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Domestic Violence: More Common Than You Think

Browsing through my October ENA Connection the other day, I noticed the theme was “Government and Advocacy”. Came across an article on domestic violence. It’s a short article, written by Carrie Norman, RN, CEN, member of the Government Affairs Committee. The quotes below are taken from Carrie’s article.

“The CDC estimates that 37 percent of women who sought emergency department care were victims of domestic violence.”

What? 37 out of every 100 women I have triaged?

Seriously?

“Domestic violence victims are more likely to seek treatment for chronic and psychological conditions.”

Okay. But no way have I been taking care of victims of domestic abuse – I mean, hello, wouldn’t it be obvious? The hovering, overbearing abuser who answers all the questions for the patient? The bruises that aren’t explained by the story? Read more »

*This blog post was originally published at Emergiblog*

Maybe The ER Shouldn’t Be A Fun Place For Kids

What’s the deal with hospital stickers these days?  I found this sticker laying around in Happy’s emergency department the other day.  Should we be encouraging children to come to the emergency room and feeling happy and excited about the sticker they get?  I’m not sure putting a happy robot on a sticker and proclaiming ones exciting visit to the emergency is the best public health policy.  Perhaps we need to take a different course of action before another entire generation of  citizens feel obliged to use the emergency department as their sole source of medical care.  Perhaps instead of a hospital sticker, children in the emergency room would all get a saline injection in their shoulder.  Now that’s the kind of memory you want kids to have of their emergency room visit. They should fear the hospital and do everything in their power to stay healthy as adults.  Not feel giddy about happy robots on hospital stickers.

Do children get hospital stickers at your facility?

*This blog post was originally published at A Happy Hospitalist*

Family Receives Medical Bill And Form Letter After Son Dies In ER

Wow. Just wow:

Hospital bill stuns slain student’s parents
By Sam Stanton

“It was just devastating and insulting,” Gerald Hawkins said Monday. “It’s just hard to grasp for words. My wife and I were near collapse.”

On Saturday, 10 days after Scott Hawkins was beaten to death inside his dormitory at California State University, Sacramento, his parents got a letter in the mail.

It contained a bill from the UC Davis Medical Center for $29,186.50 along with a form letter addressed “Dear Patient” that implied they were indigent and stated that the hospital no longer could provide them services.

“UC Davis can no longer provide follow-up care or any other non-emergency care to you,” it read. “Please go to a County clinic for all non-emergency care or to get a referral to another doctor.”

For Gerald and Elizabeth Hawkins, it was just too much to bear.

Read more »

*This blog post was originally published at GruntDoc*

When No One Wants To See The Patient: The ER’s On-Call Labyrinth

The call schedule is hidden somewhere inside!

The call schedule is hidden somewhere inside!

Dictation:

‘The patient was seen in the emergency department by Dr. Niemans, who is the acting hospitalist on call for Dr. Whitman’s group, who usually admit for the patient’s actual primary care provider, Emily Knight, PA, who works for  Dr. Robelo, who no longer takes call, but admits his patients to the hospitalist.

Because the patient has COPD and an acute left-lower-lobe pneumonia, pulmonology was consulted.  However, no pulmonologist is available this weekend.  Pulmonary is being covered by Dr. Albertson, pulmonologist in the neighboring city.  I spoke with Dr. Albertson about this and he told me he wasn’t taking call for our patients, and why did people keep bothering him.

The patient’s cardiologist, Dr. Rease, is being covered by Dr. James.  I spoke to Edgar, PA for Dr. James who said that as of 7am, Dr. James was trading call with Dr. Housefield while Dr. James went to his son’s soccer game, but if I had any questions I should call Dr. Housefield’s Nurse Practitioner Michael, who would be rounding for Dr. Housefield, Dr. James and Dr. Josefson, at least until soccer was over or something bad happened. Read more »

*This blog post was originally published at edwinleap.com*

Even Physicians Are Shocked By Healthcare Costs

I took my son to the ER for a broken thumb. It was a minor injury but the thumb is the most important digit on the hand. The ER care was just fine…a quick look, an Xray and a small splint. We didn’t have to wait long and everyone was courteous.

Imagine my surprise to receive the bill from the hospital. Yes, I have insurance. My out of pocket expense was minimal but here is what the insurance company was charged:

  • Hospital Misc.- $56.00 (could this be the splint?)
  • Diagnostic Xray – $342.00
  • Emergency Care- $952.00
  • Surgery – $570.00
  • Total $1920.00

Take a look…surgery? There was so surgery, no procedure. There was no break in the skin. The doctor component of the visit was about 7 minutes (mainly because I knew the doc and we chatted about politics)

This bill is unreal and is comprised of unreal health care costs. Read more »

*This blog post was originally published at EverythingHealth*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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