- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message
re: Wow. American medicine is screwed up
Posted on 11/20/19 at 8:26 pm to Scruffy
Posted on 11/20/19 at 8:26 pm to Scruffy
quote:
Yea, it is a catch-22.
Stop the steroids and decrease risk of fungal infection, but increase asthma exacerbation risk
Or
Manage asthma better, but continue to have this infection risk.
Got to find the right middle ground.
Well and of course it s*cks because of course the doctors are going to choose y ou breathing over you being able to talk. Doesn't make you look good at work though and definitely doesn't help in social aspects.
My asthma doctor did test me for elevated eosinophils and they are going to start me on Nucala. I never had asthma growing up so it's bizarre to me why I would get it as an adult but I guess eosinophillic asthma is typically adult onset which does make more sense.
If the Nucala injection helps a lot I might try to see if I can stop the inhaled corticosteroid (Breo Ellipta).
I'll be honest, with my health the last few years I've really lost faith in the medical industry in this country. Part of me has just wanted to give up in general.
0
Posted on 11/20/19 at 8:32 pm to Cosmo
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.
They did put me on a drip and have done 2 CT scans from my nipples to my toes checking for other clots. Depending on what the CTs show will determine direction.
Posted on 11/20/19 at 8:53 pm to Scruffy
"In Scruffy’s personal opinion, there is no such thing as 10/10 pain anyway."
No disrespect, Scruffy, but have you ever experienced nephrolithiasis (kidney stone for the non-medical people) yourself? I am familiar with pain, broken bones and stuff, but if that wasn't a 10/10 then I don't know what is. Was diaphoretic, vomiting, and could barely speak. I had treated patients with it many times before, knew it was super-painful, but it didn't prepare me for the reality. I would not wish that on anyone.
I think 10/10 is defined as "make this pain better SOON, or get me a gun to shoot myself in the head."
No disrespect, Scruffy, but have you ever experienced nephrolithiasis (kidney stone for the non-medical people) yourself? I am familiar with pain, broken bones and stuff, but if that wasn't a 10/10 then I don't know what is. Was diaphoretic, vomiting, and could barely speak. I had treated patients with it many times before, knew it was super-painful, but it didn't prepare me for the reality. I would not wish that on anyone.
I think 10/10 is defined as "make this pain better SOON, or get me a gun to shoot myself in the head."
Posted on 11/20/19 at 9:02 pm to LSUdoc71
quote:There can always be more pain.
if that wasn't a 10/10 then I don't know what is.
What if you were mauled by a bear?
Or maybe two bears?
What if you had two obese people on both sides of you on a flight?
What if you were forced to watch The Last Jedi over and over again?
Scruffy doesn’t like the current pain ranking system.
And Scruffy’s point was, if you have to verbally state that you are in 10/10 pain, Scruffy isn’t sure that you are.
Staff will know if you actually are without asking.
Far too often, Scruffy sees people typing on their phones claiming that their pain is 10/10. Kinda spoiled it.
This post was edited on 11/20/19 at 9:18 pm
Posted on 11/20/19 at 9:10 pm to Panny Crickets
quote:
Because our fantastic government has mandated that NO ONE can be denied treatment at an ER.
Meh hospitals want it that way.
Posted on 11/20/19 at 9:17 pm to Rouge
quote:
thought everybody knew to tell them that your heart was hurting when you go to the ER,
Half true. I could barely keep my head up to see her as I laid on the floor next to the ED desk but I heard her say calmly while looking at the receptionist, “My heart hurts.”.
I remember thinking Tha frick? I had to pull over and get someone to drive me here. You look like you thought you’d stop in before your nail appointment.
Point is, I got wheeled off first. I’d say I won but I ended up paying my bill and hers.
Posted on 11/20/19 at 9:18 pm to Scruffy
I believe fungal infections are actually endemic to Southeast Louisiana. They call it "blasto."
Posted on 11/20/19 at 9:20 pm to USMEagles
quote:Different thing.
I believe fungal infections are actually endemic to Southeast Louisiana. They call it "blasto."
Also, blastomycosis infections are fairly uncommon.
Posted on 11/20/19 at 9:21 pm to Mid Iowa Tiger
I remember sitting in the ER with my son, and overhearing a nurse talk to a mom that just brought her 2 kids in.
Nurse: What is going on?
Mom: Both of them are running hot, they have fevers.
Nurse: Did you give them any tylenol for it yet?
Mom: No, thats why I came here.
Me:
*had to pay a $100 copay*
Nurse: What is going on?
Mom: Both of them are running hot, they have fevers.
Nurse: Did you give them any tylenol for it yet?
Mom: No, thats why I came here.
Me:
*had to pay a $100 copay*
Posted on 11/20/19 at 9:30 pm to Mid Iowa Tiger
I feel you. Last time I had to go to the ER I had a broken rib and waited 2 hours at least before getting into a room. Waited a long time for a doctor.
Waited another long time for x-ray. Then my wife and I sat in that room for about 4 hours waiting on a CT scan.
Hurt myself at about 7:30PM, got home from ER at 3:30AM
Luckily I didn't puncture a lung. To top it off, they said they couldn't find a break on X-ray, which is why I had to go for CT scan and on CT scan it was a "minor fracture". A year later I had another x-ray done on my abdomen for other reasons and the break was clear as day, and all calcified over. Right side of that rib was about 1/8" misaligned from the rest of the rib. The doctor looked at me and said "wherever you went for your broken rib and they said they couldn't see it on x-ray..... Never go back there"
Waited another long time for x-ray. Then my wife and I sat in that room for about 4 hours waiting on a CT scan.
