Does the health of your healthcare provider matter?

Paula Books - Presentation

Have you ever been cared for by someone who smoked cigarettes? Have you ever been cared for by someone who was obviously not healthy? May be they were obese?

Now before you get your panties up in a bunch, I’m referring to those who are severely unhealthy. I’m talking about the healthcare providers who can’t take the stairs because they’re too unhealthy. Remember I said the word “can’t”, I didn’t say won’t.

How do you think a patient feels when their healthcare provider walks into the room and all they can smell  is a dirty ashtray?

How about when a healthcare provider gives the patient education on health maintenance, when they themselves are obese,  or have hypertension?

Once again, I’m referring to those healthcare providers who obviously don’t take care of themselves.

I throw these hot coals on the fire simply to bring the topic to light.  The cornerstone to great patient care is the relationship the patient has with their provider. And I’m talking about all healthcare providers. And I’m talking about all team members on the healthcare team. Not just the physicians. Not just the advanced practice providers. Not just the nurses. Not just the respiratory therapists.   This concept should extend to those who manage us.  This concept extends to anyone at the corporate level. I mean everyone.

Shouldn’t we all practice what we preach?

Check out the video below. Click the title, head on over to my Facebook page and leave me a comment.

Should health care providers practice what they preach?How do patients feel about their health care providers smelling like a dirty ash tray?Will our patients listen to our health education and heed our advice if we can’t do it ourselves?I’m probably hitting a nerve here, but it’s an important and real topic. Remember, I’m talking about the unhealthy, not the mildly overweight. I’m talking about severe obesity, not normal weight gain we all experience as we age.What are you thoughts? Inquiring minds want to know.

Posted by Sean Dent on Tuesday, January 26, 2016

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It’s not as bad as you think…. unless you have Ondine’s Curse?

So, during my studies and class this week we were discussing Brain Death Protocols. That’s there is ‘dead’ and there is “DEAD’.

Through discussing the diagnosis we talked about Ondine’s Curse:

Primary alveolar hypoventilation – PubMed Health:



“Primary alveolar hypoventilation 

Last reviewed: September 17, 2010.

Primary alveolar hypoventilation is a rare disorder of unknown cause in which a person does not take enough breaths per minute. The lungs and airways are normal. Causes, incidence, and risk factors

Normally, when the oxygen levels in the blood are low or the carbon dioxide levels are high, there is a signal from the brain to breathe more deeply or more quickly. In people with primary alveolar hypoventilation, this change in breathing does not happen.

The cause of primary alveolar hypoventilation is unknown. Some patients have a specific genetic defect.

The disease mainly affects men 20 to 50 years old, although it may also occur in young boys. Symptoms

Symptoms are usually worse during sleep, and periods of apnea (episodes of stopped breathing) are usually present. Often patients themselves do not complain of shortness of breath during the day.

Symptoms include:

Bluish coloration of the skin caused by lack of oxygen

Daytime drowsiness



Morning headaches

Swelling of the ankles

Waking up from sleep unrested

Waking up many times at night

Persons with this disease are extremely sensitive to even small doses of sedatives or narcotics, which can make their already inadequate breathing much worse.”


The next time you think you got it bad… at least you have the ability to breathe without thinking about it. Just imagine…. sleeping would take on a whole new definition in your life.



Still think obesity is not your problem??

So, do you still think that your fellow American’s waistlines and health are not your concern???

Seems that your tax dollars are paying for their fatness (sorry for  being so blunt). Tax dollars are paying for a ‘bigger’ hospital for these ‘bigger’ patients. 

Seems that we are investing in their obesity instead of investing in preventing it. This is the precise difference between reactive and proactive medicine/intervention. There is nothing proactive about this.


N.J. hospitals adapting to larger patients –

“Hospitals throughout North Jersey are buying larger beds and operating tables, and wider wheelchairs with reinforced steel frames, and building specialized rooms to treat the growing ranks of obese patients. Denise Arzoomanian and Steve Cicala lifting Harvey Weber, director of the mobile ICU/EMS unit of Englewood Hospital and Medical Center, to demonstrate a ramp and stretcher used to move heavier people. CHRIS PEDOTA / STAFF PHOTOGRAPHER Buy this photo Denise Arzoomanian and Steve Cicala lifting Harvey Weber, director of the mobile ICU/EMS unit of Englewood Hospital and Medical Center, to demonstrate a ramp and stretcher used to move heavier people.

Englewood Hospital and Medical Center debuted a new stretcher and loading ramp this month for ambulances to transport patients weighing up to 1,100 pounds. Hackensack University Medical Center is spending $200,000 on two new operating tables to hold extra-large patients.

And St. Joseph’s Regional Medical Center has four new bariatric rooms with wider doors, special beds and ceiling lifts that can hold patients in excess of 1,000 pounds, accommodations that cost about $400,000. Renovation plans for the pediatric unit at the Paterson hospital include a room for obese teens.

‘Not only here, but across the country, you’re always looking to accommodate larger, bigger and heavier because it’s what we’re seeing,’ said Madelyn Pearson, senior vice president for patient-care services at Englewood. ‘With every new bit of construction and new purchase, we are looking at how we can best accommodate larger patients.’”

Yes. This angers me and gets under my skin.