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Hospital forcing my baby and I to stay because of bilirubin test. IL (self.legaladvice)

dabulls113 が 投稿

My wife just had a baby early this morning and we are exhausted and we would wanted to go home. The hospital administrator and the attending pediatrician are now saying that my baby is not allowed to leave the hospital less than 24 hours of birth. They claim that I must remain at the hospital because of this. I would like to sign discharge papers yet they are refusing. My baby is perfectly healthy.

Edit: Thanks for engaging this stupid post. I appreciate the answers and honest input. I am very sleep deprived.

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[–]NapalmenatorQuality Contributor[M] [スコア非表示] stickied comment (0子コメント)

Locked. It is just going down hill

[–]NapalmenatorQuality Contributor 16ポイント17ポイント  (10子コメント)

You can leave. Mom can leave.

You can AMA with the baby. CPS will be on your doorstep, or at the hospital very shortly after you make that decision.

Or you can hang out for 24 hours.

[–]dabulls113[S] -7ポイント-6ポイント  (9子コメント)

Why would CPS be on my doorstep for declining a hospital procedure? declined other procedures that the hospital was ok with.

[–]NapalmenatorQuality Contributor 23ポイント24ポイント  (8子コメント)

If the hospital feels it is necessary and vital to the child's health then they will report to CPS. Going AMA with a newborn is generally a guarantee CPS visit.

[–]dabulls113[S] -9ポイント-8ポイント  (7子コメント)

If this procedure is so vital why was he examination not carried out during business hours today?

[–]NapalmenatorQuality Contributor 26ポイント27ポイント  (5子コメント)

Because your are shockingly not the only patient in that hospital.

[–]dabulls113[S] -8ポイント-7ポイント  (4子コメント)

I'm sorry there are three babies in post and an attending pediatrician on a 12 shift. He should have time for it.

[–]McLovin_from_HI 10ポイント11ポイント  (3子コメント)

Really? How long have you worked as a doctor?

[–][削除されました]  (1子コメント)

[removed]

    [–]thepatmanQuality Contributor[M] 2ポイント3ポイント  (0子コメント)

    Your post has been removed for the following reason(s):

    Removal Reason

    • Please provide evidence of your medical degree to the moderators before asserting that you are a doctor.

    If you feel this was in error, message the moderators.

    [–]Weyl-fermions 16ポイント17ポイント  (5子コメント)

    The hospital has a duty to treat your child by the standard of care for a newborn regardless of anyone else's ideas.

    If Bilirubin is too high, that can be a serious problem that can cause brain damage. Jaundiced babies often have difficulty feeding.

    So you should go home and get some rest.

    Your exhausted wife is not going to get rest at home with a newborn baby to care for. In the hospital there are nurses to help so the mothers can recover.

    [–]dabulls113[S] -1ポイント0ポイント  (4子コメント)

    I have multiple family members at my house waiting to help out...

    [–]Weyl-fermions 24ポイント25ポイント  (2子コメント)

    You have an incubator? Bilirubin lights? Can you start an IV in a baby? Have a lab to process blood results? Have a scale that measures ounces between 5 and 20lbs? Got the high calorie formula the kid needs if he has trouble feeding? Are the family RNs or MDs?

    If you want to take a newborn AMA, the hospital will call DCS. You don't want that.

    [–]dabulls113[S] -1ポイント0ポイント  (1子コメント)

    I'm not going of the grid here, I have a pediatrician we had a OB and simply would like to spend my first days with our baby at home. By all standard hospital measures thus far the baby is very healthy. I'm not going to take an unhealthy baby out of a helpful medical environment. One family member is an RN at the hospital where my wife gave birth.

    [–]thepatmanQuality Contributor 10ポイント11ポイント  (0子コメント)

    By all standard hospital measures thus far the baby is very healthy

    No, by one standard hospital measure your baby is potentially very unhealthy.

    No one in the hospital wants to keep your baby unnecessarily. Nor does anyone want to deprive you of your time with your baby or make your life more difficult. They want your baby to survive, to be happy and healthy and in good shape. You should want the same. If you do, listen to the medical experts who are telling you your baby is in danger, and quit complaining that it's incovenient or less than ideal for you. The doctors want you to be home too; they just know it's a bad idea.

    [–]cleveraccountname13 13ポイント14ポイント  (4子コメント)

    I hope this is the stress talking and that OP isn't always this pointlessly defiant.

    [–]shhh_its_me 7ポイント8ポイント  (0子コメント)

    Meh arguing with us is probably better then flipping out at the hospital. although his time might be better spent bonding with the baby, kinda of cutting off his nose to spit his face.

