Fun Night Interrupted

The evening was going great. The music was pumpin’ and the girls were bumpin’ and you were showing your stuff on the dance floor. Shakin’ your hips. Twisting yourself into a complex contortion. Hell, you’re on fire. You just did a line of some awesome blow and are really feeling it course through your veins.
Suddenly something is amiss. Your head feels funny. Your face feels numb – for some reason more on the right. Your arm doesn’t seem to want to move when you tell it too. Your balance ain’t good. Everything. Suddenly. Goes. Black.
You awake sometime later. You’re not at the party any more. You’re in what you think is a hospital bed, hooked up to all sorts of things. You have a splitting headache. You go to sit up and your realize that you can’t. Your right arm and leg don’t respond at all. You look down and see that they are there but you can’t feel them. Freaking out, you go to shout out to someone, but nothing comes out of your mouth but a vague, soft grunt. You see the saliva drool out of your mouth and drip onto the sheets. What the Hell happened? It couldn’t have been the coke could it?!?!
It’s going to be a long, painful, miserable life. What’s left of it.

Great Chief Complaint

27 year old healthy woman: “Well, I had a really bad dream last night where I was watching my friend get killed and I woke up an hour ago all sweaty and my heart was beating hard so I came in just to make sure I wasn’t having a heart attack”.

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*Today’s modern ER’s will have some of the most advanced medical equipment available

Denials

So on the heels of the post from two days ago entitled “stupid crap”, comes this follow-up. Insurance companies are always accused by physicians of denying necessary procedures and care. Now related to the post from before one could argue that a lot of these tests should not be approved since so much stuff is completely worthless and simply performed for mental masturbatory reasons. However on the flipside there are some things that are so blatantly, obviously necessary that it defies reason that insurance companies would deny them. Take for example arguing about an air ambulance transport of the patient with massive intraperitoneal bleeding following blunt trauma. Quibbling over the flight transport time of 15 minutes versus 45 minutes by car is ridiculous considering how unstable patients such as these are. I realize flying a helicopter is extraordinarily expensive and do agree that just because a helicopter is there does not mean you need to use it for a transport. This does not apply to critically ill patients who need to be sent to a facility that can properly treat them. After all this is what helicopters are intended to do. Instead of spending time arguing about this sort of transport spend your time denying all of the other ridiculous garbage that will probably be ordered on the patient after he’s been hospitalized for two weeks because somebody finds out that he has a history of rheumatoid arthritis.

 

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