I appreciate the work of doctor influencers explaining all the problems with the medical industry. I hope it amounts to doctors banding together and doing something about it
Yeah and it's very important to have that view, because media can be uhh selective in tone. Like I read about a hospital that was bought and had medical workers replaced and the article was more about disrupting patient care but... No one talked to the ppl fired, y'know?
@@billymayberry2348well but to be clear some countries have a hybrid system, including Australia, France, Singapore, Sweden, and the UK. Also I think in Canada you actually only get public healthcare when you're a minor/student or retired, at least in some parts
@@ConstantChaos1 Yes... but I've never heard my colleagues say "I can't order this test, I'll be out of pocket ". The way your country allows non medically trained people to dictate pt treatment, is alarming
I've caught CDiff in every hospital I've used a bathroom in. Based on the care I've gotten in the last decade, if I die I die never going back. Not even for a stroke, when I had strokes at 25 Drs said I'd never walk again and wouldn't even try helping me. I had double insurance but was still forced to do my own rehab program, gratefully my program worked and I can do anything physically I want to now. Moral of the story is - Hospitals are not there to help you they are there to make money.
@@katpalmore2487 correct. I had physicians that had hospitalized me for a month plus confirm this around 2015, I had to bring up getting tested for it to get tested. If your poop is bright pea green and smells very weird, you probably have/had it and the hospital didn't want to admit it. Hospital acquired infections are the most serious, and cost hospitals tons of money when they are confirmed. Not necessarily pacients suing, but on insurance rates and in pacients returning to the facility. Hospitals represent a near trillion dollar industry in the US.
I was once threatened by a doctor for following a surgeon’s order for sending a hospital-inserted catheter tip to a lab to be cultured for bacteria. Crazy stuff.
There is one thing doctors, nurses, and patients can all agree on, and it's that all of the middlemen in-between them (admin, insurance, etc) need to take a hike.
Yes they need to let the doctors be the doctor I was talking to a co-worker one time and he had a going to the hospital I forget why but the doctor had to run all kinds of tests and the guy didn't have insurance so the doctor was able to keep him in the hospital and run all the tests that he needed to and he even told the guy as he was doing his last set of rounds before he gave the discharge orders had he had insurance he wouldn't have got half the test he needed done to determine what was wrong with him
The market is controlled by giants that should've been broken dacades ago by antitrust laws, contrary to popular belief capitalism is the best system out there thanks to the free market but it has been corrupted by lobbying (which should ve illegal btw) and the lack of use of antitrust laws. Many giant corporations would lose their oligopoly and smaller businesses would flourish if antitrust laws were used
@key_v seriously these health insurance companies or the reps that do the grunt work should be liable to be sued for practicing medicine 💊 without a license wtf
Then they get the test. The the battle for treatment begins! The fight about whether they get dificid or oral vancomycin and IV metronidazole. Then perhaps another fight if the doctor orders more than 500mg of oral vancomycin per day. Don’t even ask about bezlotoxumab.
Infectious Disease Specialist"The patient has not been in contact with anyone who has been on laxatives for the past 3 months, and we checked their sewage levels - no laxatives were found."
Sadly true. The most common hospital-acquired infection, and hospitals (often “Chief Medical Officers,” i.e., actual practice failed) decline to allow testing because it dings their stats.
So I once had the worst intestinal infection I've ever had- immodium every single day at maximum dosage (per the bottle) just maintained it at a level where I could be continent. I was down to skin and bones despite eating crazy amounts of calories. Finally got a gastroenterologist to do a scope. Comes out and says that I don't have anything wrong, but take this antibiotic every day for 3 months and let's see what happens (this was more than 10 year ago- docs could still get away with treatment per clinical symptoms). Within 6 weeks, it was entirely resolved. That's my story about having nothing wrong that was cured by antibiotics, lol.
@@blank_line NOT edited for brevity, but a few words were added for clarity. All the tests were negative. The antibiotics they gave me cost $1800 a month (astronomical) and supposedly didn't leave the intestines. RESPONSE: I recently (within the past 6 years, but before the AFA was fully implemented and specialists actually had time to listen to patients) had something much, much more minor. Told over and over nothing was wrong. Turns out that when the correct testing was done, I actually did have something wrong. You know, now that I think about it that's happened to me rather a lot. But then I come from a family that's notorious for being told we're just hypochondriacs by doctors and then dying the next day. The very next day. I have two family members who were sent home from the hospital twice "with nothing wrong" who I dragged back to the hospital and refused to allow them to leave until heart caths were performed who are alive only because I did so. A niece lost her husband a year ago who was actively having a heart attack, was sent home because "everything looks great" despite the fact that he could barely stand from the pain. He died in his sleep that night. Left 2 kids under the age of 7 and a disabled 10 year old with my niece, who had a heart transplant and is in kidney failure on dialysis. ALWAYS LISTEN TO THE CLINICAL PICTURE. Sure, some folks carry on about nothing but just enough come through like that. I tell docs that I don't have a medical degree, but I've been chronically ill for over 25 years now and I have a PhD with advanced postdoctoral education in living in my body. If I tell them I'm sick even if I'm not obviously gasping for air, crapping my pants, or screaming in pain it might be a good idea to treat me before I get there. I've had more than a dozen surgeries and I don't intend to have any more. I don't have the strength anymore to lose 50lbs eating McDonald's every day. Just give me the antibiotics. No, I won't take them for an earache I just got that day and no to all the other stupid things people do to create antibiotic resistance. But do I really need to suffer 2+ weeks with a sinus infection and pass out in their parking lot coming in to see them when it's gotten into my lungs? Let's just skip all that and get me feeling better. I'm not ignorant or ill educated about these things and my docs know that. Is that suspicious? No. I listened to a PBS show once that said that docs once used to sit down and talk to their patients. They didn't have any testing other than perhaps putting their ear on someone's chest or what they could feel through their hands. They listened to the patient and treated them accordingly. Then the stethoscope was invented and it was the beginning of putting distance between the patient and the doctor. Now a patient needs lots of paper proving they have a real problem before they can receive treatment. I have back pain so bad some days I can barely walk- how many reams of paper have been used to print the x-rays, CT scans, and MRIs I've had to have- and then have again and again- I have no idea. But watch me try to get out of a chair without arms and it's obvious that I am in legitimate pain. Now, of course, everyone who requires pain medication to live something like a life is obviously a drug seeker so the medical establishment has decided enough with the scans, which legitimately aren't good indicators of pain. Sometimes they look absolutely terrible and the person indicates they have no pain (or didn't until they read the report, anyway) and other times patients can barely walk and the scans look great. Now as a massage therapist I know that there's an incredible number of things that can cause pain in a person's back that will NEVER appear on any scan. Even though many can be significantly improved by the correct massage techniques (which many will claim to know but only some actually are skilled in), how many folks can afford 3 massages a week for a minimum of a year (like just one of the issues I have) to correct? So doctors need to listen to their patients, understand that medical science doesn't have all of the testing it needs at this point in time to pick up every medical issue, and understand that our medical system has limitations that are unfortunately left to the physician to treat. Medicare for all. Payment for proven alternative medical treatments (like medical massage, acupuncture for certain medical conditions, etc). Those things would save us all a lot of money- well, the patients anyway. There are a lot of deep pocket interests that like things just fine the way they are. There's a level of insanity that has gotten baked into our medical system. Like the medical insurance company says a child with enormously swollen tonsils and adenoids that a doctor used to be able to remove based on his experience and expertise has to go through a sleep study that costs almost 2k to prove they have breathing obstruction. That simply adds 2k, getting the child to an overnight sleep study (with child care for other children in the household, etc) and weeks of suffering for the child. But a few cases went through that were- in the view of someone who sits in an office cubicle somewhere- dodgy so... We as Americans will get the medical system we put up with so let's stop putting up with nonsense. Will the system kick and fight? Of course it will. The health of PATIENTS are the point of the system, not the health of the system PROFITS.
@@a.humanbeing8171 have you been checked for connective tissue disease? A connective tissue disease would explain a lot of your symptoms, your family symptoms, including the sudden death (unfortunately a sign of vascular Ehlers-Danlos syndrome) and the digestive problems. It would also not show up on scans or blood work. Would require a genetic test and clinical diagnosis by a doctor familiar with connective tissue disease.
If someone dies because a hospital refuses to test someone, the family should sue the crap out of them. Maybe enough malpractice lawsuits will scare the hospitals more than getting a shared infection on their report cards.
The hospitals just whine to their members of congress or statehouse and give buckets of money to politicans who pass laws that protect hospitals and fuck over the patients
Malpractice lawsuits contributed to them not testing for cdiff by because it made insurance so expensive and excessively required. No judgements except insurance companies suck and lawyers who bankrupted healthcare unethically and hospital admins.... In general lol
Sadly, most normal people never even realize malpractice happened. How many average citizens even know about all of the complications that can kill someone, and what their loved ones were/ weren't tested/ treated for. They're counting on the family's grief and lack of medical knowledge protecting them from well justified lawsuits.
I was tested for c diff after having some serious trouble at age 28. I ended up being negative, but that test helped me find out I had colitis 😬 Super appreciative that my doctor decided to risk the test!
And that's why my friend's mom almost died in the hospital because they just kept sending her home saying that they can't find anything wrong with her and they're all out of tests to do. Finally we took her to another city and the doctor was shocked that they did not perform the c-dif test earlier and said that she was in a very dangerous situation.
