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re: 250K Americans die per year from ER misdiagnosis.

Posted on 12/16/22 at 12:38 pm to
Posted by dgnx6
Member since Feb 2006
85823 posts
Posted on 12/16/22 at 12:38 pm to
Trust the doctors.
Posted by OweO
Plaquemine, La
Member since Sep 2009
120100 posts
Posted on 12/16/22 at 12:43 pm to
quote:

What does this have to do with a misdiagnosis?



More problems the better chance there will be a misdiagnosis.

If I go to the doctor for something one time in a year, there is a good chance they will diagnose it. If I go to the doctor five times in a year with different issues that increases the chance of something being misdiagnosed.

Doctors are human. Even Michael Jordon had bad games from time to time.
Posted by studentforlife
Member since Jun 2013
81 posts
Posted on 12/16/22 at 12:43 pm to
quote:

You’re comparing socialized healthcare systems to ours.



It is even worse than that. 2 most egregious things:

The 250K preventable death estimation is extrapolated from a single study performed in 2004, with data from a sample of 503 patients drawn from the high acuity area of an Emergency Dept in an academic center in Canada, in which a single patient died. If they were trying to be honest with themselves, they would've reconsidered throwing this "estimate" out there when their own reported 95% confidence interval on this was and absurdly large 6,250 to 1,375,000 preventable deaths per year.

The 5.7% estimated overall diagnostic error rate is based on a weighted average of 2 studies performed in countries (Spain and Switzerland) that did not even have Emergency Medicine Residencies at the time of the studies (Switzerland still doesn't).

This is clickbait trash.
Posted by Jcorye1
Tom Brady = GoAT
Member since Dec 2007
76373 posts
Posted on 12/16/22 at 12:44 pm to
I am honestly shocked it's not more. It's a high pressure job where you have basically no prior knowledge of the people going to the ER and so many people use it as a regular doctor's office / Urgent Care.
Posted by RogerTheShrubber
Juneau, AK
Member since Jan 2009
296267 posts
Posted on 12/16/22 at 12:47 pm to
quote:



They arent supposed to be able to read one


Well, he sure pulled a diagnosis out of his arse that wasn't remotely accurate.
Posted by Red Drum
Coast
Member since Sep 2007
1937 posts
Posted on 12/16/22 at 12:51 pm to
quote:

250K Americans die per year from ER misdiagnosis.


This is extremely misleading and frankly dangerous.

This number is extrapolated from error and harm rates from ER’s in Canada, Spain, and Switzerland, stating in the article “if overall rates are generalizable to all US ER visits this would translate to ….”

The study admitted to high variability with miss rates of 0% for some diseases at one hospital to 29% at another.

So, if the assumption that your ER of choice is equivalent to an “ER” in northern Manitoba is accurate, then yeah you’re fricked.

Posted by Darth_Vader
A galaxy far, far away
Member since Dec 2011
72152 posts
Posted on 12/16/22 at 12:52 pm to
About a week or two before I was put in the hospital for my open-Herat surgery my wife took me to the ER one night because I was struggling to breath and my ankles had swollen to the point they looked ready to pop. I was by then about three months into fighting what my personal Dr had misdiagnosed as pneumonia. The ER Dr took x-rays and told me and my wife the x-ray confirmed pneumonia and “my heart looked a bit enlarged so I should go see a cardiologist after I’m over the pneumonia.” My wife begged her to admit me to the hospital and do more tests. She was adamant there was something beside pneumonia wrong with me. The ER Dr. told her “I have no medical reason to admit him.”

I would find out days later I never had pneumonia and was in fact in the final stage of congestive heart failure.
Posted by Richard Grayson
Bestbank
Member since Sep 2022
2149 posts
Posted on 12/16/22 at 12:57 pm to
Sounds like a big number. That’s why it’s written that way.

Looking at percentages that’s less than 0.1% of the US population. I’d like to see how many people visit the ER and what percentage of these deaths are compared to overall ER visits and diagnoses.
This post was edited on 12/16/22 at 12:58 pm
Posted by Red Drum
Coast
Member since Sep 2007
1937 posts
Posted on 12/16/22 at 12:58 pm to
Sounds like you did not need to be emergently admitted and after meeting you just one time, did what your primary didn’t do and sent you to the right specialist.
Posted by VADawg
Wherever
Member since Nov 2011
47690 posts
Posted on 12/16/22 at 12:58 pm to
quote:

Even worse, nurses want to take a few online classes on nursing theory


I'm assuming nursing theory is more Marxist horseshite like critical theory or queer theory.
Posted by cwil177
Baton Rouge
Member since Jun 2011
29554 posts
Posted on 12/16/22 at 12:58 pm to
quote:

