American healthcare is moving towards value-based care—better care at lower cost. The train has left the station, but its final destination is far from clear. We have been talking about better at lower cost for decades. Healthcare in the US costs twice as much and the citizens live longer in other developed countries. It’s a problem, and our efforts to make progress have failed. According to an article in Forbes magazine, there are three critical components to value-based care: excellent clinical quality, affordability, and convenient access. Historically, provider groups could only achieve two out of three of these elements which made the third element worse. Until recently, our system lacked the new science, new systems, and new payment models to achieve success. Now we understand what a comprehensive solution or “system-ness” looks like.
We're heavy into a "Pandemic of Labetalol Protocol" at my hospital. Everyone is walking around scratching their heads...maybe it's 5G...? All the while, the NICU stays full of pre-term babies and crying mamas. God, please help us!
There does seem to be a connection between pre-eclampsia and mom after delivery being on the Labetalol protocol, ...the preterm babies often end up in the NICU. I continue to ask what others are noticing regarding these trends, but no one ever says anything much but, yes this is NOT normal. I did have a nurse tell me recently, "no one knows what to do".
Another observation of a disturbing new trend is the mother who had PIH or pre-eclampsia after being discharged home with baby, is readmitted for out of control blood pressure, several days to weeks after delivery, some required magnesium! It used to be "the normal", after birth, blood pressure slowly returns to normal (as I am sure you know).
I take notes and try to have conversations, but no one seems to care...I think it has something to do with the vaccine and vascular issues sadly.
That is helpful. California has a much lower complication rate than the rest of the country. I will put a link to their hypertension protocol for preeclampsia at the end of the comment.
You are right. Mothers with preeclampsia have a higher risk of hypertension and other cardiometabolic complications even years later.
We're heavy into a "Pandemic of Labetalol Protocol" at my hospital. Everyone is walking around scratching their heads...maybe it's 5G...? All the while, the NICU stays full of pre-term babies and crying mamas. God, please help us!
Would you be good enough to elaborate on this situation a bit. Is this about preeclampsia?
There does seem to be a connection between pre-eclampsia and mom after delivery being on the Labetalol protocol, ...the preterm babies often end up in the NICU. I continue to ask what others are noticing regarding these trends, but no one ever says anything much but, yes this is NOT normal. I did have a nurse tell me recently, "no one knows what to do".
Another observation of a disturbing new trend is the mother who had PIH or pre-eclampsia after being discharged home with baby, is readmitted for out of control blood pressure, several days to weeks after delivery, some required magnesium! It used to be "the normal", after birth, blood pressure slowly returns to normal (as I am sure you know).
I take notes and try to have conversations, but no one seems to care...I think it has something to do with the vaccine and vascular issues sadly.
That is helpful. California has a much lower complication rate than the rest of the country. I will put a link to their hypertension protocol for preeclampsia at the end of the comment.
You are right. Mothers with preeclampsia have a higher risk of hypertension and other cardiometabolic complications even years later.
https://www.cmqcc.org/resources-tool-kits/toolkits/HDP
Thank you for such amazing critical news in how we can improve our medical care. Appreciate this information so much.
Your affirmation as a seasoned healthcare professional means a lot to me.