Do Emergency Rooms treat all Patients as Equal...

Narmer

Diamond Member
Aug 27, 2006
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...except for the obvious dying scnerio, of course?

I got out of class this past Wednesday. As soon as I got on the Subway train, I started to feel a sharp pain in my stomach. I decided to ride it out, thinking I would go to an emergency hospital near where I live (Mount Sinai Emergency Hospital in Astoria, Queens). By the time I'd reached the hospital, I was in severe pain. I told the clerk but he told me to RELAX and the nurse would call me shortly. Ten agonizing minutes go by before the nurse calls me and takes my info. I informed her that I was in severe pain. She continues to write down info and finally took me into an emergency ward, which looked like a military field hospital. Other nurses come around just to take info. An hour passes before the doctor comes. I told her that an hour after I ate an Almonds Joy from a vending machine at Columbia University, I'd gotten sick. The bitch then told me that it was probably nothing without performing a diagnosis. She then give me two OPTIONS: I could either go home or she could give me some IVs. I then reminded her that stomach pain is the worst anybody can have. She gets mad and says that there are other more important patients. I then asked her how would she know if she didn't even check me out. The bitch then walked away, saying someone would be back. Half an hour later, and still in severe pain, I walked out of that emergency, took the train to my house, got into my car, and drove to St. Luke's Hospital, across from Columbia University. I had to wait another hour just to be called upon, but the doctors actually started to give me some medication for my pain, none of which worked. They give me four different shots of Motrin along with a cocktail of other pain medications. It was only after 10 hours of god-awful stomach and a final shot of Motrin and Pepcid that the pain just miraculously went away. I got an X-ray, two CAT scans, and a battery of other tests before they surmised that there may be some telescoping of my intestines; an inflammation of one of my organs due to surgery I had eight years earlier; or a breakdown of one of my organs. I have to see a specialist soon. I hope it isn't terrible news.

I honestly don't know what would've happened had I stayed at the ER in Queens but judging from the fact that the Doctor was basically asking me what I wanted to do, I didn't really trust her judgement. At St. Lukes, however, the staff really cared about the fact that I was in pain, inspite of the fact that I had to wait in the ER there. That is what has me wondering whether or not the ER should treat different patients differently as opposed to having a "first come, first serve" policy?
 

acemcmac

Lifer
Mar 31, 2003
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Yep. I used to have some of the best medical coverage money can buy and I still got treated like crap in the ER.
 

Ulfhednar

Golden Member
Jun 24, 2006
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Some of you morons need to look up the word "triage."

If you're in E.R. you get prioritised, no matter how much you pay. Period.
 

Slew Foot

Lifer
Sep 22, 2005
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X-ray, two CAT scans, and a battery of other tests

Hope your insurance covers that $5K worth of tests.
 

Ulfhednar

Golden Member
Jun 24, 2006
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Originally posted by: Slew Foot
X-ray, two CAT scans, and a battery of other tests

Hope your insurance covers that $5K worth of tests.
God I love to be British. :cool:
 

ViRGE

Elite Member, Moderator Emeritus
Oct 9, 1999
31,516
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ER's suck all the same, no matter where you are. There's never enough staff to deal with the number of people that come in during the daytime.
 

Baked

Lifer
Dec 28, 2004
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Originally posted by: Ulfhednar
Originally posted by: Slew Foot
X-ray, two CAT scans, and a battery of other tests

Hope your insurance covers that $5K worth of tests.
God I love to be British. :cool:

Yeah, but don't you have to take a day off just to wait in line for one test 'cause it's free?
 

mattpegher

Platinum Member
Jun 18, 2006
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Although you will get treated the same independent of your insurance, you will not get treated the same as the guy having a heart attack, cardiac arrest or respiratory distress. Given your age, the worst case scenario is that you could have an appendicitis although dangerous this is not imediately life threatening. Most ED's will try to get you some symptomatic relief as soon as possible. Remember you are not the only one in the ER and the doctor is not just sitting there on his ass waiting for you to present. The triage nurse would have brought you right back and got the doctor imediately if your presentation warranted it. As it is you didn't need surgury imediately or even admission to the hospital and you have the time and leasure to post on ATOT, so grow a pair. Next time they might call the OB/GYN stat since your such a big pvssy.
 

kami333

Diamond Member
Dec 12, 2001
5,110
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Looks like the triage nurse did her job.