@@helloelio6821 I know people who have never gotten Covid..... They were also never tested for Covid. Lmao most of us by this point had that shit even if they didn't realize
I had a close relative battle cdiff and it’s terrifying, and having to worry about the hospital not wanting to take the blame was the last thing on our minds at the time we just wanted the best treatment and speedy recovery
I worked as a cook in an assisted living residence once where a lady came back from the hospital with it. She was quarantined in her room (with private bathroom) for a MONTH until she tested negative. Her plate, cup, and utensils had to be dumped in a bleach bath for at least ten minutes. Staff providing necessary care wore gloves during and washed their hands after. Everyone tried to be kind and talk to her while providing needed care; her table mates kept asking after her. She would say “I understand; I wouldn’t want anyone else to have this!”. 🥺 Thank God, we kept it from spreading and she recovered! 😮💨
There's a PBS Frontline episode from several years back called The Trouble with Antibiotics. They cover an outbreak of MRSA (IIRC) infections in a hospital. Lots of great details and access you'll never see from anywhere else because it was at an NIH hospital... Hospitals which aren't literally run by the government try their best to cover this stuff up
Your comment made me remember flying to India and on layovers we would go to pharmacies and sooo many flight attendants would buy antibiotic medication that should only be prescribed by a physician. Then they’d take it at the slightest sign of a cold. And then, the birth of super bugs.
Hilarious! My old hospital did this . Ordering a cdiff had to go thru the charge nurse, then the nurse manager, who went back to the doc and tried to talk them out of it.😂
@@GaySatanicClowns on the flip side of that, if you test positive for covid and die shortly after from heart attack, well then you died of covid w/ heart attack.
When my mom was in the icu I saw nurses going from room to room without putting on the ppe and it was between cdiff and noncdiff rooms. By the end of the week every patient had a cart for the cdiff ppe gear. It was mainly this one nurse that would do her rounds like that. She was awful at her job in general. Some of the others did it but not consistently or only for emergencies or just had given up by the time everyone had it.
My sister's an RN and the urgent care she worked at for years had someone nearly die due to a Cdif outbreak caused by someone not washing their hands or instruments. She had to essentially argue to the point she was being talked down to by half the work force like "HEY LETS SAVE THESE PEOPLE'S LIVES"
Our unit always checks for MRSA within 24-48 hrs of admission and C. Diff at any sign or symptom. We have patients that need to be on isolation, so it's to protect everyone.
I mean some of these were in fact implimented to prevent medical neglict too sadly because doctors may overfocus on one possible consideration that is their bottom line. It is also part of why we need to move to a medical system that covers the consumers more because it also potentiolly allows the doctors to feel more comfortable being ensured in testing a variety of factors
@@amityislandchum ya he actually did. His allergy to a lot of the coming treatments made it worse. The only way they ended up fixing it was removing the infected part of his colon. That and one of the hospitals that we were feeling with first really did not what to admit and just wanted to remove everything.
It’s loads of fun being the nurse responsible for collecting and sending the sample to the lab and also be being responsible for telling the docs we’re not supposed to send it.
From Canada here: every citizen has an "Medical care plan" card with an unique number to get free health care. The story goes that an very newly arrived war refugee mom took her sick toddler to the hospital. Her paperwork wasn't fully processed yet, so no MCP card yet. She was told the doctor would see her toddler, but she would have to pay out of pocket for it later. The toddler had an ear infection and needed antibiotics. The doctor inquired into the fees she was going to be charged, it was 2000$. The doctor personally filled out paperwork to ensure that she wasn't charged out of pocket for that visit.
Though this wouldn't happen in Germany, because hospitals are not penalised for clinical infections. I always hoped they'd lean more to another variant of dealing with the cost, but this is giving me second thoughts about how difficult it is to set the right incentive
@@cannotfigureoutanamenot entirely. Many russians, for example, start with their middle finger, and some people count their fingers in binary because you can get extra values. Really the most accurate wording would be “He counted his fingers in a way that German people often do,” however that’s a small and generally forgivable difference in words.
@@William43210 What I was saying is that starting from the index is a British thing, then everyone might have their system but starting from the thumb is way more common (at least in the western world that I am familiar with). When I learned that countries with a British influence do it differently, I would've called it the Italian way of counting, then I learned it's just common. P.S. I learned binary counting during a telecommunications lesson but I am pretty sure there is no culture who does that.
Truth!!! We have to have the charge nurse sign off on the collection after personally verifying all the info and seeing the sample. Nurses and CNAs know c-diff when they see and smell it, there's no need for a whole committee to be created for each potential c-diff poop.
@katherinkeegan8601 Those videos were limited because of rampant fear mongering and misinformation my dude. Like, people telling others to do dangerous things to prevent or cure covid kind of misinformation.
One of my babies contracted cdiff at birth in a hospital in Oklahoma. They refused to test him until he was underweight and at risk of death. At that moment, they said that my wife had passed him it to it during birth (they couldn’t find the bacteria on her). Out of the blue, New York times started calling us to ask us questions, and the hospital’s bill was erased. We moved to Houston during that and suddenly the records of my son’s tests for cdiff were nowhere to be found.
I was bitten by a Cottonmouth when I was 10. It was a grim experience for a skinny kid. But the worst part was the hospital acquired Staph infection. 14 boils on my nose, large boils all over my body. I had necrotic flesh removed from my finger ( where I was bitten) until I could see bone...but the staph infection was worse.
Hospital cleanliness is not what it used to be….if they empty the trash and change the sheet they consider the room clean, never mind the blood and other substances in the bathroom…..
Funny the hospital I work for recently implemented a form that doctors must fill out to see if the patient qualifies for a C Diff test. Now I know why.
Fun fact: pressure wounds, aka bed sores, are also considered hospital acquired and treatment of same is therefore not reimbursed by Medicare, which in my experience means little attention and not mentioning it at all until discharge after you've already agreed to accept your elderly relative.
So so accurate 👌I got c diff in the hospital after my 2nd open heart and 2 weeks after that I died for about 10 minutes and was put in a coma. That c diff that was some of the most miserable shit I've ever experienced, and I've died. Absolutely crazy.
@@polabear9710My husband's c diff went away after three infections, they finally put him on vancomycin for four weeks instead of two, and that did the trick. They said if he had a fourth infection, they would have recommended fecal transplant. This all happened after a dermatologist put him on Clindamycin for MRSA infection of his back, and left him on it for five months, i finally convinced him to quit the doctor and the meds. But the damage was done, he developed c diff four months later. This all happened in our 20s.
I've had a recurrent cdiff infection every month of 2 for a few years, and I know it's dangerous but due to medical neglect I'm terrified of being told to just go away. (Uk)
This is something I’ve known for over a decade. See, the more medicalized one becomes, the more we realized that the medical industry is trying to hurt us on purpose. It’s so important that you are putting this information out there. Otherwise, nothing will change and the money lovers will continue to hurt us.
They tested me for C-Diff 5 times during my stay fir septic pneumonia. Turns out they infected me with CMV while in my coma in the ICU. I'm a daily prednisone/ chemo patient and was so violently sick for months. As soon as my rhum saw me he knew exactly what it was and back to the hospital I went for antivirals almost dead. Again.That man has saved my life so many times. I owe him my life. He's a hero and I don't think he realizes it.
When you work in the medical field long enough you can start to diagnose things based on smell. 98% of the time, we can tell it is Cdiff before we order the test. Cdiff has a really unique smell compared to regular diarrhea
@@katherinkeegan8601I’m wondering that too. People keep saying it, but not saying what the smell IS. My grandma has persistent diarrhea, and we’ve asked for her healthcare providers to test for c-diff and they keep refusing and saying there’s no reason to test for it. I guess after watching this video I know why they’re refusing, but I’d still like to get an idea for myself if it’s likely to be c-diff or not.
Forgot not testing because they don't want to know - when my gram had it the nursing facility had been testing her regularly to see when it cleared. I drove six hours to visit her and maintained their no touching policy and only brought in sealed foods for her instead of her favs like I usually brought her. It turns out her cdiff had cleared up at least 24hrs before my visit and they were literally THAT bad at following through with relevant medical notes. Don't ever trust any med system to contact you or your loved ones about anything, no matter how important!
@@angiepangie989 even though we had to go through like four levels of staff to get into her room, including like two nurses who were assigned to her care? The information was in their computer and they didn't bother looking into it for an out of town visitor. The reality is that I didn't even get to hold my confused grandmother's hand the last time I saw her because they couldn't be arsed. I'd have different feelings if I'd seen these nurses scurrying around with no rest periods, but I saw a lot of lounging, leaning, chatting with co-workers, etc - the sort of thing that would have gotten me fired when I worked retail. When I've been in surgery, E.R. or some Elder care places the staff work tirelessly, that's not what I saw when I visited her, and it made my family angry at the skilled nursing facility. Luckily she got to go back to her Elder home for a little while before she passed.
This kind of BS should be illegal. Have an outside, 3rd party come in and administer the C-diff test without the hospital knowing it. Hospitals are as corrupt as the insurance companies are.
C.Diff is a gastrointestinal pathogen that can be clinically acquired so it does get treated like a land mind in some facilities from what I’ve heard. I don’t think this video has anything to do with Covid
This is actually about C. Diff. CMS looks for any reason to not pay the hospital for covered treatment. Hospital aquired infections look bad on the hospital and they don't want to pay for something the hospital caused. If they could prove you caught COVID, the Flu, Monkey Pox or a bad cold while waiting in the ER for a broken arm they would try to make the hospital eat the cost. Just like of you get injured at work private insurance won't pay, workers compensation has to pay.
