[Multi-use vials mean that the same container of medication is used for multiple people – if the medication is drawn up using needles or other instruments that have already been exposed to patients – this places future patients in contact with blood and infectious agents.] Multi-use vials are a cost-containment measure for many institutions.
I hope that someone takes issue with out-patient colonoscopies as a whole since this in itself can be a very dangerous practice – and the research proves it. (The issue behind outpatient procedures such as colonoscopies is the use of unmonitored anesthesia. Most patients aren’t on monitors, no anesthesiologist is present, and the doctors performing the procedure are often unprepared in the event that a patient loses his airway (or stops breathing.) There was a landmark study several years ago – that showed that 70% of nonaesthesiologists underestimated the level of sedation in patients undergoing out-patient / office procedures. [I will continue looking for the link to this source.]
Hopefully readers can see the many, many things wrong with the above paragraph.. But what I find the most dismaying about the entire episode, is that the woman – who paid 700.00 for the procedure – refused to report this person to the authorities – despite having to seek emergency medical attention on two separate occasions for ‘severe’ complications from this quasi-procedure.
Over at the Traveling 4 Health blog, I’ve been talking to Ilene Little and reading about the Medical Tourism Association’s (MTA)newest publication promoting Las Vegas as a new medical tourism destination for both American and International patients.
The irony of this destination is highlighted by the city’s own newspaper, The Las Vegas Sun, which has an extensive series, ‘Do No Harm: Hospital Care in Las Vegas’ detailing recent health scandals in Las Vegas hospitals, as well as 2010 reports ranking several of the facilities in Las Vegas among the worst in the nation. In fact, the opening sentences in the article series are, ” There’s a running joke about hospitals here: “Where do you go for great health care in Las Vegas?”
It’s a disappointing entry by an organization I admire – but unfortunately, it highlights the lack of accountability by medical tourism companies to their clients. Someone needs to care about the quality of the product (providers and services) that they are promoting. Too bad it isn’t the MTA since they are certainly among the movers and shakers in the international medical tourism industry. The rest of us are just tiny fish in a great big pond of obscurity.