If you can read this, either the style sheet didn't load or you have an older browser that doesn't support style sheets. Try clearing your browser cache and refreshing the page.

(Reuters)   Expensive hospitals aren't always the best for surgery. HI, EVERYBODY   (reuters.com) divider line 40
    More: Interesting, U.s.news & World Report, hospitals, Johns Hopkins Hospital, Johns Hopkins Hospital in Baltimore, surgery, hip replacement surgery, health insurance  
•       •       •

3612 clicks; posted to Geek » on 31 Jul 2013 at 7:52 AM (1 year ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



40 Comments   (+0 »)
   
View Voting Results: Smartest and Funniest
 
2013-07-31 07:43:37 AM  
freethoughtblogs.com
 
2013-07-31 07:44:15 AM  
Hi, Dr. Nick.
 
2013-07-31 07:54:45 AM  
Took me a second, but then I got it.....and then I clicked the link, and behold, a pic of Dr Nick. Perfect.

\+1
 
2013-07-31 07:59:20 AM  
somedude210 wins the internet.
 
2013-07-31 07:59:43 AM  
The coroner?  I'm so sick of that guy!
 
2013-07-31 08:01:03 AM  

BullBearMS: somedude210 wins the internet.


I'm also subby ^_^

/wins all around
 
2013-07-31 08:10:54 AM  
TFA includes a dead link to the actual report.
 
2013-07-31 08:14:41 AM  
I don't get the headline because I don't watch cartoons.

but

Hello, I'm Doctor D*ck, and yes, you have an inf*cken in your ear.
 
2013-07-31 08:15:10 AM  
There's a crazy man in the OR swinging around a scalpel and demanding to see a quack!
 
2013-07-31 08:15:34 AM  

nekom: The coroner?  I'm so sick of that guy!


timvp.com
 
2013-07-31 08:18:34 AM  
Well if it isn't my old friend Mr McCraig. With a leg for an arm, and an arm for a leg.

rigsamarole.files.wordpress.com
 
2013-07-31 08:29:20 AM  
Hi Dr. Nick!

/I know it's been said but we're all supposed to say it.
 
2013-07-31 08:31:27 AM  
I won't go to any doctor who didn't get his degree from Hollywood Upstairs Medical College.
 
2013-07-31 08:31:31 AM  
Reminds me if our company motto.
"You can get better but you can't pay more."
 
2013-07-31 08:45:56 AM  
Just be wary of getting surgery in a teaching hospital. You never know when the surgeon might let a med student take the wheel for a bit while you're under.

I'm not kidding.
 
2013-07-31 08:48:26 AM  
Inflammable means flammable?  What a country!
 
2013-07-31 08:49:54 AM  
Hi, Dr. Nick!
 
2013-07-31 08:50:51 AM  
Inflammable means flammable?  What a country!
 
2013-07-31 08:53:01 AM  
There is a new role popping up called an independent patient advocate where you can hire someone (who is often a nurse) to track your hospital stay and they have been shown to dramatically decrease the risk of infection and mistakes. Insurance does not cover it yet but if you have the cash and are going to have a significant surgery it is probably worth looking into if you don't have someone in your family that you can trust with that role.
 
2013-07-31 08:58:20 AM  
Calm down!  You're going to give yourself skin failure!
 
2013-07-31 08:59:01 AM  
handsomebwonderful.org
I can prescribe anything I want, baby.
 
2013-07-31 09:01:46 AM  

susler: TFA includes a dead link to the actual report.


You'd have to pay for it anyway.
 
2013-07-31 09:04:20 AM  
Consumers Union (CU) figures what they care about most is whether they stay in the hospital longer than they should and whether they come out alive.

It's the Crap Shoot of your life
 
2013-07-31 09:05:16 AM  

Nabb1: Just be wary of getting surgery in a teaching hospital. You never know when the surgeon might let a med student take the wheel for a bit while you're under.

I'm not kidding.


Wife gave birth to our son in a teaching hospital, and her doctor let a student play catch that day.

Do you have any idea how scary it is to hear your doctor say "Cord, cord get the CORD". I was fully prepared to beat the shiat out of someone that day if I ended up having glog baby.
 
2013-07-31 09:09:06 AM  

IdBeCrazyIf: Nabb1: Just be wary of getting surgery in a teaching hospital. You never know when the surgeon might let a med student take the wheel for a bit while you're under.

I'm not kidding.

