March 4th, 2010 by GruntDoc in Better Health Network, Opinion
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The American Board of Emergency Medicine (ABEM) describes itself as:
Welcome to the American Board of Emergency Medicine (ABEM) public website. ABEM certifies qualifying physicians who specialize in Emergency Medicine and is a member board of the American Board of Medical Specialties (ABMS). ABMS certification is sought and earned by physicians on a voluntary basis. ABEM and other ABMS member boards certify only those physicians who meet high educational, professional standing, and examination standards. ABEM and other ABMS member boards are not membership associations.
The thing I’d like to bring your attention to is that it’s a Voluntary organization. For a voluntary organization they’re adding lots of requirements without asking members… Read more »
*This blog post was originally published at GruntDoc*
March 3rd, 2010 by Happy Hospitalist in Better Health Network, News, Opinion
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It turns out calling 911 isn’t free. Imagine that. 911 communications may actually cost you money. People who pay taxes aren’t the only ones who are fitting the bill anymore. In some places ambulances are charging fat surcharges for the extra equipment necessary for the ambulance ride? How much does an ambulance ride cost if you are morbidly obese? How does an extra $500 in addition to the base rate.
But even people who don’t require extra equipment will have to start paying extra for the right to make the call to 911 communications. How much extra? How much will calling 911 cost in Tracy, California? Well, if you want to pay a $48 per year fee, you can call 911 communications centers as many times as you want. But if you don’t want to pay the fee, how does $300 per call sound. If you’re having a stroke, calling 911 communications may just cost you your arm and your leg.
That’s right. $300 to call 911 communications for an emergency. Or perhaps the problem is too many people are calling for nonemergency reasons. If you can’t get the frequent abusers who show up at the hospital by ambulance for nonemergent problems to stop calling 911, maybe you can collect their $300 by garnishing their welfare and disability checks.
At some point, our country is going to have to stop excusing the actions of the economic tax abusers and start implementing personal responsibility with real consequences that hold folks accountable for their actions. I think charging a fee is an excellent deterant to unnecssary abuse of a system that is overwhelmed with nonurgent convenience care.
*This blog post was originally published at Happy Hospitalist*
February 27th, 2010 by Paul Auerbach, M.D. in Uncategorized
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When I was a medical student, I served a summer externship in 1975 with the Indian Health Service at Fort Belknap in Harlem, Montana. On some hot summer evenings, I went fishing at a place the locals called “Snake Lake,” which was loaded with cutthroat trout, and surrounded by rocky outcroppings that were home to scores of rattlesnakes. I was advised to stay away from the rocks, and to always wear long pants.
In the December, 2009 issue of the Annals of Emergency Medicine (Ann Emerg Med 2009;54:830-836), there appeared an article reporting a study by Shelton Herbert, PhD and William Hayes, PhD entitled “Denim Clothing Reduces Venom Expenditure by Rattlesnakes Striking Defensively at Model Human Limbs.” The purpose of the study was to determine whether ordinary clothing (denim material from blue jeans) interferes with the kinematics of venom delivery, thereby reducing the amount of venom injected by a typical snake into a (model) human limb. Read more »
This post, Blue Jeans May Offer Protection From Rattlesnake Bites, was originally published on
Healthine.com by Paul Auerbach, M.D..
February 26th, 2010 by Debra Gordon in Better Health Network, Opinion
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$2600.
$544.
Look carefully at those two numbers. The first is the sum of three bills I received for my husband’s day-after-Christmas visit to the emergency room for unusual dizziness. A CT and EKG ruled out a stroke or heart attack. Diagnosis? Vertigo.
(Note: both figures will likely be much higher once all the bills come in, but I needed a blog post so I’m going with what I’ve got now).
Now look at the second figure. That’s what I have to pay after the discounts my insurance company has negotiated with the hospital and radiologists. Note: there are no payments from the insurance company in there because we had not yet met our deductible. These are just the discounts. Read more »
*This blog post was originally published at A Medical Writer's Musings on Medicine and Health Care*
February 23rd, 2010 by Shadowfax in Better Health Network, Opinion, True Stories
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The first seven patients I saw today were in the ED for:
- Dental Pain (ongoing for three years)
- Back Pain (third visit in one month, 18 in 2006)
- Migraine Headache (six visits in a month, and second ED visit in 18 hours)
- Back Pain (this one was legit)
- Chronic Recurrent Abdominal Pain (ran out of Oxycontin and doctor “out of town”)
- “Cyclic Vomiting Syndrome” (in which only narcotics stop the vomiting)
- Oxycontin withdrawal
Sometimes I wonder why I bother. I occasionally wish my job demanded something more than a valid DEA license, and decision-making skills beyond “yes narcs” and “no narcs.” It just drains the carpe right out of your diem to start the day off in a series of ugly little dogfights over drugs with people whom, to put it charitably, you have concerns about the validity of their reported pain. Read more »
*This blog post was originally published at Movin' Meat*
