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Why our hospitals are close to total failure/modern day patients/ obamacare

 
Anonymous Coward
User ID: 1513156
United States
05/04/2014 02:28 AM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
^ There's nothing comfortable or cheap about a hospital stay, I dunno where you're getting that from.
 Quoting: Anonymous Coward 1513156


Idiot, I'm talking about peoples fantasies of what they want, clearly not reality.

So why arent hospitals cheap?

It may have something to do with that they have to pay hundreds of highly trained people to be there each and every day waiting offering the latest treatments available.
It may have to do with the fact the expensive and specialized supplies and machinery required have to be there and working in order before they are ever required.

How many of you give your work away for free before ever finding out if you will ever get paid?

Not to many I reckon.
 Quoting: Anonymous Coward 57504058


Like I mentioned before, every single person on a commission based pay scale. For example, if you have a service route and are paid commission, you need to complete that route no matter what. If a customer on your route doesn't pay, you don't get paid.

If you are hourly and aren't being paid for hours you worked, you needed to file a grievance and take legal action.
 Quoting: Anonymous Coward 1513156

\\

file a grievance?
WITH WHO?
The guvmint which mandated you have to treat anyone that shows up for free?

You have no apparent clue about the consequences of being forced to work for free for some and then making it up by charging others double, for themselves and their assigned freeloaders.
 Quoting: Anonymous Coward 57504058


I don't think you have a clue about anything. With who? HR and payroll initially, and then the govt if you don't get a remedy.

From the perspective of a hospital employee, you are not working for free. The hospital pays you a wage, unless I am talking to a literal personification of a hospital corporation. Again, if you are paid for hours worked, you have a right to dispute your missing pay.

But I'm not, am I? I'm just talking with somebody spouting bullshit to make some vague point about how it's oh so unfair that we don't let those dirty hoi polloi die in the streets. Health care isn't like buying hardwood floors. If someone can't afford it, they still should receive it.

I wonder if some of you have even actually been broke before.
Anonymous Coward
User ID: 52055132
United States
05/04/2014 03:10 AM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
I feel for the healthcare workers and how hard it is, but I would like to say something about some things that I have observed in the hospitals and Dr offices.

When my daughter was in extreme pain, in the emergency room, it took hours for the nurses to get approval for tests, surgery etc. They would not give my child anything for pain, they did not care, The nurses and doctors, were right there in front of the window, eating snacks, food, laughing, on their phones and computers, in the freakin emergency room. Then, after 5 hours of her being in pain, this arrogant doctor, comes in, an engages my kid in conversation, insinuating that she could be pregnant. I am not stupid, and knew exactly what that ass was getting at. She was, 11 years old, and it ended up being what I told them I thought it was, appendicitis.
Anonymous Coward
User ID: 14010048
United States
05/04/2014 07:16 AM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
I feel for the healthcare workers and how hard it is, but I would like to say something about some things that I have observed in the hospitals and Dr offices.

When my daughter was in extreme pain, in the emergency room, it took hours for the nurses to get approval for tests, surgery etc. They would not give my child anything for pain, they did not care, The nurses and doctors, were right there in front of the window, eating snacks, food, laughing, on their phones and computers, in the freakin emergency room. Then, after 5 hours of her being in pain, this arrogant doctor, comes in, an engages my kid in conversation, insinuating that she could be pregnant. I am not stupid, and knew exactly what that ass was getting at. She was, 11 years old, and it ended up being what I told them I thought it was, appendicitis.
 Quoting: Anonymous Coward 52055132


This post accurately describes what I have seen in the ER. Many times we get people in our office who need to be seen in the ER. They need radiological & laboratory services on a stat basis, something we don't do in our office. Many refuse to go because of their past experiences in the ER. They will literally suffer in pain at home while awaiting to get tests & results.

The only time I would go to the ER is major friggin trauma. 30 years ago, if this 11 year old had come into our ER, she would have been diagnosed & in the OR in less than an hour. So, why the delay today? Several factors are involved, but the main delay is caused by the need to "get approval" to make sure the bill will be paid. It use to be the Attending Physician making the assessment of the patient that made the sole decisions of care. That physician knew that it was not in the beat interest of the patient to delay treatment. Her appendix might rupture & threaten her life & full recovery.

Today, that Physician would be treated as a nuisance. All the paper pushers, both hospital & insurance, have to get involved. In my opinion, these unnecessary people are the one's increasing the cost & destroying simple, appropriate medical care. They do nothing but frustrate everyone involved & increase the likelihood that the proper medical treatment will be delayed & increase the suffering of the patient.

