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re: RE: an ER in NBR - It appears the numbers are finally coming to light...

Posted on 6/13/16 at 2:56 pm to
Posted by tigerinthebueche
Member since Oct 2010
36791 posts
Posted on 6/13/16 at 2:56 pm to
quote:

What if the tables were turned? What if black people got 99% of the millions in contracts the city and state give out,



so he feels the situation is unfair? as a poster suggested previously, lets look at taxes and which group/geographic area pays more or higher property taxes.
Posted by OweO
Plaquemine, La
Member since Sep 2009
113978 posts
Posted on 6/13/16 at 2:57 pm to
How valuable was EKL to Baton Rouge? It seems like it would have been a good place to work for anyone who was a resident or fresh out of med school. Does anyone agree that shutting it down was the right thing to do?
Posted by meauxjeaux2
watson
Member since Oct 2007
60283 posts
Posted on 6/13/16 at 2:58 pm to
i had my thyroid removed at EKL a long time ago. Doctors and staff were excellent.
Posted by SaintWest
Member since Dec 2015
31 posts
Posted on 6/13/16 at 2:58 pm to
quote:

OLOL ER is full of morons

Posted by Topwater Trout
Red Stick
Member since Oct 2010
67591 posts
Posted on 6/13/16 at 3:02 pm to
he usually emails his cardiologist and he says come see him the next morning (because he emails him at night). His cardiologist knows if he emails him its a problem not an issue lol

When I have gone to the ER I see mostly people with colds...maybe some potential broken bones or sprains etc. I think people should use the clinics for most of the stuff I see. But it seems some have an attitude of "I want the same care they are getting" even though they aren't even paying.

I would love to know what percentage of patients should never even go to the er.
Posted by lsunurse
Member since Dec 2005
129036 posts
Posted on 6/13/16 at 3:03 pm to
Where I work at is a hospital that has a similar patient population....mostly poor people that either don't have insurance at all or only Medicaid/medicare. It's a teaching hospital and while it isn't the newest or prettiest hospital to work in, and the surrounding area is certainly not an area I would walk around by myself at night....it's a great place to learn as a healthcare worker. You will see a much wider variety of stuff there and have more opportunities to gain experience there than some of the "nicer" hospitals where I live at.


I've worked at some of the much nicer hospitals in my area....I much rather prefer where I work at now over them. Usually places like that(the "not as nice" hospitals).....the employees are normally good at working as a team. The facilities may suck...but you'll stay there cause you have such amazing coworkers.
This post was edited on 6/13/16 at 3:21 pm
Posted by lsunurse
Member since Dec 2005
129036 posts
Posted on 6/13/16 at 3:06 pm to
quote:

I think people should use the clinics for most of the stuff I see. But it seems some have an attitude of "I want the same care they are getting" even though they aren't even paying. I would love to know what percentage of patients should never even go to the er.


That's a nationwide problem though. When you don't have to pay a copay to go to the ER(unlike those of us with insurance), why not show up there at 2 am on a Friday night for an ingrown toenail?


I have former coworkers that now work in the ER at my hospital and I don't know how they do it. They are always telling me stories of the stupid things people go to the ER for instead of going to urgent care or a regular doctor.
Posted by lsunurse
Member since Dec 2005
129036 posts
Posted on 6/13/16 at 3:11 pm to
quote:

i had my thyroid removed at EKL a long time ago. Doctors and staff were excellent.


My dad had hip replacement surgery there over 10 years ago. Same thing...the doctors and staff treated my dad very well. He didn't have a private room, but he was ok with that and knew that was likely gonna be the case. He was just so grateful to not have the intense pain he was having any time he walked prior to the surgery.
Posted by Topwater Trout
Red Stick
Member since Oct 2010
67591 posts
Posted on 6/13/16 at 3:18 pm to
quote:

When you don't have to pay a copay to go to the ER


ridiculous.
Posted by SaintWest
Member since Dec 2015
31 posts
Posted on 6/13/16 at 3:19 pm to
quote:

emails his cardiologist and he says come see him the next morning


I'm not saying your dad does not have a problem, but what I'm saying is that its not an emergency and you further prove my point by saying that your dads own cardiologist says come see him the next morning. Do you really think that if your dad was having a true emergency that he would actually email his doctor or call 911 and if he did email his doctor that if HE thought it was an emergency that he would say come to my office the next morning or tell him to go to the emergency room now?

