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.

(CBS News)   One reason for the high cost of emergency hospitalization in the America? "Superusers" that are clogging the nation's emergency rooms by treating them like party rooms for any little thing that ails them   (cbsnews.com) divider line 28
    More: Interesting, Villareal, emergency rooms, San Francisco General Hospital, emergency physician, primary care physicians, MedStar Washington Hospital Center, rubber bands, American College of Emergency Physicians  
•       •       •

9779 clicks; posted to Main » on 15 Oct 2013 at 10:22 PM (45 weeks ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



Voting Results (Funniest)
View Voting Results: Smartest and Funniest

2013-10-15 09:29:35 PM
11 votes:
Can't we just disable root access at the admin level?
2013-10-15 08:51:50 PM
11 votes:
One reason for the high cost of emergency hospitalization in the America? "Superusers" that are clogging the nations emergency rooms by treating them like party rooms for any little thing that ails them

Superusers are clogging the nation's restrooms too. Yes, I'm talking about you Derek. What you do in there after lunch is criminal.
2013-10-15 08:04:08 PM
7 votes:
I blame Fartbong0

Why won't he pass some sort of health care improvement act?
2013-10-15 07:53:57 PM
6 votes:
I wants mah oxybamacotton an skrimps!
2013-10-16 12:19:17 AM
3 votes:
It is very,very intimidating being in a thread with so many health care experts.
2013-10-15 10:58:48 PM
3 votes:
sudo give me some oxycontin
2013-10-15 10:25:08 PM
3 votes:
Jeez the 1% is at it again. Occupy Hospitals!
2013-10-16 08:12:28 AM
2 votes:
Fark professional health care, I keep my own emergency kit handy:

www.colourbox.com

www.thedrunkgnome.com
2013-10-15 11:22:30 PM
2 votes:

nickdaisy: Here's an idea: how about everyone take care of their own bills?  Get the state out of it completely. If you want to pool resources with some like minded folks and spend money for insurance, go for it. Or if you want to just pay as you go, or save up and pay, or save nothing and then bleed out when something happens-- go for it.  Similarily, if you want to start a charity to fix clef lips or teach retarded kids to skateboard-- go for it.

That's the American way. You succeed or fail based on your own ability.  Should be no different for health care than it is for education, quarterbacking, or meeting chicks. Unfortunately, under today's quasi-socialist system, everybody gets an A, everyone gets a chance to play quarterback, and if you can't find a date to the prom it's because you "suffer" from Asperger's and are a "victim" of bullying.

More person responsibility, less collectivism.

However, IF you insist on turning us into the USSA, at least go full throttle. The current system is NOT free market and Obamacare is NOT true socialism. Health care (including Obamacare) is driven by corporations that are so in bed with the federal government that they have corrupted any sense of altruism, yet at the same time they are not true market actors.  We're getting the worst of both worlds.

Who's with me?


Why do you need someone to back your play?  Go it alone, Grizzly Adams.
2013-10-15 10:49:46 PM
2 votes:

ginandbacon: And just to wind this up, I really do think you and I are probably on the same side on this issue if we just had a chance to sit down over a drink and hash it out.


"To Alcohol! The cause of... and solution to... all of life's problems."

:-)
2013-10-15 10:44:40 PM
2 votes:

TelJanin: Welfare/low income people are coached the following: "Go only to the ER, walk up to the desk person and say 'I cannot pay, I require Pro-Bono health care' ". This is the source for tons of spurious ER visit. From a few years in the ER, I would say probably 1/2 the traffic is pro-bono/welfare/medicare/medicaid related work.


"okay, we'll put you on our pro-bono prayer list, no charge. Hope the Lord blesses you!"

/faith-based healthcare
2013-10-15 10:37:54 PM
2 votes:

GreenAdder: Can't we just disable root access at the admin level?


Bad programming. The healthcare.exe requires root access.
2013-10-15 10:37:36 PM
2 votes:

sno man: Marcus Aurelius: sno man: The actual one is paying for all the people between you and your doctor.  Yea free market!

