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  #1  
Old 05-23-2007, 04:10 PM
kstar kstar is offline
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AKA_Monet:

When did she have time for follow up when she was released "hours earlier"?
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Old 05-23-2007, 04:29 PM
AKA_Monet AKA_Monet is offline
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Quote:
Originally Posted by kstar View Post
AKA_Monet:

When did she have time for follow up when she was released "hours earlier"?

Since, I have not heard or seen her record. I am gathering that based on the differentials of her symptoms, the chronic pain she had must have been intermittent. The hospital may have given her references to offices that would see her on a sliding scale, however, it is the patients right to not go and accept those names given.

Okey, the real deal, do you think the hospital had this patient's "record" readily available to see the course of treatment without causing HIPPA violations?

If she is not part of a huge healthcare system, namely HMO's with a number, then the hospital would probably not have her record during an emergency.

If she was uninsured, how will the hospital know who she is except that lady that is bitching over there.

Emergency care stabilizes the patient. The follow-up is done after the visit. It is a matter of timing. If she came in at midnight, she would be stabilized, then seen at 7 AM by a regular physician. If she came at 9 AM, she would be seen by a regular physician maybe by 2-4 PM, no later than 6 PM. If she needed further tests like CT or MRI, she could would wait 24 hours. If she had a obviously broken bone, she would have had X-ray at emergency and then the pictures would be relayed within 30 minutes to 1 hour to a radiologist.

Path report:
If she had a gross tear in her lower abdomenal on her saggital section at least 5 cm on the decending colon, specifically at point A.1. and temperature at 98.7 F (40 C); fully loaded unmasticated fecal matter consistency of jaundiced bowel...

That is the kind of stuff written in your record. That is why I am telling everyone that it is not a joke when your doctor is telling you something... That is how detailed we get.
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Old 05-23-2007, 05:18 PM
PM_Mama00 PM_Mama00 is offline
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Quote:
Originally Posted by AKA_Monet View Post
Emergency care stabilizes the patient. The follow-up is done after the visit. It is a matter of timing. If she came in at midnight, she would be stabilized, then seen at 7 AM by a regular physician. If she came at 9 AM, she would be seen by a regular physician maybe by 2-4 PM, no later than 6 PM. If she needed further tests like CT or MRI, she could would wait 24 hours. If she had a obviously broken bone, she would have had X-ray at emergency and then the pictures would be relayed within 30 minutes to 1 hour to a radiologist......
24 hours for an MRI or CT? I know in this area you get in as soon as you can with either of those, and it's definitely not as long as 24 hours. Well, MRI depends on if it's in the hospital or mobile MRI. Even so, at least in this area, there are plenty of radiology clinics opening up. If it's a STAT case, they will get in and they're images will be read right away, so long as mobile MRI is there. That's how I remember it when I worked at one. I don't remember if we got any emergency room patients, but I just assumed that in the ER they'll get in faster if it's life threatening.
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Old 05-23-2007, 05:37 PM
Tom Earp Tom Earp is offline
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Quote:
Originally Posted by PM_Mama00 View Post
24 hours for an MRI or CT? I know in this area you get in as soon as you can with either of those, and it's definitely not as long as 24 hours. Well, MRI depends on if it's in the hospital or mobile MRI. Even so, at least in this area, there are plenty of radiology clinics opening up. If it's a STAT case, they will get in and they're images will be read right away, so long as mobile MRI is there. That's how I remember it when I worked at one. I don't remember if we got any emergency room patients, but I just assumed that in the ER they'll get in faster if it's life threatening.
Thank you only if They do?

They do not!

Try it some time and say oh, I do not have insurance!
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  #5  
Old 05-23-2007, 07:19 PM
AKA_Monet AKA_Monet is offline
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Originally Posted by PM_Mama00 View Post
24 hours for an MRI or CT? I know in this area you get in as soon as you can with either of those, and it's definitely not as long as 24 hours. Well, MRI depends on if it's in the hospital or mobile MRI. Even so, at least in this area, there are plenty of radiology clinics opening up. If it's a STAT case, they will get in and they're images will be read right away, so long as mobile MRI is there. That's how I remember it when I worked at one. I don't remember if we got any emergency room patients, but I just assumed that in the ER they'll get in faster if it's life threatening.
When I fainted at my job in Dallas, they gave me a CT scan. That's because I worked for UT Southwestern and my professor was Assistant Chief of Cardiology. So yes, one can get these things within minutes but it is all about who you know and who you are to get them.

But a 1.8 Tesla Magnet take time to heat up...
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  #6  
Old 05-23-2007, 04:37 PM
OneTimeSBX OneTimeSBX is offline
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i have a cousin who insists she take her 2 year old to the emergency room everytime he breaks a 100 degree fever. she is also so lazy, she doesnt have any insurance on the boy (when she could easily get medicaid for him). yes, people like that tie up the emergency room. 99% of that stuff is a virus, and they will tell you to let it run its course. i believe in better safe than sorry, but when i am in line behind 14 kids with a non-treatable virus and my leg is hanging by a thread, i need those 14 kids to be at home in bed! (i feel justified in saying that since i have a child and she goes to the emergency room ONLY if she is severely sick and it is 3am.)

yes, aka_monet, lets educate people on what qualifies as an emergency.
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  #7  
Old 05-23-2007, 07:29 PM
AKA_Monet AKA_Monet is offline
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Originally Posted by OneTimeSBX View Post
yes, aka_monet, lets educate people on what qualifies as an emergency.
It is not about what qualifies as an emergency, because people wait too long before something can be done to have full resolution.