Nah with covid it's opposite. Test as frequently as possible with the tests most likely to give false positives. Every positive patient is extra money.
This is a terrifying to find out. The fact that a doctor can not run a test out of fear of the hospital holding them liable even though it was most likely not their fault if they have an infection.
I was 21 and had to take a bunch of antibiotics for my tonsil infections and utis. I started having diarrhea every. single. day. with so much intestinal pain. I went to my PCP and she said “it’s probably IBS, go on a low fodmap diet.” She referred my to a GI, but the first available appointment was 6 months out. GI also told me it was probably IBS. Several copays later I got a stool test and they discovered I had C Diff. Just do it please. Just test for C. Diff!!!
Hey so I’m deaf and super appreciate that you put subtitles on your vid, but you should also have them at the beginning while the titles onscreen cuz I always miss the beginning of what you’re saying :) /pos /nh
Omg yes, my dad was having heart problem in our home country and was told he had a hole in his heart and needed a catheter then in a few years a peacemaker. He thought US doctors were better they saw the same hole and said nah he needs a peacemaker today. Well several complications due to the peacemaker and one month of hospitalization later they said he needs the catheter. Why you may ask.....because of the hole in his heart. Which they dismissed off the bat and didn't even consider (the peacemaker wasn't to address the hole in his heart). Almost two months later and he is finally out of the hospital. If he had stayed in our home country he would have gotten the surgery on Friday and been home by Wednesday at the latest.
Omg, I am a nurse and my last hospital made it SO impossible to get a C-diff test that doctors were forced into a corner. They were ordering oral vancomycin without testing. It sucks. Doctors just want to care for patients.
I'm currently in the hospital for my 4th round of C Diff. OMG it's the worst thing ever! I'm a thyroid & Colon cancer survivor with a genetic condition called FAP and for some reason my body just can't get rid of C Diff. I practically know my GI & Infectious disease team by first names. 😳🥴🤦🏾 They def try to get around testing for it. I had to demand it.
I’m sorry you have suffered so! And so glad you are a survivor! Your comment is 11 months old at this point, but I thought I’d share some ideas anyway, in case it comes back or someone else who reads this can potentially benefit. Have you tried using apple cider vinegar with the mother in it? (Braggs is a good one) Also, it is essential to replenish your electrolytes (I like adding a packet of Liquid IV to water, as I don’t want artificial sweeteners.) along with adequate water consumption to properly stay hydrated during any illness, especially ones with frequent fluid loss. I can’t say whether it will help, but it is worth a try. After suffering for a couple of days, I looked up remedies (as I was trying to avoid an ER visit over the weekend with a $750 copay due upon arrival) and used ACVwtM for a severe food poisoning case, with very frequent watery stools and the “currant jelly” blood in my stool and a slight fever. It began improving after using it, then cleared up. I realize cdiff isn’t the same, but ACV with the mother can help with bad gut bacteria. I’ve also read where Manuka honey, (or locally sourced honey) raw garlic are good to use. Probiotics are essential to good gut health. I also read that Lactobacillus and Saccharomyces are good for cdiff. Natural foods with probiotics (besides ACVwtM) are kimchi, sauerkraut and kefir. Essential oils like oregano, thyme and eucalyptus may assist the gut as well. And definitely try to avoid certain foods when infected: dairy, processed, spicy, greasy, processed fat-free, too much caffeine. I’m not against allopathic medicine. But we also need to look at nature for assistance in sone cases. Sometimes in addition to traditional medication, sometimes in lieu of, depending on many factors. Experiment until you find what works best for you, if any. Good luck, and I hope good health finds and stays with you!
The FDA recently (in the last year) approved a prescription probiotic to keep C diff from recurring in people who've had it more than once. The medication is called "vowst." Have you tried it?
@@ahe79 just when I thought the apple cider vinegar fuckers were done, one of them recommends it for c-diff…a room packed full of the highest paid writers in Hollywood couldn’t make this shit up lmfao
You mostly had antibiotics b4 cdiff. Now constant antibiotics which are killing your normal flora(good bacteria). You need to get L Reuteri in your diet (fermented foods) to heal your body. Take care
I'm glad ur putting this out. Its sickening ur raised to trust doctors. Like they're angels. I've read so many posts where pple debates "should I go in x or y field?" And pple say "y field is surgical. U make more money. That's y x field is dying" I've began turning to alternative stuff (supplements). Had I not done a painful amount of research, finding anecdotal claims and studies done by NHS (I'm american so I cant even rely on my own country), I'd still have a closed throat and worsening infection. Culture raised to trust doctors wholeheartedly and mock alternative meds...
You mean the insurance companies? Yeah they're a huge problem we should socialize healthcare so they can no longer keep hospitals, doctors, and their patients in a chokehold.
Our hospital policy is to check any loose stool for c diff if it is passed in the first 3 days of admission. If it is positive, then it is most likely community acquired. Nothing counted against the hospital. But if is passed 3 days, and 3 loose stools in 24 hours, a test is often done. And patient is passed on contact isolation to protect others until results of test is known.
But that is in hospital, right? Not just someone in emergency or at a clinic? Curious cause America only takes initiative if you are actually already in hospital, cause liability is actually theirs.
@@elizabthharris6741 The order can be entered while the patient is in the Emergency room. However, usually we don’t get a sample until the patient is admitted.
This is why we work as an independent clinic within a medical mall, we have all the benefits of being in a hospital with none of the bureaucracy involved.
I like your content (even though I don't always understand all the medical terminology), but because you've had a few heavy handed metaphors, I thought this was one and was trying to figure it out. Then of course I eventually realized there's no metaphor.
That's insane! Is this really a thing? I almost died from cdiff in 2016--Its no joke! I have crohns so at higher risk for infections like this...I hope this isn't true!
I contracted E. Coli into my bladder the 2nd time I was in the hospital after my injury. I was readmitted to do some more rehab at an impatient facility and while on the rehab floor I got E.Coli. Everybody wanted to say that it wasn't because of the hospital, but the head nurse came up to me and said it's definitely from you coming into the hospital. It was the 1st time I had been sick since my accident. I had a temperature of 104.4ﾟ Anyway come to find out she had feces on her hand and when she touched the catheter it transferred through the hose into my bladder. I was out of it for 24 hours while I had a temperature of 104, during the whole 24 hours. It finally started to break about 26 hours after I was admitted into the hospital.... After a week I was able to gain enough strength back to start doing rehab again.
My mom caught cdiff and the level of BS she had to go through to get tested and get medication was insane. Especially since she hadn't been in hospital for months before she had it.
Strep has a distinct smell also. I can always tell if someone has strep. I 've done this since I was a kid. Learned I guess from my Mother who also could tell. I was amazed to find out drs nurses and most other people can't smell it.
Incredible. Doctors do not need to be policed. They need total freedom to evaluate/rule out whatever crosses their mind(s). Every dx was differential, until it wasn’t. 16+ years of didactic and clinical experience should supersede all this policy bull dung.
My mom had c. Diff that went septic. She was on 6 months of antibiotics before her insurance would approve the antibiotics that the doctor suggested in the first place but it was too late by then. The antibiotics where $5,000 a pill. That’s not including the time they spent without running the proper testing. They thought it was c. diff and didn’t test her for weeks. She actually had to go to a different hospital to get proper testing. This is disturbing from all sides.
Insurance would proverbially rather pay to whack the damage out of wrecked rims than pay to fill the tires with air. I hate how money-grabbing insurance is with zero regard to actual health. So sorry you guys went through that.
My mom has almost died of CDiff twice, and I can definitely say that the healthcare system spent most of the time making it harder for her. She even had to read journal articles and treatment testimonials herself when the first treatment option didn’t work because they were so resistant to trying a drug that they “weren’t as familiar with” even though her current treatment WASN’T working
Lol - love the Cdiff testing N4zi!! Actually while Cdiff is usually an HAI, there's also a community acquired form, where basically you get it from a family member or a close friend who has it.
They thought my friend didn’t have it because she was young, in her early 30’s, even after she told them it started after she took a broad spectrum antibiotic. She was 7 months in and nearly perforated by the time they figured it out. Meanwhile, my ten minute Google search flagged it as the mostly likely diagnosis.
😂 this is def an American thing. I’m from Canada where the scenario goes more like this: doc- The pt had diarrhea twice? Nurse-“yes…” Doc- get a c-diff sample.,nurse- “Noooo.” Pt goes on to never have watery enough stools for lab to check Cdiff and the collection of diarrhea never ends.
In Australia there’s also no problem ordering c-diff. Thankfully. Especially with faecal transplants now being a really effective treatment for severe cases.
Thankfully when I had it, I was tested quick in the ER and found to be septic. Spent a few days in the hospital in an isolated room and they saved my life ❤❤❤
C-diff was what killed my Grandma in 2009. She was a month from being 90. I don't know if it came from the nursing home or hospital, but she was in hospital, then back at the home, then when she went back in hospital, all within a quick period of time. The last trip was when she was diagnosed. I don't recall how long it had been since the last trip, exactly. Anyway, it was pure misery for her, but thankfully I got to hold her hand as she passed, and 3 out of 9 (8 still living at the time) of her kids were there too, including my Mom (#9) who held her other hand. It breaks my heart that it was likely negligence, but I'm grateful she wasn't alone, and she said she was ready to go! Not even a year later I read in a magazine about fecal transplantsfor Cdiff treatment. Very odd in theory, but pretty simple and amazing when properly put into practice! So many puns... If it works, it's worth it, though! I dont know if it's still the top way to treat this terrible, contagious killer. We had to suit up to visit her, each time we left or arrived, along with a thorough cleaning processes, and I was very afraid we'd get it. It was worth it all though, to see my Grandma. They semt her home, saying it was gone. Then, she was back in the hospital in no time, and surprise, it wasn't gone... The hospital and nursing home blamed each other. Advocatefor yourselves and your loved ones, educate yourselves, and ask questions!!