    [–]dabulls113[S] -2ポイント-1ポイント  (2子コメント)

    Bingo. I've been up for days. Sorry for my pointless defiance. How can I repay you for my mistake?

    [–]AnnaLemma 14ポイント15ポイント  (1子コメント)

    How can I repay you for my mistake?

    I mean this kindly and sincerely: Get off Reddit. Go get some sleep. Then go enjoy your newly-expanded family.

    I'm a parent so I know how overwhelming the first few days can be. And I can tell you first-hand that, frustrated as I was to have to hang out at the hospital for two extra days, that was the last bit of peace I had for the next several months.

    So go enjoy hanging out with your baby. Go enjoy hanging out with your wife. I know you're at once exhausted and insanely keyed up, and let me assure you that this is not a good combination on the Internet.

    It's also really scary to all of a sudden be totally responsible for this tiny and helpless human being who needs you so completely. It sucks not feeling like you're in control and it sucks to feel like you're at the mercy of The Establishment. But at some point you must take a step back and acknowledge that you don't always know what's best for your baby. Gods know it's not easy. But the individual doctors and nurses aren't there to take you for a financial ride - they get paid regardless of whether or not you specifically stay in the hospital. They genuinely want what's best for your baby.

    So - take a deep breath. Quit arguing with the medical staff. Go get some rest: if your wife wants you by her side, see if the hospital has one of those armchairs that fold out into a futon (they're approximately as comfortable as a boulder but they're still marginally better than sleeping in a chair).

    Congrats, dude. This is about as big and exciting change as you're ever gonna see in your life!

    You're in for one hell of a wild ride. Take care of yourself, take care of your wife, and let the hospital take care of your baby for the next day or two. I won't say that you'll definitely be wishing for those nurses within two days of coming home, but let's just say you'll be the outlier if you don't.

    Deep breath. You guys are fine. Everything is fine. Come on over to /r/parenting if you want to rant or whatnot - that's what we're there for. I know this all seems huge and overwhelming right now, but in another week it will have faded into the distant background in the face of the newest crisis.

    Congrats. Good luck. Now go sleep.

    [–]dabulls113[S] 5ポイント6ポイント  (0子コメント)

    Thanks for the comment. I appreciate it.

    [–]swalsh411Quality Contributor 23ポイント24ポイント  (13子コメント)

    My baby is perfectly healthy.

    Where did you go to medical school?

    [–]paragatabanaba 10ポイント11ポイント  (8子コメント)

    I wonder if you have actually talked to your wife about this. Everyone I know who's had a baby has welcomed the opportunity to stay the night in the hospital at least 24 hours after the birth. Most insurances cover a full 48 hours, and insurance companies are known for erring on the side of cheapness. There's a reason why this is standard. Of course, you don't have to remain at the hospital, it's just your baby that does. If you're exhausted, you can go home and rest up. Lots of new fathers do this.

    [–]shhh_its_me 5ポイント6ポイント  (0子コメント)

    It took court cases for insurance to be mandated to allow for that 48 hours of care for newborns.

    [–]dabulls113[S] 0ポイント1ポイント  (6子コメント)

    Well the situation at the hospital is ok but we have more help back at the house. I would go home my house is 5 minutes away but I feel guilty leaving my wife to stay by herself with the baby.

    [–]paragatabanaba 7ポイント8ポイント  (5子コメント)

    She might end up being thankful that you're well rested when she actually does go home.

    [–]dabulls113[S] -1ポイント0ポイント  (4子コメント)

    She doesn't want me to leave. She just went through three days of labor and finally medical intervention.

    [–]shhh_its_me 2ポイント3ポイント  (3子コメント)

    Wait, does the hospital even want to release her at this moment?

    [–]dabulls113[S] -1ポイント0ポイント  (2子コメント)

    Want to? No not until the billirubin test was administered. They want to keep us here for 48 hours just like every vaginal birth.

    [–]shhh_its_me 2ポイント3ポイント  (1子コメント)

    No ,I mean for her medical benefit, would she also be AMA? 72 hours and medical intervention , do they want to observe her too? Plus does she want to leave?

    Edit cause if she doesn't want to go ,then no there is no way in hell they will release the baby AMA to you. If the staff gets the idea you are pressuring her to leave, that will set off even more red flags.

    [–]dabulls113[S] -2ポイント-1ポイント  (0子コメント)

    Oh ok gotcha. The baby is perfectly healthy and here is no issue with her aside from me wanting to leave.

