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I forgot to mention, the hospital was in was Level 2, and the largest psych hospitals in the state. So not just psych, but medical as well that includes all the homeless, etc being downI town. I also worked at the level 1. Busy, but you add the pysch in, and it goes crazy (no pun intended).
Honest to God I have no idea how they stay open. I would bet probably around 75% that cant/dont pay and dont ever have to worry about. Cant get blood from a stone. You or I or any working person not being able to have insurance and we have to go, theyll come after us for payment and if it a facility you work for, theyll fire you. The really cool part about is all those patients that cant pay leave a pretty good deficit. So our bill has a certain percentage in it to offset the cost? WTF?.
Georgie, I orderd Canadian Mist the other day for ETOH intoxication. Pored it dirctely into his feed tube! But rarely do it any more. Oh he was w/d at .500!
BTW, my grammer, spelling sucks. Using my phone.
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I have wished that I could just give some alcoholic patients a beer at different times, bu it probably wouldn't help much for someone that drinks 1-2 fifths per day. We usuallu end up just giving Ativan and a banana bag.
The tricky part is when alcoholics fall and you can't tell if their symptoms are coming from the alcohol or a brain bleed. They need head CTs! Someone with chronic pain doesn't need the CT, but the doctors have to order it because lawyers.
I thought I read you are in St. Louis? My post was a little confusing. The company I was referring to is based in St. Loius but thats not where I am.
Like, defibrillators dont work to restart the heart and run as fast as you can if you get a fibromyalgia (obviously they arent in on iIt, like tbe TYLER of dieasest) patient. Cause they are going to wear your ass out for narcotics under the disquise of a pseudo illness.
Every single one of these threads is always about the negative aspects of health care so I always share my opinion on all the craziness that goes down at my job. This makes some people think I have a pretty bad attitude and shouldn't be in nursing.
When I am actually able to do my job I love it. The other day they brought in a lady who was having a heart attack and looked like complete shit, so I slapped the defibrillator pads on her. She went into cardiac arrest and we were able to shock her heart back into a rhythm very quickly. That is why I'm in healthcare. She literally died and we brought her back to life in a split second.
Heres what I can say, I had an epic day about a year ago. Personally, I brought a person back to life, w/my own two hands. As codes go, obviously I wasnt solo, Pretty good feeling as you are doing chest compressions and you get a rhythm. If I never accomplish any thing else in life, Im still ecstatic.
Same day, I was in triage a 19 yo comes in with labor pains. I didnt think anything of it, they all say it but really not an emergency. She walked in @ 09:01 and full delivery at 09:08. I delivered that baby, in the triage room , totally by myself. Not much can top bringing a person back to life and solo delivery of a healthy baby!
What is your guys opinion on regulations. I mean If your Hospitals and ERs were allowed freedom to make their own decisions on how best to treat people. If they were not restricted by threats of lawsuits. And treatment protocols could be made by the within the Hospital without so much interference from Lawyers, Insurers, and Bureaucrats.
Do you think that people would see better care at better prices? Or do you think that it would take the handcuffs off of the Hospital and Doctors and they would charge even more, or would compromise peoples care in the name of the bottom line.
I know a lot of people think that without Govt regulation that Businesses, Hospitals, etc would just let screw people to death because that is all they know how to do. Im not saying their should be no regulation whatsoever but at some point it seems it gets very misguided and has negative effect.
One of the things I think about with Govt provided Healthcare. It seems that a lot of people think that its good that Hospitals and Doctors can be sued for these massive amounts and that it is what keeps them from killing us all or maybe forces them to be more careful or provide better care. ( I disagree). But I believe that if we had Doctors, and Hospitals owned by the Fed. Gov. no one would be able to file lawsuit against that Govt agency. I don't believe patients can sue the VA Hospital or Doctors when the are negligent. Legal action has its place for sure but it seems lawyers have been able to lobby so that they can use private health care as a piggy bank.
Less governmental money dependence, could certainly be a positive. Personally, what the market decides is accurate and fair. This is really complicated. I think there is a nice middle ground of oversight and innovation. But beware of a few things, when free market capitaliztion takes over, hospitals, for example will turn into highend hotels, that have healthcare services. Quite a few of those popping up around my area. Priorities brcome what? Money.
