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After Surgery in Germany, I Wanted Vicodin, Not Herbal Tea

nytimes.com

141–150 of 421 posts

Re: After Surgery in Germany, I Wanted Vicodin, Not Herbal Tea

#141
post #41

Earlier quoted context omitted.

Indeed. Story time! Last Monday evening, I had an accident with an angle grinder in my garage. The cutoff disc went through my leather glove and bit deep into the middle finger of my left hand. After deciding against gluing the cut back together, I drove myself to urgent care and received five stitches. Did I need any painkillers, the doctor asked? I declined; my finger was pumped full of lidocaine at the time. In th…

Well it's a bit tough to do actual work when there's pain that keeps distracting you. In the article the author talks about just needing to rest... But many of us don't really have the luxury of taking multiple days to rest. At least when you're on painkillers you can still do white collar work, albeit at reduced capacity. Without painkillers though, all your mental capacity would be going towards managing the pain.

It's cheating you out of needed rest. Without painkillers you are be forced to rest and prevented from making matters worse. The concept of pain has an important function. Here's a story of a family that doesn't feel it:

https://tonic.vice.com/en_us/article/mbpejy/the-family-that-...

Re: After Surgery in Germany, I Wanted Vicodin, Not Herbal Tea

#142
post #106

Earlier quoted context omitted.

It's paid by people/companies who pay into the German universal health insurance system, not by the tax payer.

You are splitting hairs. "people/companies who pay into the German universal health insurance system" are effectively being taxed, whatever the wording is.

No, they are insurance membership contributions in Germany. The contributions are specifically used to finance the health system, here the specific health insurer.

Taxes generally are not paid for a person, but for things and values, etc.. Taxes are also not bound to a specific purpose, but are going into the general budget of the country/state/town.

Taxes and insurance fees are different finance models. In Germany there are basically three types of financing for services: 'Steuern' = taxes , Gebühren = fee, Beiträge = contributions.

In Germany the health care system is based on 'Beiträge', i.e. membership contributions to a health insurance.

Re: After Surgery in Germany, I Wanted Vicodin, Not Herbal Tea

#143
post #136
post #67

This passage feels like it is premise of the article; the author eventually comes to terms with her tea-sipping and resting as recovery, and this doctor explains the reasoning behind the medical decision-making which is very clear (and mindful/thoughtful) I think. “To paraphrase him [German anesthesiologist], he said: ‘Pain is a part of life. We cannot eliminate it nor do we want to. The pain will guide you. You will…

I wonder if that doctor has ever had major surgery himself and been told not to use painkillers? Even if that is the case, pain seems to vary greatly in how it affects people. I would be very hesitant to tell someone that they should just let the pain "guide" them, because I have no idea what it is like for them.

I agree that there is no "one-size-fits-all" medical solution, but perhaps having this base-line allows building up when discussed with one's doctor - the article does not discuss this post-operation re-negotiation of how to manage the pain. Perhaps some HNers have experience with a similar situation that they could share.

Re: After Surgery in Germany, I Wanted Vicodin, Not Herbal Tea

#145
post #21

> "After my surgery, I had to pay 25€ for the taxi ride home" I'll take that over the multi-million US-american hospital bill, any time.

You mean, $30,000 to $40,000, the median cost in the US, nearly all of which would be covered by insurance. No sense in fabricating magical numbers, like a multi-million dollar bill, everyone knows the flaws in the US system as is. It costs about 1/3 to 1/2 as much in Germany, paid for by other tax payers.

Sorry I was being sarcastic.

Also the german healthcare system is not all financed by tax payers. "paid for by the public health care system" would be a better sentence.

Re: After Surgery in Germany, I Wanted Vicodin, Not Herbal Tea

#146
post #136
post #67

This passage feels like it is premise of the article; the author eventually comes to terms with her tea-sipping and resting as recovery, and this doctor explains the reasoning behind the medical decision-making which is very clear (and mindful/thoughtful) I think. “To paraphrase him [German anesthesiologist], he said: ‘Pain is a part of life. We cannot eliminate it nor do we want to. The pain will guide you. You will…

I wonder if that doctor has ever had major surgery himself and been told not to use painkillers? Even if that is the case, pain seems to vary greatly in how it affects people. I would be very hesitant to tell someone that they should just let the pain "guide" them, because I have no idea what it is like for them.

[deleted]

Re: After Surgery in Germany, I Wanted Vicodin, Not Herbal Tea

#147
post #128

Earlier quoted context omitted.

Well it's a bit tough to do actual work when there's pain that keeps distracting you. In the article the author talks about just needing to rest... But many of us don't really have the luxury of taking multiple days to rest. At least when you're on painkillers you can still do white collar work, albeit at reduced capacity. Without painkillers though, all your mental capacity would be going towards managing the pain.

This may be another geographic difference - In Germany, unless you are self-employed, if you get a dr's note saying you should rest employers aren't allowed to ask you to come to work. And the amount of sick-leave is unlimited.

Side note: They can't even ask WHAT exactly you have that prevents you from working. Important detail in case you have something that could be stigmatising or somehow discriminated against.

Re: After Surgery in Germany, I Wanted Vicodin, Not Herbal Tea

#148
post #94

> Stool softeners Never heard of those. What are they exactly? Orange juice? I had a minor operation last year, also via laparoscopy. Didn't take any painkillers afterwards, and all was fine. I think pain has a lot to do with fear: if we don't expect it and we don't know why it's there, it's horrible, but if we know where it comes from and how it's supposed to evolve it's a lot more bearable (within limits of course)…

>Never heard of those. What are they exactly? Anecdote: Dried plums work pretty well for me.

Further anecdote: (Diluted) plum juice works wonders for babies.

Re: After Surgery in Germany, I Wanted Vicodin, Not Herbal Tea

#149
post #142

Earlier quoted context omitted.

You are splitting hairs. "people/companies who pay into the German universal health insurance system" are effectively being taxed, whatever the wording is.

No, they are insurance membership contributions in Germany. The contributions are specifically used to finance the health system, here the specific health insurer. Taxes generally are not paid for a person, but for things and values, etc.. Taxes are also not bound to a specific purpose, but are going into the general budget of the country/state/town. Taxes and insurance fees are different finance models. In Germany t…

In International discourse and comparison (e.g. those done by the OECD) most of those typically run under the label "taxes". The German distinction doesn't translate well into other systems.

It should be noted that (based on the vague description from the article) her insurance probably got compensation payments from the federal government for her insurance (if it was in fact free through her husband).

Re: After Surgery in Germany, I Wanted Vicodin, Not Herbal Tea

#150
post #21

> "After my surgery, I had to pay 25€ for the taxi ride home" I'll take that over the multi-million US-american hospital bill, any time.

You mean, $30,000 to $40,000, the median cost in the US, nearly all of which would be covered by insurance. No sense in fabricating magical numbers, like a multi-million dollar bill, everyone knows the flaws in the US system as is. It costs about 1/3 to 1/2 as much in Germany, paid for by other tax payers.

If I read this story correctly the other day, giving birth to premature twins in the US can max out your $2M insurance cap and leave you with $450k of medical debt to boot:

https://www.theguardian.com/us-news/commentisfree/2018/jan/1...

In my own back of the woods in Europe, the same would cost you nothing.

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