Surely some of these may be controversial, as the truth often is. Yet the following are the 42 undeniable truths of the healthcare industry:
- All medical professionals have an inert yearning to be self reliant and use the education and experience they've obtained
- The way to improve the healthcare system is to get the government out of it.
- The RT (doctor, RN) at the bedside knows what's best for the patient more so than an order set
- Order sets are are socialistic and are an excuse for doctors and nurses to be lazy
- Protocols are capitalistic and encourage thought
- I am not arrogant
- Supervisors quickly forget what it was like to work on the patient floors
- The way to reduce healthcare costs is to make everyone pay for each service
- DRGs increase medical waste and lying about a diagnosis just to assure reimbursement
- Keystone Committees are an attempt to enforced socialized medicine
- Evidence Based Medicine is a nice way of saying everyone must do it the same
- Intensity of Service is an excuse for doctors and nurses to lie
- Quality Assurance Analyzers are only needed because the government is involved in healthcare
- Tylenol is not a default cure for all that ails a patient
- Throwing everything at a patient in the hopes something works is not common sense
- Regulating hospitals does not make for better healthcare, it makes for fewer hospitals
- We need more humor in healthcare
- Bronchodilators treat shortness of breath due to bronchospasm and nothing more
- They hypoxic drive theory was a hoax created to make respiratory therapists relevant in the 1960s
- Xopenex is the same as Albuterol with the same effect and same side effects.
- IPPB does not work better than patient coaching with an incentive spirometer to treat and prevent atelectasis, and studies prove this.
- Too many patients are put on a ventilator out of panic rather than logic
- Much of what respiratory therapists do is either a waste of time or delays time
- Dyspnea with exertion is not asthma and should not be treated with a bronchodilator
- If it's audible it's not bronchospasm
- If it's coarse it's rhonchi.
- The best way to hear lung sounds is to use a stethoscope on the patient's chest
- The best way to assess a patient is by touching the patient (not by talking over the phone)
- It's immoral to NT suction an awake, alert and orientated patient
- Respiratory therapists are not ancillary staff (they are professionals knowledgeable in an area beyond the scope of most physicians)
- Doctors and nurses who are stupid about respiratory therapy don't know they are stupid about respiratory therapy and most will never admit it
- If you refuse to do a breathing treatment that isn't indicated you are not being lazy
- BIPAP does not help fulmonating edema by forcing fluid out of the lungs, it reduces fulmonating edema by reducing venous return and therefore reducing cardiac output so the heart can catch up
- Supplemental oxygen will not treat anemia, and is not indicated just because someone has chest pain because if all the seats on a bus are full, the extra passengers won't get a seat
- The truth hurts before it makes you better
- Scientific evidence disproves that albuterol will treat pneumonia, CHF, rickets, cystic fibrosis, lung cancer, pulmonary embolism, pneumothorax, pleural effusion, detox, dehydration, and even emphysema and chronic bronchitis. It only benefits these patients if asthma (hyperactive airways) is a component of said ailment.
- All that wheezes is not asthma
- All dyspnea is not asthma
- If a patient is obnoxious, annoying, belligerent, rancid, or has maggots, respiratory services are not automatically indicated
- Order sets and physician convenience are not indications for using the word stat.
- The clinical picture doesn't always match the science (i.e., hypoxic drive hoax, hoaxenex, and studies showing inhalers work the same as nebulizers)
- Some studies are conveniently ignored by the medical community (such as beta adrenergic receptors don't exist in lung parynchema and renal tibules.)
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