Middle ground would be a good place to start. Now, I want to play devils advocate for a minute. Our system is crazy, expensive, confusing and on and on. However, like almost all things in the US, money is king. So if you come out with the next lipitor, cardiac procedure, you are rewarded extremly well. So, my point is, the amount of innovation that goes on here is staggering. But it can be at a tremendous price.
Sorry, I had to stop mid post! You were probably like what the crap was that.
Also we should be able to post a sign letting people know that they will be getting stuck with a needle and they can leave if they don't want to accept that reality. Hahaha
Meh.
New world order all that crack pot stuff. We Might be actually heading that direction. Im warching too much Fox News or tuned into glen beck too much last week probably.
I wish the government would stay out of healthcare. Clinicians are competent enough to evaluate patients and care for them. If that means turning them away, so be it. Gregorian I know. But I know of many frequent flyers that would get turned away that wouldn't die. But then some episodes of American greed scare me.
But on the other side the govt will eventually dictate who will and who will not recieve care. So aren't we fighting the same monster on both sides ? One corrupt individual (greedy provider) that wants money? Over another corrupt entity that demands money ? (Govt)
My brain hurts. I can't justify either side because I think it leads to the same thing. Shit. Although I believe it be beneficial to man kind of man was determining care and not a collective group of man that make a living through control of people.
I do think there is a conspiracy to keep people fat and dumb. If people just cut out half of the sugar that they eat in a day and walked more we could probably fix the Obesity epidemic.
There is way too much money involved. Seems like the system was designed to keep people fat and dumb so that they have to spend their money on medications and need a doctor just to survive. So many Americans wouldn't need that doctor if they just knew about portion control and how important it is to stay active, not smoke, etc.
Of course, would be no way to make sure that everyone stays healthy. It's not like we can make cigarettes illegal and expect people not to smoke. I just think a lot of these problems could be fixed with education.
I realize there are people with legitimate medical conditions, I'm just talking about all the BS waste that I see everyday.
Its so much easier to grab a wheel and put it on versus recreating it and seeing if it works.
Pit Row
To hell with gastric bypass surgeries. I see more complications with them. Always within 5 years. If God wanted your asshole connected to your mouth you woulda been born as such.
You might laugh at that. But that's pretty spot on point.
You will never guess who is here. It's Mr. 40 cat scans per year himself. So far this year he has been here 60 times. Since we switched computer systems in 2008 he has had 170 x-rays or cat scans. You'll never guess who gets to pay for those....I better stop before the HIPAA police get me.
In contrast to that I spent approx 2 months at UCSD and EVERY nurse/tech/food delivery/clean up person... I had was awesome. While they might be a little more picky about who they put in the BMT wing I don't know, but they were pretty damn awesome.
TM
BTW, The first story is one of many that were a very bad experience.
Our stories have been about the large number of patients who abuse the system so much that it interferes with the care of legitimate patients, like yourself. If the non legitimate patients were not a factor, ER's would run like they are designed to. So next time you have long waits, etc. Dont blame the ER, blame the huge number of people who abuse the system. The point about the wi-fi scenario isn't about giving people something to pass the time. Its just an example to show you that with true emergencies, peoples' first priority is their health issue.
He didn't have insurance. And how likely do you think you will be to pay his bill when we can't explain why he had chest pain briefly after jumping up? We won't have any kind of answer for him because he is totally healthy and his complaint is BS, but his visit will require hours of work by the time we chart, get an EKG, start an IV, and do x-rays. This all adds up to a lot of time that could have spent on real patients.
also had a patient who got a room but didn't want to go to it yet because she wasn't ready, and once she got back 45 minutes later she refused to talk to any of us and refused any testing. She left after demanding a pair of pants and refused to sign out against medical advice when I told her that we couldn't help her. She also didn't have insurance.
Inner city: BAD. Only people that fill them out are the ones that want to bitch.
Rural area: relatively good because not many people fill them out because they don't need to bitcg. They're generally happy with their care.
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