tag:blogger.com,1999:blog-11034229.post113577096265252932..comments2023-07-14T02:53:40.719-07:00Comments on retired doc's thoughts: Community acquired pneumonia-Pneumonia severity index falls shortjames gaultehttp://www.blogger.com/profile/05537303135780186926noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-11034229.post-1136052998083190102005-12-31T10:16:00.000-08:002005-12-31T10:16:00.000-08:00Having been involved in "mangled care" in Canada, ...Having been involved in "mangled care" in Canada, due to a WCB claim, I am all for physicians being able to use their judgement as opposed to following a set of algorithms. The biggest problem that I see as a relative of a patient is that if a patient varies at all in their healing times, or requirements for physical therapy, or does not respond to the treatment that is provided for in their book, you then end up in a morass of unbelievable proportion, where the patient is then BLAMED for their disease, and the fight is on. In Alberta, we are fighting for health care, as our government wants to delist as much as they can, allowing private insurers a way in. If WCB is any indication of how managed care guidelines are interpreted and carried out then I am worried. Edmonton researchers have done a good thing in their evaluation of guidelines with pneumonia. This needs to be addressed---- there needs to be room for thought when dealing with PEOPLE who are ill, as all do not respond the way the book says they should.Anonymousnoreply@blogger.com