US health care providers aren’t the only ones who are concerned about patients gone wild. 89% of emergency physicians in China have been threatened with violence and 37% of Chinese emergency physicians have been physically attacked. US agencies aren’t the only ones failing to address the issue, either. Chinese emergency physicians and nurses are studying martial arts to protect themselves against incidents during their shifts. I guess that keeping a 9mm strapped to your leg is out of the question.
So THAT’S where my bald spot came from. Getting weaves in your hair may cause permanent hair loss.
Attorneys collect $6.5 million settlement after nurse anesthetist overdoses child on anesthetic during eye surgery then hospital has no doctor or crash cart available to perform CPR.
Oregon prison inmate receives $130,000 in medical care while in prison, then another $390,000 in a settlement just prior to her release after prison officials allegedly “ignored or dismissed” physical complaints that ended up being bacterial endocarditis.
Unique way for doctors (or any other service provider) to stifle bad online reviews: Have customers agree to give you copyright to anything they write about you and then, if those reviews are bad, send a takedown notice to the publisher alleging copyright violations.
Wild story. Nurse collapses in home bathroom. No pulse. EMTs called. They defibrillate her 15 times. Still no pulse. CPR performed for more than an hour en route to hospital and in emergency department. Emergency physician goes to husband to inform him that they are going to stop CPR. Then the monitor starts going “blip … blip … blip”. Eight months later, she is pushing her kids down a slide on a playground.
Another reason not to give your social security number to hospitals or medical providers. Former emergency department clerk convicted of selling patient identifying data to identity theft ring. She was sentenced to 2 years in prison. On the other hand, her victims were sentenced to many years of trying to clean up their credit history.
Part of New York emergency department temporarily closed by … sewage. I was going to make a joke about not many people noticing the difference in smell, but I used to live in New York, so I’ll leave that one alone.
More problems for all those people who are going to get “insurance” from the government. In Washington State, Medicaid patients are going to be limited to three non-emergency visits to the emergency department per year (emergency visits are still covered). Washington State even has a 15 page list detailing such non-emergency conditions such as hypoglycemic coma and asthma attacks. After the third non-emergency visit, it’s either AMF-YOYO — “Adios, My Friend, You’re On Your Own” or “get some extra large silverware you hospital board members because you’re going to be eating a whole lot of costs.” State doesn’t care either way. All it knows is that doesn’t have to pay for the treatment any more.
Another emergency department closing. St. Alexius Hospital near St. Louis is closing next month due to declining patient volume and lost revenue.
“Crying wolf” can become a habit. Some Upstate New York counties are seeking legislation to require that the state review the problem of ambulance abuse. Not that it will do that much, but maybe it will bring attention to the issue. In many cases, ambulance services are run by the fire department. When patients abuse the EMS system, there are less services immediately available for true emergencies. The fire chief in Troy, NY notes that some patients call EMS “on a daily basis and want to go to the hospital, and they’re out of the hospital before the crews who have to do the paperwork.”
Insurers become innovative in trying to stifle fair payment to emergency physicians. Michigan’s Spectrum Health insurance company offered physicians certain payment rates to join their HMO and then, according to physicians, give the physicians a “take it or leave it” ultimatum. Physicians decided that the payment was too low and “left it.” Michigan state law requires that HMOs pay 100% of emergency department charges, so if the docs don’t join the HMO network, the HMO has to pay the full physicians’ fees for the emergency department visit. Now, instead of directly reimbursing the providers for the care, Spectrum Health is sending checks to the patients and having the patients reimburse the providers – adding a step before the physicians can receive their payments.
I don’t necessarily think that having patients pay for their care is a bad thing. If the hospitals or physicians are worried about receiving payment, have the patients pay at the time of service and inform them that the insurer’s policies have forced this change and that the insurer will reimburse them later. Providers would happily accept a credit card or a post-dated check for payment. If the HMOs start jerking around the patients, then the patients will find another insurer. If the HMOs keep trying to jerk around the medical providers, then maybe the emergency department charges would have to increase by another 20% to cover the added costs of doing business with the HMOs.