Wife gave birth to our son in a teaching hospital, and her doctor let a student play catch that day.

Do you have any idea how scary it is to hear your doctor say "Cord, cord get the CORD". I was fully prepared to beat the shiat out of someone that day if I ended up having glog baby.


Meh, they all have to catch the first time, and there was someone there to make sure things went smoothly.

/used to work for a medical school surrounded by a bunch of teaching hospitals.  Didn't bother me.
 
2013-07-31 09:12:25 AM  

IdBeCrazyIf: Nabb1: Just be wary of getting surgery in a teaching hospital. You never know when the surgeon might let a med student take the wheel for a bit while you're under.

I'm not kidding.

Wife gave birth to our son in a teaching hospital, and her doctor let a student play catch that day.

Do you have any idea how scary it is to hear your doctor say "Cord, cord get the CORD". I was fully prepared to beat the shiat out of someone that day if I ended up having glog baby.


What about the cord? What exactly needs to be done or the baby won't turn out right?
 
2013-07-31 09:18:07 AM  

Russ1642: What about the cord? What exactly needs to be done or the baby won't turn out right?


It was wrapped around the neck on the way out
 
2013-07-31 09:23:14 AM  

Nabb1: Just be wary of getting surgery in a teaching hospital. You never know when the surgeon might let a med student take the wheel for a bit while you're under.

I'm not kidding.


How do you propose that surgeons be trained to do surgery, if only experienced surgeons are allowed to cut?

Surgeon Simulator 2013?
 
2013-07-31 09:24:00 AM  

IdBeCrazyIf: Russ1642: What about the cord? What exactly needs to be done or the baby won't turn out right?

It was wrapped around the neck on the way out


So the kid looks up, sees mom, and says No Way.
 
2013-07-31 09:25:14 AM  

Russ1642: So the kid looks up, sees mom, and says No Way.


I'm a turrible turrible person for laughing far too hard at that
 
2013-07-31 09:26:40 AM  

Russ1642: IdBeCrazyIf: Nabb1: Just be wary of getting surgery in a teaching hospital. You never know when the surgeon might let a med student take the wheel for a bit while you're under.

I'm not kidding.

Wife gave birth to our son in a teaching hospital, and her doctor let a student play catch that day.

Do you have any idea how scary it is to hear your doctor say "Cord, cord get the CORD". I was fully prepared to beat the shiat out of someone that day if I ended up having glog baby.

What about the cord? What exactly needs to be done or the baby won't turn out right?


Can't be pinched, or it'll cut off the blood flow and oxygen to the baby.  Can't come out first, or it'll get pinched.  Can't get wrapped around the baby's neck or limbs or it could break or damage them.  A *lot* of complications from birth happen because of the cord.
 
2013-07-31 09:44:54 AM  

Deoan: Russ1642: IdBeCrazyIf: Nabb1: Just be wary of getting surgery in a teaching hospital. You never know when the surgeon might let a med student take the wheel for a bit while you're under.

I'm not kidding.

Wife gave birth to our son in a teaching hospital, and her doctor let a student play catch that day.

Do you have any idea how scary it is to hear your doctor say "Cord, cord get the CORD". I was fully prepared to beat the shiat out of someone that day if I ended up having glog baby.

What about the cord? What exactly needs to be done or the baby won't turn out right?

Can't be pinched, or it'll cut off the blood flow and oxygen to the baby.  Can't come out first, or it'll get pinched.  Can't get wrapped around the baby's neck or limbs or it could break or damage them.  A *lot* of complications from birth happen because of the cord.


Women always have to make things so complicated. How about leaving a litlle slack in the line.
 
2013-07-31 10:17:03 AM  
This may be the only comment in the thread that actually addresses TFA, but what the heck.

CU used only two measures to establish their ranking: length of stay and mortality.  Those are rather blunt instruments to measure quality.  In their defense, their source data, which is collected by CMS, is poor at measuring outcomes more accurately than that. Actually, just about every national organization is poor at measuring medical outcomes, because there is often a large subjective component to how patients and their doctors rate outcomes.