Next time, unless you are visibly bleeding from a major artery, go to urgent care instead. I work in a hospital complex and they advise us to drive 20min to urgent care instead of going to the ER if we can.
 

mattpegher

Platinum Member
Jun 18, 2006
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Originally posted by: kami333
Looks like the triage nurse did her job.

Next time, unless you are visibly bleeding from a major artery, go to urgent care instead. I work in a hospital complex and they advise us to drive 20min to urgent care instead of going to the ER if we can.

I work in both the ED and our Urgent care. If you have abdomenal pain your better off going to the ED because recent studies state that appendicitis cannot be reliably ruled out without CT scan.
 

kami333

Diamond Member
Dec 12, 2001
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Originally posted by: mattpegher
Originally posted by: kami333
Looks like the triage nurse did her job.

Next time, unless you are visibly bleeding from a major artery, go to urgent care instead. I work in a hospital complex and they advise us to drive 20min to urgent care instead of going to the ER if we can.

I work in both the ED and our Urgent care. If you have abdomenal pain your better off going to the ED because recent studies state that appendicitis cannot be reliably ruled out without CT scan.

At which point urgent care will refer you back to the hospital for the CT, but since they can take you straight to radiology.
 

TraumaRN

Diamond Member
Jun 5, 2005
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Originally posted by: mattpegher
Originally posted by: kami333
Looks like the triage nurse did her job.

Next time, unless you are visibly bleeding from a major artery, go to urgent care instead. I work in a hospital complex and they advise us to drive 20min to urgent care instead of going to the ER if we can.

I work in both the ED and our Urgent care. If you have abdomenal pain your better off going to the ED because recent studies state that appendicitis cannot be reliably ruled out without CT scan.

CT is what? 85% accurate in dxing appendicitis?

If you want better ER care come to Detroit :p

Or well my hospital.

See a doctor in less than 29minutes.
 

TraumaRN

Diamond Member
Jun 5, 2005
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Oh and if you dont like your service you can get up to 100 bucks back from the hospital.
 

Narmer

Diamond Member
Aug 27, 2006
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Originally posted by: thirtythree
Where was the sharp pain? e.g., which side, how far above your belly button?

It was below my belly button, but the whole area below it. I had surgey for my appendix sic?) to be taken out eight years before. The doctors were saying that the fallout from that may have had something to do with why I was in such pain. Either way, I have to see a specialist soon.

Originally posted by: tfinch2
If you were able to do this:

I walked out of that emergency, took the train to my house, got into my car, and drove to St. Luke's Hospital

You were fine.

I was NOT Fine. I can't describe the pain to you because you may never have experienced it yourself but I decided to leave that ER because service was so Goddamn abysmal. Believe me, this was nothing you would sleep on.

Originally posted by: mattpegher
Although you will get treated the same independent of your insurance, you will not get treated the same as the guy having a heart attack, cardiac arrest or respiratory distress. Given your age, the worst case scenario is that you could have an appendicitis although dangerous this is not imediately life threatening. Most ED's will try to get you some symptomatic relief as soon as possible. Remember you are not the only one in the ER and the doctor is not just sitting there on his ass waiting for you to present. The triage nurse would have brought you right back and got the doctor imediately if your presentation warranted it. As it is you didn't need surgury imediately or even admission to the hospital and you have the time and leasure to post on ATOT, so grow a pair. Next time they might call the OB/GYN stat since your such a big pvssy.