The number of things that hospitals do in America that aren’t illegal is just disgusting. I was going to become a doctor but a friend of mine told me that I would basically be working for the insurance companies. So I went to law school instead.
I don't think you can call it a system. It's just people selling stuff. In Canada I have many different places and ways to get chocolate bars, but I don't say we have a chocolate bar system.
I had C. Diff last year. I’m a post-kidney transplant patient with intentionally compromised immunity. By the time I was properly diagnosed with the C. Diff and treatment started, my temperature was almost 104°, I was losing control of my mental faculties, my blood pressure was falling through the floor, I was on an IV to stay hydrated from all the diarrhea. But by then I’d even lost control of my bowels as the fever skyrocketed. Had to be taken to the ICU, put in a medically-induced coma, intubated and body surrounded by ice packs. One of the docs told my parents to prepare for my passing away. Thankfully, the targeted antibiotics tipped the scale and the fever broke by the time I woke up two days later. C. Diff is scary in patients that can’t fight it off. I would hope a hospital wouldn’t delay diagnosis or treatment like this because if that had happened to me, I’d be dead.
I always thought that it was about making sure you test them early (or when admitted?) so you confirm it wasn't acquired at the hospital? Since it would stink to get penalized for something the patient already had because you didn't test at the right time. But I could see the incentive structure causing folks to avoid testing altogether which is really messed up.
You are correct, hospital has 48hrs from admission to collect the test and it to be attributed to community acquired and not hospital, but often now people are spending that much time in the ED waiting for a bed...so if the triage doc doesn't order it, we are pretty much SOL...
Oh that German accent is awesome. Yes you should be in films. Who writes this material. So good. So funny. The blond wig is awesome. A daily laugh is medicine for sure!!!! Thank you so very much. Kindest regards.
As an RN who intimately knows the CDIFF smell. They used to trust experienced nurses and confirm with a lab test. Now we have a checklist (with everything Doc mentioned). And the sample gets discarded .
As a nursing student,is there any way for a patient to get the test when one hospital won't run it? Ex. Can a pcp order it or can you go to a diff facility or a GI doc?
Same at our facility. And I don't know how to describe the smell, but after spending a night repeatedly cleaning a patient with cdiff, you will always recognize it. But we had mid-levels ordering c diff on patients who wanted medication for diarrhea and some nurses were sending solid stool to the lab.
CDiff is a rough thing to go through for patients and the care staff as well... I took care of many patients that dealt with this in nursing homes, and it's quite a helluva thing for everyone to deal with. I feel so bad for the patients that have to deal with this.
It is truth. But it is only a hospital acquired infection if test is ordered after the third day. So if someone has any diarrhea during the first three days they are 100% getting tested.
No, it's not this bad, come on. This short didn't mention all the work the patient has to do to find out if the doctor is in network or out of network, or in network but not covered, or if the tests are covered, or if the doctor's referral needs to be sent to insurance, or if additional tests have to be done before insurance covers the referral, or if the test itself is covered. Oh and then you have the copay, and your out of pocket amount per visit, and your out of pocket yearly maximum. Oh and if you make a mistake, you're on the hook for the full amount, which could be thousands. But you don't know, because hospitals won't tell you how much something costs ahead of time and often won't tell you if a test is covered, they tell you to call the insurance. Oh and over 65% of all bankruptcy filed in the US are medical debt, and over 70% of US adults report spending less on food due to medical bills.
@@dimitrikemitsky You forgot about going to Urgent Care instead of the ER for anything because if you go to the ER and don't get admitted some insurance won't cover any part of that visit. Oh also taking an Uber or Lyft instead of calling an ambulance even if you're having a heart attack or a stroke because the ambulance is going to be a few grand all by itself. And it may or may not be covered.
I appreciate the work of doctor influencers explaining all the problems with the medical industry. I hope it amounts to doctors banding together and doing something about it
Medical industry... in the us
Yeah and it's very important to have that view, because media can be uhh selective in tone. Like I read about a hospital that was bought and had medical workers replaced and the article was more about disrupting patient care but... No one talked to the ppl fired, y'know?
I hope they can unionize! That may help.
@@billymayberry2348well but to be clear some countries have a hybrid system, including Australia, France, Singapore, Sweden, and the UK. Also I think in Canada you actually only get public healthcare when you're a minor/student or retired, at least in some parts
@@ConstantChaos1
Yes... but I've never heard my colleagues say "I can't order this test, I'll be out of pocket ".
The way your country allows non medically trained people to dictate pt treatment, is alarming
As an old doctor, this stuff depresses me so much. This isn’t where I hoped we’d be.
Underrated comment!!!
We should go back to our "old innate wisdom" when new medicine fails us...
@@ruthbertorelli1290 if you mean “common sense,” it is far from common lol
@@ruthbertorelli1290the problem is the profit motive corrupting human care, not that people aren’t eating enough twigs and bark
I hope you have a community you can talk with
I’m a nurse. This is completely accurate.
I've caught CDiff in every hospital I've used a bathroom in. Based on the care I've gotten in the last decade, if I die I die never going back. Not even for a stroke, when I had strokes at 25 Drs said I'd never walk again and wouldn't even try helping me. I had double insurance but was still forced to do my own rehab program, gratefully my program worked and I can do anything physically I want to now. Moral of the story is - Hospitals are not there to help you they are there to make money.
Wait, the doctor has to fill out a waiver agreeing to pay the hospital if the patient has c diff?!
@@katpalmore2487 correct. I had physicians that had hospitalized me for a month plus confirm this around 2015, I had to bring up getting tested for it to get tested. If your poop is bright pea green and smells very weird, you probably have/had it and the hospital didn't want to admit it. Hospital acquired infections are the most serious, and cost hospitals tons of money when they are confirmed. Not necessarily pacients suing, but on insurance rates and in pacients returning to the facility. Hospitals represent a near trillion dollar industry in the US.
Well then it's completely terrible. 😢
I was once threatened by a doctor for following a surgeon’s order for sending a hospital-inserted catheter tip to a lab to be cultured for bacteria. Crazy stuff.
My mom was an RN. She said she could always diagnose Cdiff just from the smell. She was always right. She said it has a distinct smell.
my gf is a rn, she says the exact same thing. she works long term care. it goes around a lot. btw don't use water fountains in nursing homes people!
She right it is very strange smell. That and GI bleeds. I can smell right away.
Lile a smelly nursing home.
@@nickserafine6345anywhere!
That smell punches you in the face. Nothing smells like it, and it's incredibly hard to describe other than horrifying.
There is one thing doctors, nurses, and patients can all agree on, and it's that all of the middlemen in-between them (admin, insurance, etc) need to take a hike.
Yes they need to let the doctors be the doctor I was talking to a co-worker one time and he had a going to the hospital I forget why but the doctor had to run all kinds of tests and the guy didn't have insurance so the doctor was able to keep him in the hospital and run all the tests that he needed to and he even told the guy as he was doing his last set of rounds before he gave the discharge orders had he had insurance he wouldn't have got half the test he needed done to determine what was wrong with him
That's what happens when medicine is dictated by money and people behind desks. I was one of them briefly and it literally drove me nuts.
The market is controlled by giants that should've been broken dacades ago by antitrust laws, contrary to popular belief capitalism is the best system out there thanks to the free market but it has been corrupted by lobbying (which should ve illegal btw) and the lack of use of antitrust laws. Many giant corporations would lose their oligopoly and smaller businesses would flourish if antitrust laws were used
Were you the person behind the desk, or the desk itself?
@@connorhart7597 my bet is the desk given it drove him nuts.
@@connorhart7597 They were the desk, I know because I was the money.
Yep and it will make you nuts
Ah yes, when management tries to practice medicine without a license.
Every day event occurring frequently throughout....
Them and health insurance companies.
Urgh Bed Managers are literally the worst!
@@sammythedragon and blame the doc and nurses if pt outcomes are worse
@key_v seriously these health insurance companies or the reps that do the grunt work should be liable to be sued for practicing medicine 💊 without a license wtf
POV : the infectious disease specialist says this again No for the last time the patient is not on laxatives
Then they get the test. The the battle for treatment begins! The fight about whether they get dificid or oral vancomycin and IV metronidazole. Then perhaps another fight if the doctor orders more than 500mg of oral vancomycin per day. Don’t even ask about bezlotoxumab.
And the patient dies from complications due to c diff
Infectious Disease Specialist"The patient has not been in contact with anyone who has been on laxatives for the past 3 months, and we checked their sewage levels - no laxatives were found."
Infectious diseases: Did you do a cdiff test?
Hospitals are more concerned about their bottom line than your health
They’re businesses of course they’re more concerned with their bottom line as morally reprehensible as that it.
America moment, this is what happens when you privatize Healthcare
I mean... welcome to America?
