- Oct 16, 1999
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Cute response, but I'm honestly asking you.
And I'm honestly telling you. At least that's what this hospital obviously thought.
Cute response, but I'm honestly asking you.
And I'm honestly telling you. At least that's what this hospital thought.
You've once again responded with a "cute" response, will you honestly answer now?
In my experience tests are run, be they repeated or new ones, until the problem is found or I'm transferred to a specialist to rinse and repeat. But then, like I said, I have insurance.
So in my above example, I should receive serial CTs every 3 hours as long as I keep coming back? What if all the tests indicate that the current benign diagnoses is correct and there is no reason to assume otherwise? Should I, the patient, dictate what tests are done regardless of physician's opinion?
You run tests and/or observe until you find the problem. I can't think of anything more inappropriate than a healthcare provider saying "Well, I can't find anything wrong with you, get out."
Is severe abdominal pain consistent with the diagnosis of an ankle sprain?
Is it consistent with the diagnosis of a PE or DVT? What was her abdominal exam like? Was the pain diffuse, localized? What quadrant? Guarding, point tenders? Rebound? HSM? Distended? Was she writing in pain? Was she sitting normally when describing it? What were her vital signs? Did she get an US of the abdomen? Blood work? CT? Oh, you have absolutely no idea.
If they had improperly worked her up, do you honestly believe the investigation would have ignored that?
Actually there is video of exactly what kind of shape the woman was in as she was dying on the jail cell floor.
This woman had:
1) new symptoms
and/or
2) persistent symptoms unabated by the previous treatment.
Specifics beyond that don't change the fact that either one alone warrants further examination and treatment.
1) New symptoms, you mean the abdominal pain? How do you know it wasn't worked up?
2) What persistent symptoms? Leg pain? Reaching a pain level of "0" with an ankle sprain isn't necessarily possible; it's highly variable from person to person.
A PE from an undetected DVT could kill her very rapidly from an asymptomatic state.
I'll ask again, if she were improperly worked up on the final visit, do you think the investigation would have ignored it? Is it your belief that the investigation done, and report rendered, is wrong?
I've had tests re-run to make sure nothing was missed or changed in the time between. But then I have insurance.
Wrong? No, I'm quite sure now telling people in pain and three hours from death to leave the ER is perfectly acceptable medical practice here. /nosarcasm
In my experience tests are run, be they repeated or new ones, until the problem is found or I'm transferred to a specialist to rinse and repeat. But then, like I said, I have insurance.
Is severe abdominal pain consistent with the diagnosis of an ankle sprain?
This woman didn't just have pain. She had pain from a life-threatening condition.
with a healthcare industry responsible for outright killing 100,000 people annually this shouldn't be mind blowing.
This woman didn't just have pain. She had pain from a life-threatening condition. But you're right, with a healthcare industry responsible for outright killing 100,000 people annually this shouldn't be mind blowing. I'm sure they did everything by proper procedure and any investigation accurately reflects it.
The arrest and fatality are just bonuses.
Yeah but you don't have CEOs of insuance/pharma/medical devices/paper work pushers making hundreds of millions either. So there.Apparently when someone has sprained their ankle and then comes back complaining about leg pain (not ankle pain) they check for clots here in the UK, this is what i'm told, they don't let them out until they have checked for it because it's a common thing.
Of course, we have that dreaded universal health care which is much worse.
I think not having to care about any sort of insurance does help when giving care, no one cares who the patient is, the care is the same and paid for in full for everyone.
And yet we pay less IN TAXES PER CAPITA than you do, with your insurances you pay four times as much for less care.
Haven't read the thread, don't have time to read b.s. debates but the case is very simple: The ER nurses or physicians could have easily tested for Homans sign and determined if she had a DVT. If I had a patient come in complaining of ankle pain and I saw they were in distress, I'd perform it just to be sure even if its not 100% reliable (better than doing nothing). A lot of ER nurses and doctors suck and are largely apathetic, especially towards the poor who cannot afford to pay.