Working in healthcare, I am always faced with disappointment.  My patient's test did not go well; my patient is not working hard enough at home; my patient is just not strong enough; the healthcare system is broken and my patient pays the price.  The list goes on and on.
Sometimes, disappointment is easy to brush off.  It is a sad fact, but all too true.  This past week, I had several disappointing situations.  The most disappointing of all was that my coma patient got rejected by a brain injury rehabilitation facility.
He had a heart transplant, one of the grafts failed, he suffered an anoxic brain injury, they repaired the graft, he didn't wake up, he developed a non-healing sternal wound, he went to an LTAC and got no cognitive therapy, he came to our LTAC and I did the best I could with him, he was evaluated by a brain injury rehabilitation facility, he was denied because of his poor prognosis and length of time since injury (3 months), he will go to a nursing home with no therapy, he will ROT!
This is the broken healthcare system.  I know it is broken, but my coma patient makes it all the more real.  I cannot tell you how disappointed I am.  And the worst part of all of it.....he has a brand new donor heart.
(Sorry for the depressing post...remember, I blog for myself as a personal record.  Thanks for reading!)
 
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