The COUNTRY is more concerned about bottom lines than civilian health and well being x'D
No shit it’s a business your probably care more about your paycheck then my health you want me to start bitching at you for it? 😂😂😂
@@benygames7399Are you too stupid to recognize why what they said is more relevant to the field of *healthcare* than any other business?
Sadly true. The most common hospital-acquired infection, and hospitals (often “Chief Medical Officers,” i.e., actual practice failed) decline to allow testing because it dings their stats.
Wow. That’s frightening to know.
So I once had the worst intestinal infection I've ever had- immodium every single day at maximum dosage (per the bottle) just maintained it at a level where I could be continent. I was down to skin and bones despite eating crazy amounts of calories. Finally got a gastroenterologist to do a scope. Comes out and says that I don't have anything wrong, but take this antibiotic every day for 3 months and let's see what happens (this was more than 10 year ago- docs could still get away with treatment per clinical symptoms). Within 6 weeks, it was entirely resolved. That's my story about having nothing wrong that was cured by antibiotics, lol.
More than 10 years ago they may have really had no idea and just gave you strong broad spectrum ones. But nowadays that's sus as hell
I'm guessing the "nothing wrong" was meant like "nothing wrong with your intestines, aside from the infection"?
@@blank_line NOT edited for brevity, but a few words were added for clarity.
All the tests were negative. The antibiotics they gave me cost $1800 a month (astronomical) and supposedly didn't leave the intestines.
RESPONSE: I recently (within the past 6 years, but before the AFA was fully implemented and specialists actually had time to listen to patients) had something much, much more minor. Told over and over nothing was wrong. Turns out that when the correct testing was done, I actually did have something wrong.
You know, now that I think about it that's happened to me rather a lot. But then I come from a family that's notorious for being told we're just hypochondriacs by doctors and then dying the next day. The very next day. I have two family members who were sent home from the hospital twice "with nothing wrong" who I dragged back to the hospital and refused to allow them to leave until heart caths were performed who are alive only because I did so. A niece lost her husband a year ago who was actively having a heart attack, was sent home because "everything looks great" despite the fact that he could barely stand from the pain. He died in his sleep that night. Left 2 kids under the age of 7 and a disabled 10 year old with my niece, who had a heart transplant and is in kidney failure on dialysis. ALWAYS LISTEN TO THE CLINICAL PICTURE. Sure, some folks carry on about nothing but just enough come through like that.
I tell docs that I don't have a medical degree, but I've been chronically ill for over 25 years now and I have a PhD with advanced postdoctoral education in living in my body. If I tell them I'm sick even if I'm not obviously gasping for air, crapping my pants, or screaming in pain it might be a good idea to treat me before I get there. I've had more than a dozen surgeries and I don't intend to have any more. I don't have the strength anymore to lose 50lbs eating McDonald's every day. Just give me the antibiotics. No, I won't take them for an earache I just got that day and no to all the other stupid things people do to create antibiotic resistance. But do I really need to suffer 2+ weeks with a sinus infection and pass out in their parking lot coming in to see them when it's gotten into my lungs? Let's just skip all that and get me feeling better. I'm not ignorant or ill educated about these things and my docs know that. Is that suspicious? No.
I listened to a PBS show once that said that docs once used to sit down and talk to their patients. They didn't have any testing other than perhaps putting their ear on someone's chest or what they could feel through their hands. They listened to the patient and treated them accordingly. Then the stethoscope was invented and it was the beginning of putting distance between the patient and the doctor. Now a patient needs lots of paper proving they have a real problem before they can receive treatment. I have back pain so bad some days I can barely walk- how many reams of paper have been used to print the x-rays, CT scans, and MRIs I've had to have- and then have again and again- I have no idea. But watch me try to get out of a chair without arms and it's obvious that I am in legitimate pain. Now, of course, everyone who requires pain medication to live something like a life is obviously a drug seeker so the medical establishment has decided enough with the scans, which legitimately aren't good indicators of pain. Sometimes they look absolutely terrible and the person indicates they have no pain (or didn't until they read the report, anyway) and other times patients can barely walk and the scans look great. Now as a massage therapist I know that there's an incredible number of things that can cause pain in a person's back that will NEVER appear on any scan. Even though many can be significantly improved by the correct massage techniques (which many will claim to know but only some actually are skilled in), how many folks can afford 3 massages a week for a minimum of a year (like just one of the issues I have) to correct? So doctors need to listen to their patients, understand that medical science doesn't have all of the testing it needs at this point in time to pick up every medical issue, and understand that our medical system has limitations that are unfortunately left to the physician to treat.
Medicare for all. Payment for proven alternative medical treatments (like medical massage, acupuncture for certain medical conditions, etc). Those things would save us all a lot of money- well, the patients anyway. There are a lot of deep pocket interests that like things just fine the way they are. There's a level of insanity that has gotten baked into our medical system. Like the medical insurance company says a child with enormously swollen tonsils and adenoids that a doctor used to be able to remove based on his experience and expertise has to go through a sleep study that costs almost 2k to prove they have breathing obstruction. That simply adds 2k, getting the child to an overnight sleep study (with child care for other children in the household, etc) and weeks of suffering for the child. But a few cases went through that were- in the view of someone who sits in an office cubicle somewhere- dodgy so... We as Americans will get the medical system we put up with so let's stop putting up with nonsense. Will the system kick and fight? Of course it will. The health of PATIENTS are the point of the system, not the health of the system PROFITS.
@@a.humanbeing8171 have you been checked for connective tissue disease? A connective tissue disease would explain a lot of your symptoms, your family symptoms, including the sudden death (unfortunately a sign of vascular Ehlers-Danlos syndrome) and the digestive problems. It would also not show up on scans or blood work. Would require a genetic test and clinical diagnosis by a doctor familiar with connective tissue disease.
@@GLGC688
A connective tissue issue would make a lot of sense. They should definitely do genetic testing.
If someone dies because a hospital refuses to test someone, the family should sue the crap out of them. Maybe enough malpractice lawsuits will scare the hospitals more than getting a shared infection on their report cards.
I'm sure they do. It has to be a goldmine for malpractice attorneys since the cause is likely always the same. Precedent is a hell of a drug.
The hospitals just whine to their members of congress or statehouse and give buckets of money to politicans who pass laws that protect hospitals and fuck over the patients
Malpractice lawsuits contributed to them not testing for cdiff by because it made insurance so expensive and excessively required. No judgements except insurance companies suck and lawyers who bankrupted healthcare unethically and hospital admins.... In general lol
Trouble is, most of them are too preoccupied with grieving.
Sadly, most normal people never even realize malpractice happened. How many average citizens even know about all of the complications that can kill someone, and what their loved ones were/ weren't tested/ treated for. They're counting on the family's grief and lack of medical knowledge protecting them from well justified lawsuits.
Idk if he’s German but the „sehr gut“ at the end was pronounced perfect 👌
I studied German for a while 😁. Thanks!
Also, the ol' European "3". He definitely went all in!
His whole accent was just so perfect 👌
His last name is Schmidt
@@thesunrisja... Thought of Dr. Schmidt from the TV show Nikola immediately 😅 but that was a surgeon I think...
I was tested for c diff after having some serious trouble at age 28.
I ended up being negative, but that test helped me find out I had colitis 😬
Super appreciative that my doctor decided to risk the test!
And that's why my friend's mom almost died in the hospital because they just kept sending her home saying that they can't find anything wrong with her and they're all out of tests to do. Finally we took her to another city and the doctor was shocked that they did not perform the c-dif test earlier and said that she was in a very dangerous situation.
“We are getting too many positive tests for this thing!”
“Stop testing for the thing!”
sickening.
Yea let's just stop checking for cancer and cancer rates will miraculously go down 🤦😭
I think that's what happened with covid too lmao
Venezuela: too many people dying of starvation. Stop putting starvation as cause of death.
MAGA logic in a nutshell
@@helloelio6821 I know people who have never gotten Covid..... They were also never tested for Covid. Lmao most of us by this point had that shit even if they didn't realize
I had a close relative battle cdiff and it’s terrifying, and having to worry about the hospital not wanting to take the blame was the last thing on our minds at the time we just wanted the best treatment and speedy recovery
I worked as a cook in an assisted living residence once where a lady came back from the hospital with it. She was quarantined in her room (with private bathroom) for a MONTH until she tested negative. Her plate, cup, and utensils had to be dumped in a bleach bath for at least ten minutes. Staff providing necessary care wore gloves during and washed their hands after. Everyone tried to be kind and talk to her while providing needed care; her table mates kept asking after her. She would say “I understand; I wouldn’t want anyone else to have this!”. 🥺 Thank God, we kept it from spreading and she recovered! 😮💨
Everything gets serious af when the Germans show up.
Better get serious, then, Callie.
Die Deutschen sind nämlich schon lange hier >:)
@@tundralwhisper7345 ja, das sind sie und der anhang auch... kekekeke
That's an Austrian, definitely
If you have a German doctor, you'll either die really well, or you'll survive really well.
That sounds more like Austrian; the malice at the end makes it Viennese
There's a PBS Frontline episode from several years back called The Trouble with Antibiotics. They cover an outbreak of MRSA (IIRC) infections in a hospital. Lots of great details and access you'll never see from anywhere else because it was at an NIH hospital... Hospitals which aren't literally run by the government try their best to cover this stuff up
Your comment made me remember flying to India and on layovers we would go to pharmacies and sooo many flight attendants would buy antibiotic medication that should only be prescribed by a physician. Then they’d take it at the slightest sign of a cold.
And then, the birth of super bugs.
