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RedRocket1647545505

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Everything posted by RedRocket1647545505

  1. Not if you're gonna subsidize it anyways. I pay for it at the hospital, or I pay for it in my taxes. I have a choice to go to the hospital. I don't have much choice when it comes to taxes. By cutting the freeloading, I mean pull the fucking rug out from under these people to get them off their lazy asses. No subsidies. Just work. Like the rest of us.
  2. Patient: RK Sex: Female Age: ~50 Hx: Diabeetus Admitted: 9/30/13 Dx: DKA Last date of discharge: 9/16/13, 8/24/13, 7/20/13, 5/23/13, etc... Discharge EDU on diet, exercise, medications, etc, provided at every discharge. Last prescriptions for insulin filled: 9/1/13, 8/1/13, 7/1/13, etc.... Pt. arrives to hospital in a lethargic state. Blood Glucose >1,100. Alert/Oriented x0; will not follow commands, (+) acetone/ketones, Head filled w/ lice. Cockroach found crawling out of giner by ED staff. Tx: -2-3 day ICU stay: (~$1,000/day) -1-2 day MedSurg stay (post ICU): ~$600/day -Head CT d/t lethargy: $x,xxx??? (Multimillion dollar machine) -24/7 supervision by nursing staff: $25-35/hr x 3-5days -Medications (including delousing) -Monitoring -Frequent blood draws:~500/ea. -Support staff pay -Physician pay Pt bill: Probably $10,000+. Every. Single. Visit. She pays: $0 Hospital gets reimbursed by Medicaid: $0 (Dinged for <30day readmission). This patient gets the same exact treatment every single time she is here. Pt. has had complete care given to her over this time. Education is, yet again, provided on how to care for her disease. Pt. meds are provided to her. Syringes are provided to here. Glucometer is provided to her. Yet, she ends up back here every month for the same thing, just because she's non-compliant. These patients abound. Every non-compliant patient that walks through the door is a hit to the hospitals checkbook. You pay for these people as well.
  3. Ben, Let me give you a rundown of why your bill was $500 for what amounts to a simple diagnosis and intervention(s). You have health insurance. That women with the 7 kids waiting to be seen in the waiting room? She doesn't. She's a "self pay" i.e. no pay. There's 10 of her to every one of you that walks in through the door. Each of her 7 kids has apparently coughed more than 2x in one minute. She wants them fixed, and fixed now. Now, the doctor seeing her could take one listen to their cough and say, "They've got croup. Stick them in a hot, steamy shower." But, he unfortunately can't say that, though that is most likely the problem. So why can't he say that? Because if he's wrong, and one of her little crotch fruits (thanks, Orion) ends up having pneumonia, she's going to sue the shit out of him for a misdiagnosis. So what's he do? He orders a whole slew of tests just to cover his ass. All 7 of those kids get a chest X-ray, flu swab, sputum culture, CBC and Chem 8s, and some breathing treatments for the respiratory therapist. They're sent on their way with a prescription for an antibiotic. The hospital sends her the bill. But, since she's a low-life piece of shit, she won't be paying it because she doesn't think it's her responsibility. It could be $1 and she still wouldn't pay it. So how does this woman affect you? You've got the money (insurance), so you get to help cover the expenses she just accrued. Lucky you. On another note, there are 9 people admitted to the hospital who are there with "chest pain". They've been there 6 times for the same thing in the past 2 months and each time are ruled out negative. The real reason they are there? They want their morphine. They know the routine. But, the nurse taking care of them knows them well. S/he knows they are only there for the morphine and refuses to give it. Instead, the nurse insists on trying some nitroglycerin first. The patient refuses because "nitro gives them a headache" and complains that they want the morphine because, "it helps them sleep.". The nurse informs this patient that the morphine is for true chest pain (i.e. cardiac in nature) and is not to be used as a sleep aid. This patient and the other 8 just like them get pissed. They get discharged as they always do. Lucky for us, a few of these people were one Medicare/caid. This presents yet another problem for the hospitals. Hospital reimbursement is more and more going to quality-based reimbursement. They do this through a couple different surveys (which, BTW, you HAVE to score 100% on [read: impossible]). Well, it just so happens that the patients that were pissed off got these surveys and the results reflect that. Congratulations, the hospital now gets complete shit for Medicare/caid reimbursement because of these fuck heads; so, they eat that cost as well. Now, hospitals aren't nearly as well off as the general public seems to think. Most are just scraping by. So, they do as most businesses do, they go after the money where they can; you. Sorry about your luck, but you're one of the working Americans and as such, you get punished for it, yet again. The problem isn't the hospitals, or the providers, or the nurses, or the equipment. It's the worthless public who uses them. Figure out a way to cut the freeloading. Figure out some tort reform. Figured out how to fix Medicare/caid. And you will significantly help to fix our out of control healthcare costs.
  4. You should have a problem with your fellow worthless citizens who don't pay their bills, thereby passing the buck onto you.
  5. Ah. I was questioning it while watching. Should have stuck with my gut feeling.
  6. Wins again http://www.military.com/video/operations-and-strategy/improvised-weapons/slingshot-guy-finally-owns-himself/2707741982001/
  7. How are they going to make you prove that you do have health insurance? And who's going to sort through that mess? And what's it going to cost just to fund that part of it?
  8. http://img.gawkerassets.com/img/191v5tskpsdusjpg/original.jpg
  9. Of course the camera turns off right as they get him stopped...
  10. I did my RN-BSN online thru Ohio University and it was convenient for me. As was said before, you have to be disciplined because it tends to be fast-paced. I don't know of anyone who offers a complete online degree. As was also mentioned before, labs, clinicals, whatever, have to be done in person. Also, depending on what route you want to take with your education, be careful about where you choose to complete your coursework. Some grad schools will laugh at you if you told them you completed your undergrad through a community college.
  11. You guys are doing it wrong. You're supposed to get clipped BEFORE the kid comes along. You people actually want those things?
  12. I'd build an Ariel Atom with a turbo'd Hayabusa V8 and sequential/paddle gearbox. I shall have one someday...
  13. I'll sell you my NIB PTK top-mount twin kit sans turbos/waste gates/BOVs for $4,000. All hot parts are Swaintech'd. Includes everything, even the packing peanuts.
  14. I believe it's already illegal to hunt with lead in Cali, and I think most states ban lead shot for waterfowl. This isn't anything new. If any of you think Cali is doing this for the environment, you're delusional. :dumb:
  15. Saiga 12, i.e. AK Shotgun http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&docid=0jtcYV5L-q8rvM&tbnid=3VJH8Ow-fCILvM:&ved=0CAUQjRw&url=http%3A%2F%2Fworld.guns.ru%2Fshotgun%2Frus%2Fsaiga-12-e.html&ei=Kwk5Utf_MdH8yAHFv4HACQ&bvm=bv.52288139,d.aWc&psig=AFQjCNEyhAk5wsmm1JjUc_Lg2p4tN67Lfg&ust=1379555861564204http://www.mississippiautoarms.com/images/8inchLage3w.jpg http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&docid=zz4Bo0_lfSX9XM&tbnid=IVOEUs5zR3AtAM:&ved=0CAUQjRw&url=http%3A%2F%2Fwww.ar15.com%2Fforums%2Ft_1_5%2F959707_.html&ei=2wg5UpKFD7TCyAHi7YHIBA&bvm=bv.52288139,d.aWc&psig=AFQjCNEyhAk5wsmm1JjUc_Lg2p4tN67Lfg&ust=1379555861564204
  16. He's also going after the Trust, LLC routes to NFA goodness. Because we have such a problem with those types of weapons... This guy's a fucking idiot.
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