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Started By
Message
re: OT Physicians. Why does ER take so damned long?
Posted on 5/25/23 at 10:19 am to Dawgfanman
Posted on 5/25/23 at 10:19 am to Dawgfanman
quote:I'd guess 80-90% of ER patients aren't true emergencies.
It’s not an emergency at that point
A shite ton obviously of people with no insurance or Medicaid that use the ER as a PCP, but you'd be surprised how many people with regular insurance do the same and go to the ER for all sorts of reasons they don't need to.
Another thing people don't understand is that the ER isn't necessarily always there to completely resolve your issue. In many instances, they will just stabilize you or give you something to hold you over and tell you to see your doctor or a specialist. People get mad about that, which is silly but they don't know any better and don't understand how an ER works.
0
Posted on 5/25/23 at 10:33 am to MDTiger 13
quote:This is another one.
There are not enough inpatient beds
The issue isn't always the ER itself being slow. You can have a 25 bed ER and at times, 15 of those beds are filled with patients that have been admitted as inpatient, but all the inpatients floors are full so there is nowhere to put them, so they sit in the ER until they get an inpatient bed, sometimes as long as 36+ hours I've seen.
So now you're # of ER beds has been cut in half or more, and you just have no chance to function successfully.
The entire healthcare process and insurance is just a huge mess.
Posted on 5/25/23 at 10:50 am to shel311
quote:
have a 25 bed ER and at times, 15 of those beds are filled with patients that have been admitted as inpatient, but all the inpatients floors are full so there is nowhere to put them, so they sit in the ER until they get an inpatient bed, sometimes as long as 36+ hours I've seen.
This isn’t exactly what it seems like either though, a lot of time this is the ER doc not wanting to make a decision and passing the buck down the line and just admitting.
Or it’s not wanting to get a bad patient satisfaction score and admitting bc the patient wants to be admitted or the family doesn’t want to deal with taking them home.
Not all admits are people that actually are sick and need to be admitted.
As others have said, the wait times are long otherwise due to nurse shortages, pill seekers and the fact that people use the ER for primary care related issues and not actual emergencies.
Posted on 5/25/23 at 11:03 am to Tempratt
Depends on the ER. You have 75% of the patients with non-life threatening issues that check into the ER when they should have went to urgent care or their PCP. If you have to wait 3-5 hours then they rated your accuity as a 4 most likely and non urgent hence the long wait. What you don't see is the ambulances coming in the back with sick patients, private vehicles showing up with drug overdoses, gun shot wounds, or cardiac arrest patients.
Posted on 5/25/23 at 11:16 am to LSU-MNCBABY
quote:Sure, that's true
Not all admits are people that actually are sick and need to be admitted.
quote:These are all reasons, but so is the inpatients clogging up the ER because the floors are full too. They are all reasons collectively.
As others have said, the wait times are long otherwise due to nurse shortages, pill seekers and the fact that people use the ER for primary care related issues and not actual emergencies.
Posted on 5/25/23 at 11:25 am to Tempratt
I have made e.r. visits a couple of times over the years for Coronary blockages but I have been 3 times for kidney stones and I tell you that is no fun if they are pussy footin' around. I have learned to ask for Toradol as soon as they verify the stone. Hey the pain meds. are great and enjoyable but Toradol is a miracle.
Posted on 5/25/23 at 11:29 am to hellsu
in my post above I mentioned getting dilaudid in the ER when I broke my back, I’m no druggie but that was one of the best feelings I’d ever had, instant relief and almost euphoric 
Posted on 5/25/23 at 11:33 am to Tempratt
If you are in the ER for 5-8 hours you probably didn't need to go to the ER.
I am not saying it doesn't happen where people should be seen in a more emergent situation and triage fricks it up, because that certainly happens, but the vast majority of the ER patients could go to one of the several urgent care clinics that are on every fricking street corner now if they don't have a primary to take care of them.