Hilarious! My old hospital did this . Ordering a cdiff had to go thru the charge nurse, then the nurse manager, who went back to the doc and tried to talk them out of it.😂
From the House of God: "Rule 10: If you don't check a temperature, you can't find a fever."
But then everyone on the ward starts pooping and it gets messy pretty quick 🤣
If we don't test for Covid, then Covid rates will go down...
If you don't test for COVID-19, cases go down.
The quote so popular, Trump based how he handled COVID testing on it.
@@GaySatanicClowns on the flip side of that, if you test positive for covid and die shortly after from heart attack, well then you died of covid w/ heart attack.
As a lab worker, this is 100% accurate lol we have so many criteria in place to qualify a pt for c diff testing
I'm into my pipettes, I ain't into runnin' STATs
So come with solid stool for C. Diff, I'll send it back. 😂😂😂
@@craftylabtech6802is this a rap?
Lab worker here to 💓
@@craftylabtech6802lab worker monkey thinking they have a medical license 🙄
BUT can you test a solid poo? Or poo chunks? Does it really have to be water; or is that a fake criteria?
When my mom was in the icu I saw nurses going from room to room without putting on the ppe and it was between cdiff and noncdiff rooms. By the end of the week every patient had a cart for the cdiff ppe gear. It was mainly this one nurse that would do her rounds like that. She was awful at her job in general. Some of the others did it but not consistently or only for emergencies or just had given up by the time everyone had it.
They never figured out what initially put me in the hospital but they sure as hell made the stay longer.
Get rake in that money somehow. But not to make you better.
You can’t treat what you can’t measure
(and insurance doesn’t have to pay for treatments that don’t happen….🤷♂️)
Sad but true!
It’s almost like most systems have been broken by for profit assholes
Yup, just give the insurance companies your money, and don’t expect anything back. It’s turning into a scam big time.
@@TheTwil1 *turning into*?
Health insurance doesn't pay death benefits
My sister's an RN and the urgent care she worked at for years had someone nearly die due to a Cdif outbreak caused by someone not washing their hands or instruments. She had to essentially argue to the point she was being talked down to by half the work force like "HEY LETS SAVE THESE PEOPLE'S LIVES"
Our unit always checks for MRSA within 24-48 hrs of admission and C. Diff at any sign or symptom. We have patients that need to be on isolation, so it's to protect everyone.
???
Bravo! What country are you from? Here in the US we have profit-based healthcare system that this video parodies. It sucks!
Finally, accurate representation of insurance companies
Love how as the German character he holds out his thumb as part of signaling “three,” just like they do in Europe. Nice touch!!
Holy crap now I understand all the cases of medical neglect it's bs like this 😑
I mean some of these were in fact implimented to prevent medical neglict too sadly because doctors may overfocus on one possible consideration that is their bottom line.
It is also part of why we need to move to a medical system that covers the consumers more because it also potentiolly allows the doctors to feel more comfortable being ensured in testing a variety of factors
Yup. And lawyers are hard to come by cause of huge case loads
So that is why it took 5 years and half of my brother's small intestines. And he had gone in for asthma originally.
Sorry to hear that
lol so maybe he got it from the hospital
@@tarampryce1372 yeah no that's exactly where we got it from we were able to go over with a doctor and find what actually it came from
...What? Your brother didn't have C. diff for 5 years.
@@amityislandchum ya he actually did. His allergy to a lot of the coming treatments made it worse. The only way they ended up fixing it was removing the infected part of his colon. That and one of the hospitals that we were feeling with first really did not what to admit and just wanted to remove everything.
It’s loads of fun being the nurse responsible for collecting and sending the sample to the lab and also be being responsible for telling the docs we’re not supposed to send it.
From Canada here: every citizen has an "Medical care plan" card with an unique number to get free health care. The story goes that an very newly arrived war refugee mom took her sick toddler to the hospital. Her paperwork wasn't fully processed yet, so no MCP card yet. She was told the doctor would see her toddler, but she would have to pay out of pocket for it later. The toddler had an ear infection and needed antibiotics. The doctor inquired into the fees she was going to be charged, it was 2000$. The doctor personally filled out paperwork to ensure that she wasn't charged out of pocket for that visit.
Though this wouldn't happen in Germany, because hospitals are not penalised for clinical infections. I always hoped they'd lean more to another variant of dealing with the cost, but this is giving me second thoughts about how difficult it is to set the right incentive
I luv how he used the German way of showing "3"😄
I don’t get it
@cute.sheep. Germans are known for counting with their thumbs 👍, instead of the index fingers☝️, like the do in America.
It's not the German way, it's just the non-British way.
@@cannotfigureoutanamenot entirely. Many russians, for example, start with their middle finger, and some people count their fingers in binary because you can get extra values. Really the most accurate wording would be “He counted his fingers in a way that German people often do,” however that’s a small and generally forgivable difference in words.
@@William43210 What I was saying is that starting from the index is a British thing, then everyone might have their system but starting from the thumb is way more common (at least in the western world that I am familiar with).
When I learned that countries with a British influence do it differently, I would've called it the Italian way of counting, then I learned it's just common.
P.S. I learned binary counting during a telecommunications lesson but I am pretty sure there is no culture who does that.
Truth!!! We have to have the charge nurse sign off on the collection after personally verifying all the info and seeing the sample. Nurses and CNAs know c-diff when they see and smell it, there's no need for a whole committee to be created for each potential c-diff poop.
This is actually horrifying. How is this video not viral and all over media???
The same way certain videos weren't allowed in 2020-2022.
You will know only what we want you to.
@katherinkeegan8601
Those videos were limited because of rampant fear mongering and misinformation my dude. Like, people telling others to do dangerous things to prevent or cure covid kind of misinformation.
Having had this, I am grateful that the hospital found it. Took months for recovery
appreciate the attention to detail on our German friend counting with his hands properly
One of my babies contracted cdiff at birth in a hospital in Oklahoma. They refused to test him until he was underweight and at risk of death. At that moment, they said that my wife had passed him it to it during birth (they couldn’t find the bacteria on her). Out of the blue, New York times started calling us to ask us questions, and the hospital’s bill was erased. We moved to Houston during that and suddenly the records of my son’s tests for cdiff were nowhere to be found.
disgusting
CDIF testing is highly discouraged in patients under the age of 2, per the CDC. Sorry for your experience.
c diff in a neonate who doesn’t even have a full gut microflora? hmmm sounds fishy
The fact that those doctors tried to escape the consequences of their actions by letting your child suffer is appalling.
I was bitten by a Cottonmouth when I was 10. It was a grim experience for a skinny kid. But the worst part was the hospital acquired Staph infection. 14 boils on my nose, large boils all over my body. I had necrotic flesh removed from my finger ( where I was bitten) until I could see bone...but the staph infection was worse.
Hospital cleanliness is not what it used to be….if they empty the trash and change the sheet they consider the room clean, never mind the blood and other substances in the bathroom…..
Funny the hospital I work for recently implemented a form that doctors must fill out to see if the patient qualifies for a C Diff test. Now I know why.
Fun fact: pressure wounds, aka bed sores, are also considered hospital acquired and treatment of same is therefore not reimbursed by Medicare, which in my experience means little attention and not mentioning it at all until discharge after you've already agreed to accept your elderly relative.
So so accurate 👌I got c diff in the hospital after my 2nd open heart and 2 weeks after that I died for about 10 minutes and was put in a coma. That c diff that was some of the most miserable shit I've ever experienced, and I've died. Absolutely crazy.
I feel this so much. I had c diff without antibiotics and getting anyone to test each reinfection...
Does it ever go away
@@polabear9710 depends on the severity and your own body response. Mines horrible so recurring for almost 1 yr.
@@nataliesilva1061 Do you use saccharomyces boulardii?
@@polabear9710My husband's c diff went away after three infections, they finally put him on vancomycin for four weeks instead of two, and that did the trick. They said if he had a fourth infection, they would have recommended fecal transplant.
This all happened after a dermatologist put him on Clindamycin for MRSA infection of his back, and left him on it for five months, i finally convinced him to quit the doctor and the meds. But the damage was done, he developed c diff four months later. This all happened in our 20s.
I've had a recurrent cdiff infection every month of 2 for a few years, and I know it's dangerous but due to medical neglect I'm terrified of being told to just go away. (Uk)
From what I hear of my nurse friends, it is hard to mistake cdiff. It is very distinctive
Yes, it usually is.
The smell gives it away!
It has a very distinctive smell 🙃
This is something I’ve known for over a decade. See, the more medicalized one becomes, the more we realized that the medical industry is trying to hurt us on purpose. It’s so important that you are putting this information out there. Otherwise, nothing will change and the money lovers will continue to hurt us.
Yup
Yeahhhh 😮💨
They tested me for C-Diff 5 times during my stay fir septic pneumonia. Turns out they infected me with CMV while in my coma in the ICU. I'm a daily prednisone/ chemo patient and was so violently sick for months. As soon as my rhum saw me he knew exactly what it was and back to the hospital I went for antivirals almost dead. Again.That man has saved my life so many times. I owe him my life. He's a hero and I don't think he realizes it.
Love the accurate hand signal for the number 3.
When you work in the medical field long enough you can start to diagnose things based on smell. 98% of the time, we can tell it is Cdiff before we order the test. Cdiff has a really unique smell compared to regular diarrhea
Yep!
You are the second person to make this statement. What does it smell like?
@@katherinkeegan8601. She’s like the third person.
