Patient's Rights, etc

From: Karen Kaplan (kkaplan@eclipse.net)
Fri Feb 18 15:24:01 2000


Karla N: The first thing is for them to pass a law. the hard part is getting people to obey it. At 47, I still get conned into believing all those wonderful laws and Patient Bill of Rights. New Jersey has an HMO Bill of Rights - like my doctors cared. The hospital has a patient bill of rights - i count at least 7 breaches in my case. Even if it isn't a law, a hospital patient bill of rights is a contract. But just try to find a lawyer who will tackle anything medical that isn't full blown malpractice.

Why breach of contract is still not enough: In my 8th year at Nabisco, I won a contest for economic forecasting. My boss apparently decided that was too much attention away from him, especially after corporate communications ran a feature on me in the in-house magazine - the issue on diversity. As one of his peers later told me: "Jim doesn't like the sun to shine on anyone but him" After that year was over, he gave me a terrible performance appraisal, full of lies. It started: "Karen did an excellent job, but that isn't what she is going to be measured on...." He was trying to get me to leave - I later learned that was one of his favorite techniques. I consulted a lawyer who told me that was breach of contract & I had the right to a fair performance appraisal based on their written policies. I challenged him. Result: forced into a staff job so that he could eliminate me during the annual Nabisco head count reduction. He filled my job with the man who had preceded me, who was 65. 5 months later, they offered a retirement buyout - every man in the department who was eligible took it and they all (it was more than 1/3 of the managerial and professional staff) were offered jobs as consultants after they "retired". Only one man told them to go fuck themselves - he had reported directly to me for 4 years and saw what they did to me and he wasn't going to have any more part of it, bless his heart. that was the only thing that got me through that week. They replaced the 65 yr old man with a man 10 years younger than me and paid him $10,000 more (I had hired him and knew the salary calculations).

So much for breach of contract and every law in this country on discrimination.

Sorry, i have kept this inside me for 5 years now. I think I should get a prize for the only American who can never get a lawyer to defend my rights, even when the evidence is overwhelming. In this case, the Nabisco lawyer told mine that they would destroy me if I sued.

I think the betrayal by Nabisco was worst than that of my now ex-boss - I kept thinking about a volleyball party some of us had my last summer there - all the guys who figure out how to make millions of oreos, every one the same. such nice people, such a nice product. i was so proud to work there. I didn't realize until it was too late that the bullies were in charge and america's favorite cookie had become the whore of Wall Street greed.

The week I signed the papers was my last period. Between the trauma and the menopause, 8 months later, in desperation for a night's sleep I started the unopposed estrogen that led to the cancer, surgery, and thus my participation in this forum. I still cannot walk down the cookie aisle of the grocery store - my group bought all those boxes and every one has so many stories that the trauma never really goes away, so i avoid it. I am the only person you will ever know who can burst into tears at the sight of a box of Triscuits.

Thank you all for letting me share something unrelated, but not so unrelated. Karen

>----- Original Message -----
From: Bernie and Beverly Doucette <bnb@cybrzn.com> To: Multiple recipients of list ADHESIONS <adhesions@forum.obgyn.net> Sent: Thursday, February 17, 2000 10:28 AM Subject: Re: Opioid Potency - Tina and Karla

> Helen and Tina,
>
> Thank you for explaining Helen....and Tina it was very clear....I am
saving > a copy of this for myself. I did not get morphine from the doctor
> yesterday, but got some kind of patch. I can't remember what it is
> called...I think it begins with an e. I had to put tape on it to hold it
on > so I can't look at it to tell you and since I am not at home I don't have
> the box. All I know is my doctor told me that it was very addicting, but
he > said that at this point that really didn't matter. My blood pressure when
I > got to his office was 208/140. I was really surprised that he didn't put
me > back in the hospital. He is sending me to Green Bay on Friday so that I
can > have and MRA - angiogram. This is basically a nonevasive angiogram. The
> doctor doesn't feel that I can handle a normal angiogram. An MRA is like
an > MRI and hopefully will be just as telling as a normal angiogram.
>
> Thanks for all the info regarding patient rights, the intractable pain law
> in Texas as welll as the statement from that doctor. When I got through
all > of Bev's email I found that and printed it up. I was well armed when I
> walked into the doctor's office. Fortunately, I didn't really need to
> address the issue. However, I have already made a call to my state
> assemblyman trying to determine if we have the same type thing and if not
I > think I will start a campaign to get it.
>
> Thanks once again!
>
> Karla N.
>

>> ----- Original Message -----
> From: Helen Dynda <olddad66@runestone.net>
> To: Multiple recipients of list ADHESIONS <adhesions@forum.obgyn.net>
> Sent: Wednesday, February 16, 2000 3:28 PM
> Subject: Opioid Potency - Tina and Karla
>
> > Tina and Karla, What you saw, when you typed, is not what you got when
> > you posted the following message to the forum.
> >
> > I try to remind myself everytime I post a message - to leave a space
> > between consecutive items. If I don't, the consecutive items will not
> > appear the way I planned them to appear.
> >
> > I decided to accept the responsibility to help Tina's chart to appear as
> > Tina meant it to appear. Tina's chart about Opioid Potency appears
> > below:
> >
> > ```````````````````````````````````````
> >
> > At Wed, 16 Feb 2000, Tina Shelby wrote:
> >
> > Karla,
> >
> > No need to apologize, it wasn't very clear was it?Basically, using
> > oxycodone as the standard comparing its strength to morphine and the
> > other opiates. So I'm going to use a different chart - easier to
> > understand (I hope)
> >
> > Using Morphine as the standard. The following drugs and their dosages'
> > injection are equal to getting the same amount of pain relief as 10 mgs
> > of Morphine injection:
> >
> > 1.5 mg hydromorphone (Dilaudid) = 10 mg morphine
> >
> > 10 mg methadone (Dolophine) = "
> >
> > 15 mg oxycodone (percocet, tylox) = "
> >
> > 2 mg levorphanol (Levo-Dromoran) = "
> >
> > 1 mg oxymorphone (Numorphan) = "
> >
> > 5 mg Heroin = "
> >
> > 75 mg meperdine (demerol) = "
> >
> > 130 mg codeine = "
> >
> > 25 ug/hr Fentanyl = "
> >
> > Is this clearer? Please let me know!
> >
> > Tina
> >
> > ``````````````````````````````
> >
> > Opioid Potency
> > ``````` ````````
> >
> > Oxycodone 1 (standard)
> >
> > Codeine 0.15
> >
> > Fentanyl (patch) but potency about 50
> >
> > Hydrocodone 0.9
> >
> > Hydromorphone 4.0
> >
> > Levorphanol 7.5
> >
> > Meperidine 0.1
> >
> > Methadone 1.5
> >
> > Morphine 0.5
> >
>


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