No this is not about some mushy standoff scene when someone must choose between two people. Oh my goodness that was simple, you just take the one in the middle. Anyways, when someone is affected by heart disease they usually want time to think things over. They worry about being able to afford medications, physician visits and of course the surgery if needed and the cardiac therapy that one undergoes afterwards. Much of the problem is financial for most and of course you need those loved ones to assist you along the way by driving you around because people with severe heart disease people usually don't drive as much as they used to and especially after surgery, they need to be careful. Yes, there's paratransit but you cannot call them just as you would a taxi, and those are really expensive. On my salary, that is a no, no! So those who are unable to get around will need to take public transportation or have someone take them to and from until they can do so themselves. Westchester County is not New York City so the buses here are awful, just awful. I don't get a lunch hour but the second bus I take to get the the job I have only comes once an hour. Yes, I dislike Westchester. When patients are having difficulties with their heart, unless of course you want to provide them with the more inexpensive way of rehab by having them walk in extremely hot or cold weather including snow and ice to get to an appointment, let alone crossing highways or roads really meant for vehicle travel, because the bus only comes once an hour they need to figure out how they will manage and adjust to their medical circumstances. The decisions here are not favorable. I really dislike Westchester. A patient can tell the physician, "Give me a minute to think about it.". Well, your heart may decide that that was a very long minute or that time is simply up. In that instance what do you do in the event that you did not get a chance to put things in perspective and or arrange an alternate way of life in terms of your medical condition that the physician has informed you of? Hospitals take a chance on allowing a patient to be with people they consider loved ones, so that they can enjoy quality life. Meanwhile the heart is saying do these people know me and the s---, I'm really capable of? Holidays become difficult because physicians go trollying off to the Hamptons- I can't afford that unless I listen to music or the Berkshires- but I get no 401(k) play on my J-O-B so that is out of the question. If a patient becomes ill, then their primary is not around and now they must go to some ER in a hospital. Should hospitals require heart patients who want to leave the hospital, on their own terms to spend time with people they consider loved ones, request that they wear external defibrillators to prevent heart attacks? Yes, you may say, but once a patient leaves the hospital, the hospital is not responsible. Duh, like your two feet- the law is a double edged sword. That loved ones family sues because they will claim that the hospital was negligent in allowing a patient to leave in that condition. That innocent, "I just want to free from wires, needles and hospital people.", now becomes a lawsuit for months and years to come. The external defibrillator is what a hospital can use to not only monitor patients who have known heart conditions and who leave to go home for a day or so, but they can also inform them when a patient is in distress and assist if emergency care is needed. Heart decision- patients should wear an external defibrillator- as an outpatient procedure. This will assist the patient and prevent hospital lawsuits!
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