I can see that you or someone you know has been on the receiving end of my kind words for the first doctor that treated me. Nevertheless, I still wouldn't wish the pain I experienced on you. God may, but not me. I'm posting this TWO days later. Obviously I'm better now but the doctors and I are afraid it'll crop up again.
 

abracadabra1

Diamond Member
Nov 18, 1999
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Originally posted by: mattpegher
Although you will get treated the same independent of your insurance, you will not get treated the same as the guy having a heart attack, cardiac arrest or respiratory distress. Given your age, the worst case scenario is that you could have an appendicitis although dangerous this is not imediately life threatening. Most ED's will try to get you some symptomatic relief as soon as possible. Remember you are not the only one in the ER and the doctor is not just sitting there on his ass waiting for you to present. The triage nurse would have brought you right back and got the doctor imediately if your presentation warranted it. As it is you didn't need surgury imediately or even admission to the hospital and you have the time and leasure to post on ATOT, so grow a pair. Next time they might call the OB/GYN stat since your such a big pvssy.

ahahaha....this was funny.


sorry about your pain.
 

DrPizza

Administrator Elite Member Goat Whisperer
Mar 5, 2001
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What are you whining about? When you post an update that the specialist discovered a horrible rare disease, I'll feel sorry for you. But, at your age, with a history of already having your appendix removed, and the sudden onset, it was probably gas or something. At this point, they're just enjoying the money they're going to receive for all those tests. I'm sure it'll turn out to be nothing (i.e. the doctor at the first ER was probably correct.) As you walked out unassisted, I'm left with two conclusions: you're a really tough guy, or it wasn't *that* bad of a pain. Yeah, abdominal pain can hurt. Just about everyone here knows that, because just about everyone here has had abdominal pain before. The difference is, most of us didn't panic into thinking that death is going to be immediate if we don't receive treatment NOW. You do realize that in a typical ER, there are people suffering from heart attacks and strokes, as well as several other conditions which are life-threatening. Abdominal pain isn't usually life threatening. 10 minutes until a nurse came to see you really isn't that long of a wait, (especially when you compare it to the one hour at the 2nd hospital) and I'm sure that after you were seen by the clerk, and then the nurse, they had correctly assessed that it wasn't life threatening.

Bad news for you: many insurance companies will *not* pay for treatment if you walk out. You may be responsible for the costs at the first hospital. I can double check when my wife gets home (she's worked in the ER of a hospital, as a clerk, as a nurse, and in quality assurance - that department also dealt with insurance issues)

I'll feel bad if you do, in fact, turn out to have something wrong with you. But, I doubt it. You'll be fine.
 

mattpegher

Platinum Member
Jun 18, 2006
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Originally posted by: DrPizza
What are you whining about? When you post an update that the specialist discovered a horrible rare disease, I'll feel sorry for you. But, at your age, with a history of already having your appendix removed, and the sudden onset, it was probably gas or something. At this point, they're just enjoying the money they're going to receive for all those tests. I'm sure it'll turn out to be nothing (i.e. the doctor at the first ER was probably correct.) As you walked out unassisted, I'm left with two conclusions: you're a really tough guy, or it wasn't *that* bad of a pain. Yeah, abdominal pain can hurt. Just about everyone here knows that, because just about everyone here has had abdominal pain before. The difference is, most of us didn't panic into thinking that death is going to be immediate if we don't receive treatment NOW. You do realize that in a typical ER, there are people suffering from heart attacks and strokes, as well as several other conditions which are life-threatening. Abdominal pain isn't usually life threatening. 10 minutes until a nurse came to see you really isn't that long of a wait, (especially when you compare it to the one hour at the 2nd hospital) and I'm sure that after you were seen by the clerk, and then the nurse, they had correctly assessed that it wasn't life threatening.

Bad news for you: many insurance companies will *not* pay for treatment if you walk out. You may be responsible for the costs at the first hospital. I can double check when my wife gets home (she's worked in the ER of a hospital, as a clerk, as a nurse, and in quality assurance - that department also dealt with insurance issues)

I'll feel bad if you do, in fact, turn out to have something wrong with you. But, I doubt it. You'll be fine.
Many Insurance companies have a clause in your contract that states that if you leave the ER or a doctors office AMA, against medical advice, that they have the option not to pay for the visit. This can become massive if you leave a hospital admission AMA. Although this is in the contract, most of the time they don't exercise this right.