Hospital Discharge Quotes

Imagine saying to somebody that you have a life-threatening illness, such as cancer, and being told to pull yourself together or get over it. Imagine being terribly ill and too afraid to tell anyone lest it destroys your career. Imagine being admitted to hospital because you are too ill to function and being too ashamed to tell anyone, because it is a psychiatric hospital. Imagine telling someone that you have recently been discharged and watching them turn away, in embarrassment or disgust or fear. Comparisons are odious. Stigmatising an illness is more odious still.

So it’s without superpowers that you come home from the hospital with your newborn child and feel utterly abandoned and terrified. You look at the hospital staff as they discharge you from the maternity ward like they’re leaving you to die in the desert.

I think it was love at first sight for both of us; it just took us a little while to figure it out. That was understandable, considering we were being stuck with needles, shot through with radioactive particles, possibly poisoned by the horrific substances the hospital tried to pass off as food, and then, when we got discharged, running away and stealing cars together.

It was, in fact, the highest recorded discharge rate in the hospital’s entire history.

After ten days, i was discharged from the hospital over the objections of my doctor, brought to the middlesex county jail for men, and kept in solitary confinement from February 1974 until May 1974.

42 percent of people shot in the head survive and do well enough to be discharged from the hospital within six months. I doubt that many of them do as well as Theo, but still, even as a brain surgeon, I find that incredible.

THE SAME THING happened if GRIOT was told that the jailbird was Hispanic. It was somewhat more optimistic about Whites, if they could read and write, and had never been in a mental hospital or been given a Dishonorable Discharge from the Armed Forces. Otherwise, they might as well be Black or Hispanic.

in 1972 Governor Ronald Reagan with one bold, brilliant stroke abolished mental illness in California by not only closing the large state psychiatric hospitals but also eradicating most of the public aftercare programs. As a result hospital staffs were forced, day after day, to go through the charade of treating patients and discharging them back into the same noxious setting that had necessitated their hospitalization.

One further factor, possibly the most crucial, was inherent to the way SARS-CoV affects the human body: Symptoms tend to appear in a person before, rather than after, that person becomes highly infectious. The headache, the fever, and the chills—maybe even the cough—precede the major discharge of virus toward other people. Even among some of the superspreaders, in 2003, this seems to have been true. That order of events allowed many SARS cases to be recognized, hospitalized, and placed in isolation before they hit their peak of infectivity. The downside was that hospital staff took the first big blasts of secondary infection; the upside was that those blasts generally weren’t emitted by people still feeling healthy enough to ride a bus or a subway to work. This was an enormously consequential factor in the SARS episode—not just lucky but salvational.

Patients are often taken by ambulance to emergency rooms, where they are boarded in general hospitals that lack psychiatric care. The hospitals then can’t discharge their patients to psychiatric facilities because more often than not, there are no beds available. It creates a logjammed system that fails everyone, as movement is stymied in almost every direction except to the streets or to jails and prisons, also known as “the beds that never say no,

221. Sweet, salt, pungent, bitter, acid, and astringent. 222. “Of old hoards and minerals in the earth, the king is entitled to half by reason of his general protection, and because he is the lord paramount of the soil.”Manu, Book VIII. 39. 223. Ghí or clarified butter,“holy oil,”being one of the essentials of sacrifice. 224. “A Bráhman had five principal duties to discharge every day: study and teaching the Veda, oblations to the manes or spirits of the departed, sacrifice to the Gods, hospitable offerings to

One further factor, possibly the most crucial, was inherent to the way SARS-CoV affects the human body: Symptoms tend to appear in a person before, rather than after, that person becomes highly infectious. The headache, the fever, and the chills—maybe even the cough—precede the major discharge of virus toward other people. Even among some of the superspreaders, in 2003, this seems to have been true. That order of events allowed many SARS cases to be recognized, hospitalized, and placed in isolation before they hit their peak of infectivity.

There are a range of sentences each with their own qualifying criteria, from discharges and fines through community orders to custodial sentences, both immediate and suspended. There are mandatory life sentences, automatic life sentences (not the same thing), discretionary life sentences, extended sentences of imprisonment (various iterations of which each carry their own special complex provisions about prisoner release dates), special sentences for ‘offenders of particular concern’, hospital orders (with or without restrictions) and mandatory minimum custodial sentences, to name a few.

