By Nancy Valko
In her February 2018 article”Prenatal Testing and Denial of Care”, Bridget Mora exposes another dark side of prenatal testing: refusal to treat. Ms. Mora is the community education and communications coordinator for Be Not Afraid, a nonprofit that supports parents experiencing a prenatal diagnosis and carrying to term.
While most people have heard of amniocentesis (using a needle to extract and analyze the fluid surrounding an unborn baby in the second trimester), many people are unaware of the screening blood tests that have now become virtually routine for all pregnant women.
The difference is that blood screening tests may indicate a probability or risk score that a baby has a chromosomal anomaly, but a definitive diagnosis can only be made through amniocentesis or CVS (Chorionic villus sampling) using a needle to take a sample of tissue from an unborn baby’s placenta for analysis in the first trimester. Tragically, some parents make a decision to abort based on just a blood screening test.Read more
By Nancy Valko
A few weeks ago, a 95-year-old friend with chronic congestive heart failure was recovering from a hip fracture and blood clot when she developed a very serious pneumonia. I was with her in the ER when the doctor asked her son and me about how aggressive to be if her heart or breathing worsened. I said, “Ask her!” and the doc was stunned when she vehemently said “Yes!”, even after he explained the potential problems with cardiopulmonary resuscitation and ventilators. My friend has a durable power of attorney naming her daughter as her health decision maker, but the doctor wrongly assumed my friend was unconscious and that we were her decision makers.
My friend astonished the doctors by recovering with antibiotics and temporary BiPap (a face mask machine to support her breathing). After a stint in rehab, my friend was able to go home last week.
It was because of mistaken but potentially fatal situations like this that I wrote my 2015 blog “Living with ‘Living Wills” about the history, uses, problems and pitfalls with living wills and other end-of-life documents known as advance directives.Read more
By Nancy Valko
When I first started out as a nurse in the late 1960s, I saw several patients admitted to determine why they had “mental status changes”, such as confusion. One of my first duties on admission was to make a list of medications the patient was taking.
I was alarmed to find some of these patients, usually elderly, were taking a large number of medications and some were similar and/or had potential interactions with other medications. When I first brought this to the attention of a doctor, he was skeptical until he read one of the patients’ lists.
The result was that he reevaluated every medication and temporarily stopped all medications that were not crucial. When the patient rapidly improved and went home with a much reduced list of medications, he and I shared this with other doctors and many other such patients then rapidly improved.
However, according to a December 12, 2017 article from Kaiser Health News titled “An Overlooked Epidemic: Older Americans Taking Too Many Unneeded Drugs”, such problems with medications continue to exist in our fast-paced health care system and older people continue to be especially at risk.Read more