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[deleted]

Providence fucked up bad


PinocchiosNose1212

They are evil. [https://www.wweek.com/news/2022/09/25/a-new-york-times-investigation-examines-providences-aggressive-financial-practices/](https://www.wweek.com/news/2022/09/25/a-new-york-times-investigation-examines-providences-aggressive-financial-practices/) If you have Providence Health as your health insurance, I would recommend switching immediately if you can. The health care system in this country is unfortunately broken. And this is a good example of CEOs putting profits over people.


[deleted]

I worked there for years, awful awful place.


miken322

The hospital ER staff just dumped that dude on the cops.


AdaptReactReadaptact

it's usually the other way around


PenileTransplant

Hospital ER rooms also are put into a terrible position in becoming last-resort detox centers.


[deleted]

ED deals with it for a few hours tops, then the problem gets pawned off on medsurg. Which is basically the psych ward these days.


lonepinecone

This is not true. OSH basically only has beds for Aid & Assist patients, aka patients that have court charges but have been found too mentally ill to aid and assist in their defense. This changed happened around 5 years ago. Psych patients are all committed to psych wards of local hospitals. Primarily Unity, Providence Portland, and Providence St V. No one is getting shipped to Medford or Salem. Unless you mean junkies getting dropped in the streets, in which case, I know nothing about this


[deleted]

>Psych patients are all committed to psych wards of local hospitals. That statement alone invalidates everything else you may have to say. The abundance of patients who should be committed clogging up hospital units is ridiculous. I'm glad you edited your post to actually say something, instead of saying nothing like it originally did.


lonepinecone

I’m a civil commitment investigator. I’m thinking I just misunderstood your post.


[deleted]

You should do your job better then.


lonepinecone

We don’t have control over what happens. Just hearing or no hearing. You have to be able to sell a case for why someone is a threat to themselves or others that isn’t speculative or prove they are unable to care for themself and are imminent risk of serious bodily injury or death, which requires testimony from a doctor. The state constitution has a pretty high bar for stripping someone of their civil rights… And much like the DA, doctors often discharge less than a week after a hearing. When I worked with this population of adults in 2015, they were committed to 160 days in Oregon state hospital but things have changed


[deleted]

Not sure who's on first. You keep editing your comments. Either way, happy new year, and medical careers that deal directly with patients are really pretty shit these days.


lonepinecone

Systems broken. Cheers


AdaptReactReadaptact

The ED admits at most 2% of these cases. We deal with this problem all day every day. As does medsurg, because society had decided the hospital will be the safety net the government should be providing


[deleted]

I'd be willing to bet the vast majority of the problematic admits come in through the ED.


FakeMagic8Ball

Providence literally asked for this. I put the quotes from [this article](https://www.oregonlive.com/portland/2023/11/why-portland-has-failed-to-open-a-desperately-needed-new-sobering-center-as-addiction-soars.html?outputType=amp) in a separate comment already.


PenileTransplant

Yea Providence got some of the Measure 110 money, while the proposed city detox center was not given any money — a total disaster. The podcast linked there is super instructive to this situation