All civilized nations provide basic health care for free to everyone.

yup, I'm in one... sticking my tongue out and giving a raspberry.


i230.photobucket.com

There's only one man who would dare give me the raspberry....
2013-10-15 10:26:57 PM
2 votes:
Ice water IV's for all frequent fliers.
2013-10-15 07:44:00 PM
2 votes:
But I've been assured by very serious people that our health care system is perfect as it is?
2013-10-16 01:27:45 AM
1 votes:
it would also help if ER doctors would grow a farking spine and kick out the patients who are well known to use the ER for food and shelter. Most of my on call conversations go something like this:

ER Attending:  Hey, this guy say's he suicidal
Psych Consultant: Yeah, he's a well-known malingerer who uses psych wards as shelter.  He's full of shiat.  You can send him on his way.
ER: But he says he's SUICIDAL!?
Psych:  yeah, he says that every time he comes into an ER.  He gets himself admitted, gets a few days of sandwiches, gets bored, and moves on to a new hospital
ER:  So can we admit him to your psych floor?
Psych:  Umm, no.  we're not a homeless shelter.
ER:  So what happens if he kills himself?
Psych:  He won't. Our whole department knows this guy.  He's been coming in with the same feigned psych complaints for the last 10 years. He says in psych wards because they're more cozy than the city's homeless shelters. Not once has he had anything close to a suicide attempt
ER:  But he says he has "Schizoaffective Bipolar Disorder"
Psych:  (gives look of "are you a farking moron?)
ER:  Look, I'm really concerned about my liability, can you just admit him?
Psych: Look, it's Friday night, and we only have two beds on our unit.  We're not wasting one on a guy who is well known in the entire city of ____ to be faking his symptoms as a means to get sandwiches. If we run out of beds and one of our established patients shows up between now and Monday morning, we're putting that patient's life at risk if we transfer them to another hospital.  We've had enough problems with community hospitals abruptly stopping clozapine on our patients this year, and I'm not about to let that happen because you're too much of a pants-pisser to make a god damn necessary clinical decision.
ER:  Fine, I'll admit him to telemetry.


...and that's how your healthcare dollars are spent.
2013-10-16 12:22:12 AM
1 votes:

OscarTamerz: [www.screeninsults.com image 500x368]
Thanks for the free healthcare estupido gringos. Send the bill to general delivery TJ and a check will be in the mail sooooon. I'm sure glad I voted for Hobama!


Hit the nail right on the head.

Most if not all illegal aliens are taught to use the emergency room for all their medical care.
2013-10-16 12:13:46 AM
1 votes:

Shadowtag: My girlfriend's been to the ER multiple times this year because her PCP is an incompetent twit. It took six months to get a specialist to answer the freaking phone and I had to resort to lawyering up just to file a greviance.

Health insurance in this country is maintained only because something must feed the Shoggoth, lest they multiply and run amok.


So... I read that as her being on PCP and thought she must be a crazy lay.
2013-10-15 11:31:54 PM
1 votes:
My wife and I know someone who does this. Granted, she is a single mom of 3, no education, and makes minimum wage. The ER bills Medicaid.

I explained this to a Teaderper co-worker, and told him, that under Fartbongo care, she probably still can't afford insurance, but her tax for not having any, is more than she currently contributes. So, in reality, our cold/current healthcare system is actually more socialistic than Obamacare, and why is he arguing for Socialism... I'm pretty sure his hair went full grey in under 5 seconds. His lack of both Herp and Derp or any reply was soo gratifying.
2013-10-15 11:16:23 PM
1 votes:
Here's an idea: how about everyone take care of their own bills?  Get the state out of it completely. If you want to pool resources with some like minded folks and spend money for insurance, go for it. Or if you want to just pay as you go, or save up and pay, or save nothing and then bleed out when something happens-- go for it.  Similarily, if you want to start a charity to fix clef lips or teach retarded kids to skateboard-- go for it.

That's the American way. You succeed or fail based on your own ability.  Should be no different for health care than it is for education, quarterbacking, or meeting chicks. Unfortunately, under today's quasi-socialist system, everybody gets an A, everyone gets a chance to play quarterback, and if you can't find a date to the prom it's because you "suffer" from Asperger's and are a "victim" of bullying.

More person responsibility, less collectivism.