Near the end of the war, my father was discharged, and we returned to our home in Thomasville, the seat of Thomas County, Georgia. Thomasville was named after General Jet Thomas, a militia commander during the War of 1812. Once founded, the population swelled quickly to over eighteen thousand by 1900. Since then, the city population has been artfully kept near that figure to take advantage of state laws that apply only to cities of a certain size (for instance, the city receives a subsidy from the state to support the hospital). The city limits are demarcated by a Victorian-age boulevard; outside the city limits, the population has grown to about fifty thousand.

A couple of days after the letter arrived, I was discharged from the hospital, in the custody, so to speak, of about three yards of adhesive tape around my ribs. Then began a very strenuous week's campaign to get permission to attend the wedding. I was finally able to do it by laboriously ingratiating myself with my company commander, a bookish man by his own confession, whose favorite author, as luck had it, happened to be my favorite author-L. Manning Vines. Or Hinds. Despite this spiritual bond between us, the most I could wangle out of him was a three-day pass, which would, at best, give me just enough time to travel by train to New York, see the wedding, bolt a dinner somewhere, and then return damply to Georgia.

If the virus had arrived in a different sort of big city—more loosely governed, full of poor people, lacking first-rate medical institutions—it might have escaped containment and burned through a much larger segment of humanity. One further factor, possibly the most crucial, was inherent to the way SARS-CoV affects the human body: Symptoms tend to appear in a person before, rather than after, that person becomes highly infectious. The headache, the fever, and the chills—maybe even the cough—precede the major discharge of virus toward other people. Even among some of the superspreaders, in 2003, this seems to have been true. That order of events allowed many SARS cases to be recognized, hospitalized, and placed in isolation before they hit their peak of infectivity.

The case of a patient with dissociative identity disorder follows: Cindy, a 24-year-old woman, was transferred to the psychiatry service to facilitate community placement. Over the years, she had received many different diagnoses, including schizophrenia, borderline personality disorder, schizoaffective disorder, and bipolar disorder. Dissociative identity disorder was her current diagnosis. Cindy had been well until 3 years before admission, when she developed depression, "voices," multiple somatic complaints, periods of amnesia, and wrist cutting. Her family and friends considered her a pathological liar because she would do or say things that she would later deny. Chronic depression and recurrent suicidal behavior led to frequent hospitalizations. Cindy had trials of antipsychotics, antidepressants, mood stabilizers, and anxiolytics, all without benefit. Her condition continued to worsen. Cindy was a petite, neatly groomed woman who cooperated well with the treatment team. She reported having nine distinct alters that ranged in age from 2 to 48 years; two were masculine. Cindy’s main concern was her inability to control the switches among her alters, which made her feel out of control. She reported having been sexually abused by her father as a child and described visual hallucinations of him threatening her with a knife. We were unable to confirm the history of sexual abuse but thought it likely, based on what we knew of her chaotic early home life. Nursing staff observed several episodes in which Cindy switched to a troublesome alter. Her voice would change in inflection and tone, becoming childlike as ]oy, an 8-year-old alter, took control. Arrangements were made for individual psychotherapy and Cindy was discharged. At a follow-up 3 years later, Cindy still had many alters but was functioning better, had fewer switches, and lived independently. She continued to see a therapist weekly and hoped to one day integrate her many alters.

It was love at first sight. The first time Yossarian saw the chaplain he fell madly in love with him. Yossarian was in the hospital with a pain in his liver that fell just short of being jaundice. The doctors were puzzled by the fact that it wasn't quite jaundice. If it became jaundice they could treat it. If it didn't become jaundice and went away they could discharge him. But this just being short of jaundice all the time confused them. Each morning they came around, three brisk and serious men with efficient mouths and inefficient eyes, accompanied by brisk and serious Nurse Duckett, one of the ward nurses who didn't like Yossarian. They read the chart at the foot of the bed and asked impatiently about the pain. They seemed irritated when he told them it was exactly the same. 'Still no movement?' the full colonel demanded. The doctors exchanged a look when he shook his head. 'Give him another pill.' Nurse Duckett made a note to give Yossarian another pill, and the four of them moved along to the next bed. None of the nurses liked Yossarian. Actually, the pain in his liver had gone away, but Yossarian didn't say anything and the doctors never suspected. They just suspected that he had been moving his bowels and not telling anyone.

