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So you think you want health care huh? - 2/23/2010 1:06:30 AM   
Real0ne


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I just got done babysitting a friend of mine who was in severe pain.   He is a vet who I drove to the VA hospital (you know GOVERNMENT MEDICAL FACILITY), into emergency with extreme pain from what sounds like a hernia.   There were moments where he was fading in and out and ready to pass out the pain was so bad.

Well they took his name etc and told him to have a seat. He was unable to get comfortable enough to help reduce the pain in a sitting position and asked triage if they had anything he can lay on to help relieve the pain, they said no we are busy tonite.   He pointed to one of the examining rooms and said why not there?  Oh no thats the doctors......blah blah....
They asked him to rate the pain he said 7 - 8, then told him all he could do is have a seat.

He sat for a while and then said fuck it and laid on the floor.  That seemed to help and was on the floor for maybe 10 minutes and a cop that was there told him he cant lay on the floor.  So he sat back up on the chair for another period of time where he finally pissed off looked at me and said fuck it, at least at home I have a bed and aspirin.

I took him back home and he took som ibu and damn near a pint of whiskey and he went to sleep.

So you want government managed health care huh?  They cant even give someone a fucking bed to lay on and a damn pain pill after waiting an hour and instead the fucking dood just got drunk.

Now I dunno about you all but the VA has been around for a long time and if that is the best they can do and you people think this shit nation wide is going to be better?

Thats great kool aide you are smokin!


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RE: So you think you want health care huh? - 2/23/2010 3:04:08 AM   
tazzygirl


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You dont mention how busy they were... im sure you will say they werent.

Your friend walked in on his own accord, complaining of abdominal pain.

You mention nothing about shortness of breath, so i assume there was none.

ER's, VA or civilian, run on basics like ABC's... airway.. his was not impaied... breathing... no shortness of breath.. and circulation... he was not smurffy blue.

You can sit there and judge all you like... you dont know shit about what was going on in the back. You have no clue if they were busy with a truly emergent patient.

Im sorry your friend had to wait. But its damn time people looked at this from the other side of the hospital bed. The triage nurse... any nurse.. cannot give out squat without a Dr;s order. And there wont be a Dr's order until the patient has been seen and assessed. Depending on his condition, the wrong pain med could have killed him. Would that have made you feel better?

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RE: So you think you want health care huh? - 2/23/2010 3:17:48 AM   
zephyroftheNorth


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quote:

you dont know shit about what was going on in the back.


This. There might well have been several ambulances in the back with people who had been severely injured and in need of immediate help. Believe it or not, ER staff don't make people wait for the fun of it, there's a good reason for it.

Like Tazzy said, I'm sorry your friend had to wait. It wasn't because they felt like making him wait though.


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RE: So you think you want health care huh? - 2/23/2010 3:33:55 AM   
cadenas


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It seems to me that this is an argument in favor of single-payer health insurance. Private hospitals have the same problem, including patients dying in the ER, because non-ER treatment has become unaffordable for far too many people.

quote:

ORIGINAL: Real0ne
So you want government managed health care huh?  They cant even give someone a fucking bed to lay on and a damn pain pill after waiting an hour and instead the fucking dood just got drunk.

Now I dunno about you all but the VA has been around for a long time and if that is the best they can do and you people think this shit nation wide is going to be better?



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RE: So you think you want health care huh? - 2/23/2010 4:18:31 AM   
eyesopened


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People wait in private hospitals too regardless of what type of insurance they have or don't have.

What has happened is a lot of folks simply don't go to a doctor at all, wait until they have severe symptoms and then overload the ER. 

The VA is not government healthcare.  It is a benefit for Veterans who have no other resources.  TRICARE is government healthcare.  VA is not.  Until fairly recently a VA medical facility only treated service-related illness/injury.  They have expanded services to include non- service-related care and have put a larger burden on VA facilities.  The VA will pay for the beneficiary to go to a non-VA facility to get them stabilized enough to move to a VA facility.  Your friend walked in, he was in pain, yes, but stable.

Did your friend then make an appointment to see his VA doctor? 

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RE: So you think you want health care huh? - 2/23/2010 4:36:08 AM   
Real0ne


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all he wanted was a place to lay down to take the pressure off while he waited to be seen.   He said it was not as painful laying down.

you could see the empty examining table in the doctors office that he "COULD" have laid on.