Hurt myself at about 7:30PM, got home from ER at 3:30AM
Luckily I didn't puncture a lung. To top it off, they said they couldn't find a break on X-ray, which is why I had to go for CT scan and on CT scan it was a "minor fracture". A year later I had another x-ray done on my abdomen for other reasons and the break was clear as day, and all calcified over. Right side of that rib was about 1/8" misaligned from the rest of the rib. The doctor looked at me and said "wherever you went for your broken rib and they said they couldn't see it on x-ray..... Never go back there"
This post was edited on 11/20/19 at 9:33 pm
Posted on 11/20/19 at 9:33 pm to Modern
The op was pissed at American waiting rooms. Check out your wait times in countries with socialized medicine. Many have a 6 month wait for an appointment. For most anything. Heart surgery and you’re most likely dead before they even scheduled you. There is a reason that people from other parts of the world who can afford it fly to the US for medical attention.
Posted on 11/20/19 at 9:34 pm to Flashback
quote:
How do u know u threw a clot?
I have had it happen before. I am Factor V deficient which means I have a much higher probability for clotting.
I am still in the ER now on my 11th hour. Have had a Heperin drip, 2CTs, a full Ultrasound from my crotch to my feet on both legs and so far zero answers.
Two of the nurses are really cute though so I have that going for me. Well that and listening to the women near me who is here on a psych hold who came in with handcuffs. She’s interesting to say the least.
Posted on 11/20/19 at 9:39 pm to Jcorye1
quote:
This. I almost had an apendix explode inside of me because I kept getting triaged to the back of the line.
But you survived. Sounds like the triage worked.
Posted on 11/20/19 at 9:45 pm to TheFirstSaints
quote:
ER's have truly become a joke. I had to go to the ER last week for an upper respiratory infection that caused me to suffer from fungal laryngitis and lose my voice. I was worried that I was going to get pneumonia again which hospitalized me about 2 years ago.
Now given the nurses were nice and I was seen pretty quickly but the standard of care was pretty substandard. No x-rays or CT scans and I didn't even get to see a doctor, only a nurse practitioner. I wasn't given anything and subsequently and advised to see my ENT doctor. $160 that I felt like I wasted.
Did you have a productive cough? Fever? Low O2? Lung crackles? You didn't have a pneumonia.
You went to the ER for a nonemergent condition (URI), got seen quickly, and were only charged $160 while not having your time wasted by unnecessary testing. Dude, that's one hell of an awesome ER visit, all things considered. Sorry about the NP thing, though. Can't do a lot about it but they're everywhere now because they are cheaper to employ than doctors.
Posted on 11/20/19 at 10:11 pm to Mid Iowa Tiger
If you ask me, I would stick around. I lost my uncle 5 weeks ago whenever I took him to the ER. His clot travelled and had a heart attack in the ER. They weren't able to save him and I witness the whole ordeal.
Posted on 11/20/19 at 10:27 pm to Cosmo
Not necessarily.
Posted on 11/21/19 at 12:07 am to Scruffy
So there can always be more pain, eh? If you have a large kidney stone stuck in a ureter, I think you might change your mind. I would have welcomed a multiple-bear mauling at that point. I know you are young, you have much to learn. I thought I knew it all when I was just out of school, too.
And no shite, both pain and therefore the pain scale are subjective, and nothing pisses me off more than lying patients in no distress saying "10/10." But if I'm in the ER and you roll your eyes at me when I tell you 10 while I'm writhing in agony, we'll be meeting at sonic after the stone passes.
Still wouldn't wish a kidney stone on you, though.
And no shite, both pain and therefore the pain scale are subjective, and nothing pisses me off more than lying patients in no distress saying "10/10." But if I'm in the ER and you roll your eyes at me when I tell you 10 while I'm writhing in agony, we'll be meeting at sonic after the stone passes.
Still wouldn't wish a kidney stone on you, though.
Posted on 11/21/19 at 12:20 am to LSUdoc71
quote:If you were writhing in agony, Scruffy wouldn’t even ask that question.
But if I'm in the ER and you roll your eyes at me when I tell you 10 while I'm writhing in agony, we'll be meeting at sonic after the stone passes.
That’s kinda the point here.
If a subjective scoring system is needed to determine that a patient is in 10/10 pain, then, in Scruffy’s opinion, that patient isn’t in 10/10 pain.
This post was edited on 11/21/19 at 12:21 am
Posted on 11/21/19 at 12:21 am to LSUdoc71
It's very obvious when someone has a kidney stone, and ER docs dont need to quantify the patient's pain rating to know its uncontrolled.
Posted on 11/21/19 at 6:35 am to Scruffy
quote:
If a subjective scoring system is needed to determine that a patient is in 10/10 pain, then, in Scruffy’s opinion, that patient isn’t in 10/10 pain.
As a layman, I always viewed 10/10 the point of brady down and neurogenic shock.
The problem is with any subjective pain metric is the vast majority of people have no reference for 10/10. I went most of my life knowing I had never been in the upper half of the pain scale then I had a molar shatter one Friday night. I was sweating, couldn't eat nor sleep and would have shot heroin had it been available and I am someone that eschews OTC pain meds. It brought me to the edge of madness. Was it is 10/10 probably not someone could have been drilling a hole in my kneecap at the same time but when the dentist ask the next afternoon I dearly wanted to say 10/10 but I chose to strategically say 8.5/10 but added that as soon as you poke it with one of those evil little stabby sticks its going to 11.
I always assumed the most useful part of pain scale was to monitor relative pain with a single patient.
Page 4 of 5
Popular
Back to top
Follow TigerDroppings for LSU Football News