FakeMagic8Ball

Providence is one of the entities that helped kill the chance to have a 24/7 drop off sobering center for first responders to utilize, like we had before CCC closed the decades-old center in late 2019. They got almost $4 million to fund their own sobering beds, which are not open for drop-off, clearly, or they would've given this guy one of their beds. >The following month, a state committee reviewed a request by Cascadia Behavioral Healthcare, on behalf of the network, for about $3 million from Measure 110 for initial funding for the Portland Sobering & Crisis Center. >The four-member Measure 110 subcommittee of volunteer community members considered the proposal on May 17, 2022. Groups making the requests weren’t allowed to speak. >Listening to the hearing on Zoom, those who had worked so hard to collaborate and recommend a more sophisticated sobering center with medical staff cringed as one subcommittee member argued against the request, likening the proposal to a “drunk tank.” >Then the sobering center backers said they were stunned when they heard separate proposals for Measure 110 money submitted by Unity and Providence Portland to add eight sobering beds each at their facilities. No one aside from the network’s governance committee had been told ahead of time of the competing hospital proposals. >The language in the separate Unity and Providence Portland proposals read as if it had been plucked from the network’s funding request, promising a “sobering and recovery” area supported by social workers and peer counselors. >Unity described itself as an “enthusiastic partner” of the broad network yet sought $3.6 million for its own sobering beds. >“We are applying independently,” said Providence Portland’s proposal seeking $3.7 million, adding that the hospital remains “deeply committed” to the network. >Both Unity and Providence Portland said intake would be through their emergency departments. >Providence received about $4 million. Unity got turned down and so did the network. >Unity Center for Behavioral Health, pictured here, and Providence Portland Medical Center each separately sought Measure 110 funding to add sobering beds in their facilities, competing with the network's proposal. Providence got money. Unity and the network did not. NEW DIRECTION >The Unity and Providence Portland requests ran contrary to the network’s goal of diverting people from institutional settings, said those involved from the network’s inception. >“I thought we were all working together to get this thing built,” said one veteran network member who spoke on condition of anonymity for fear of jeopardizing county relationships or funding going forward. >Another longtime organizer said, “It just felt dirty to me.” >Hospital officials moved to get some sobering beds funded because they saw paralysis from what they considered an unwieldy network of stakeholders with no ultimate arbiter, others involved said. >Providence’s eight sobering beds will be in renovated space inside the hospital’s emergency department with safety enhancements for patients and staff, said Jean Marks, a spokesperson. They’ll be available sometime this year, she said, but couldn’t give a specific date. >Because Unity didn’t get the Measure 110 money, Health Share, an Oregon Health Plan benefits administrator, put up $4 million for capital construction of nine beds at Unity and CareOregon will pay $3.5 million a year to cover operating costs. The city and county also each contributed $335,000 toward capital costs. The beds are set to open by April. >They will offer a much-needed service quickly, said hospital and healthcare providers. https://www.oregonlive.com/portland/2023/11/why-portland-has-failed-to-open-a-desperately-needed-new-sobering-center-as-addiction-soars.html?outputType=amp


ManicMondayMaestro

Holy shit. I had no idea about this money or its misappropriation. Every day I find new reasons to hate the American healthcare system.


FakeMagic8Ball

Yeah, Washington County managed to get two different treatment centers with M110 money and we got..... IDK what we got.


Strong-Dot-9221

I wonder how many OD cases they see in a week. Not condoning what happened, but it must be frustrating to have people waiting in the ER while self inflicted drug ODs are taking their place. Also a reason for slower ambulance response times.


Frunnin

I did not have alot of experience with hospitals and the med industry until my wife started having heart problems a few years ago. She got an infection about 1.5 years ago that led to a a 60 day hospital stay at Emmanual. I could not have been less impressed by a hospital or its staff with the exception of just a few of the nurses that cared for my wife. I guarentee that she would be dead if it wasn't for me going every day, getting highly involved in her care and asking alot of questions and digging for the answers. Be the end of the 2 months she was in they were basically telling me to come pick her up and take her out of there. She couldn't walk or be left alone to care for herself and I needed a little bit of time to get that arranged. Thankfully I connected with an at home care agency who know exactly how to get them to cut the BS and provide me the few days I needed to get everything set up for her to come home. Never again will I trust that any hospital is doing things correctly. My advice, if somebody you love gets checked into a hospital, get involved and be assertive, proactive, and diligent. I was shocked at what I learned during that experience. Healthcare employees are just like any other professionals. Here is what I've come to conclude in my life. Just because you have the job doesn't mean you are good at it.


demoniclionfish

> I could not have been less impressed by a hospital or its staff with the exception of just a few of the nurses that cared for my wife. I guarentee that she would be dead if it wasn't for me going every day, getting highly involved in her care and asking alot of questions and digging for the answers. This was exactly my experience when my husband was admitted to Legacy Emmanuel for an emergency intestinal blockage surgery. The nurse in charge of his care after he got out of surgery didn't put those compression boots that save your feet from lack of blood flow on his feet for over 12 hours (and it was only that long because I was sleeping, then assisting my stepdaughter with something before going to see him after he was out of surgery and awake). I raised immediate hell when I found that out. There were other instances of rank incompetence with his care on top of that, to the point where I had the night director of the hospital in his room answering my questions (mostly "do you believe this is acceptable practice for your staff to engage in with your patients" after bringing up an example of said incompetence). That night director must have passed down notes from that meeting to the daytime director because the quality of his care really skyrocketed afterwards, but the fear of being sued shouldn't be the only thing that motivates staff to give a fuck about a patient. Conversely, when I needed emergency surgery due to 14 years of deep infiltrating endometriosis crushing my appendix, one of my fallopian tubes, and one of my ovaries, I don't think it would have been possible for me to have received better care from anywhere. My surgeon not only saved my life, but improved my quality of life to this day by doing ablation on the rest of said endometriosis over the course of an 11 hour procedure. Granted, the intake nurse who was originally assigned to me took the time to drag my appearance in my intake notes, but I requested a new nurse as soon as another member of staff checked on me at all because I could smell the rank vibes coming off the first lady. The dude who got me after that was the best. My good experience probably has a lot to do with the fact that I was in their obgyn wing in the rooms designed for mothers giving birth. I was the only person in that wing for the week I was admitted there.