No he got pissed off ripped off the armband and told them flat out fuck it....he said at least I get aspirin and a place to lay down at home.  <I thought that was a good shot! personally LOL

No he did not make an appointment he drank pretty close to a pint of whiskey and took some ibuprohen.

He said all he needed was some pain killers and some place to lay down.

Now I am not saying they were not busy, in fact I said the nurse said they were busy but the point is and I agree with him the least they could have let him do was lay down.

So do we apologize for poor service?




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RE: So you think you want health care huh? - 2/23/2010 4:43:05 AM   
cadenas


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quote:

ORIGINAL: Real0ne
all he wanted was a place to lay down to take the pressure off while he waited to be seen.   He said it was not as painful laying down.

you could see the empty examining table in the doctors office that he "COULD" have laid on.

No he got pissed off ripped off the armband and told them flat out fuck it....he said at least I get aspirin and a place to lay down at home.  <I thought that was a good shot! personally LOL

No he did not make an appointment he drank pretty close to a pint of whiskey and took some ibuprohen.

He said all he needed was some pain killers and some place to lay down.

Now I am not saying they were not busy, in fact I said the nurse said they were busy but the point is and I agree with him the least they could have let him do was lay down.

So do we apologize for poor service?


OK, so you are saying that he showed up seriously drunk and asked for a place to crash, and to take up an examining room that may be desperately needed for the next heart attack victim who showed up. Not to mention the expense of cleaning up the examining room after him. You do realize that you can't just use an examining room right after somebody left all their germs on the table, do you? And you do realize that it is quite expensive to prepare an examining room?


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RE: So you think you want health care huh? - 2/23/2010 4:59:24 AM   
Moonhead


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The VA would do a much better job if it was properly funded.
Of course, mentioning that would make it harder to use your example to stress that Government healthcare is crap, and a terrible evil that the taxpayer shouldn't be expected to pay for, wouldn't it?

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RE: So you think you want health care huh? - 2/23/2010 5:20:03 AM   
flcouple2009


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quote:

ORIGINAL: Real0ne
He said all he needed was some pain killers and some place to lay down.


You do understand first off if your  not making this up, your describing someone going to the ER trying to score pain pills, right?

Since so many people do not have adequate health care many ER's wind up over flowing with hours waits. 

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RE: So you think you want health care huh? - 2/23/2010 5:27:15 AM   
eyesopened


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quote:

ORIGINAL: Real0ne

all he wanted was a place to lay down to take the pressure off while he waited to be seen.   He said it was not as painful laying down.

you could see the empty examining table in the doctors office that he "COULD" have laid on.

No he got pissed off ripped off the armband and told them flat out fuck it....he said at least I get aspirin and a place to lay down at home.  <I thought that was a good shot! personally LOL

No he did not make an appointment he drank pretty close to a pint of whiskey and took some ibuprohen.

He said all he needed was some pain killers and some place to lay down.

Now I am not saying they were not busy, in fact I said the nurse said they were busy but the point is and I agree with him the least they could have let him do was lay down.

So do we apologize for poor service?


How is this poor service?  Would a private hospital given him a place to lie down?  No. 

And now you are saying he doesn't have a legitimate medical condition he needs to address, he was just looking for pills?  Have you talked to him about his drug and alcohol problem? 
VA will provide help in that area but he has to be willing to go to the meetings.  Sober. 

That he is not interested in making an appointment with his doctor is commentary on his condition, not the condition of healthcare in America.

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RE: So you think you want health care huh? - 2/23/2010 5:28:29 AM   
samboct


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So has your friend done anything to improve his situation? Has he been to see a doctor after the episode has passed? Has he had a physical and a workup to figure out what's wrong? Or is he just going to self medicate until the pain becomes acute again? Doctors are not mind readers, and it's a lot easier to work with a patient who is sober and able to discuss his symptoms without demanding pain medication. ER care sucks- it's expensive and not as good as seeing a physician who follows you. One way to reduce health care costs is to make sure that guys like this have access to a physician rather than just an ER. But he needs to go see the damn physician now!

Sam

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RE: So you think you want health care huh? - 2/23/2010 5:40:19 AM   
Moonhead


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Come to that, if he was well pissed perhaps they didn't want to risk giving him a painkiller until there was less alcohol in his system? They certainly couldn't have risked giving him morphine if he'd drank most of a bottle of scotch.