I have to call your mom,” Stephen said. “You don’t have to do that,” I insisted, my voice mellowing as I returned, almost instantly, to my old self. Manic episodes can fade away as quickly as they arise. “I don’t want her to worry.” Mom was a worrier by nature, and I had tried to spare her the full story of what was happening to me so far. “I have to,” he insisted and coaxed her home number out of me. He stepped into the hallway and waited two interminably long rings before Allen, my stepfather, picked up the phone. “Hello,” he said groggily in his thick Bronx accent. “Allen, it’s Stephen. I’m at the hospital. Susannah had a seizure, but she’s doing fine.” In the background, my mom shouted, “Allen, what is it?” “She’s going to be okay. They’re discharging her,” Stephen continued. Despite my mom’s rising panic, Allen maintained his composure, telling Stephen to go back home and sleep. They would come in the morning. When he hung up the phone, my mom and Allen looked at each other. It was Friday the Thirteenth. My mom felt the foreboding, and she began to cry uncontrollably, certain that something was seriously wrong. It was the first and last time she would allow herself to completely succumb to her emotions in the frightening months that followed.

In addition to including the voices of those most affected by mass incarceration in the conversation about ending it, we must pay attention to lessons from an earlier era of deinstitutionalization: that of mental hospitals in the second half of the twentieth century. It is crucial that we not repeat the experiences of the dismantling of that system - a system that at peak was of a scale on par with mass incarceration, affecting about 700 per 100,000 adults in the U.S. population. Deinstitutionalization of millions of mental hospital patients took place beginning in the 1950s and lasting through the 1970s, by which time more than 95 percent of all U.S. mental hospital patients had been discharged, and most of the large institutions that warehoused them had been shut down. That earlier process (also called 'decarceration' at the time) was publicly presented as a progressive initiative to get people out of the medieval conditions of many old mental hospitals. At the time, the plan was for mental health services and care to be rendered through community-based programs. Unfortunately, those programs never materialized due to the budgetary demands of the Vietnam War and the death of President John F. Kennedy, who had driven the initiative from the start. The earlier failure of public policy affected many of the same populations we see in prisons today, where about 50 percent of inmates carry major mental health diagnoses. We must certainly insist that prison decarceration not repeat the wholesale abandonment of follow-up care that occurred after the earlier decarceration.

As we were getting Mia’s things ready for her discharge, her nurse started to excuse herself to get a wheelchair to transport Mia to the car. Instantly, Mia said, “I’m not riding in a wheelchair.” “Yes, you are, Mia. It’s a hospital regulation,” I said, believing that was true. “Mom,” she protested, “they said I’m supposed to walk as much as possible. I’m walking to the car.” I saw a certain look in Mia’s eyes as she made this announcement, the look that says “I am going to push hard for this.” I knew she was determined, and I would fight a losing battle to try to talk her out of it. “I’m walking out of here,” she said again. I guess the medical staff noticed that look too because they allowed her to try to walk, with a nurse close beside her. Seeing that little girl limp her way down the hall, holding Reed’s hand, was one of the proudest moments of my life. I was absolutely amazed by her spunk and determination. I grabbed my cell phone from my purse and snapped a picture. She is such a fighter, I thought as Jase and I followed her. Visually, she looked roughed up, as though she had been through about fifteen rounds in a boxing match. But in that moment, she showed a level of toughness and resilience I have never seen in a child. Remembering the information we were told on that first visit to ICI when Mia was seventeen days old, that she would need physical therapy to help her walk again after this surgery, I thanked God as I watched our daughter walk right out of the hospital twenty-four hours postoperation! When we got into the car, Jase asked Mia, “Well, what do you think about that?” “I’m a little tired, but I made it,” she replied. Indeed she did.

Dr. Lydia Ciarallo in the Department of Pediatrics, Brown University School of Medicine, treated thirty-one asthma patients ages six to eighteen who were deteriorating on conventional treatments. One group was given magnesium sulfate and another group was given saline solution, both intravenously. At fifty minutes the magnesium group had a significantly greater percentage of improvement in lung function, and more magnesium patients than placebo patients were discharged from the emergency department and did not need hospitalization.4 Another study showed a correlation between intracellular magnesium levels and airway spasm. The investigators found that patients who had low cellular magnesium levels had increased bronchial spasm. This finding confirmed not only that magnesium was useful in the treatment of asthma by dilating the bronchial tubes but that lack of magnesium was probably a cause of this condition.5 A team of researchers identified magnesium deficiency as surprisingly common, finding it in 65 percent of an intensive-care population of asthmatics and in 11 percent of an outpatient asthma population. They supported the use of magnesium to help prevent asthma attacks. Magnesium has several antiasthmatic actions. As a calcium antagonist, it relaxes airways and smooth muscles and dilates the lungs. It also reduces airway inflammation, inhibits chemicals that cause spasm, and increases anti-inflammatory substances such as nitric oxide.6 The same study established that a lower dietary magnesium intake was associated with impaired lung function, bronchial hyperreactivity, and an increased risk of wheezing. The study included 2,633 randomly selected adults ages eighteen to seventy. Dietary magnesium intake was calculated by a food frequency questionnaire, and lung function and allergic tendency were evaluated. The investigators concluded that low magnesium intake may be involved in the development of both asthma and chronic obstructive airway disease.

