/oxygen check (Nonin) column and check the time too.

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002347

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002347

I use the following sheet every morning to keep track of what is going on and will take it to my next doctor appointment.

The single one thing I will change on the sheets I see every day is to change the “Heart Failure Log” to Heart HEALTH Log.

As a patient, I do not want to see “Failure” before me every morning.  Heart HEALTH Log is more accurate.

More later…. Sharon O’Hara