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My ER experience
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Mac Elite
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Jun 15, 2011, 01:16 PM
 
So I got hit by an suv terrorist running cars off the road like they usually do. Normally I can avoid them but when you re at a light cant do much about the attack from behind. The airbag didn't deploy in my fancy Toyota which makes me question their safety even more.... The ambulance guy wanted to take me in to check for concussion so I asked him what it would cost before hand.... Ive learned my lesson in the past with American ER visits. Funny the guy didn't know. I said well obviously this all depends on if insurance will cover it 100% and what the price is. He said "well maybe a thousand dollars I dunno." Am I the only one that finds this kind of important? You know check the cost of things... compare prices... before you get committed? Somebody else in the area (a wealthy oil colleague of mine with good insurance) had their insurance billed 9,000 or something for the glorified taxi to the hospital and had to pay 1,400 out of pocket, so thats why I was reluctant. I ended up just driving myself since the hospital was only down the road 7 miles.

And here's the main point of my post... while in the ER a lady comes in with a brown recluse spider bite. She was going into paralysis. Someone else brought her in because she couldn't move and was just crying. Apparently she had come in the day before and said "I got bit by a brown recluse." And the great over educated American doctors told her "to take a Motrin and get some rest... it would just git better.." (If anyone wonders about the seriousness of this bite just Google image brown recluse)

I wanted to explode when I heard this. This is why it's so easy for lawyers to just sit in the ER and look for lawsuits. This isn't a busy emergency room. And Im tired of people making excuses for our doctors. Saying "oh they're sued too much. Oh ER's too busy because people go too much. Oh prices are only high because people wait too long before they go to emergency room...." when this lady came in early like she should have. People say because docs have 15 years of education that they're more trustworthy than people with a 4 year degree. This is used as an excuse to keep nurse practitioners and other potential competition down; and the cost of medical education lengthy and high. It doesn't take 12 years of med school to know you don't just send someone home with a brown recluse bite.

I bet even a chiropractor would have known that. Maybe she should have gone there first.

I basically witnessed failures on many levels of the medical system yesterday. And this is in the affluent neighborhood with the wealthy hospital. Just unbelievable, and the solution (which I haven't heard any politician propose yet) is starring us right in the face.
     
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Jun 15, 2011, 01:29 PM
 
So what was the prognosis with your bean? Any damage? Any hallucinations? Do you see these spiders everywhere, or just occasionally? Do they talk?



j/k I agree with you, medicine is big business and it needs to be treated like a business
     
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Jun 15, 2011, 01:50 PM
 
Actually, as a 'bug person' I am amazed at the ignorance people have about them(spiders, insects, multilegged etc) and for a "Doctor" not to know about the Recluse is shocking. I would have yelled as loud as I could in the Dr. ear about it. I woulds also threaten the hospital with a lawsuit for having incompetent folks on staff unless they fired that quack right away. No prisoners. Sorry, I have no respect for anyone with advanced degrees, so they need to perform or quit. Same for any 'professional.'
     
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Jun 15, 2011, 02:15 PM
 
I wouldn't expect the ambulance driver to know how much things cost, they don't handle sales. Although I do agree prices are very arbitrary.

Doctors treat patients like hypochondriacs sometimes. "Brown recluse? nah. She means house spider."
     
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Jun 15, 2011, 02:50 PM
 
Uncle Skeleton
So what was the prognosis with your bean? Any damage? Any hallucinations? Do you see these spiders everywhere, or just occasionally? Do they talk?
For now my bean is a bit foggy but ok. Im suppose to keep going in for checkups. I was kind of worried yesterday because a month ago one of my friends had a head injury but didnt feel much discomfort. They sent him home and he died in his sleep.

I had nightmares about spiders last night. And When I got in the accident I was actually on my way home from a lab filled with brown recluses. I had been the first one in the lab that day so they had their webs strung all over across the room. I grabbed a broom and swept through the air thinking I could remove all their webs... but they constantly kept dropping down from the ceilings. I dont know what to do about them and Im terrified of all spiders. Spiders are immune to most if not all poisons. I shouldnt use poison in the lab anyway because its used to for species conservation and it could kill some our critically endangered specimens. There's no money invested in spider poisons like there is with insecticides. I dont find trapping them effective. And they dont need to eat hardly anything... They manage to live on what few insects escape in the lab.

Originally Posted by andi*pandi View Post
I wouldn't expect the ambulance driver to know how much things cost, they don't handle sales. Although I do agree prices are very arbitrary.
But is that how it should be? I mean the medical field wants everyone to think of them as a "private sector capitalist industry"; Yet in reality they act like a socialist system that you're just suppose to go along with (not knowing prices or anything) when they're treating you then expect you to switch and think of them as a capitalist system when they send you the bill for $10000. Sometimes its many 10s of thousands of dollars more than what someone expected.

The medical industry has everyone blaming poor people who don't pay their bills (which in part I understand). But when you ask them did you tell the patients the price before you treated them? "well no... they're just suppose to be responsible and pay..." "I don't know why they wont just pay their $40,000 bill.."

Of course they're going to avoid telling people what it costs; they know few people would agree to it. They just want to lock in the treatment and the price then play the victims when nobody pays it.
     