Dee handed her the discharge papers for her to go over them with Asia. All of a sudden, Dee’s name was called over the hospital intercom so she exited the room. Asia breathed out a sigh of relief since it was uncomfortable for her to be in the same room with her. Lisha

Our 182-passenger Boeing Classic this morning is under the able command of Captain Hiram Slatt, discharged from service in the United States Air Force mission in Afghanistan after six heroic deployments and now returned, following a restorative sabbatical at the VA Neuropsychiatric Hospital in Wheeling, West Virginia, to his “first love”—civilian piloting for North American Airways. Captain Slatt has informed us that, once we are cleared for takeoff, our flying time will be between approximately seventeen and twenty-two hours depending upon ever-shifting Pacific Ocean air currents and the ability of our seasoned Classic 878 to withstand gale-force winds of 90 knots roaring “like a vast army of demons” (in Captain Slatt’s colorful terminology) over the Arctic Circle. As you have perhaps noticed Flight 443 is a full—i.e., “overbooked”—flight. Actually most North American Airways flights are overbooked—it is Airways protocol to persist in assuming that a certain percentage of passengers will simply fail to show up at the gate having somehow expired, or disappeared, en route. For those of you who boarded with tickets for seats already taken—North American Airways apologizes for this unforeseeable development. We have dealt with the emergency situation by assigning seats in four lavatories as well as in the hold and in designated areas of the overhead bin. Therefore our request to passengers in Economy Plus, Economy, and Economy Minus is that you force your carry-ons beneath the seat in front of you; and what cannot be crammed into that space, or in the overhead bin, if no one is occupying the overhead bin, you must grip securely on your lap for the duration of the flight. Passengers in First Class may give their drink orders now. SECURITY:

Fiscal Numbers (the latter uniquely identifies a particular hospitalization for patients who might have been admitted multiple times), which allowed us to merge information from many different hospital sources. The data were finally organized into a comprehensive relational database. More information on database merger, in particular, how database integrity was ensured, is available at the MIMIC-II web site [1]. The database user guide is also online [2]. An additional task was to convert the patient waveform data from Philips’ proprietary format into an open-source format. With assistance from the medical equipment vendor, the waveforms, trends, and alarms were translated into WFDB, an open data format that is used for publicly available databases on the National Institutes of Health-sponsored PhysioNet web site [3]. All data that were integrated into the MIMIC-II database were de-identified in compliance with Health Insurance Portability and Accountability Act standards to facilitate public access to MIMIC-II. Deletion of protected health information from structured data sources was straightforward (e.g., database fields that provide the patient name, date of birth, etc.). We also removed protected health information from the discharge summaries, diagnostic reports, and the approximately 700,000 free-text nursing and respiratory notes in MIMIC-II using an automated algorithm that has been shown to have superior performance in comparison to clinicians in detecting protected health information [4]. This algorithm accommodates the broad spectrum of writing styles in our data set, including personal variations in syntax, abbreviations, and spelling. We have posted the algorithm in open-source form as a general tool to be used by others for de-identification of free-text notes [5].

You don’t take care of yourself and you end up in the hospital, and then you call Warren, crying and scared. We drop everything to be there for you, but as soon as we get there, you leave the hospital without being discharged! Forgive me if I have better things to do than come running every time you’re irresponsible!

All discharge orders are printed on pink hospital paper. It’s his little way of celebrating each life that he’s saved.