I am not saying it doesn't happen where people should be seen in a more emergent situation and triage fricks it up, because that certainly happens, but the vast majority of the ER patients could go to one of the several urgent care clinics that are on every fricking street corner now if they don't have a primary to take care of them.
Posted on 5/25/23 at 11:34 am to CarRamrod
quote:
my wife's appendix ruptures OLOL made her wait 8 hours in pain before they brought her back.
How did this not poison her?
Posted on 5/25/23 at 11:39 am to 777Tiger
quote:
in my post above I mentioned getting dilaudid in the ER when I broke my back, I’m no druggie but that was one of the best feelings I’d ever had, instant relief and almost euphoric
That high is sweet but I was on them long term for issues with sciatica and for ongoing issues with kidney stones and when I realized they could become a problem I cold turkeyed off of them twice and that was not a pleasant experience.
Posted on 5/25/23 at 11:43 am to Privateer 2007
quote:
Poor people, and illegals using it as primary care.
100% and then when they send a bill the poors use it for toilet paper.
Same reason my health insurance costs 4 times what it used to and doesn't cover anything. Freaking Poors and shite Birds
Posted on 5/25/23 at 11:51 am to armsdealer
quote:
If you are in the ER for 5-8 hours you probably didn't need to go to the ER.
Well if some queeb has shoved horse dick up their arse, then stay the frick out of ER.
In this case my teen daughter has
Arnold–Chiari malformation. Any head injury mandates an ER visit.
Posted on 5/25/23 at 3:34 pm to hellsu
quote:
That high is sweet but I was on them long term for issues with sciatica and for ongoing issues with kidney stones and when I realized they could become a problem I cold turkeyed off of them twice and that was not a pleasant experience.
I was given hydrocodone for an infected tooth and another time for bruised rib. That crap was less than useless. OTC Advil did more good.
Posted on 5/25/23 at 3:47 pm to CarRamrod
quote:
when my wife's appendix ruptures OLOL made her wait 8 hours in pain before they brought her back. 7pm-3am. We had our 6mo old with us. No family in town to help.
That's because you are probably timid. My wife had the same thing happen. I took her to the Oschner on Oneal Ln and she was throwing up and in severe pain and they told me it was a 4 hour wait time. I fricking lost it on every single person behind the desk. I was cussing and being loud as shite and finally they let us through to see a doctor 15 minutes later. She had to have emergency surgery like an hour later
Posted on 5/25/23 at 8:49 pm to Tempratt
quote:
Well if some queeb has shoved horse dick up their arse, then stay the frick out of ER.
I have no idea what this means...but my friend's uncle used to be an ER nurse and his favorite shift was graveyard on weekends. You could have a pretty decent garage sale with the items he pulled out of people's (both genders) arse between 2 and 5am
Posted on 5/25/23 at 8:53 pm to lsuson
quote:
What you don't see is the ambulances coming in the back with sick patients, private vehicles showing up with drug overdoses, gun shot wounds, or cardiac arrest patients.
Two Choppers came and went while there and probably 6 ambulances.
Posted on 5/25/23 at 8:59 pm to LSUGrad9295
quote:
Well if some queeb has shoved horse dick up their arse, then stay the frick out of ER. I have no idea what this means
That reference was to the case with guy that was a Boeing engineer that had a horse frick him and he died in the car outside. He was obviously brilliant but a total idiot in the realm of common sense.
Posted on 5/25/23 at 9:51 pm to Tempratt
quote:
That reference was to the case with guy that was a Boeing engineer that had a horse frick him and he died in the car outside
My bad. I missed that one. Posted on 5/25/23 at 9:52 pm to Tempratt
quote:
Boeing engineer that had a horse frick him and he died in the car outside. He was obviously brilliant but a total idiot in the realm of common sense.
nuh uh!
Posted on 5/25/23 at 9:55 pm to Tempratt
WR rooms assess you the second you walk in. They prioritize. Most health systems are Flo g the root e of the local “er” walk in. I am not sure where you live.
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