It is about knowing your body and if something is "out of whack" that makes the decision to go to an emergency room or not.

That's only for adults.

For children, I would probably go every time if my child broke a 100 F temperature. But, I would also how my kid operates when they have problems. I would see how they "pay attention" to things, I would see how they eat and drink. I would make every observation I can to ensure the best health for my child. Some people think it is cool to smoke around children... Then wonder why children get sick. Some people think it is cool to not feed their children or to feel them inappropriate stuff. Then wonder why the children are starving, unruly or morbidly obese at 7 years old.
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  #8  
Old 05-23-2007, 07:56 PM
UGAalum94 UGAalum94 is offline
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Quote:
Originally Posted by AKA_Monet View Post
It is not about what qualifies as an emergency, because people wait too long before something can be done to have full resolution.

It is about knowing your body and if something is "out of whack" that makes the decision to go to an emergency room or not.

That's only for adults.

For children, I would probably go every time if my child broke a 100 F temperature. But, I would also how my kid operates when they have problems. I would see how they "pay attention" to things, I would see how they eat and drink. I would make every observation I can to ensure the best health for my child. Some people think it is cool to smoke around children... Then wonder why children get sick. Some people think it is cool to not feed their children or to feel them inappropriate stuff. Then wonder why the children are starving, unruly or morbidly obese at 7 years old.
And I'm guessing that you might take your kid to his or her regular doctor during the day when you realized that he or she was sick rather than waiting until the fever was that high.

This is one of those areas of reform that we do need to address. The whole it'd be cheaper and better for health if people saw doctors before it was an emergency situation, but you're only entitled to care you can't pay for if it's an emergency.
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Old 05-23-2007, 10:54 PM
PM_Mama00 PM_Mama00 is offline
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Quote:
Originally Posted by Tom Earp View Post
Thank you only if They do?

They do not!

Try it some time and say oh, I do not have insurance!
Only if they do what? I duno what the fuck you are saying.

Quote:
Originally Posted by AKA_Monet View Post
When I fainted at my job in Dallas, they gave me a CT scan. That's because I worked for UT Southwestern and my professor was Assistant Chief of Cardiology. So yes, one can get these things within minutes but it is all about who you know and who you are to get them.

But a 1.8 Tesla Magnet take time to heat up...
I don't know too much of the medical lingo. What's a 1.8 Tesla Magnet?
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  #10  
Old 05-24-2007, 12:10 AM
AKA_Monet AKA_Monet is offline
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Originally Posted by PM_Mama00 View Post
I don't know too much of the medical lingo. What's a 1.8 Tesla Magnet?
How much power a magnet can pull and how far through the tissue one can detect.

GE, Phillips and Siemens make MRI in full detail.
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  #11  
Old 05-24-2007, 12:59 AM
SOPi_Jawbreaker SOPi_Jawbreaker is offline
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This is slightly off on a tangent. Awhile back I had read an article on msn.com (can't find it now ). It was about the differences in men's and women's health and specific things women should be aware of and vigilant about. One of the things they mentioned in the article is that there is still sometimes an old-fashioned tendency to take men's pain more seriously and to dismiss women's pain as "oh she's just being hysterical/whiny/over-dramatic/exagerating/difficult/etc". When I read the first couple sentences of the article about the woman who died, I thought about the msn.com article. Perhaps, the staff thought "oh she's not really in that much pain, she's just complaining for attention or to be difficult". Not saying that the staff ignoring her was right, but this could be a possible explanation for how they could have let her yell for help for 90 minutes without doing anything.
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Old 05-24-2007, 12:08 AM
AKA_Monet AKA_Monet is offline
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Originally Posted by Alphagamuga View Post
And I'm guessing that you might take your kid to his or her regular doctor during the day when you realized that he or she was sick rather than waiting until the fever was that high.

This is one of those areas of reform that we do need to address. The whole it'd be cheaper and better for health if people saw doctors before it was an emergency situation, but you're only entitled to care you can't pay for if it's an emergency.

No I think I said:

Quote:
But, I would also how my kid operates when they have problems. I would see how they "pay attention" to things, I would see how they eat and drink. I would make every observation I can to ensure the best health for my child.
The difference between lay people and me is I can go to Cecils, Harrison or MD Consult to get my answers when my child's sick--if I had a child

Moreover, I have the phone numbers of several physicians to run down their symptoms and can get "scripts" relatively easily.

As far as care entitlement, one is entitled to stabilization of their condition. I don't know? An emergency room physician would be a better person to ask. But, you cannot get quality of care through the emergency simply because in that situation there are other patients whose health situations are worse--like gun shot to the head victims... A tear in the bowels will not be known until blood, urine and fecal matter is lab tested before full treatment. Depending on that particular day, the patient can wait in the waiting room area or they can go home. Patients are free to decide their healthcare...
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  #13  
Old 06-13-2007, 03:32 PM
OneTimeSBX OneTimeSBX is offline
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i agree, not one person knows your body like you do. as a mother, i can tell when it is one of those emergency room visit type of illnesses. i always call the nurse/doctor on call before anything drastic. several times i have saved $ and time by communicating with professionals before doing anything drastic in a panic.
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