The propaganda worked, not just on my mother, but across the region. It was, we know now, a global scheme engineered by Nestlé to get mothers hooked on formula and to give up breastfeeding. Mothers were taught the risks of breastfeeding and discharged from hospitals armed with sample boxes of formula and baby bottles, ready to rear their children like their wealthy, wondrous, Western counterparts who had already bought into the marketing. But when my grandfather examined the ingredient list on the back of the Nestlé tin can, he flung it across the room. “What is this nonsense?” Dada Abu raged. This was not milk from a living creature. Not from a goat or cow or buffalo or sheep. It was dead milk, made from dead, fake ingredients. And no way was his granddaughter going to be drinking this trash.

It amazed me how Marcos could show up to crash my little party but was nowhere to be found when I was discharged from the hospital.

Frank Fiorini, better known as Frank Sturgis, had an interesting career that started when he quit high school during his senior year to join the United States Marine Corps as an enlisted man. During World War II he served in the Pacific Theater of Operations with Edson’s Raiders, of the First Marine Raiders Battalion under Colonel “Red Mike.” In 1945 at the end of World War II, he received an honorable discharge and the following year joined the Norfolk, Virginia Police Department. Getting involved in an altercation with his sergeant, he resigned and found employment as the manager of the local Havana-Madrid Tavern, known to have had a clientele consisting primarily of Cuban seamen. In 1947 while still working at the tavern, he joined the U.S. Navy’s Flight Program. A year later, he received an honorable discharge and joined the U.S. Army as an Intelligence Officer. Again, in 1949, he received an honorable discharge, this time from the U.S. Army. Then in 1957, he moved to Miami where he met former Cuban President Carlos Prío, following which he joined a Cuban group opposing the Cuban dictator Batista. After this, Frank Sturgis went to Cuba and set up a training camp in the Sierra Maestra Mountains, teaching guerrilla warfare to Castro’s forces. He was appointed a Captain in Castro’s M 26 7 Brigade, and as such, he made use of some CIA connections that he apparently had cultivated, to supply Castro with weapons and ammunition. After they entered Havana as victors of the revolution, Sturgis was appointed to a high security, intelligence position within the reorganized Cuban air force. Strangely, Frank Sturgis returned to the United States after the Cuban Revolution, and mysteriously turned up as one of the Watergate burglars who were caught installing listening devices in the National Democratic Campaign offices. In 1973 Frank A. Sturgis, E. Howard Hunt, Eugenio R. Martínez, G. Gordon Liddy, Virgilio R. “Villo” González, Bernard L. Barker and James W. McCord, Jr. were convicted of conspiracy. While in prison, Sturgis feared for his life if anything he had done, regarding his associations and contacts, became public knowledge. In 1975, Sturgis admitted to being a spy, stating that he was involved in assassinations and plots to overthrow undisclosed foreign governments. However, at the Rockefeller Commission hearings in 1975, their concluding report stated that he was never a part of the CIA…. Go figure! In 1979, Sturgis surfaced in Angola where he trained and helped the rebels fight the Cuban-supported communists. Following this, he went to Honduras to train the Contras in their fight against the communist-supported Sandinista government. He also met with Yasser Arafat in Tunis, following which he was debriefed by the CIA. Furthermore, it is documented that he met and talked to the Venezuelan terrorist Ilich Ramírez Sánchez, or Carlos the Jackal, who is now serving a life sentence for murdering two French counter intelligence agents. On December 4, 1993, Sturgis suddenly died of lung cancer at the Veterans Hospital in Miami, Florida. He was buried in an unmarked grave south of Miami…. Or was he? In this murky underworld, anything is possible.