    My wife opted for a natural birth and her labor was very long in duration. She never dilated past 6.5cm. After days of contractions she opted for petosin and epidural due to exhaustion. I am quite obviously not medically well versed and meant that the petosin epidural was the medical intervention. Wife is soon great has not taken anything in addition to epidural for pain management. No concerns from medical staff on her. She wants to leave so she can sleep will I and others tend to care of the baby at home.

    [–]seaboard2 9ポイント10ポイント  (0子コメント)

    Why do you want to risk your child's health? Leave in the AM when the baby checks out as okay.

    [–]LateNightFright 9ポイント10ポイント  (18子コメント)

    Here is how medicine works:

    You are evaluated at discrete points in time. Decisions are made at that moment. If things change, new decisions are made. Three doctors evaluated your baby. Things changed. A new decision was made.

    Please feel free to leave AMA. Could be that your baby is fine! Or maybe it's not fine and the bilirubin builds up, causing neurological damage. We can't tell in the first 24 hours of life. Anyway, then we'll all judge you when you come to the ER in a panic and we go through your med records.

    A full term baby with jaundice is not normal and requires a workup. If you think an extra day in the hospital is not worth your baby's health, you may want to rethink your priorities.

    I'm sort of hoping you blow this off and leave AMA because I'm doing pediatrics soon in IL and I might get to see a case of kernicterus!

    [–]dabulls113[S] 1ポイント2ポイント  (17子コメント)

    Thanks for the Condescending comment and wishing my child harm.

    [–]swalsh411Quality Contributor 15ポイント16ポイント  (12子コメント)

    That tends to happen when it's pretty clear posters don't really want advice but rather validation. None of your counter arguments outweigh the opinion of a doctor. Nobody with half a brain is going to tell you it's a good idea to AMA with a newborn.

    [–]dabulls113[S] 0ポイント1ポイント  (11子コメント)

    I think I posted on the wrong sub.. the decision has been made by the hospital I was more interested in the legal aspect of the situation.

    [–]swalsh411Quality Contributor 12ポイント13ポイント  (7子コメント)

    Your question has been answered you just don't like the answer.

    [–]dabulls113[S] 0ポイント1ポイント  (6子コメント)

    I'm fine with the answer(s). If I really wanted to leave the hospital I would just sign discharge and leave.

    [–]swalsh411Quality Contributor 8ポイント9ポイント  (5子コメント)

    And then CPS would show up and open up a whole other can of worms.

    [–]dabulls113[S] -1ポイント0ポイント  (4子コメント)

    Next legal question: Does refusal of one preliminary test after allowing dozens equate to child endangerment?

    [–]swalsh411Quality Contributor 10ポイント11ポイント  (3子コメント)

    It's not so binary. Maybe it does. Depends on what CPS finds if they investigate. I really can't see how that's worth the risk.

    [–]dabulls113[S] -1ポイント0ポイント  (2子コメント)

    Well it's not but I'm not thinking clearly, clearly. I've been up for days as has my wife. Our first child and labor was not smooth.

    [–]Banana_Hammock_Up 5ポイント6ポイント  (2子コメント)

    No, you didn't. You just can't comprehend what is going on and are cranky because you aren't getting the answer you want to hear.

    [–]dabulls113[S] -3ポイント-2ポイント  (1子コメント)

    Can't comprehend.. cranky.. god you've nailed it how astute.

    [–]LateNightFright 14ポイント15ポイント  (3子コメント)

    You are not listening to more logical comments. I would like you to do the right thing but doing the wrong thing is always educational. If people didn't pay such shit attention to their health, I wouldn't learn anything at all.

    [–]dabulls113[S] 0ポイント1ポイント  (2子コメント)

    I'm just interested in the legal aspect. I cannot leave the hospital with the baby anyway. I enjoyed your last sentence.

    [–]LateNightFright 7ポイント8ポイント  (1子コメント)

    You are free to leave AMA unless the courts and/or hospital legal and ethics staff determines this is a terrible plan.

    The hospital is free to contact CPS for negligence.

    [–]dabulls113[S] 1ポイント2ポイント  (0子コメント)

    Thank you for answering my question.

    [–]seaboard2 6ポイント7ポイント  (1子コメント)

    By the way, CONGRATULATIONS on the birth of your child - - Let the Docs do their thing for 24 hours and go home knowing all is well when they release your child :) If you want to leave go on home - - Mom wants to sleep (BTDT) and baby doesn't care at all. Come back in the AM with your carseat and pack up your new family :)