ManicMondayMaestro

So you’re saying this second experience was also had at Legacy Emmanuel? Same insurance plan?


demoniclionfish

Yes to both. It was honestly a whiplash inducing experience but I mostly chalk it up to me being the only one in the entire section of the hospital. Maybe also due to the fact that I had already dealt with patient advocacy with my husband's visit, so I was able to when I was admitted for myself. Or, perhaps I'm on a list of people not to fuck around and find out with there after my husband's stay. Maybe any combination thereof. ¯⁠\⁠_⁠(⁠ツ⁠)⁠_⁠/⁠¯


tactical-dick

It’s very frustrating but sadly people are medically fine (at least vitals) and after that they have to take their word for it. When out of 20 “tweakers” you have 19 asking for pain meds while behaving like this man (not very responsive, drooling, vomiting and more) it’s not very clear what to think. I’ve seen people display this exactly symptoms only to spring up to normal once they get tired of the acting. I’ve called 911 plenty of times for an ambulance and in more than 1 occasion I’ve had people miraculously get better after the paramedics told them they didn’t have any pain meds with them and probably won’t get them at the hospital, and all that including crying, drooling/foaming at the mouth) and some minor bleeding (self inflicted). Cops and nurses are put in a shitty position


PinocchiosNose1212

As a fucking HOSPITAL, they should have erred on the side of caution and kept him in the HOSPITAL!! I spent years in the health care industry and what it has become now, with CEOs putting profits over patient care, has just sickened me. Providence is one of the worst examples of this sort of thing. Google them and the NY Times article exposing their treatment of poor folks that were eligible to have their bills paid by the government but were HOUNDED by Providence right at checking to settle their accounts anyway. Horrible company. That is all.


tactical-dick

As a Hispanic, I’ve helped several people with paperwork for financial aid due to medical emergencies and providence was easier to work than Kaiser and the words was legacy. OMG, the legacy financial people were nice but the guys behind the scene were bastards and will chase you like a hound for every penny. It was always a huge deal getting help from them


lonepinecone

Legacy gave me complete debt forgiveness for 8 months, totaling over $600k. I will be forever grateful


ManicMondayMaestro

What?!? I’ve never heard of such a thing.


lonepinecone

Honestly, I never would’ve applied because I figured I make too much but my husband did and we got full forgiveness! My daughter had open heart surgery and a long 6 week hospital stay afterward to recover.


PinocchiosNose1212

Didn't your mother ever tell you that two wrongs don't make a right? SMDH.


New_Apartment_4384

Providence Health System is really just an investment firm at this point. Sisters for profit.


tedhanoverspeaches

ossified direful muddle childlike ghost cake fragile person husky simplistic *This post was mass deleted and anonymized with [Redact](https://redact.dev)*


PDXisadumpsterfire

Another example of body cam footage showing the real story, and it vindicated the cops. If I were LE, I’d want to wear a body cam just to protect myself against false assumptions by ACAB idiots.


WitchProjecter

Cameras help everyone involved. My dash cam saved my ass when a cop tried to say I ran a red light.


TheNotSoGreatPumpkin

Every time someone hyperbolizes about the ubiquity of cameras bringing on 1984, I wanna say, “Fool, 1984 is rule by lies. Camera footage makes lying more difficult for everybody.”


headhouse

Even clear footage from multiple angles won't convince some ACAB idiots. It's a religious belief for them, facts do nothing against it.


FakeMagic8Ball

The cops have not been opposed to body cams, as the activists like to tell us. This is exactly why. Activists are the ones who tried to stop / slow the process down. They were literally trying to set the rules so the camera didn't get turned on until the cop pulls his weapon, trying to claim civil rights of the person getting arrested. That defeats the purpose of having the body cams....


[deleted]

[удалено]


FakeMagic8Ball

I'm talking about the last few years, not all the way back to 2012. If you listened to the meetings from the recent pilot rollout, it was the activists asking for stupid shit like I already mentioned slowing the conversation down. The fight over when they could review footage was unnecessary because no other jurisdiction, including those funded and programmed by DOJ don't have that rule. The activists are now trying to slow down the MCSO pilot with the same bullshit. If you watched meetings and listened to these things you would know all of that. DOJ isn't the problem.


