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re: Taken to the ER, get cleared, and have to go back to the ER because they got it wrong

Posted on 9/16/18 at 8:40 pm to
Posted by Cosmo
glassman's guest house
Member since Oct 2003
132620 posts
Posted on 9/16/18 at 8:40 pm to
Idk. Ive seen rollover MVAs where the person walks away without a scratch.

The most important thing is a good physical exam which is a lost art. Nowadays they rely on everything but that to make a diagnosis,
Posted by Cotten
Tennessee
Member since Jan 2018
1876 posts
Posted on 9/16/18 at 8:40 pm to
quote:

continue to feel faint


From a broken collarbone? Not sure how this fits in here.
Posted by ell_13
Member since Apr 2013
88412 posts
Posted on 9/16/18 at 8:41 pm to
It could still be more than that.
Posted by cas4t
Member since Jan 2010
72195 posts
Posted on 9/16/18 at 8:41 pm to
There is no threshold. Most health systems have shifted to value based care. And not many ER docs, in my experience, are solo. Most are employed by the hospital or health system and they carry and pay for their malpractice insurance.
This post was edited on 9/16/18 at 8:46 pm
Posted by Jim Rockford
Member since May 2011
106047 posts
Posted on 9/16/18 at 8:43 pm to
Gordon finna eat.
Posted by Tigerbait357
Member since Jun 2011
71180 posts
Posted on 9/16/18 at 8:47 pm to
quote:

And not many ER docs, in my experience, are solo. Most are employed by the hospital or health system and they carry and pay for their malpractice insurance.


In my experience this it how it works
Posted by Martini
Near Athens
Member since Mar 2005
49696 posts
Posted on 9/16/18 at 8:47 pm to
quote:

You realize the treatment for a broken clavicle is a sling right? Unless its really displaced.




Actually it’s a figure 8 brace. I’ve cracked mine 11 times.
Posted by cas4t
Member since Jan 2010
72195 posts
Posted on 9/16/18 at 8:50 pm to
Would you agree that in theory, this would make the doc less likely to be concerned to the point of avoiding broken bones?
Posted by jdaute2
lafayette, LA
Member since Nov 2012
2336 posts
Posted on 9/16/18 at 8:53 pm to
quote:

own to about 3200. Diagnosis was gas or maybe kidney stones. Wrong!! Gallstones. I know doctors shouldn’t listen to patients when they self diagnose, but even before we headed to ER we both knew it was gallstones.

If they did an ultrasound, gallstones are pretty easy to see most of the time unless the GB was contracted. Strange they would’ve missed this bc it’s one of the most common reasons for abdominal pain and visits to the ED so they’re actively looking for GB problems. Emergency medicine is tricky. Lots of BS to sift through with “interesting” patients constantly.
Posted by Martini
Near Athens
Member since Mar 2005
49696 posts
Posted on 9/16/18 at 8:55 pm to
quote:

. Never made it to a bed or room past waiting bc it was FULL of crazy people and pregnant foreigners.



Take an ambulance to the er and you will immediately go in back and get a room. Walk in the door and you sit with the rest of the deranged.
Posted by Tigerbait357
Member since Jun 2011
71180 posts
Posted on 9/16/18 at 8:56 pm to
I use to work in an ER for a while when I was younger, I guess it depends on the hospital but depending on what your chief complain is that you cam to the ED with, they will order certain labs or scans aimed to addressed or cover the basics of what they came in for. If you came in for one thing but were dealing with a completely separate issue I am not sure how its their fault


The OP is leaving out so many details I can't tell shite
This post was edited on 9/16/18 at 8:59 pm
Posted by ell_13
Member since Apr 2013
88412 posts
Posted on 9/16/18 at 8:56 pm to
Yep. First visit was very quick.
Posted by cas4t
Member since Jan 2010
72195 posts
Posted on 9/16/18 at 8:58 pm to
There doesn’t have to really be “fault” per say. Just “standard of care” not being met. In this example, standard of care was not met and they should probably just pay for the one ER visit.

I say this as a broker who is usually arguing with the attorneys on behalf of my client.
Posted by Tigerbait357
Member since Jun 2011
71180 posts
Posted on 9/16/18 at 9:01 pm to
quote:

There doesn’t have to really be “fault” per say. Just “standard of care” not being met.


My wording was bad in the last post but this was along the lines of what I was referring to.

Usually if the patient continued to have problems or their chief complain wasn't addressed we tell them to come back in and we will take care of them
Posted by TigerstuckinMS
Member since Nov 2005
33687 posts
Posted on 9/16/18 at 9:04 pm to
quote:

It wasn’t a car wreck. Bike going about 30mph.


O-fricking-KAY!

Now we're getting into "the OT could make this interesting" territory.
Posted by cas4t
Member since Jan 2010
72195 posts
Posted on 9/16/18 at 9:05 pm to
A little common sense goes a long way huh
Posted by Trump_Gump
Member since Sep 2018
332 posts
Posted on 9/16/18 at 9:05 pm to
Sending thoughts and prayers brother
Posted by ell_13
Member since Apr 2013
88412 posts
Posted on 9/16/18 at 9:07 pm to
30 mph bicycle wreck. Lost control on a downhill and got run over by another biker. Ambulance called and brought to ER. Main complaints were nausea (clammy) and the shoulder. The bike helmet has multiple dents and cracks. Road rash down most of the back. At the ER, ice placed on shoulder. X ray taken. No break found. 3 scripts written 600 mg ibuprofen, muscle relaxer, and opioid. Discharged with a sling after an hour and a half with instructions to see primary doc in a few days.

At home, shoulder complaints continue, lightheaded and paleness if standing too long. Clammy feeling remains. Go back to ER after 6 hours. X Rays faxes over. Same x Ray shows fracture. More tests ordered.

CT scanned ordered during second visit now too.

About all I know.
Posted by TigerstuckinMS
Member since Nov 2005
33687 posts
Posted on 9/16/18 at 9:07 pm to
quote:

The most important thing is a good physical exam

Posted by ell_13
Member since Apr 2013
88412 posts
Posted on 9/16/18 at 9:09 pm to
This person does triathlons.
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