The problem people have is perspective, they always think that they or their loved ones problems are the most important issue at the time without realizing that other people may need more immediate medical care than they do.

And god forbid that you or someone in your family face a true emergency or trauma such as being shot or in a serious car accident but since OLOL ER is "full of morons" be sure to inform the ambulance driver that you refuse to be taken to OLOL and let me know how that turns out.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27012 posts
Posted on 6/13/16 at 3:21 pm to
How many free standings have made it to LA? And how many urgent cares? Unless polar opposites of Texas you do realize that urgent cares and free standings only take insurance?

It is essentially concierge medicine but in ER to Urgent setting. People pay not to wait. You show insurance before you are seen. Even in ER it is explained to the patient that Medicare is not accepted. Emergencies will be stabilized only and shipped. You will get a bill. Patients trying to work the system and bypass a waiting room are going to get an EKG and an aspirin and they're gonna wait. And the bill you receive will be astronomical. This information turns most people away. Which it should. You SHOULD have gone to a full service hospital ER.

Now if the ER is an extension of a larger hospital. Like OLOL opens an ER on the other side of town, they take M&M. If you are part of the program and open another ER it must take M&M.

Legislation keeps coming and is one step behind the privately owned places, but only one step. And the ER are running out of steps to make. Soon they will all be shut down or changes will make them no longer worth the trouble.

A free standing should NEVER be used for traumas or for that matter for patients who truly feel they may die. You think you're having the big one call 911. You are wasting a step by going to a free standing. In addition realize most free standings have 2 nurses, one doc, and a rad tech. TOPS! Some have less. You want to watch monkeys frick a football? Walk into one with a GSW.

By the posts I am reading on here these are brand new to Louisiana in general. Correct me if I am wrong?
Posted by cfa626
Member since Apr 2016
561 posts
Posted on 6/13/16 at 3:25 pm to
how is Gary making money off of this? Is Champion paying him?
How does Gary make money anyway? The Rouge can't be that popular.
Posted by Topwater Trout
Red Stick
Member since Oct 2010
67591 posts
Posted on 6/13/16 at 3:27 pm to
quote:

Do you really think that if your dad was having a true emergency that he would actually email his doctor or call 911 and if he did email his doctor that if HE thought it was an emergency that he would say come to my office the next morning or tell him to go to the emergency room now?


Let me clarify...when he has gone to the er it has been at the urging of his cardiologist...and just to let you know every time he has gone to the er he was admitted and had a procedure done. So I think he is a good judge of whether or not he needs to go to the er.

The last time though they were doing xrays and some other meaningless test that my ex who works in the CICU said "wtf are they running those test for they know he has a history of heart disease, had a bypass a ton of stents done"

quote:

The problem people have is perspective, they always think that they or their loved ones problems are the most important issue at the time


Not even close with me and my family.

quote:

And god forbid that you or someone in your family face a true emergency or trauma such as being shot or in a serious car accident but since OLOL ER is "full of morons" be sure to inform the ambulance driver that you refuse to be taken to OLOL and let me know how that turns out.


can I just get a bracelet that says do not take to olol?
Posted by lsunurse
Member since Dec 2005
129036 posts
Posted on 6/13/16 at 3:28 pm to
Sounds like BR should have made it a priority to do whatever it took to keep the ER at BRG midcity open. They seriously fricked up on that one.

I don't know much about free standing ERs. I think they seem pretty pointless imo. Just call it what it really is...a 24/7 urgent care.


By calling it an ER, it's easy for the public to misunderstand what it is really capable of treating. People see "ER" on a free standing ER and may assume it can handle anything and have some false sense of security if they live close to one.






