«You cannot send away a patient who is bleeding because he did not have the Picc implanted in your department». It is the bitter outburst of Daniela Di Napoliwho speaks of a sad experience his father had at the “Andrea Tortora” hospital in Pagani. The man, resident in Lower Nocerais 69 years old and suffers from an oncological disease. He has been battling liver cancer for two years. He is followed by the Oncology team of “Monaldi”. Napoli. He undergoes continuous tests and chemotherapy.
A stress that has now made his veins very delicate. The specialists arrange for a Picc to be implanted, which stands for peripherally inserted central catheter. It is a central venous catheter inserted peripherally at the arm, which allows the administration of drugs intravenously. The silicone tube that reaches the heart is implanted in Naples on November 13th.
The odyssey
But something isn’t going right. He returns home, but the wound is bleeding. The next day the 69-year-old from Nocera Inferiore wakes up with a large spill. «At Monaldi the medical team told dad that for maintenance he could go to the nearest oncology hospital, he would just have to make the referral to the attending doctor. Little did he imagine that the implant would wake up bleeding the next day», said the daughter. At this point, it is November 14th, the man asks his GP for a referral to go to the hospital in Pagani and be treated. «The attending physician – said Mrs. Daniela – he replies that in this case it wasn’t necessary because it was an emergency and therefore he could go directly».
THE POINT – by Alfredo Bocccia – Campania Region: is there anyone who thinks? The commercials don’t help
#Pagani #bleeding #treatment #Naples
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**What specific policy changes or technological solutions could help streamline the referral process for patients and ensure smoother transitions between healthcare providers?**
## Interview: A Father’s Struggle and the Healthcare System
**Guests:**
* **Daniela Di Napoli**: Daughter of the patient, sharing her family’s experience
* **Dr. [Name of Medical Professional with Expertise in Oncology/Hospital Administration]**: Offering professional perspective on PICC line procedures and hospital referral processes
**Editor:** This interview focuses on the recent experience of Mr. Di Napoli, a 69-year-old oncology patient who encountered complications with a PICC line implant. We’ll discuss the challenges faced by the family, the intricacies of the healthcare system, and potential improvements for patient care.
**Section 1: The Personal Story**
**Editor:** Daniela, thank you for sharing your father’s experience with us. Can you tell us more about his medical condition and the reason for the PICC line implantation?
**Daniela:** (Shares her father’s medical history, the chemotherapy treatment he’s receiving, and the necessity of the PICC line for medication administration).
**Editor:** What were your initial thoughts when you found out the wound from the PICC line was bleeding heavily? How did your family react to this situation?
**Daniela:** (Describes the family’s emotional state, their actions in addressing the bleeding, and the initial communication with the doctor in Naples about seeking treatment in Pagani).
**Editor:** You mentioned that your father was advised to seek treatment in Pagani based on a referral from his doctor. Can you elaborate on the reasons behind this referral and what you expected from the hospital in Pagani?
**Daniela:** (Explains the doctor’s suggestions, the family’s understanding of the referral process, and their expectations regarding treatment in Pagani, especially considering the urgency of the situation).
**Section 2: Navigating the System**
**Editor:** Dr., based on Daniela’s account, it seems there was confusion about the referral process and the urgency of the situation. Can you shed some light on the standard procedures involved with PICC line follow-up care and the role of referrals in situations like this?
**Dr:** ( Explains the importance of post-PICC line care, the typical follow-up procedures, the role of referrals in ensuring continuity of care, and any potential complexities that may arise when a patient seeks treatment outside the originating hospital).
**Editor:** Daniela, did you encounter any difficulties while seeking immediate treatment for your father in Pagani?
**Daniela:** (Shares their experience at the Pagani hospital, detailing any challenges faced due to the referral process, communication barriers, or other obstacles).
**Editor:** Dr., what are your thoughts on the potential breakdown in communication between hospitals and the impact it can have on patients who require urgent care?
**Dr.:** (Discusses the importance of clear communication channels between healthcare institutions, highlighting best practices for effective communication and potential solutions to mitigate communication gaps that can lead to delays or complications in patient care).
**Section 3: Moving Forward**
**Editor:** Daniela, what are your hopes for the future regarding your father’s care and the overall healthcare system?
**Daniela:** (Shares her wishes for improved hospital communication, smoother referral processes, and a more patient-centric approach to healthcare delivery).
**Editor:** Dr., based on this case and your overall expertise, what recommendations would you make to improve the system and prevent similar situations from occurring in the future?
**Dr.:** (Offers suggestions for enhancing patient care, emphasizing the importance of clear communication protocols, standardized referral procedures, and increased patient advocacy within the healthcare system).
**Editor:** Thank you both for sharing your insights. It’s through these open conversations that we can work towards a better and more responsive healthcare system for everyone.
