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How twitter helped a technology consultant escape from an evil hospital

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Re: How twitter helped a technology consultant escape from an evil hospital

#71
"According to Ithaca Fire Department statistics, Lowe was the fifteenth person to die in Ithaca's gorges since 2000—and the fourth to drown in that particular pool since 1986. When most people think of gorge deaths, they think of the jumpers who have given Cornell an unwanted (and unwarranted) reputation as a suicide hot spot. But Ithaca Police Officer Doug Hoyt estimates that about half of those fifteen deaths were accidents caused by turbulent water, slippery rocks, fallen trees, and a host of other natural features. The local community has mourned each death. But Lowe's passing—coming in the wake of the drowning the previous year of Jeevan Mykoo, a thirty-year-old tourist from Ottawa, and the 2006 death of Navin Parthasarathy, a visiting graduate student from the University of California, Santa Barbara—has spurred a widespread debate about how to deal with the dangers and appeals of one of Cornell's great natural attractions."

http://cornellalumnimagazine.com/index.php?option=com_conten...

Re: How twitter helped a technology consultant escape from an evil hospital

#72
post #59
post #55

Earlier quoted context omitted.

That comparison is like saying that when someone gets diagnosed with diabetes, they should preemptively amputate their feet so as to avoid trouble with them later.

So you are saying that removal of wisdom teeth gives you a disability similar to removal of feet?

Point taken. How about giving everyone an appendicectomy, just in case?

Re: How twitter helped a technology consultant escape from an evil hospital

#73
post #66
post #45

My dad's a doctor in a rural environment, and I had a bad back injury including ruptured discs and cracked vertebrae when I was in high school. I can offer some insight on the psychology of the doctors and even a little bit of information on this particular injury. A rural surgeon is going to be professionally offended if their patient calls up an egghead at Harvard from their pre-op hospital bed and then tells him s…

I want to agree with you, but what I am interested in knowing is why the boston doctor was insisting on a mobility test prior to surgery and why the small town folks were insisting on surgery first. The same thing happens in small town India as well where doctors are more interested in keeping you admitted above and beyond the needed duration and doctors in large cities are just better because they have a greater pat…

Watching her in the hospital and knowing that she swam to shore and stood up would have made a mobility test irrelevant. Being 40+ with a shattered T12, she made the riskier decision by opting out of the surgery. If you remove the hyperbolic language from her story, it reads like the hospital was being relatively conservative and trying to take the approach with the least risk of paralysis or other spinal cord injury. That said, It's awesome that she's able to recover without surgery. Even "successful" back surgeries usually have many complications. Surgery or not, back injuries suck and require tons of PT, exercise and lifestyle changes to get back to normal.

Re: How twitter helped a technology consultant escape from an evil hospital

#74
post #45

My dad's a doctor in a rural environment, and I had a bad back injury including ruptured discs and cracked vertebrae when I was in high school. I can offer some insight on the psychology of the doctors and even a little bit of information on this particular injury. A rural surgeon is going to be professionally offended if their patient calls up an egghead at Harvard from their pre-op hospital bed and then tells him s…

That's not really true. There are a lot of insurances that cover an airlift upto a million dollars. Some kitebording insurances I know do so.

Re: How twitter helped a technology consultant escape from an evil hospital

#75
post #72
post #59

Earlier quoted context omitted.

So you are saying that removal of wisdom teeth gives you a disability similar to removal of feet?

Point taken. How about giving everyone an appendicectomy, just in case?

So far as I know appendix removal is move invasive of a surgery with more risk than removal of wisdom teeth is.

Other than that, I would want to see the numbers on '% of people that need appendix removal' vs '% of people that need wisdom teeth removal.' My suspicion is that the latter is much higher than the former, but I could be wrong.

Re: How twitter helped a technology consultant escape from an evil hospital

#76
post #64
post #52

Earlier quoted context omitted.

Yea. I can see people on both sides saying crap about this. Pro: This wouldn't happen with government healthcare because there would be standards in place (i.e. the 'mobility test' would be standard everywhere not just in 'cutting edge' facilities) Con: In government-run healthcare, she would have been forced to stay in that hospital so as to minimize the costs of treating her (i.e. no expensive transport from PA to…

Well, it's more like the pro is that there is no profit motive to keep her there. The staff would be delighted to get rid of her to a bigger facility elsewhere. I live a kilometre north of a large hospital in Sydney, Australia and we get helicopters coming in all hours of the day and night, presumably doing just that. The "con" would probably be that there would be no facility for spinal surgery in a rural area in th…

Well, it all depends on the 'type' of government healthcare that happens.