We don't admit to the hospital anymore because it takes up too much of our time. Our local hospital employs Hospitalists. It never ceases to amaze us that they have never once contacted us when one of our patients is at the ER or admitted to the hospital. That would make too much sense to contact us, the physicians who have been caring for this patient for the last 30 years. We know their past medical history & current medical history. We know their family. We know what makes the patient unique.

It's just down right sad. Most of these Hospitalists have names we can't even pronounce. In other words, they are not American physicians. Is this a problem? In my opinion it is. Many of our elderly patients would rather die than have to spend a night in any hospital. Sad, sad, sad.
snark

User ID: 14611344
United States
05/04/2014 07:39 AM

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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
Well, I'll chime in- I have 2 sisters-in law that are medical professionals, one is a surg nurse and the other has been working her way through school and started as a CNA. My nurse SIL now works regular hours in a surgery center, pretty sweet gig. My CNA SIL has worked in several areas at Vanderbilt Hospital: surgical step-down, child surg stepdown, ICU, NICU and currently in the newborn nursery. It is standard that she has 10 or more patients at a time. She tells me how hard it is on the CNAs and nurses, how management does not give a rats ass about them. She is EXCELLENT at her job and her performance reviews could not really be any better. The nurses and CNAs truly work as a team. She was about to start her nursing school classes and decided to change to become a surgery tech and on to a first assistant in surgery. Not as much money, but close, and better work environment. It is terrifying how understaffed our hospitals are. Of course both SILs say management does not care about that at all, and often when someone calls out (nurse or CNA) management does not schedule a replacement or floater, they just let the staff be overloaded and have an even more terrifying and exhausting day. My SIL who is still in school has wanted to be a nurse forever, but after working in many areas of a major hospital for years, she has changed her mind. Sad.
T For Texas, T For Tennessee!


The virtue of courage is a prerequisite for the practice of all other virtues, because otherwise one is virtuous only when virtue has no cost. There are times when something needs to be done, and yet we know that if we step up and do this needful thing, we will pay a heavy personal price. -C.S. Lewis
Anonymous Coward
User ID: 57302027
United States
05/04/2014 07:54 AM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
I feel for the healthcare workers and how hard it is, but I would like to say something about some things that I have observed in the hospitals and Dr offices.

When my daughter was in extreme pain, in the emergency room, it took hours for the nurses to get approval for tests, surgery etc. They would not give my child anything for pain, they did not care, The nurses and doctors, were right there in front of the window, eating snacks, food, laughing, on their phones and computers, in the freakin emergency room. Then, after 5 hours of her being in pain, this arrogant doctor, comes in, an engages my kid in conversation, insinuating that she could be pregnant. I am not stupid, and knew exactly what that ass was getting at. She was, 11 years old, and it ended up being what I told them I thought it was, appendicitis.
 Quoting: Anonymous Coward 52055132


This post accurately describes what I have seen in the ER. Many times we get people in our office who need to be seen in the ER. They need radiological & laboratory services on a stat basis, something we don't do in our office. Many refuse to go because of their past experiences in the ER. They will literally suffer in pain at home while awaiting to get tests & results.

The only time I would go to the ER is major friggin trauma. 30 years ago, if this 11 year old had come into our ER, she would have been diagnosed & in the OR in less than an hour. So, why the delay today? Several factors are involved, but the main delay is caused by the need to "get approval" to make sure the bill will be paid. It use to be the Attending Physician making the assessment of the patient that made the sole decisions of care. That physician knew that it was not in the beat interest of the patient to delay treatment. Her appendix might rupture & threaten her life & full recovery.

Today, that Physician would be treated as a nuisance. All the paper pushers, both hospital & insurance, have to get involved. In my opinion, these unnecessary people are the one's increasing the cost & destroying simple, appropriate medical care. They do nothing but frustrate everyone involved & increase the likelihood that the proper medical treatment will be delayed & increase the suffering of the patient.

We don't admit to the hospital anymore because it takes up too much of our time. Our local hospital employs Hospitalists. It never ceases to amaze us that they have never once contacted us when one of our patients is at the ER or admitted to the hospital. That would make too much sense to contact us, the physicians who have been caring for this patient for the last 30 years. We know their past medical history & current medical history. We know their family. We know what makes the patient unique.

