tag:blogger.com,1999:blog-3856837.post3426691826006629550..comments2023-10-24T09:06:30.200-04:00Comments on No More Mister Nice Blog: Steve M.http://www.blogger.com/profile/11963290427258439242noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-3856837.post-12839947432762772462014-10-06T12:32:21.500-04:002014-10-06T12:32:21.500-04:00I think Fraud Guy is onto something. The "cos...I think Fraud Guy is onto something. The "cost trimming" in hospitals and medical practices, powered by insurance companies and Medicare, are lowering reimbursements to healthcare institutions and doctors, forcing professionals and their staff to see more people, in less time, for fewer bucks.<br /><br />What did you expect to get for that – healthcare improvements?<br /><br />All insurers, including Medicare, have to shell out more. Otherwise, you'll find not only Ebola-sized mistakes, but also more docs fleeing patients who are covered by insurance in favor of richer patients who can afford healthcare without insurance. It's already not only starting to happen, but accelerating in some areas. And that, too, will create more privilege for the rich and lousy healthcare for the rest of us.<br /><br />Yours crankily,<br />The New York CrankThe New York Crankhttps://www.blogger.com/profile/04489472134701718697noreply@blogger.comtag:blogger.com,1999:blog-3856837.post-76098486312217590932014-10-05T14:27:53.968-04:002014-10-05T14:27:53.968-04:00Can't we just blame Obama?Can't we just blame Obama?mervishttps://www.blogger.com/profile/06221344073971499008noreply@blogger.comtag:blogger.com,1999:blog-3856837.post-77955168008978941782014-10-05T13:06:03.429-04:002014-10-05T13:06:03.429-04:00My sister-in-law had no medical insurance when she...My sister-in-law had no medical insurance when she started having severe pain in her abdominal area. In order to save money, I took her to a private clinic that would cost less than an ER visit would in case is wasn't appendicitis.<br /><br />The doctor at the clinic said that she displayed all the classical signs of appendicitis.<br /><br />When I took her to the ER, the doctor asked if she had had a BM that morning. Told that she did, the doctor stated she probably didn't have appendicitis, because it's not usual that one can have a BM without bursting the inflamed appendix. <br /><br />Fortunately for my S-I-L, they ran a quick MRI on her and found, that yes, she did have appendicitis, and, looking back at her history, she probably had a chronic, ongoing low-grade infection until it flared up, which, of course, would allow for a BM that wouldn't bust her appendix like a squeezed grape.<br /><br />This wasn't even zebra tracks, it's just the fact that in some cases, infections won't act like they do in the majority of the population or the textbooks about them.Dark Avengerhttps://www.blogger.com/profile/02220642215040873632noreply@blogger.comtag:blogger.com,1999:blog-3856837.post-50172736784336382892014-10-05T12:25:13.080-04:002014-10-05T12:25:13.080-04:00Exactly.Exactly.Steve M.https://www.blogger.com/profile/11963290427258439242noreply@blogger.comtag:blogger.com,1999:blog-3856837.post-17177203153237132862014-10-05T12:20:06.978-04:002014-10-05T12:20:06.978-04:00For reasons that remain unclear, nurses and doctor...<i>For reasons that remain unclear, nurses and doctors failed to act on that information, and released the patient</i><br /><br /><b>Doctors</b> released the patient. As far as I know, nurses don't have that authority.Glennishttps://www.blogger.com/profile/03681336164718681936noreply@blogger.comtag:blogger.com,1999:blog-3856837.post-51049762536145818872014-10-05T10:30:44.401-04:002014-10-05T10:30:44.401-04:00Mr. Aimai and I onceworked on a computer based sim...Mr. Aimai and I onceworked on a computer based simulation to train ER doctors on how to spot anthrax. This turns out to be basically impossible unless there is an Anthrax scare on that is in the forefront of everyone's mind-and even then you would probably get hundreds of false positive diagnoses rather than catch the real one.<br /><br />ERs are not a great place to catch a serious disease that is a) unusual and b) unfolding. All these illnesses present looking just like a more or less severe version of something totally normal. Unless it has progressed so far that the patient is incapacitated and needs to be hospitalized the patient is going to be sent away from the ER. There is ENORMOUS pressure on ERs and hospitals not to admit people "just for observation" or on a hunch.<br /><br />Patient zero is almost always going to be missed. That's just the reality of the situation.aimaihttps://www.blogger.com/profile/03956073425680585780noreply@blogger.comtag:blogger.com,1999:blog-3856837.post-80153073350920294092014-10-05T09:47:07.123-04:002014-10-05T09:47:07.123-04:00Your (very) plausible theory RE: who f'kd up i...Your (very) plausible theory RE: who f'kd up illustrates why tort reform is so dangerous.mlbxxxxxxhttps://www.blogger.com/profile/05931351723996391533noreply@blogger.comtag:blogger.com,1999:blog-3856837.post-61304068026452729182014-10-04T23:38:09.131-04:002014-10-04T23:38:09.131-04:00Or, most of the interaction with the patient was w...Or, most of the interaction with the patient was with much lower paid patient access/receptionist, then a CNA gathering data, with the nurse and/or the doctor coming in for a few moments each.<br /><br />Hospitals around here are cutting pay and increasing responsibility and workload for now part-time "on call" patient access staff who now need CNA accreditation. Patient access used to pay $15-17 an hour, and CNAs got about $20, but now the positions are combined and being paid $12 an hour.Fraud Guyhttps://www.blogger.com/profile/17571602929497765518noreply@blogger.comtag:blogger.com,1999:blog-3856837.post-60838150883620217882014-10-04T22:13:20.667-04:002014-10-04T22:13:20.667-04:00Great minds think alike:
http://www.newyorker.com...Great minds think alike:<br /><br />http://www.newyorker.com/news/daily-comment/ebola-epidemic-stoppablebgnhttps://www.blogger.com/profile/07110058388805605682noreply@blogger.com