@@katherinkeegan8601I’m wondering that too. People keep saying it, but not saying what the smell IS. My grandma has persistent diarrhea, and we’ve asked for her healthcare providers to test for c-diff and they keep refusing and saying there’s no reason to test for it. I guess after watching this video I know why they’re refusing, but I’d still like to get an idea for myself if it’s likely to be c-diff or not.
Forgot not testing because they don't want to know - when my gram had it the nursing facility had been testing her regularly to see when it cleared. I drove six hours to visit her and maintained their no touching policy and only brought in sealed foods for her instead of her favs like I usually brought her. It turns out her cdiff had cleared up at least 24hrs before my visit and they were literally THAT bad at following through with relevant medical notes. Don't ever trust any med system to contact you or your loved ones about anything, no matter how important!
It's not even their fault, it's the greedy corporations that massively understaff to maximize profits.
@@angiepangie989 even though we had to go through like four levels of staff to get into her room, including like two nurses who were assigned to her care?
The information was in their computer and they didn't bother looking into it for an out of town visitor. The reality is that I didn't even get to hold my confused grandmother's hand the last time I saw her because they couldn't be arsed. I'd have different feelings if I'd seen these nurses scurrying around with no rest periods, but I saw a lot of lounging, leaning, chatting with co-workers, etc - the sort of thing that would have gotten me fired when I worked retail. When I've been in surgery, E.R. or some Elder care places the staff work tirelessly, that's not what I saw when I visited her, and it made my family angry at the skilled nursing facility. Luckily she got to go back to her Elder home for a little while before she passed.
C diff outbreak? Treat your patients with dignity, and give a special shout out to the unsung hero’s that work in laundry.
Also, stop testing so you don’t have so many positive tests. It’s bad for reimbursement.
Great to see how professional everything is and how the main priority is people's health
My latest hospital trip was my first since C19, and this explains SO MUCH! 😮
This kind of BS should be illegal. Have an outside, 3rd party come in and administer the C-diff test without the hospital knowing it.
Hospitals are as corrupt as the insurance companies are.
Well, of course, they’re corrupt the run by people whose only motivation is the bottom line. When your primary motivation is profit and power
I thought this was an allegory about covid but then realised healthcare probably really is Like That
C.Diff is a gastrointestinal pathogen that can be clinically acquired so it does get treated like a land mind in some facilities from what I’ve heard. I don’t think this video has anything to do with Covid
As a cancer patient, yes it's like this.
Yes it is.
This is actually about C. Diff. CMS looks for any reason to not pay the hospital for covered treatment. Hospital aquired infections look bad on the hospital and they don't want to pay for something the hospital caused. If they could prove you caught COVID, the Flu, Monkey Pox or a bad cold while waiting in the ER for a broken arm they would try to make the hospital eat the cost. Just like of you get injured at work private insurance won't pay, workers compensation has to pay.
Nah with covid it's opposite. Test as frequently as possible with the tests most likely to give false positives. Every positive patient is extra money.
This is a terrifying to find out. The fact that a doctor can not run a test out of fear of the hospital holding them liable even though it was most likely not their fault if they have an infection.
I was 21 and had to take a bunch of antibiotics for my tonsil infections and utis. I started having diarrhea every. single. day. with so much intestinal pain. I went to my PCP and she said “it’s probably IBS, go on a low fodmap diet.” She referred my to a GI, but the first available appointment was 6 months out. GI also told me it was probably IBS. Several copays later I got a stool test and they discovered I had C Diff. Just do it please. Just test for C. Diff!!!
Hey so I’m deaf and super appreciate that you put subtitles on your vid, but you should also have them at the beginning while the titles onscreen cuz I always miss the beginning of what you’re saying :) /pos /nh
Omg yes, my dad was having heart problem in our home country and was told he had a hole in his heart and needed a catheter then in a few years a peacemaker. He thought US doctors were better they saw the same hole and said nah he needs a peacemaker today. Well several complications due to the peacemaker and one month of hospitalization later they said he needs the catheter. Why you may ask.....because of the hole in his heart. Which they dismissed off the bat and didn't even consider (the peacemaker wasn't to address the hole in his heart). Almost two months later and he is finally out of the hospital. If he had stayed in our home country he would have gotten the surgery on Friday and been home by Wednesday at the latest.
Omg, I am a nurse and my last hospital made it SO impossible to get a C-diff test that doctors were forced into a corner. They were ordering oral vancomycin without testing. It sucks. Doctors just want to care for patients.
I'm currently in the hospital for my 4th round of C Diff. OMG it's the worst thing ever! I'm a thyroid & Colon cancer survivor with a genetic condition called FAP and for some reason my body just can't get rid of C Diff. I practically know my GI & Infectious disease team by first names. 😳🥴🤦🏾 They def try to get around testing for it. I had to demand it.
I’m sorry you have suffered so! And so glad you are a survivor! Your comment is 11 months old at this point, but I thought I’d share some ideas anyway, in case it comes back or someone else who reads this can potentially benefit.
Have you tried using apple cider vinegar with the mother in it? (Braggs is a good one) Also, it is essential to replenish your electrolytes (I like adding a packet of Liquid IV to water, as I don’t want artificial sweeteners.) along with adequate water consumption to properly stay hydrated during any illness, especially ones with frequent fluid loss.
I can’t say whether it will help, but it is worth a try. After suffering for a couple of days, I looked up remedies (as I was trying to avoid an ER visit over the weekend with a $750 copay due upon arrival) and used ACVwtM for a severe food poisoning case, with very frequent watery stools and the “currant jelly” blood in my stool and a slight fever. It began improving after using it, then cleared up. I realize cdiff isn’t the same, but ACV with the mother can help with bad gut bacteria.
I’ve also read where Manuka honey, (or locally sourced honey) raw garlic are good to use. Probiotics are essential to good gut health. I also read that Lactobacillus and Saccharomyces are good for cdiff. Natural foods with probiotics (besides ACVwtM) are kimchi, sauerkraut and kefir.
Essential oils like oregano, thyme and eucalyptus may assist the gut as well. And definitely try to avoid certain foods when infected: dairy, processed, spicy, greasy, processed fat-free, too much caffeine.
I’m not against allopathic medicine. But we also need to look at nature for assistance in sone cases. Sometimes in addition to traditional medication, sometimes in lieu of, depending on many factors. Experiment until you find what works best for you, if any.
Good luck, and I hope good health finds and stays with you!
The FDA recently (in the last year) approved a prescription probiotic to keep C diff from recurring in people who've had it more than once. The medication is called "vowst." Have you tried it?
@@ahe79 just when I thought the apple cider vinegar fuckers were done, one of them recommends it for c-diff…a room packed full of the highest paid writers in Hollywood couldn’t make this shit up lmfao
You mostly had antibiotics b4 cdiff. Now constant antibiotics which are killing your normal flora(good bacteria). You need to get L Reuteri in your diet (fermented foods) to heal your body. Take care
The three, the accent, the pronunciation was all on point
I'm glad ur putting this out. Its sickening ur raised to trust doctors. Like they're angels.
I've read so many posts where pple debates "should I go in x or y field?" And pple say "y field is surgical. U make more money. That's y x field is dying"
I've began turning to alternative stuff (supplements). Had I not done a painful amount of research, finding anecdotal claims and studies done by NHS (I'm american so I cant even rely on my own country), I'd still have a closed throat and worsening infection.
Culture raised to trust doctors wholeheartedly and mock alternative meds...
I miss the days when doctors were private practicing instead of employees answering to management and corporations.
You mean the insurance companies? Yeah they're a huge problem we should socialize healthcare so they can no longer keep hospitals, doctors, and their patients in a chokehold.
You mean independent? and not answering to private corporate donkeys who should be in hell?
Having had c. Diff and it taking 6+ months to diagnose, can confirm 😭
My friend went 7 months. She was nearly perforated.
Yep! Been there. Hang in there!
Our hospital policy is to check any loose stool for c diff if it is passed in the first 3 days of admission. If it is positive, then it is most likely community acquired. Nothing counted against the hospital. But if is passed 3 days, and 3 loose stools in 24 hours, a test is often done. And patient is passed on contact isolation to protect others until results of test is known.
But that is in hospital, right? Not just someone in emergency or at a clinic? Curious cause America only takes initiative if you are actually already in hospital, cause liability is actually theirs.
@@elizabthharris6741 The order can be entered while the patient is in the Emergency room. However, usually we don’t get a sample until the patient is admitted.
@@MsCarVette that was what I thought...lol
This is why we work as an independent clinic within a medical mall, we have all the benefits of being in a hospital with none of the bureaucracy involved.
Once again thank you for sharing and enlightening us on the policies that we need to understand. 👏
I like your content (even though I don't always understand all the medical terminology), but because you've had a few heavy handed metaphors, I thought this was one and was trying to figure it out. Then of course I eventually realized there's no metaphor.
Great German impression 😂 zehr gut
Sehr*
Ja, sehr gut!
@@zinovyrozhestvensky652 Yes, grammar Nazi. That was intentional 😊
Isn't he part german?
Well his last name is Schmidt... so probably has some German heritage 😂
That's insane! Is this really a thing? I almost died from cdiff in 2016--Its no joke! I have crohns so at higher risk for infections like this...I hope this isn't true!
It is absolutely demonic. But I think there isn't much question if you have it.
Unfortunately, it is.
In usa yes
Wow. Didn’t know this but sadly doesn’t surprise me. Thank you for this video.
