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Preview: Comments on: 2005 CDC ED Visits

Comments on: 2005 CDC ED Visits



Ramblings of an Emergency Physician in Texas



Last Build Date: Sat, 02 Dec 2017 13:18:31 +0000

 



By: Name (required)

Thu, 24 Apr 2008 03:55:16 +0000

Morris sure seems to have a high opinion of his own thoughts. That's the most interesting way to spell "characature" I've ever seen.



By: Judy Johnson

Mon, 03 Dec 2007 23:02:22 +0000

I agree with the last comment...when do we stop subsidizing. I am in an urgent care and it is invariably the Medicaid patients who bring in 5 kids at a time, cannot fill out forms, do not have their information with them, and bitch royally about how awful it is that Medicaid does not pay for Tylenol caplets over Tylenol tablets....and they insist that I speak their language. the system is not going to stand this too much longer without a complete breakdown.



By: Electra

Thu, 22 Nov 2007 02:14:08 +0000

Who cares if or why they go to the ER more? Unless they've paid SS for years to cover this sort of thing, then they are getting a free ride and it needs to stop!! FREE for everyone or FREE For NO ONE!! That's the way it should be. I'm sick and tiered of working my ass off so someone else can sit back and get free day care, free health insurance, free food stamps, free gas, free fuel assistance, free college, minority job rights, and the list goes on. If you took all state aid away from people who are capeable of working (not the elderly who had money taken out of their checks for years to cover this sort of thing)and made it mandatory that they pay their bills and take care of their own kids, I bet you any amount of money that you would see a huge decrease in the amount of unwanted pregnancies, and people would find a way to make ends meet. Go ahead and give people a free ride and they will more then definitely take it. Who pays for all of this....ME and the rest of us honest, hard working, citizens!! I want to know when it's their turn to pay up!! When do I get my free ride (after all I've paid my dues already)!! We need to stop PAYING people to make bad choices and bad decisions. We need to start making them accountable for their own actions!! What are we teaching them by giving them a free ride when they make a bad choice? Hmmmmmmmm I wonder?



By: Paramedic Tim

Sat, 29 Sep 2007 00:05:25 +0000

It's a long way to go for a commentary on socialized medicine, but I promise it's in here = ) I had a 'save' last year that keeps coming to mind; a 70 pound 89 year old dialysis patient with a history of renal failure, multiple strokes completely aphasic and normally has no voluntary movement, found severely hypoxic by the nurses aid. 'Full Code' status. Even though we didnt really want to, we used her dialysis catheter as an emergency access, sedated and paralyzed her, since she was clenching her teeth, intubated her and ultimately brought ETCO2 from 80 to 40 before we arrived at the local ER. The patient's family wanted everything possible done to 'save' great grandma... because 'she's not ready to go yet', so they treated her pneumonia, now she's back in the nursing home, with a new trach and new peg tube. So take this person, who is most likely utterly miserable, unable to move, scratch, communicate, or even turn off the TV; How many medicaid and medicare dollars, do you suppose to takes, to warehouse, feed, water, transport, dialyze thrice a week, and provide medical care? Would it change the opinion of the family members if they had to care for great grandma themselves? Or pay even part of the tab to keep her like she is? Would any politician have the cajones to be outraged by such a thing? It certainly breaks my heart.



By: Lori

Thu, 02 Aug 2007 03:47:08 +0000

"If three or more patients from the same family are signing in together to be seen in the ER, it is almost certain that they are covered under Medicaid (and thus they have no copay). Even insured families in car accidents don’t typically check the asymptomatic kids in to be evaluated." Absolutely right!



By: RickHatesYou

Thu, 02 Aug 2007 01:13:42 +0000

Wow.



By: Jen N. RN

Thu, 02 Aug 2007 00:52:55 +0000

AMEN TO THAT MY SISTER!!!!!! Couldn't have said it better myself! Re: MyOwnWoman



By: MyOwnWoman

Wed, 01 Aug 2007 15:03:04 +0000

RE: James Wilks MD You had two patients arrive in the ED. Did you see them in the office prior to sending them to the ER or did they go there directly themselves? I'm just curious because I'm an ER nurse who sees on a daily basis PCP sending their patients to the ER for a complete work up when they know full well they will be an admission. Patient #1: 77-HTN-TIA-CRF-N/V and abdominal pain. Is he an admission? I'm guessing yes. Patient #2: 80ish with CAD, S/P CABG, CHF, decreases LVEF. Is he and admission? I'm guessing yes. Why not bypass the ER and make these patients direct admits and take care of these patients on the floor where they need to be, in comfortable beds instead of makeing them pay for an ER visit, an ER doctor visit, and STAT everything. Come on.... give a patient a chance to have money left over to buy his meds. I'm not implying that all patients from their PCP should go directly to the floor, there are some that need the ER to stabilize, or worse yet, prepare for surgery or are a full blown STEMI, but generally these are not the cases we see in the ER. What we see and hear is the PCP calling in and saying, "I want my patient seen now and I can do is look around and see patients in the hall and say to myself, where the hell am I going to put this patient. Hmmmm.... have I gone off on a tangent? I think I did... Sorry about that.



By: john

Tue, 31 Jul 2007 16:15:11 +0000

personally, i am against the children, peace, and tolerance. i'm a big fan of war and racism as well. and i hate the dutch.



By: john

Tue, 31 Jul 2007 16:14:05 +0000

personally, i am against the children.