One cannot examine the actions of the Secret Service on November 22, 1963, without concluding that the Service stood down on protecting President Kennedy. Indeed, the 120-degree turn into Dealey Plaza violates Secret Service procedures, because it required the presidential limousine to come to a virtual stop. The reduction of the president’s motorcycle escort from six police motorcycles to two and the order for those two officers to ride behind the presidential limousine also violates standard Secret Service procedure. The failure to empty and secure the tall buildings on either side of the motorcade route through Dealey Plaza likewise violates formal procedure, as does the lack of any agents dispersed through the crowd gathered in Dealey Plaza. Readers who are interested in a comprehensive analysis of the Secret Service’s multiple failures and the conspicuous violation of longstanding Secret Service policies regarding the movement and protection of the president on November 22, 1963, should read Vince Palamara’s Survivor’s Guilt: The Secret Service and the Failure to Protect. The difference in JFK Secret Service protection and its adherence to the services standard required procedures in Chicago and Miami would be starkly different from the arrangements for Dallas. Palamara established that Agent Emory Roberts worked overtime to help both orchestrate the assassination and cover up the unusual actions of the Secret Service in the aftermath. Roberts was commander of the follow-up car trailing the presidential limousine. Roberts covered up the escapades of his fellow secret servicemen at The Cellar, a club in downtown Ft. Worth, where agents, some directly responsible for the safety of President Kennedy during the motorcade, drank until dawn on November 22. He also ordered a perplexed agent Donald Lawton off the back of the presidential limousine while at Love Field, thus giving the assassins clearer, more direct shots and more time to get them off. Also, although Roberts recognized rifle fire being discharged in Dealey Plaza, he neglected to mobilize any of the agents under his watch to act. To mask the inactivity of his agents, Roberts, in sworn testimony, falsely increased the speed of the cars (from 9–11 mph to 20–25 mph) and the distance between them (from five feet to 20–25 feet).85 No analysis of the Secret Service’s actions on the day of the assassination can be complete without mentioning that Secret Service director James Rowley was a former FBI agent and close ally of FBI Director J. Edgar Hoover, as well as a crony of Lyndon Johnson. Hoover was one of Johnson’s closest associates. The FBI Director would take the unusual step of flying to Dallas for a victory celebration in 1948 when Johnson illegally stole his Senate seat through election fraud. Johnson and Hoover were neighbors in the Foxhall Road area of the District of Columbia. Hoover’s budget would virtually triple during the years LBJ dominated the appropriations process as Senate Majority Leader. Rowley was a protégé of the director and one of the few men who left the FBI on good terms with Hoover. Rowley’s first public service job in the Roosevelt administration was arranged for him by LBJ. The neglect of assigning even one Secret Service agent to secure Dealey Plaza, as well as cleaning blood and other relatable pieces of evidence from the presidential limousine immediately following the assassination, seizing Kennedy’s body from Parkland Hospital to prevent a proper, well-documented autopsy, failing to record Oswald’s interrogation—all were important pieces of the assassination deftly executed by Rowley.

Would you take a chance on me? Let me make promises that I swear by the Virgin I can keep?” She laughed at him. “Do you really want to get the Virgin involved in this?” “Before the babies come, mija,” he said. “Because there will be babies.” “There is that talk about the water in Virgin River….” He covered her lips in a steaming kiss, pulling her hard against him. “It’s not about the water with us, mi amor,” he said. “If we disappeared for a while, would we be missed?” “Yes,” she answered, laughing. “When I woke up in the hospital, I thought to myself, why did I make it? When I was discharged and struggling for every step, unable to lift a glass from the cupboard, my constant thought was that I had misspent my life—carousing, living in the moment, acting carelessly. What every man wants, what my friends had found—that one woman they would give up everything for—had eluded me completely. And when you came along…angry over your divorce and determined never to give a man, especially a man like me, a chance, I knew I’d been cast into hell for sure, because I was feeling that for you.” He gave her a kiss. “How did this happen? I know I don’t deserve this.” “It started with a promise to break your heart,” she said. “Somehow I got distracted.” “Will you marry me, Brie? I want you to be my wife. I want to be your husband, your partner for life. Can you trust me with that?” “Sí, Miguel. I trust you with everything.” *

Many NICU survivors have hospital bills of more than a million dollars and cannot be discharged from the hospital because their parents cannot afford a telephone at home.

I also had monilia, a vaginal discharge, which worsened because the Montefiore Hospital doctors assigned to Rikers could not agree about how it should be treated. They refused to treat the condition at all until my culture was returned from Elmhurst Hospital. By the time they managed to get the culture back, the whole inside of my thigh was chapped raw from the discharge, and i could barely walk.

Hospital Discharges Rise at Lucrative Times

almost twice as many remdesivir subjects as placebo subjects had to be readmitted to the hospital after discharge—suggesting that Fauci’s improved time to recovery was due, at least in part, to discharging remdesivir patients prematurely. Altering protocols in the middle of an ongoing study is an interference commonly known as “scientific fraud” or “falsification.

That day, when you were staring at her..." Zephyr trailed off, remembering that day so vividly. "She seemed familiar," Morana completed, leaning into Tristan's side. The man hadn't left her alone since she'd been discharged from the hospital.

Think of every hospital in the U.S. that uses Nuance. Think about how many days it was down, multiplied by the number of lab results, transfers, discharges, and how many of those are time sensitive,” Corman said. “In some cases, time matters. Pain level is affected. Quality of life is affected. Mortality is affected.