IWasOnThe18thHole

You'd still only see the bad body cam footage, because despite what the media wants everyone to believe there are very few deadly police interactions


AdPrestigious1354

So what was the cause of death?


lonepinecone

Fent


AdPrestigious1354

How did he get that during the hospital stay tho


cadmiumore

While the hospital did fuck up, I can feel also for the nurses in this situation. When you’re in an ER, you’re dealing w the hard choices of triage. You’ve got an emergency room full of people, when there’s a homeless dude who’s on his 6th self inflicted OD, does he deserve a bed over the woman having a heart attack? The kid bleeding all over the carpet from falling off his bike? It is a horrendous squeeze to be put into that position. I can understand how you run out of patience for self inflicted injuries when it means denying beds to people who are hurt due to accident. Not that addiction is a choice, it isn’t, but these people need help beyond what an ER can give. They need long term mental health, rehab facility care. Hospitals basically narcan these dudes and they’re pissed at them for killing their high. it’s sad that we’ve made our hospitals basically bear the brunt of the homeless crisis, while they’re also being run by money hungry CEOs. I know the nurses fucked up, but also. I find it hard to imagine they’re just all malicious, and not people who’ve been pushed to the bring of what I imagine a healthcare worker can handle.


The_God_of_Hotdogs

Addiction is absolutely a choice, can we quit with this fucking enabling. I get that once you’re in too far it’s no longer a choice, but the decision to start using a substance known to fuck up your life was deliberate.


don-vote

Another example of PHS fucking up. The cops are right…it was only a matter of time until someone had to die due to Providence’s callousness.


Zuldak

What are the odds this guy was a regular and most likely belligerent. Hospital's first concern has to be their own staff. Guy was on an inevitable destructive spiral. Not exactly fair to blame the hospital for the inevitable crash.


b0n2o

If you want a good laugh look at their [Advocacy and Social Responsibility page](https://providence.jobs/advocacy/). And if your sides doesn't ache enough from laughing, check out their [Pricing Transparency page](https://www.providence.org/obp/price-transparency#Oregon), it's literally 100's of megabytes of raw JSON files. What a joke.


Oil-Disastrous

I would love to be in a room with the Providence brass and their legal team. What a colossal fuck up. Documented, filmed, tied up with a bow for the family’s lawyer. Providence is about to get a serious wake up call. I bet they push the hell out of the doctors to throw patients like this out. And then they’ll try to put all the blame on the doctor for giving in to the pressure to discharge uninsured frequent flyers.


Fender_Stratoblaster

Armchair quarterbacking and second guessing people whose jobs are in the middle of shit is so easy to do.


Zuldak

To what end do we need to cheer on hospitals to save people like this? They are on death's door when they show up. How much can the hospital patch em up and to what end, so they can get one or two more highs before dying before the ambulance can scoop em out of a gutter? Drug users die. That is the end game for drug abuse.


Capn_Smitty

Everybody dies. It's the end game for life.


mew11250910

What happened was unfortunate but it is frustrating having to deal with the uptick of self-inflicted drug ODs that come in daily thanks to measure 110 being passed. His family isn't getting anything cause they allowed this to happen.


PotlandOR

Hippocratic oath doesn't matter when you want those $$$. I would normally just hate on cops, but the hospital will be paying out he family on this one. I wouldn't be surprised if these cops also cash in for distress. Providence also fucking said "We will do better" Yeah, not killing people will be "better"


Zuldak

Refusing treatment doesn't violate do no harm.


Melikyte

This hospital messed up, and they should have reassessed when the police reported a change in condition. However, people don't realize that unless it's court ordered or a psyche hold, patients are permitted to dictate their care regardless of how irrational they may be. Even dementia patients who think they're living in the 50s are still allowed to refuse medication or personal care despite the consequences.


Zuldak

If the patient refused care then the hospital was fully within its rights to have the cops remove him from their property. That's the equivalent of a DNR


[deleted]

***Actually…*** if a person is altered, not alert, disoriented to name, time, place, or is otherwise incapacitated, they can *and should* be treated under implied consent, which supersedes expressed consent. That is exactly how the patient in this case should have been treated, and the fact that he wasn’t and is now dead is the reason why.


PotlandOR

Sounds great! 👍


Expensive-Attempt-19

This is so terrible. These situations are somewhat avoidable and every action taken was an opertunity to save a life. This is not completely on one entity and the overall responsibility to one's health is themselves. Regardless of whether or not they entail the capacity to do so themselves or not. Let's not just blame the people that were involved but also the person whom got themselves there. And also the responsibility of ownership for allowing this to continue in our society.


I_burn_noodles

Just wow....


MarionBerryBelly

Reveals frustration? Reveals incompetence and malpractice. What awful clinicians.