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RE: So you think you want health care huh? - 2/23/2010 5:45:53 AM   
thishereboi


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quote:

Until fairly recently a VA medical facility only treated service-related illness/injury.
quote:

ORIGINAL: eyesopened

People wait in private hospitals too regardless of what type of insurance they have or don't have.

What has happened is a lot of folks simply don't go to a doctor at all, wait until they have severe symptoms and then overload the ER. 

The VA is not government healthcare.  It is a benefit for Veterans who have no other resources.  TRICARE is government healthcare.  VA is not.  Until fairly recently a VA medical facility onlyservice-related illness/injury.  treated They have expanded services to include non- service-related care and have put a larger burden on VA facilities.  The VA will pay for the beneficiary to go to a non-VA facility to get them stabilized enough to move to a VA facility.  Your friend walked in, he was in pain, yes, but stable.

Did your friend then make an appointment to see his VA doctor? 


I never knew that. I had minor surgery in 79 and it wasn't service related. My ex roommate gets his testosterone shots from the VA and I am pretty sure that's not service related. When the VA removed his tattoo on his leg, they gave him a brand new wheel chair and a walker, because he was going to have to stay off his feet for a couple weeks. It was the third walker they had given him in a 2 year span. My other friend has been trying to get his back fixed for 6 years and the VA keeps blowing him off with one excuse after another. I guess a tattoo that gets infected once in a while, is a bigger priority than a bad back. But the VA did tell my one friend if the pain meds for his back don't help, they will help him start processing paperwork to go on disability. I guess they feel that would be cheaper than the surgery to fix the problem and allow him to work.


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RE: So you think you want health care huh? - 2/23/2010 5:47:19 AM   
Louve00


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As I read and think on this, I have to wonder what health care reform has to do with this at all.  This happened before health care reform.  It happens alot.  Its just the way ER's work.  And the more populated the area that the hospital is in, the more chances of it happening.  So yea...I'd like to see health care reform.  And I'm not so small minded to think reforming health care will prevent ER's from becoming cram packed with people ALL in need of quick, immediate attention.  Blame it on VA, blame it on medicare, medicaid...but realize the population of the nation falls into many categories and every single person in all those categories get sick.  ER on a bad night could be a living hell.  And on other nights you may breeze right thru.  Luck of the draw.

And as sambcot asked...has your friend done anything to help himself since the incident?  Or is he waiting to blame someone else for not dropping everything to help him, or putting other people on the back burner, or changing policy, when he flares up again?

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RE: So you think you want health care huh? - 2/23/2010 6:52:06 AM   
DomKen


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quote:

ORIGINAL: thishereboi

I never knew that. I had minor surgery in 79 and it wasn't service related. My ex roommate gets his testosterone shots from the VA and I am pretty sure that's not service related. When the VA removed his tattoo on his leg, they gave him a brand new wheel chair and a walker, because he was going to have to stay off his feet for a couple weeks. It was the third walker they had given him in a 2 year span. My other friend has been trying to get his back fixed for 6 years and the VA keeps blowing him off with one excuse after another. I guess a tattoo that gets infected once in a while, is a bigger priority than a bad back. But the VA did tell my one friend if the pain meds for his back don't help, they will help him start processing paperwork to go on disability. I guess they feel that would be cheaper than the surgery to fix the problem and allow him to work.


It depends on when you served. I served from 86 through 91 and without joining Tricare all I can get from the VA is service related care.


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RE: So you think you want health care huh? - 2/23/2010 8:14:18 AM   
Termyn8or


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FR

Shouldn't really rail on the VA for this, things are rough all over. I cut my hand on the outside edge almost all the way from the wrist to about the middle of the edge of my pinky finger. I was dripping blood all over the place and as much as I avoid docs I am not stupid, this thing needed stitches. As I was looking at the wound, opening it up and seeing my bones a Woman sitting nearby just about freaked out. That was decades ago though, I think dripping blood is treated with more attention these days.

Of course the system sucks. You get an appointment but it will be during banker's hours so you have to take off work. What's more you might wait weeks for an appointment. No wonder people abuse the ER. What's more I'm talking about paying customers or those with insurance.

And while painful, not all hernias are life threatening. A friend of mine walked around with one for about a year. Severe pain does indicate an obstruction though, but how bad is it ? There is also the danger of a rupture, it all depends. But in the absence of these factors, people can live with a hernia. I don't recommend it. Even though I shun doctors, this is a matter of what I would call carpentry. They are wonderful at putting you back together, it's their diagnoses and treatment methods for disease with which I disagree. I do not question their sugical abilities.