Man I am so glad our medical system is run on for profit model! It really brings out the best in everyone, and I can't see a single issue with it!
I contracted E. Coli into my bladder the 2nd time I was in the hospital after my injury. I was readmitted to do some more rehab at an impatient facility and while on the rehab floor I got E.Coli. Everybody wanted to say that it wasn't because of the hospital, but the head nurse came up to me and said it's definitely from you coming into the hospital. It was the 1st time I had been sick since my accident. I had a temperature of 104.4ﾟ Anyway come to find out she had feces on her hand and when she touched the catheter it transferred through the hose into my bladder. I was out of it for 24 hours while I had a temperature of 104, during the whole 24 hours. It finally started to break about 26 hours after I was admitted into the hospital.... After a week I was able to gain enough strength back to start doing rehab again.
I'm so proud of her for admitting it.
Dr. Doofenschmirtz finally putting his M.D. to good use
THE DE-ECONIMATOR
My mom caught cdiff and the level of BS she had to go through to get tested and get medication was insane. Especially since she hadn't been in hospital for months before she had it.
Strep has a distinct smell also. I can always tell if someone has strep. I 've done this since I was a kid. Learned I guess from my Mother who also could tell. I was amazed to find out drs nurses and most other people can't smell it.
That was the best pronunciation i’ve heard of “sehr gut” usually people say zeer guht.
This is actually occurring in my hospital
Incredible. Doctors do not need to be policed. They need total freedom to evaluate/rule out whatever crosses their mind(s). Every dx was differential, until it wasn’t. 16+ years of didactic and clinical experience should supersede all this policy bull dung.
Yeah, I just found out we're removing the ability for inpatient doctors to order c-diff at all
@@MorningMeasure hope that makes it to the news media so things change for the better...
My mom had c. Diff that went septic. She was on 6 months of antibiotics before her insurance would approve the antibiotics that the doctor suggested in the first place but it was too late by then. The antibiotics where $5,000 a pill. That’s not including the time they spent without running the proper testing. They thought it was c. diff and didn’t test her for weeks. She actually had to go to a different hospital to get proper testing. This is disturbing from all sides.
Insurance would proverbially rather pay to whack the damage out of wrecked rims than pay to fill the tires with air. I hate how money-grabbing insurance is with zero regard to actual health. So sorry you guys went through that.
Bro I had cdiff a few months ago and almost literally died! Ended up getting sepsis and was hospitalized for 8 days
My mom has almost died of CDiff twice, and I can definitely say that the healthcare system spent most of the time making it harder for her. She even had to read journal articles and treatment testimonials herself when the first treatment option didn’t work because they were so resistant to trying a drug that they “weren’t as familiar with” even though her current treatment WASN’T working
Lol - love the Cdiff testing N4zi!! Actually while Cdiff is usually an HAI, there's also a community acquired form, where basically you get it from a family member or a close friend who has it.
ahhhhhh that's why it was like pulling teeth to get the test when I had it. they kept saying unless my diarrhea was completely water it wasn't likely.
They thought my friend didn’t have it because she was young, in her early 30’s, even after she told them it started after she took a broad spectrum antibiotic. She was 7 months in and nearly perforated by the time they figured it out. Meanwhile, my ten minute Google search flagged it as the mostly likely diagnosis.
@@evilsharkey8954 sad :(
😂 this is def an American thing. I’m from Canada where the scenario goes more like this: doc- The pt had diarrhea twice? Nurse-“yes…” Doc- get a c-diff sample.,nurse- “Noooo.” Pt goes on to never have watery enough stools for lab to check Cdiff and the collection of diarrhea never ends.
I had a doctor order a test to be told it was only done if it was ordered by a specialist. Couldn't get sent to a specialist without a positive test.
@@madtabby66 Smh
In Australia there’s also no problem ordering c-diff. Thankfully. Especially with faecal transplants now being a really effective treatment for severe cases.
Hahahaha *when it’s the third* “is it really diarrhea, how runny are we talking here..like soft wet or wet wet“
Thankfully when I had it, I was tested quick in the ER and found to be septic. Spent a few days in the hospital in an isolated room and they saved my life ❤❤❤
C-diff was what killed my Grandma in 2009. She was a month from being 90. I don't know if it came from the nursing home or hospital, but she was in hospital, then back at the home, then when she went back in hospital, all within a quick period of time. The last trip was when she was diagnosed. I don't recall how long it had been since the last trip, exactly. Anyway, it was pure misery for her, but thankfully I got to hold her hand as she passed, and 3 out of 9 (8 still living at the time) of her kids were there too, including my Mom (#9) who held her other hand. It breaks my heart that it was likely negligence, but I'm grateful she wasn't alone, and she said she was ready to go! Not even a year later I read in a magazine about fecal transplantsfor Cdiff treatment. Very odd in theory, but pretty simple and amazing when properly put into practice! So many puns... If it works, it's worth it, though! I dont know if it's still the top way to treat this terrible, contagious killer. We had to suit up to visit her, each time we left or arrived, along with a thorough cleaning processes, and I was very afraid we'd get it. It was worth it all though, to see my Grandma. They semt her home, saying it was gone. Then, she was back in the hospital in no time, and surprise, it wasn't gone... The hospital and nursing home blamed each other. Advocatefor yourselves and your loved ones, educate yourselves, and ask questions!!
The number of things that hospitals do in America that aren’t illegal is just disgusting.
I was going to become a doctor but a friend of mine told me that I would basically be working for the insurance companies.
So I went to law school instead.
I’m fucking crying this is so specific but finally someone gets it 😂
Every day I'm more baffled by the American health care system, and I wonder if it's even legal to call it "health care" anymore 🤔
I don't think you can call it a system. It's just people selling stuff. In Canada I have many different places and ways to get chocolate bars, but I don't say we have a chocolate bar system.
That’s why a thorough initial assessment is important! If you catch it when they get there then they had it before they came!
I had C. Diff last year. I’m a post-kidney transplant patient with intentionally compromised immunity. By the time I was properly diagnosed with the C. Diff and treatment started, my temperature was almost 104°, I was losing control of my mental faculties, my blood pressure was falling through the floor, I was on an IV to stay hydrated from all the diarrhea. But by then I’d even lost control of my bowels as the fever skyrocketed. Had to be taken to the ICU, put in a medically-induced coma, intubated and body surrounded by ice packs. One of the docs told my parents to prepare for my passing away. Thankfully, the targeted antibiotics tipped the scale and the fever broke by the time I woke up two days later.
C. Diff is scary in patients that can’t fight it off. I would hope a hospital wouldn’t delay diagnosis or treatment like this because if that had happened to me, I’d be dead.
I always thought that it was about making sure you test them early (or when admitted?) so you confirm it wasn't acquired at the hospital? Since it would stink to get penalized for something the patient already had because you didn't test at the right time.
But I could see the incentive structure causing folks to avoid testing altogether which is really messed up.
You are correct, hospital has 48hrs from admission to collect the test and it to be attributed to community acquired and not hospital, but often now people are spending that much time in the ED waiting for a bed...so if the triage doc doesn't order it, we are pretty much SOL...
Oh that German accent is awesome. Yes you should be in films. Who writes this material. So good. So funny. The blond wig is awesome. A daily laugh is medicine for sure!!!! Thank you so very much. Kindest regards.
As an RN who intimately knows the CDIFF smell. They used to trust experienced nurses and confirm with a lab test. Now we have a checklist (with everything Doc mentioned). And the sample gets discarded .
What does C. diff poo smell like vs. other poo?
As a nursing student,is there any way for a patient to get the test when one hospital won't run it? Ex. Can a pcp order it or can you go to a diff facility or a GI doc?
Same at our facility. And I don't know how to describe the smell, but after spending a night repeatedly cleaning a patient with cdiff, you will always recognize it. But we had mid-levels ordering c diff on patients who wanted medication for diarrhea and some nurses were sending solid stool to the lab.
CDiff is a rough thing to go through for patients and the care staff as well... I took care of many patients that dealt with this in nursing homes, and it's quite a helluva thing for everyone to deal with. I feel so bad for the patients that have to deal with this.
Thank you for disclosing things like this. It's sad when the people in charge of health care are too greedy to take care for health.
Wow, if this is based on truth then American health care is really screwed.
It is truth. But it is only a hospital acquired infection if test is ordered after the third day. So if someone has any diarrhea during the first three days they are 100% getting tested.
Everything awful you hear about American healthcare is true.
Yes. We are.
No, it's not this bad, come on.
This short didn't mention all the work the patient has to do to find out if the doctor is in network or out of network, or in network but not covered, or if the tests are covered, or if the doctor's referral needs to be sent to insurance, or if additional tests have to be done before insurance covers the referral, or if the test itself is covered.
Oh and then you have the copay, and your out of pocket amount per visit, and your out of pocket yearly maximum. Oh and if you make a mistake, you're on the hook for the full amount, which could be thousands. But you don't know, because hospitals won't tell you how much something costs ahead of time and often won't tell you if a test is covered, they tell you to call the insurance.
Oh and over 65% of all bankruptcy filed in the US are medical debt, and over 70% of US adults report spending less on food due to medical bills.
@@dimitrikemitsky You forgot about going to Urgent Care instead of the ER for anything because if you go to the ER and don't get admitted some insurance won't cover any part of that visit. Oh also taking an Uber or Lyft instead of calling an ambulance even if you're having a heart attack or a stroke because the ambulance is going to be a few grand all by itself. And it may or may not be covered.