Melissa Winger

I think, you know, I look at the quality lens in a, what are we doing that's of value to the patient? And then how do we get there? So protocols, and I know that they're there for a reason. I try to go on that model of, Why are we doing this? Why are well child visits important? You know, why are all these things important? Because why do they need them?

I think, you know, I look at the quality lens in a, what are we doing that's of value to the patient? And then how do we get there? So protocols, and I know that they're there for a reason. I try to go on that model of, Why are we doing this? Why are well child visits important? You know, why are all these things important? Because why do they need them?

In these protocols, they can just say like a certain, you know, measure healthcare measure. It's but why? Why is that? Because you just say, you know, a one C's need to be drawn once a year, but we need to go why? You know, why? What's the what's the reason behind that? Well, you know, then you can start seeing all the benefits and the value actually to the patient in the long run.

In these protocols, they can just say like a certain, you know, measure healthcare measure. It's but why? Why is that? Because you just say, you know, a one C's need to be drawn once a year, but we need to go why? You know, why? What's the what's the reason behind that? Well, you know, then you can start seeing all the benefits and the value actually to the patient in the long run.

So I try to focus on that, which can be very hard because I'm always in that patient perspective of why would I do this? Why would I go in and, you know, colonoscopy is a horrible procedure, in my opinion. Why would I want to go in there? And I don't just say you have to because it says in the protocol you have to. No, I want to know why.

So I try to focus on that, which can be very hard because I'm always in that patient perspective of why would I do this? Why would I go in and, you know, colonoscopy is a horrible procedure, in my opinion. Why would I want to go in there? And I don't just say you have to because it says in the protocol you have to. No, I want to know why.

And then if you go into the background of the risks, then it's like, oh, I get it. Okay. We don't go to that level of explaining things.

And then if you go into the background of the risks, then it's like, oh, I get it. Okay. We don't go to that level of explaining things.

And also, we're at a disadvantage as patients. I want to look things up. I want to research things even. But you can't ever go to your doctor and say you jumped online and looked at stuff. They'll be like, whoa, whoa.

And also, we're at a disadvantage as patients. I want to look things up. I want to research things even. But you can't ever go to your doctor and say you jumped online and looked at stuff. They'll be like, whoa, whoa.

but I think you know physicians and everyone needs to know yeah you're going online let's just accept that patients are jumping online and if it's not them themselves it's a family member let's say oh I just read about this but what we're at a disadvantage is because we don't get the real research those are locked behind you know the journals that are subscription only

but I think you know physicians and everyone needs to know yeah you're going online let's just accept that patients are jumping online and if it's not them themselves it's a family member let's say oh I just read about this but what we're at a disadvantage is because we don't get the real research those are locked behind you know the journals that are subscription only

are written in ways that no one is going to understand, you know, beyond a doctorate level, right? So where's our information coming from? And it's coming from those sources that we're told are unreliable. Well, then give us the reliable ones.

are written in ways that no one is going to understand, you know, beyond a doctorate level, right? So where's our information coming from? And it's coming from those sources that we're told are unreliable. Well, then give us the reliable ones.

Unless they've been one themselves. They're so easy to, I go through this in the book that stuff that you're told that you have to do as a patient or a family member is impossible. And I always think you're going to this hospital level care. So even my son starting out with ICU level care, he has this massive team, respiratory therapists, RNs, doctors, intensivists.

Unless they've been one themselves. They're so easy to, I go through this in the book that stuff that you're told that you have to do as a patient or a family member is impossible. And I always think you're going to this hospital level care. So even my son starting out with ICU level care, he has this massive team, respiratory therapists, RNs, doctors, intensivists.

He just has this whole team caring for him. Then you go down to like a step down unit, right? So then you still have your RN, you have your doctors rounding every day. You might have a social worker coming in and then you're told to go home and it's just you. But a lot of times my son was on the same equipment. He's on feeding tubes. He's on 10 different medications.

He just has this whole team caring for him. Then you go down to like a step down unit, right? So then you still have your RN, you have your doctors rounding every day. You might have a social worker coming in and then you're told to go home and it's just you. But a lot of times my son was on the same equipment. He's on feeding tubes. He's on 10 different medications.

Those medications are to be given like every two hours. Are you kidding me? When do I sleep? And then you get into the outpatient stuff and you're like, ooh, physical therapy, occupational therapy. Do these exercises and these exercises and then speech. And I'm like, this is impossible. But we do that. We put the ownership on the patient. We take pride in getting them home sooner.

Those medications are to be given like every two hours. Are you kidding me? When do I sleep? And then you get into the outpatient stuff and you're like, ooh, physical therapy, occupational therapy. Do these exercises and these exercises and then speech. And I'm like, this is impossible. But we do that. We put the ownership on the patient. We take pride in getting them home sooner.