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Jun 15, 2011, 04:38 PM
 
Its stories like this that make me defend my less then perfect medical system. The one time I got rear ended, it went like this. Fire department arrived first and started checking on the medical conditions of me and the dude who hit me. A few minutes later the first of a few ambulances arrived. The dude who hit me was in worse shape so he was taken buy this ambulance. The 2 other ones arrived a few minutes later and I was taken by one of them to the hospital. Upon arrival at the hospital vitals are checked again, im waiting maybe 10 minutes max before im rolled for a CT scan or xray, cant remember but they where checking my neck and head even though I didn't hit my head and my neck was a little sore (which became more sore in following days) and after about 6 hours was discharged. Most of that was just observation time. Total Cost. $2.50 in transit fair to get home. Never had to worry about any bills or any costs related to this.

While it sucks when I have to wait 4 hours to get my broken arm looked at I accept this because I know the most hurt and the ones in most need which one day can be me are getting looked at first. I don't mind a priority based system on the medical priority vs the economic priority of who can pay the most to get the best care.
Blandine Bureau 1940 - 2011
Missed 2012 by 3 days, RIP Grandma :-(
     
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Jun 15, 2011, 04:49 PM
 
Why would the ER allow you to drive if he thinks you might have a concussion?
Bush Tax Cuts == Job Killer
June 2001: 132,047,000 employed
June 2003: 129,839,000 employed
2.21 million jobs were LOST after 2 years of Bush Tax Cuts.
     
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Jun 15, 2011, 05:14 PM
 
Originally Posted by andi*pandi View Post
I wouldn't expect the ambulance driver to know how much things cost, they don't handle sales. Although I do agree prices are very arbitrary.
Having driven an ambulance for a private company in Chicago I can say that this is my experience as well. Only after a few months of working there did I learn that we charge $17/mile on top of some huge base fee that goes up depending on the services provided (like oxygen, etc.).

When I was a volunteer on a public ambulance things were even worse. I don't think a single person had a clue as to what anything would cost the patient. Every circumstance was different so there was no easy way to keep track.
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Jun 15, 2011, 06:16 PM
 
Originally Posted by Athens View Post
While it sucks when I have to wait 4 hours to get my broken arm looked at I accept this because I know the most hurt and the ones in most need which one day can be me are getting looked at first.
Or 4 months for an anticancer drug that would have saved your life, but you were stuck on a list and now its spread. Look on the bright side, it only cost a few bucks out of pocket.
     
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Jun 15, 2011, 06:20 PM
 
Right, propaganda. Most people diagnosed with Cancer are front of the line and are not waiting. The few that fall between the cracks are human errors and someone screwing up, not the system itself. I hope your not refering to that stupid woman that had a cyst on her brain that was not life threatening? The fake propaganda story paid for by US companies fighting Obama care?

A little insight on wait time and cares.

http://www.cihi.ca/cihi-ext-portal/i...elease_21mar11

If you live in a remote location in Canada chances are your not going to get the same kind of care as in major urban areas.
Things like cancer treatment 98% get treatment right away while some things like Knee Surgery only 80% get care quickly. But it depends if you live in Vancouver, major urban location of 2 million people vs Bear Lake thousands of KM from a major urban location and only a population of 170 people...
( Last edited by Athens; Jun 15, 2011 at 06:29 PM. )
Blandine Bureau 1940 - 2011
Missed 2012 by 3 days, RIP Grandma :-(
     
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Jun 15, 2011, 06:36 PM
 
If you can haggle about the price, you probably don't need the ride.
     
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Jun 15, 2011, 06:39 PM
 
Which means it can't be capitalist, so it must be socialist?

it's the obion county fire thread all over again!
     
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Jun 15, 2011, 06:58 PM
 
Bizarre thing is, you pay more FICA than we pay NI (same thing).
I still want to know how that works.
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Jun 15, 2011, 07:49 PM
 
Originally Posted by mduell View Post
If you can haggle about the price, you probably don't need the ride.
Well except if you take the ride you better chance they'll take care of you right away when you get there. When you're a walk-in you get put on the several hour wait list. ... and concussions don't always have immediate symptoms.
But for the most part I think you're right; that's part of the many reason I didnt except it.

Originally Posted by Doofy View Post
Bizarre thing is, you pay more FICA than we pay NI (same thing).
I still want to know how that works.
its simple. We have much more bloated government that's hard to keep on a leash. So it engages in all kinds of corporate/special interest collusion that drives prices up.
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Jun 16, 2011, 07:53 AM
 
I am not surprised about the driver not knowing the cost, even for the ambulance ride. I'm further not surprised by whomever screened the lady with the spider bite disregarding her report that it was a brown recluse-not many medical people (sadly) believe the lay public has a clue about anything-though the number of doctors who can actually do anything practical out of their field is amazingly small.

Sorry about your accident, and I hope your noggin is only slightly bruised. Same for your neck and so on... But our health care system has been allowed to grow without supervision for so long that without some radical, society-changing changes, it will continue to support hi costs for everything without real accountability for providing efficient, excellent care.

Glenn -----OTR/L, MOT, Tx
     
   
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