Also, the data was somehow adjusted to reflect differences in acuity, but the methodology was not clear. ("The rates are adjusted to account for the fact that some hospitals treat older or sicker patients, and exclude data on patients who were transferred from other hospitals. These are often difficult cases that, CU felt, should not be counted against the receiving hospital.")  Given that CU poached their data from CMS, I would guess that the "older and sicker" adjustment was based on the Case Mix Index, which for years has been inflated by hospitals to get more sweet, sweet gubmint reimbursement.  It is probably fair to exclude transfers, but how do they account for the sicker patients with more complex conditions who are not transferred during the course of acute care, but are discharged from the referring hospital and are wheeled in to see a consultant at the specialty center and subsequently get their surgery done there?

Anyway, we now resume our Dr Nick and baby chokin' thread, already in progress.
 
2013-07-31 11:40:17 AM  
But that certificate from Hollywood Upstairs Medical College looked so classy.
 
2013-07-31 12:15:56 PM  
This is stupid.  Patients in higher reputation hospitals also tend to be more sicker and complicated; which is why they go to the fancy hospitals (who have the top surgeons).  With any high risk patients there are higher chances of complications.

And whatever you people biatch about teaching hospitals, they are still better than a shiatty community hospital (just don't get admitted in the beginning of July).  The supervising physicians are better and on top of their game because they have to be.
 
2013-07-31 12:35:28 PM  
Advertisement

Hi, Dr. Nicopopolis!

Come to Greece for cheap operations! Stay for the lovely weather and great food!

We have a special this week on hernias and island cruises!

Why go all the way to India? Meet us half way today!
 
2013-07-31 12:38:41 PM  
If the Greeks had any brains, they'd be paying the Germans off in cosmetic surgery.

Two birds with one stone:

1) they'd be able to work their way out of their economic crisis;

2) there would be a lot fewer eye-gougingly fugly Germans on Greek beaches and in Greek nightclubs.

Seriously. The Greeks invented medicine and nude beaches. They should be able to make the connection without me having to tell them.
 
2013-07-31 12:40:43 PM  

Parthenogenetic: Actually, just about every national organization is poor at measuring medical outcomes, because there is often a large subjective component to how patients and their doctors rate outcomes


Bears repeating.  I know an employer who's implementing Health Savings Accounts in order to encourage more value-oriented medical shopping by the staff, in order to reduce overall health plan costs.  But how can you value-shop without reasonably objective measures of product quality?  This seems like one of the critical nuts we'll have to crack in order to make any progress toward getting medical costs under control in this country.   Otherwise, "You get what you pay for" is just too strongly ingrained in people's behavior, especially when dealing with technically complex AND life-critical decisions.
 
2013-07-31 12:42:21 PM  
And remember, if you're not sure about something, rub it against a piece of paper.  If the paper turns clear, it's your window to weight gain.
 
2013-08-01 11:20:38 AM  

EddyKilowatt: But how can you value-shop without reasonably objective measures of product quality?  This seems like one of the critical nuts we'll have to crack in order to make any progress toward getting medical costs under control in this country.


I like the idea of HSAs.  They try to make us good consumers of health care.   However, in the real world, we can't be good consumers.  We don't know the cost of one prescription over the other until after the prescription is filled.   You can't just call the pharmacy and ask them how much is it for a 30 day supply of 100mg Zocor to try to comparison shop.

As health care consumers we have almost zero information.  We can't even find out the average cost of a procedure from a doctor or hospital.   My wife was looking to get a breast reduction surgery done and we tried contacting every single plastic surgeon in Wichita and none of them would give us an estimated cost, average cost, range of costs, or anything at all regarding costs.

Try finding out how much a routine umbilical hernia operation costs from various providers when you need one.  None of them will tell you anything about how much the total cost will be.   It's the same way for anything health related.  Consumers can't find out which doctors or hospitals are good.  They can't figure out which doctors or hospitals are expensive.

The only thing we can do as consumers to control costs is to decide whether to go to the doctor or not when we are sick.   And since most consumers aren't doctors, we really aren't the ones that should be deciding if a sore ankle is something that I should just wait a few weeks or months to get better, or if it is cheaper in the long run to get see a doctor, get an x-ray or MRI, or surgery right away rather than waiting until a condition becomes disabling to see the doctor.
 
Displayed 40 of 40 comments

View Voting Results: Smartest and Funniest


This thread is closed to new comments.

Continue Farking
Submit a Link »
On Twitter





In Other Media


  1. Links are submitted by members of the Fark community.

  2. When community members submit a link, they also write a custom headline for the story.

  3. Other Farkers comment on the links. This is the number of comments. Click here to read them.

  4. Click here to submit a link.

Report