In all fairness, from what I read in the OP, his friend got drunk after getting frustrated by the system while in pain. Perhaps not the best course of action, but nobody said he showed up at the hospital drunk IIRC.

Alot of people used to wear a truss. This device allows one with a ruptured hernia to function within reasonable limits. They generally work to prevent a rupture of the colon, and help keep it in place lessening the possibility of an obstruction. They are used less now because advances in sugical techniques have made a hernia operation about as involved as cataract surgery. In the old days it was a big PITA but now you are out the same day usually.

There are probably better triage methods than currently used. If in the ER a patient is in less pain laying down he should be allowed. Give him a few chairs to lay across if nothing else. But seeing both sides of the issue somewhere someone is thinking "Well we got five doctors, four patients dripping blood and one is white as a sheet". Which gets the care first ? These decisions must be made on a logical basis, and if that means you have to wait, hopefully your confidence that there is a damn good reason is not misplaced.

I would not base a case against government health care on this incident. While I agree that it is a bad idea, looking at the state of the industry overall, I just don't think they are doing all that worse than the norm. That quarter million people hospitals kill every year are not all due to the VA. It happens in the best, most expensive of facilities, as well as their "greasy spoon" equivalents in the ghetto. The whole system needs an overhaul, and there is a hell of alot of profit that needs to be taken out of it. I have no problem with RNs making fifty bucks an hour, or a doctor pulling down a cool quarter mil a year. It's the corporations behind those people sucking us dry with whom I have a problem.

However I must also remember that soon I go to work with the hope of pulling in a cool thousand bucks today in six hours. Why do we do that ? Because we can. Well they similarly have the skill to do what not many can, so to sit in judgement of people who had to go to school for near a decade and then had to work 44 hours a day their first year in the field might not be quite appropriate. My main problem with the situation is the drag on the cash flow caused by the corporate shell under which they work. This is only destined to grow if the government gets more involved.

That is the most cogent argument against government sponsored universal health care. Not that one person got pissed off at the VA. There are plenty of people pissed off at doctors all over the country, just look at TV ads. Malpractice lawyers advertise regularly. IMO, if it wasn't effective they would stop.

Leave it how it is. Despite the fact that I will have to come up with about five grand to get my eyeball fixed, having more government in our lives is still less desirable.

T

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RE: So you think you want health care huh? - 2/23/2010 8:28:33 AM   
ThatDamnedPanda


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quote:

ORIGINAL: Real0ne


He said all he needed was some pain killers and some place to lay down.





Then he was probably the least important case in the entire emergency room. So what's your fucking point again? He should have still been seen before people who were in serious trouble, because he was your buddy? Hell, if he's a friend of yours, he's probably a drunken, obnoxious, pain-in-the-ass moron who can't communicate above the level of an 8-year old child or answer any of the staff's questions without insulting them, so they probably never did get a coherent answer about what was wrong with him the first place.


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RE: So you think you want health care huh? - 2/23/2010 8:35:44 AM   
PapaBlue


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If your friend needs help from the VA, he needs to be smart and persistent.  I understand that your post had to do with extrapolating what "government health care" (whatever that might be) will be like based on a single experience, but I'm not really interested in that issue.

I am interested in seeing veterans get assisted for service related issues, whether physical or mental.  It sounds like your friend may have both.  If he hasn't already, he needs to go see a veteran's services officer with the American Legion, VFW, or local government.  Some are better than others and the online veterans community can steer him in the right direction.

I'm sorry to hear that his experience with the VA was unsatisfactory.  They don't always come through for people and there's no question that their first response is to just throw pills at problems.  In my case, they have done well by me.  Your friend needs to keep at it and not use one failed attempt at getting help as a reason to stay away.

I wish you both well.  

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RE: So you think you want health care huh? - 2/23/2010 8:48:37 AM   
LadyPact


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Either I'm reading the follow up wrong or other people are. The follow up said, No he got pissed off ripped off the armband and told them flat out fuck it....he said at least I get aspirin and a place to lay down at home.  <I thought that was a good shot! personally LOL

No he did not make an appointment he drank pretty close to a pint of whiskey and took some ibuprohen."

Seems to Me that the alcohol came in as a pain remedy after no resolution to the pain could be found at the VA.


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RE: So you think you want health care huh? - 2/23/2010 9:01:40 AM   
Moonhead


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So there's no reason why they couldn't have given him a shot of morphine, then. My mistake.

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