All ‘regulatory requirements’ were slashed to help facilitate the mass discharge and hospitals were indemnified against clinical negligence liabilities arising from the crisis.

The government-commissioned age-based ‘triage tool’ was the only guidance they had been given to deal with such difficult decisions, so they used it to systematically exclude the elderly, the frail and patients with underlying illnesses from critical care. Those patients would not be given life-saving mechanical ventilation regardless of the severity of their condition. This age-based criterion is alleged to have been applied by hospitals in London, Manchester, Liverpool, central England and the south-east. Many of those who died, after being excluded by the triage criteria, might well have survived if they had been admitted to intensive care. Of the few patients over the age of 80 who were given critical care treatment, close to four in ten were discharged alive.

One direct test of the hypothesis that parents have proclivities to invest in children according to their reproductive value is offered by a study of twins, of whom one in each pair was healthier. Evolutionary psychologist Janet Mann conducted a study of 14 infants: seven twin pairs, all of whom were born prematurely. When the infants were 4 months old, Mann made detailed behavioral observations of the interactions between the mothers and their infants (Mann, 1992). The interactions were observed when the fathers were not present and when both twins were awake. Among the behavioral recordings were assessments of positive maternal behavior, which included kissing, holding, soothing, talking to, playing with, and gazing at the infant. Independently, the health status of each infant was assessed at birth, at discharge from the hospital, at 4 months of age, and at 8 months of age. The health status examinations included medical, neurological, physical, cognitive, and developmental assessments. Mann then tested the healthy baby hypothesis: that the health status of the child would affect the degree of positive maternal behavior. When the infants were 4 months old, roughly half the mothers directed more positive maternal behavior toward the healthier infants; the other half showed no preference. By the time the infants were 8 months old, however, every single one of the mothers directed more positive maternal behavior toward the healthier infant, with no reversals. In sum, the results of this twin study support the healthy baby hypothesis. Another study found that the level of investment mothers devote based on the health status of the child depends on her own level of resources (Beaulieu & Bugental, 2008). Mothers lacking resources followed the predictable pattern—they invested less in high-risk (prematurely born) infants and invested more in low-risk (not prematurely born) infants. In contrast, mothers who have a lot of resources actually invest more in high-risk than in low-risk infants. The authors propose that if parents have abundant resources, then they can afford to give abundant resources to the needier child while still having enough resources in reserve to provide for their other children.

In the middle of May an L.A. cop stopped a black man named Leonard Deadwyler for speeding through Watts. He stuck his gun in the driver's-side window — 'to attrack the driver's attention,' he later testified. He also claimed the car suddenly lurched forward, causing his gun to discharge. Leonard Deadwyler slumped into the lap of his wife and muttered his last words — 'But she's having a baby' — as his two-year-old son looked on from the backseat. He had been speeding her to the nearest hospital, miles away; there was no hospital in Watts — an area twice the size of Manhattan.

In the harbor beyond Kimmel’s window, a flotilla of motor launches and small boats spread out across the water like frenzied water spiders. They carried the wounded first to the hospital ship Solace and then, after its hastily enlarged trauma space overflowed, to the main medical facilities on Hospital Point and a triage area set up on 1010 Dock adjacent to the Argonne. Some of the wounded were carried aboard the Argonne, where the warrant officers’ mess was converted into an emergency operating room. By midmorning, personnel from the Argonne and other ships had also set up a field hospital at the nearby Officers’ Club. On Hospital Point, Naval Hospital Pearl Harbor was a state-of-the-art facility with about 250 beds, but the carnage quickly taxed it well beyond anything its staff had ever imagined. The first casualties arrived even as the second wave of attackers still pounded the harbor. As more poured in, ambulatory patients on the wards with far less critical conditions were discharged or evacuated to vacant outbuildings and hastily erected tents behind the hospital. Within three hours, the hospital received 546 casualties and 313 dead.

With the exception of one or two people who were there to please their parents, everyone at medical school was there because they wanted to be and had worked hard to get there. We all expected to do important things. We all expected to be part of something like what medicine had accomplished between 1950 and 1975. We expected medical care to transform society. The idea that we would ever be told what we could and couldn’t do by insurance companies would have seemed far-fetched and bizarre. There are a million lives going by at a million miles an hour, and all I could take in was the briefest narrative account of how they came to be in the hospital. There was the passion and energy of a twenty-year-old girl, holding down a job and taking care of her seven-year-old brother who was going to die of a horrible rare cancer; a thirty-two-year-old grandmother whose sixteen-year-old daughter had just had a baby; the father who wanted us to operate on his daughter’s inoperable brain-stem tumor and put it in his head instead of hers … I didn’t have time to give any of these stories anything like the attention they deserved. I wrote orders and discharge plans and tucked people in for the night.