If hospitals are still privately owned, but the government basically starts it's own 'insurance company' that covers everyone that isn't part of the private insurance company plan (similar to Germany) then it's possible that a rural area could still have spinal surgery experts. Even if the hospitals are all government-owned and run (similar to the UK method of healthcare), it's still possible to have spinal surgery experts in a rural area. It just would depend on what was cheaper. Is it cheaper to have a spinal surgery-trained staff at the rural hospital or to fly everyone 300 miles to another hospital? (Or the 3rd option of having staff at a different hospital, but making sure that it is less than 300 miles away -- i.e. spread out facilities that can handle such injuries so that there aren't hugely expensive transit costs for treatment)

Re: How twitter helped a technology consultant escape from an evil hospital

#77
post #50

Earlier quoted context omitted.

One of the problems in Canada (at least Ontario -- because healthcare is run by the province not the federal government) is people using the emergency room as a doctor's office. This is because regular practice doctor's are regulated on the number of patients they can see (this is an attempt to prevent doctors from seriously overbooking themselves with patients in an attempt act like a 'health factory' where patients…

Uh, In the US, a large number of people use the emergency room as a doctor's office because they have no other choice. So, Canada: problematic. US: fail But if Canada keeps using US logic, it might wind-up in our boat. Good luck to you...

> In the US, a large number of people use the emergency room as a doctor's office because they have no other choice.

How do you mean though? I'm saying that people with flu/colds/UTI/etc just go to the emergency room instead of a doctor's office (or even walk-in clinics at times) in Canada. I've been without healthcare, but I spent most of my life on a good healthcare plan through my parents. I don't have much experience with people that are off of the healthcare system (the only time I've had friends that were 'poor'[1] was in Canada where they were still covered for healthcare and social assistance).

[1] By poor I mean, barely making any money and living off of welfare and/or living in subsidized housing. I don't mean starving/homeless, though I was a couple of 'degrees' away from people that were homeless.

> But if Canada keeps using US logic, it might wind-up in our boat.

How do you mean?

> Good luck to you...

I'm currently living in the US, but I was living in Ontario for a time. It just irks me when people start talking about the 'problems with the Canadian system' when it's not a unified system as I understand it. The same when people start talking about 'socialized medicine,' since every country that has such a system has a different take on it.

Re: How twitter helped a technology consultant escape from an evil hospital

#78
post #45

My dad's a doctor in a rural environment, and I had a bad back injury including ruptured discs and cracked vertebrae when I was in high school. I can offer some insight on the psychology of the doctors and even a little bit of information on this particular injury. A rural surgeon is going to be professionally offended if their patient calls up an egghead at Harvard from their pre-op hospital bed and then tells him s…

Having worked as a trauma nurse for years, I really can't believe that the entire hospital staff was conspiring to keep him there because he had good insurance. More often than not, we are kept entirely in the dark about people's insurance.

They may well have had a poor bedside manner, and they may well have tried to pressure him into having a surgery they thought necessary, but doctors disagree with treatment methods all the time. That doesn't mean that they were necessarily evil in disagreeing with the doctor in Boston.

It's also fairly standard practice for insurance companies to decline to pay a patient's hospital bill if that patient signs out against medical advice. So, if they said that he would have to pay out of pocket, they may well have been telling the truth. If he was signing out against medical advice, he may well have been responsible for the entire transfer bill, which would likely have been in the tens of thousands of dollars.

Also, if the hospital was the closest qualified trauma center, and if it was deemed by the Attending Neurosurgeon that he have surgery soon or risk permanent paralysis, it's understandable that they would have been reluctant to transfer the patient. And, if he was refusing emergency back surgery and if he was demanding transfer, he may well have been risking permantent paralysis as well as being financially liable for the hospitalization.

Re: How twitter helped a technology consultant escape from an evil hospital

#79
post #45

My dad's a doctor in a rural environment, and I had a bad back injury including ruptured discs and cracked vertebrae when I was in high school. I can offer some insight on the psychology of the doctors and even a little bit of information on this particular injury. A rural surgeon is going to be professionally offended if their patient calls up an egghead at Harvard from their pre-op hospital bed and then tells him s…

That's not really true. There are a lot of insurances that cover an airlift upto a million dollars. Some kitebording insurances I know do so.

An airlift from the scene of an accident is different than an air transport from one qualified trauma center to another per patient's request.

Re: How twitter helped a technology consultant escape from an evil hospital

#80
post #6

It never occurred to me that carrying high-level heath insurance would mark me as a candidate for unnecessary surgery. Perhaps this is exactly why health care costs have gone up so dramatically. We have insurance, so the doctors take advantage of it -- needlessly. We very well could be spending a lot less money for the same amount of health care. I think the solution to the health care problem is for someone to start…

This article in the New Yorker is excellent: http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_... Atul Gawande argues that the problem with healthcare in the US is overutilization. The surgeon gave me an example. General surgeons are often asked to see patients with pain from gallstones. If there aren’t any complications—and there usually aren’t—the pain goes away on its own or with pain medication. With i…

My wife had the exact same problem: first time gallstone pain, and the hospital wanted to operate immediately. Instead, we got second opinions from various sources and decided to wait.

I am sure the pain will come back some day and then we will have to make another decision, but meanwhile we have avoided an invasive surgery.

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