Historically The Hospital was an institution created for centralizing
a place for administering care and medical treatment to the ill of the
community. A place to get the patient away from his home environment
and offer him expert services and nursing care. Today the Hospital
is a major institution dedicated to the preservation of life and the
study and treatment of acute and chronic illnesses. At the same time
every hospital has a teaching and monitoring responsibility for the
health and wellness of its community. The larger teaching hospitals
are the bringing together of specialists in the various disease
categories and elaborate structures for teaching every phase of the
medical team. There is an infinite variety in what we call the
hospital today from the barely adequate to the best there is to
offer.
All hospitals have this in common: the expense or cost of running the
hospital continues whether or not any patients are present. An empty
bed does not lower the expense, but merely lowers the income. Also
another common denominator is that the hospitals are the most
controlled industry in the USA. There are federal, state, local and
sometimes special rules and regulations that must be followed. At the
same time there are constraints upon the medical care and its quality
by the above agencies as well as the hospital committees on quality of
care, mortality and morbidity, and medical ethics. The most recent
invasion of this world of constraints and regulations is by the
insurance companies, that do pay most of the patient's bills. They
have determined the maximum length of hospital stay of patients
regardless of the clinical condition of the patient. Thus the
insurance company will deny certain charges, often without any good
clinical reason, in order to keep their payouts as low as possible.
The hospital's stated mission is the preservations of life. This
often means that in spite of"living will" stipulations (do not
resuscitate orders) the patient may be put on life support machines
contrary to the wish of the patient and the family. Once this is
instituted it is becomes almost impossible to remove the machines even
though the cost are mounting and no benefit is derived to the patient.
The greatest hazard to hospitalization is the nosocomial infections
(or hospital acquired infections). The institution is the home of
many germs, viruses, toxins, and allergens that one is not familiar
with in his own environment. So the patient is susceptible to massive
new infections since he has no natural immunity. And, of course,
antibiotics are given at once often without the desired testing and
matching of the antibiotic and the offending organism, and frequently
without patient consent as it is considered covered by the blanket
permit signed upon admission. We all know of the serious consequences
of indiscriminate and often unneccesary antibiotic use.
Another great problem is the food that is served to the patient. If
one is vegetarian, he will not be able to get a good vegetarian
diet-the nutritionists do not understand the concept. The other food
is also often inadequate to the patient needs. It has been said that
malnutrition is very common in the modern hospital without
supplemental and very expensive feeding.
Because of the current litigious nature of our society excessive
testing is done especially the latest and most expensive
technics..even though a simple test may give the same results. This
is merely to satisfy the medical and hospital protocols.
The patient can control many of these "errors" by insisting that he be
part of every decision that his physician makes. The patient must be
an active participant in his own care, he shall demand that some
things be treated on an outpatient or hospice basis rather than being
hospitalized. He has the right to know what his disease is and what
the are options of treatment. He also has a right of a second and
third opinion. Most hospitals due not allow alternative methods to be
used in the hospital which denies the patient the right to choose
between allopathy, homeopathy, Ayurveda, traditional herbal medicine
and such other alternatives as acupuncture, healing by laying on of
hands, Reiki, and even chiropractic adjustments.
There are many other things that are contrary to the paient's interest
in the modern day hospital; but we must also admit that we have the
best treatment in the world today.