However, IF you insist on turning us into the USSA, at least go full throttle. The current system is NOT free market and Obamacare is NOT true socialism. Health care (including Obamacare) is driven by corporations that are so in bed with the federal government that they have corrupted any sense of altruism, yet at the same time they are not true market actors.  We're getting the worst of both worlds.

Who's with me?
2013-10-15 11:07:53 PM
1 votes:

InternetSecurityGuard: Ice water IV's for all frequent fliers.




Ice water enemas!
2013-10-15 11:05:44 PM
1 votes:

swingerofbirches: I wish that primary doctors were in hospitals.

I don't see my primary care doctor too often because it takes a long time to get into see him, once you're there you have to wait longer than at urgent care places (not ERs), and he always has to send you to a specialist. The specialist never does anything on the first visit, or they send you somewhere else for lab work.

It would be nice if you could see your primary care doctor in a hospital, get any lab work you need at the same time, and if you're referred to a specialist, have that specialist at the same hospital and not start from square one again.

Even for more chronic things, I tend to go to my urgent care because they have a lab there and it's much faster to be seen (usually less than 15 minutes) compared to waiting up to 4 hours for a scheduled appointment with your primary care doctor. I then usually e-mail those lab results to my primary care doctor and communicate that way. I do have a great primary care doctor; he's just way overworked (especially compared to the specialists) and he has no equipment to do any testing in his office.


My primary care doctor is quick and convenient. She can diagnose most problems, sees patients within about ten minutes of the scheduled time, and sends all lab work out to the local university hospital (turnaround on most lab work is a day, two at the most). She's willing to listen to any complaint, and I've walked in with seasonal allergies and walked out with a bag full of free samples for high-grade Benadryl and Allegra. (I don't know that it helped my allergies, but I woke up two days later feeling amazing.)

Oh, wait. My primary care was at a university infirmary. Explains a lot.

Klonopin is a hell of a drug, kids.
2013-10-15 11:04:51 PM
1 votes:
My brother teaches in St. Louis. He told his students one day he would not be there the next day because he had a doctor's appointment. The students didn't know what that was. When they were sick, they went to the emergency room.
2013-10-15 11:04:00 PM
1 votes:
*CTL-F "sudo"  1 found*
Good.
*leaves whistling*
2013-10-15 10:53:36 PM
1 votes:
What my girlfriend who is an ER doc has to deal with on a regular basis.

http://www.youtube.com/watch?v=Q6sRyrB_UMA
2013-10-15 09:22:09 PM
1 votes:

ginandbacon: Mitch Taylor's Bro: ginandbacon: "Superusers are a small but expensive group: One large study conducted from 2009-2012 at a Los Angeles hospital noted that 99 percent of ER visitors come in fewer than 10 times a year, with nearly 67 percent coming in just once. But, the remaining 1 percent of visitors accounted for thousands of visits in one year."

This paragraph is completely devoid of meaning.

Most "superusers" are like me, people with chronic conditions that put them in crisis at least a couple of times a year. I have excellent insurance (thank goodness) but I have 4 neurological conditions that have me dialing 911 not infrequently. Some people are certainly using ERs when they could use a PCP but that's not really that common. Ers suck. Hospitals suck. I've discharged myself against advice from both because I knew they were only keeping me because they didn't know what to do or because I would be an interesting case for the students the next morning. No one spends six hours in an ER for something minor. (Six if you're lucky. I've spent that long just waiting to be seen and then another six for tests before being admitted.) 

I don't understand why we keep vilifying patients and championing the assholes who profit off the ones they can and try to bankrupt the ones they can't exploit.

You must've missed this key sentence:

"There are patients who have serious medical conditions who see the ER as the point of access," Dorner said.

It is the point of access for those of us who have major crises. That's sort of the point of them.


You lack reading comprehension. Got it.
2013-10-15 09:16:26 PM
1 votes:

Marcus Aurelius: sno man: The actual one is paying for all the people between you and your doctor.  Yea free market!

All civilized nations provide basic health care for free to everyone.


Americans are an uncivilized lot.
2013-10-15 08:44:07 PM
1 votes:
Free treatment in the ER?

That's the joke, right?

/EMTALA is not free.
 
Displayed 28 of 28 comments

View Voting Results: Smartest and Funniest


This thread is closed to new comments.

Continue Farking
Submit a Link »






Report