Posted by Parallax
Member since Feb 2016
1450 posts
Posted on 6/13/16 at 3:30 pm to
Free standing ERs are a joke. I believe they are more prevalent in Texas than elsewhere.
Posted by lsunurse
Member since Dec 2005
129036 posts
Posted on 6/13/16 at 3:33 pm to
Never been to one.


These have popped up in PHX metro area though. Very misleading imo...

quote:

Dignity Health Arizona General ER is a fully-equipped, 24-hour emergency room located just minutes from your home. By taking the emergency room out of the hospital and placing it in your neighborhood, we've made it easier to get an ER when you need emergency care, while reducing patient wait times to near zero.

We offer the same level of care found in a hospital ER. Our doctors and nurses are certified in emergency medicine, and our facility features advanced diagnostic equipment along with an on-site lab. Come see us for any emergency, major or minor.





LINK
This post was edited on 6/13/16 at 3:35 pm
Posted by BilJ
Member since Sep 2003
158770 posts
Posted on 6/13/16 at 3:34 pm to
quote:

Is it because their officers are in south Baton Rouge?


so is yours fat albert

quote:

When I read the Business Report I question the humanity of its leadership often.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27012 posts
Posted on 6/13/16 at 3:49 pm to
quote:



I don't know much about free standing ERs. I think they seem pretty pointless imo. Just call it what it really is...a 24/7 urgent care.





Untrue. I've worked in all 3. Hospital ER, urgent care, and now two free standings.

ERs have to have CT scan, X-ray, and Ultrasound. Urgent Care needs none of these. Urgent Cares do not have to stabilize any more than an MD office does. They just call 911. Free standings must stabilize and calling 911 needs justification. As long as you can justify remotely that you were doing what's right for the patient. But they have full diagnostic capability. Then you ship if needed. Hospitals are quick to take the privately owned ER patients because they are 90% of the time insured.

quote:

By calling it an ER, it's easy for the public to misunderstand what it is really capable of treating. People see "ER" on a free standing ER and may assume it can handle anything and have some false sense of security if they live close to one.



There is something to this. Some is just learning curve and some is shady marketing. One place that I work wants EVERYTHING and we keep them too long. Heart attack? GTFO. Stroke GTFO. Ship them. Some folks have an absolute hard-on to give TPA. They will not have a face to face with a neurologist before administration. And we must keep that patient for the bolus (obviously) and the hour infusion afterward. They are too eager. A status change after TPA is begun indicates a bleed. We can't do dick about a bleed.

They have their purpose. You got a kidney stone? Want to sit in a lobby for 3 hours? Come see us. Possible appendicitis? Come see us. We aren't taking it out, but we will initiate treatment and get you to a surgeon.

You got shot? Call 911. A pit bull tried to eat your 4 year old head and face? Call 911.
Posted by BilJ
Member since Sep 2003
158770 posts
Posted on 6/13/16 at 3:51 pm to
quote:

To all the people who ask, why does it have to be Champion to do the ER in north Baton Rouge.
Yes we want them. No one else was interested before them. I'm sure you've had someone do something for you before who didn't really want to do it. They probably half tail did it. I don't want someone to come into my community after they said we didn't need an ER and give us a "Advanced Care Center" not an ER. Scott Wester CEO of OLOL said "it is a myth they need an ER in north Baton Rouge."
Not to mention, no one had a plan before the ?#?NBRNow? Blue Ribbon commission got this partner, now they want to disrespect our work and offer a lesser proposal for our community. Why didn't all these white people show interest before. The commission is made up of 9 people of color. Six of them are people with PH.D. level education. It is disrespectful to us and our efforts. It is shameful that black people some in the community some in the legislature aren't supporting the black group that got a tangible solution to a MAJOR problem.
It's like a football game where we run the ball to the one yard line and let the white guy score the touchdown so his stat sheet says he got so many points. That's wrong, and we as a community should be able to see that. No one was willing to address this problem before. We need people not just with the ability, but the will to help us!


Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27012 posts
Posted on 6/13/16 at 3:53 pm to
quote:

Never been to one.


These have popped up in PHX metro area though. Very misleading imo...




Adeptus health is parent company. Called First Choice in Texas. They have a hospital in Arizona. This was to respond to legislation changes in Arizona.
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