Had a dude at work a month ago who insisted on going to the ER because his stomach hurt… and no, that’s not a joke or embellishment

That’s not even bad. Ringing in my ears for 20 years in a healthy 30 year old. Congestion. Hip pain for 2 years. Neck pain for 50 years. The job has become a glorified primary care clinic for the uninsured/Medicaid population (in addition to the regular volume of the emergencies). It will get worse next year with the cuts to Medicare payments.
Posted by cwil177
Baton Rouge
Member since Jun 2011
29554 posts
Posted on 12/16/22 at 1:01 pm to
quote:

I almost died because of a misdiagnosis by an ER triage nurse at Our Lady of the Lake Hospital. Thankfully, the ER doctor that finally examined me hours later correctly diagnosed my life threatening condition. It was a close call, but I survived after emergency surgery and more than a week in the hospital. I won't go to the the ER at OLOL ever again.

You’re not going back to the hospital that saved your life because your wait time was a little longer than it should have been?
Posted by Darth_Vader
A galaxy far, far away
Member since Dec 2011
72152 posts
Posted on 12/16/22 at 1:03 pm to
quote:

Sounds like you did not need to be emergently admitted and after meeting you just one time, did what your primary didn’t do and sent you to the right specialist.


She didn’t send me anywhere. She prescribed more meds for the pneumonia I didn’t have and sent me home. She didn’t even mention CHF, Just said I should go see someone for it after I was “over” the pneumonia is been told for three months I had. She even explained away the severely swollen ankles in the same way my quack personal doctor did, by claiming the steroids they prescribed me were causing it.
Posted by cwil177
Baton Rouge
Member since Jun 2011
29554 posts
Posted on 12/16/22 at 1:08 pm to
quote:

This is clickbait trash.

This has never stopped the OT, or any agenda-driven critics, from applying sweeping generalizations to our entire system.
Posted by Seen
Member since Aug 2022
1127 posts
Posted on 12/16/22 at 1:25 pm to
ER is to stabilize you and keep you alive until your actual diagnosis or specialist can fix you. Trauma (depending on severity) heart attack, stroke are a few things they can fix. Many ERs though can’t fix STEMIs or strokes and have to send you off. Some just don’t have good staffing or good equipment. Biggest issue is the people over running ERs for non emergencies.

As a former paramedic it’s infuriating seeing what they put up with. People love to hate on doctors but their job in the ER sucks, and many times is a lose lose situation no matter how people feel about it.

And like others have said, article in OP is a trash article
This post was edited on 12/16/22 at 1:26 pm
Posted by blueagateblues
Member since Sep 2022
252 posts
Posted on 12/16/22 at 1:34 pm to
But I was told the United States has, far and away, the best healthcare in the world, and the other countries with universal healthcare were cesspools.
Posted by Scruffy
Kansas City
Member since Jul 2011
76546 posts
Posted on 12/16/22 at 1:35 pm to
quote:

But I was told the United States has, far and away, the best healthcare in the world, and the other countries with universal healthcare were cesspools.
Well, this study apparently used other countries’ data to then extrapolate what the rate would be in the USA.

Posted by upgrayedd
Lifting at Tobin's house
Member since Mar 2013
138103 posts
Posted on 12/16/22 at 1:39 pm to
From my time with my father in the hospital recently, I can assure you that you are your only advocate. Most of those people have no clue what's going on, nor do they care.
Posted by Auburn80
Backwater, TN
Member since Nov 2017
9606 posts
Posted on 12/16/22 at 1:43 pm to
quote:

As someone who works in Healthcare and in close contact with ERs, I don't disagree with this.


They are also having to deal with all the people wanting free care who haven’t been to the doctor in a decade. No history of any kind to go on. Add in the drug seekers who are lying their arse off and it’s not an easy situation.
Posted by BoudinChicot
Member since Sep 2021
2160 posts
Posted on 12/16/22 at 1:43 pm to
Had to bring my 2 year old son to the ER recently for severe allergic reaction to fire ants and it was like footage you see of hospitals in war zones.

They unloaded us in this super cramped hall way where ambulances stop because there was no where to sit and no rooms. Kid is swollen up like an oompa loompa meanwhile there are dying old people strapped to gurneys and overdosed drug addicts vomiting and fighting the police and hospital staff.

Took hours to get into a room. This was at 10am on a Wednesday. I can't imagine what those places are like after hours.

God bless everyone who has to work in these hellscapes.


From now on its private urgent care where no medicaid is accepted, I don't even care how much money it costs.
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