It's just down right sad. Most of these Hospitalists have names we can't even pronounce. In other words, they are not American physicians. Is this a problem? In my opinion it is. Many of our elderly patients would rather die than have to spend a night in any hospital. Sad, sad, sad.
 Quoting: Anonymous Coward 14010048

This is how the hospitals are cost saving. Don't leave your loved ones unattended in the hospital.
Anonymous Coward
User ID: 57225222
United States
05/04/2014 08:48 AM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
I think its a huge problem, but one made by the medical community, we are seeing the end result of their greed.
If doctors cared about health and were trained to cure issues instead of treat them in the beginning, they would not have as many patients.
The motivation to become a doctor for generations has been money, not curing people.
OP (OP)
User ID: 7191620
United States
05/04/2014 10:26 AM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
I feel for the healthcare workers and how hard it is, but I would like to say something about some things that I have observed in the hospitals and Dr offices.

When my daughter was in extreme pain, in the emergency room, it took hours for the nurses to get approval for tests, surgery etc. They would not give my child anything for pain, they did not care, The nurses and doctors, were right there in front of the window, eating snacks, food, laughing, on their phones and computers, in the freakin emergency room. Then, after 5 hours of her being in pain, this arrogant doctor, comes in, an engages my kid in conversation, insinuating that she could be pregnant. I am not stupid, and knew exactly what that ass was getting at. She was, 11 years old, and it ended up being what I told them I thought it was, appendicitis.
 Quoting: Anonymous Coward 52055132


This post accurately describes what I have seen in the ER. Many times we get people in our office who need to be seen in the ER. They need radiological & laboratory services on a stat basis, something we don't do in our office. Many refuse to go because of their past experiences in the ER. They will literally suffer in pain at home while awaiting to get tests & results.

The only time I would go to the ER is major friggin trauma. 30 years ago, if this 11 year old had come into our ER, she would have been diagnosed & in the OR in less than an hour. So, why the delay today? Several factors are involved, but the main delay is caused by the need to "get approval" to make sure the bill will be paid. It use to be the Attending Physician making the assessment of the patient that made the sole decisions of care. That physician knew that it was not in the beat interest of the patient to delay treatment. Her appendix might rupture & threaten her life & full recovery.

Today, that Physician would be treated as a nuisance. All the paper pushers, both hospital & insurance, have to get involved. In my opinion, these unnecessary people are the one's increasing the cost & destroying simple, appropriate medical care. They do nothing but frustrate everyone involved & increase the likelihood that the proper medical treatment will be delayed & increase the suffering of the patient.

We don't admit to the hospital anymore because it takes up too much of our time. Our local hospital employs Hospitalists. It never ceases to amaze us that they have never once contacted us when one of our patients is at the ER or admitted to the hospital. That would make too much sense to contact us, the physicians who have been caring for this patient for the last 30 years. We know their past medical history & current medical history. We know their family. We know what makes the patient unique.

It's just down right sad. Most of these Hospitalists have names we can't even pronounce. In other words, they are not American physicians. Is this a problem? In my opinion it is. Many of our elderly patients would rather die than have to spend a night in any hospital. Sad, sad, sad.
 Quoting: Anonymous Coward 14010048

This is how the hospitals are cost saving. Don't leave your loved ones unattended in the hospital.
 Quoting: Anonymous Coward 57302027


Its not that they don't care but until they have a definitive idea regarding what is causing abdo pain they cannot really give pain meds. And yes it takes ages to get the diagnostics to get an accurate pic of what is going on. Stuff like morphine can be very dangerous when it is a case of abdo pain with unknown cause. They could have done more harm than good by just throwing pain meds at your daughter. The staff at the station could have been support staff or nurses and docs responsible for other patients and therefore not allowed to know about your kid. Only her designated nurse and doctor can get involved with her.\
Just Me
User ID: 24360701
United States
05/04/2014 11:06 AM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
While people always joke about how evil lawyers are, in the end this is another example of how these parasitic scum bags destroy any and every institution they can find for their own profit. Even the smallest towns across America pay millions of dollars every year for Ordinances and Master Plans that are supposed to "protect" them from being sued, yet year after year they, along with institutions such as hospital, municipalities and corporations are sued out of existence by these bags of human garbage.

Never give them a word in their own defense for their business is twisting laws and words into weapons of theft. Every civilized nation or system of government is eventually brought to it's knees or outright destruction and downfall by these criminals. They legislate themselves into control of the government and then they legislate themselves into draining every cent of value out of every possible revenue source until there is nothing left but crumbled ruins. Shakespeare was right and it is NO joke.

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