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re: Wow. American medicine is screwed up

Posted on 11/20/19 at 4:45 pm to
Posted by GumboPot
Member since Mar 2009
140573 posts
Posted on 11/20/19 at 4:45 pm to
quote:

I threw a blood clot over night that went from my calf to my foot causing pain to walk and also severely limiting blood flow to my toes.


Calf to toes? Isn't that indicative of a clot in an artery?
Posted by Rouge
Floston Paradise
Member since Oct 2004
138846 posts
Posted on 11/20/19 at 4:46 pm to
quote:

Cosmo
i put my hand up on your hip

whip i drip, you drip, we drip
Posted by wdhalgren
Member since May 2013
5685 posts
Posted on 11/20/19 at 4:47 pm to
I definitely would wait around. But one small point; if a "clot" goes from your leg to your foot, it's arterial and definitely won't go from there to your lung. The ones that go to your lung come from the venous side.

As a general rule (excluding pulmonary arteries/veins and odd Arterial-venous connections), arterial emboli travel from central to peripheral (away from heart), venous emboli travel from peripheral to central (toward lungs).
Posted by Mid Iowa Tiger
Undisclosed Secure Location
Member since Feb 2008
25159 posts
Posted on 11/20/19 at 4:47 pm to
UT Southwestern I thinks it’s called. Just off of 35 in Dallas.
Posted by Chucktown_Badger
The banks of the Ashley River
Member since May 2013
37579 posts
Posted on 11/20/19 at 4:47 pm to
quote:

Calf to toes? Isn't that indicative of a clot in an artery?


Biology would support that suggestion.
Posted by choupiquesushi
yaton rouge
Member since Jun 2006
35682 posts
Posted on 11/20/19 at 4:47 pm to
quote:

the lung I would be out.

There are no fewer than 20 people in the ER treating the ER like a primary care facility jamming it up for everyone else.
this should be 3 strikes and you're out.
Posted by Rouge
Floston Paradise
Member since Oct 2004
138846 posts
Posted on 11/20/19 at 4:48 pm to
quote:

As a general rule (excluding pulmonary arteries/veins and odd Arterial-venous connections), arterial emboli travel from central to peripheral (away from heart), venous emboli travel from peripheral to central (toward lungs).

duh

what do you think we are? cardiovascamateurs?
Posted by GumboPot
Member since Mar 2009
140573 posts
Posted on 11/20/19 at 4:49 pm to
quote:

quote:

Calf to toes? Isn't that indicative of a clot in an artery?



Biology would support that suggestion.


Right. I'm not minimizing an artery clot but a vein clot would seem to be much more urgent.
Posted by Rouge
Floston Paradise
Member since Oct 2004
138846 posts
Posted on 11/20/19 at 4:49 pm to
quote:

UT
there you have it

Tom Herman has to check your urine color before a medical prognosis can be made
Posted by Scruffy
Kansas City
Member since Jul 2011
78025 posts
Posted on 11/20/19 at 4:50 pm to
quote:

Obamacare was supposed to help ease that problem I think, but we hate/hated Obamacare right?
It didn’t ease things.

It decreased visits of uninsured individuals, yet ER visits continued to rise.

So, if your goal was to decrease uninsured visits, you succeeded.

If your goal was to decrease ER visits as a whole, you failed miserably.
Posted by danilo
Member since Nov 2008
26328 posts
Posted on 11/20/19 at 4:50 pm to
Will there ever be a commercial only hospital? Guess they don’t take Govt payers then they don’t get 340B and other govt incentives?
Posted by DaBeerz
Member since Sep 2004
18310 posts
Posted on 11/20/19 at 4:52 pm to
quote:

I dont believe you

If you legit had an arterial embolus thrown to your leg proven by US they would have you on a heparin drip now or do a thrombectomy.


I agree with this, if you have an acute ischemic limb then you aren’t in the waiting room and are going to the OR to get cathed asap
Posted by The Pirate King
Pangu
Member since May 2014
69707 posts
Posted on 11/20/19 at 4:54 pm to
American healthcare is a broken system and I don’t know the fix.
Posted by Jizzy08
Member since Aug 2008
12434 posts
Posted on 11/20/19 at 4:54 pm to
Let’s indict the entire system bc you have to wait a few hours in the ED. I’m not saying it’s perfect system, but those doctors aren’t sitting around tickling their own assholes. There’s probably someone much sicker than you being worked up right now. So why don’t you count your blessings, watch some TV and take a nap while you’re waiting.
Posted by DaBeerz
Member since Sep 2004
18310 posts
Posted on 11/20/19 at 4:58 pm to
quote:


Right. I'm not minimizing an artery clot but a vein clot would seem to be much more urgent.


do you want to have a limb amputated or have a swollen limb and be on blood thinners. Arterial is a medical emergency
Posted by hubreb
Member since Nov 2008
2164 posts
Posted on 11/20/19 at 4:58 pm to
Had a buddy die from a blot clot in leg... somehow got to head
Posted by Jcorye1
Tom Brady = GoAT
Member since Dec 2007
76373 posts
Posted on 11/20/19 at 4:58 pm to
quote:

Your pain level is always a 10.



This. I almost had an apendix explode inside of me because I kept getting triaged to the back of the line.
Posted by JohnnyKilroy
Cajun Navy Vice Admiral
Member since Oct 2012
41894 posts
Posted on 11/20/19 at 4:59 pm to
quote:

Because our fantastic government has mandated that NO ONE can be denied treatment at an ER.

Thus, ERs have been primary care, pediatrics and internal med clinics.

Have fun.


Not actually true but whatever lol
Posted by dagrippa
Saigon
Member since Nov 2004
12171 posts
Posted on 11/20/19 at 5:01 pm to
quote:

There are no fewer than 20 people in the ER treating the ER like a primary care facility jamming it up for everyone else.


Racis
Posted by USMEagles
Member since Jan 2018
11811 posts
Posted on 11/20/19 at 5:57 pm to
quote:

Thus, ERs have been primary care, pediatrics and internal med clinics.


Wasn't Obamacare supposed to fix that?

What happened?
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