Employees who sit near windows report higher energy levels and tend to be more physically active both in and out of the office. In a study of elementary schools, students in classrooms with the most daylight advanced as much as 26 percent faster in reading and 20 percent faster in math over the course of a year. Hospital patients assigned to sunnier rooms were discharged sooner and required less pain medication than those in rooms with less light.

A year later, Maurice Rappaport at the University of California in San Francisco announced results that told the same story, only more strongly so. He had randomized eighty young newly diagnosed male schizophrenics admitted to Agnews State Hospital into drug and non-drug groups, and although symptoms abated more quickly in those treated with antipsychotics, both groups, on average, stayed only six weeks in the hospital. Rappaport followed the patients for three years, and it was those who weren’t treated with antipsychotics in the hospital and who stayed off the drugs after discharge that had—by far—the best outcomes. Only two of the twenty-four patients in this never-exposed-to-antipsychotics group relapsed during the three-year follow-up. Meanwhile, the patients that arguably fared the worst were those on drugs throughout the study. The very standard of care that, according to psychiatry’s “evidence base,” was supposed to produce the best outcomes had instead produced the worst. “Our findings suggest that antipsychotic medication is not the treatment of choice, at least for certain patients, if one is interested in long-term clinical improvement,” Rappaport wrote. “Many unmedicated-while-in-hospital patients showed greater long-term improvement, less pathology at follow-up, fewer rehospitalizations, and better overall functioning in the community than patients who were given chlorpromazine while in the hospital.

Unfortunately, the mental health centers legislation passed by Congress was fatally flawed. It encouraged the closing of state mental hospitals without and realistic plan regarding what would happen to the discharged patients, especially those who refused to take the medication they needed to remain well. It included no plan for the future funding of the community mental health centers. It focused resources on prevention when nobody understood enough about mental illnesses to know how to prevent them. And by bypassing the states, it guaranteed that future services would not be coordinated.

Those transitions provide a lot of opportunities for things to fall through the cracks, so it shouldn’t come as a surprise that following hospital discharge nearly half of hospitalized patients experience at least one medical error in medication continuity, diagnostic workup, or test follow-up.51

Runaway costs are crushing the American medical system. Hispanics are the group least likely to have medical insurance, with 30.7 percent uninsured. Ten point eight percent of whites and 19.1 percent of blacks are without insurance. Illegal immigrants rarely have insurance, but hospitals cannot turn them away. In 1985, Congress passed the Emergency Medical Treatment and Active Labor Act, which requires hospitals to treat all emergency patients, without regard to legal status or ability to pay. Anyone who can stagger within 250 yards of a hospital—a distance established through litigation—is entitled to “emergency care,” which is defined so broadly that hospital emergency rooms have become free clinics. Emergency-room care is the most expensive kind. Childbirth is an emergency, and hospitals must keep mother and child until both can be discharged. If the mother is indigent the hospital pays for treatment, even if there are expensive complications. Any child born in the United States is considered a US citizen, so thousands of indigent illegal immigrants make a point of having “anchor babies” at public expense. The new American qualifies for all forms of welfare, and at age 21 can sponsor his parents for American citizenship. In 2006 in California, an estimated 100,000 illegal immigrant mothers had babies at public expense, and accounted for about one in five births. The costs were estimated at $400 million per year, and in the state as a whole, half of all Medi-Cal (state welfare) births were to illegal immigrant mothers. In 2003, 70 percent of the babies born in San Joaquin General Hospital in Stockton were anchor babies. In Los Angeles and other cities with heavy gang activity, hospitals must deal with “dump and run” patients—criminals wounded in shootouts who are rolled out of speeding cars by fellow gang members. Illegal-immigrant patients often show up without papers of any kind, and doctors have no idea whom they are treating. Mexican hospitals routinely turn away uninsured Mexicans, and if the US border is not far, may tell the ambulance driver to head for the nearest American hospital. “It’s a phenomenon we noticed some time ago, one that has expanded very rapidly,” said a federal law enforcement officer.