#hospitals /

[cynicalclassicist]

US healthcare really does look fucking awful from the perspective of someone in the UK. Our NHS is in a sorry state, but the US looks far worse! I'm terrified of the people saying that we need to move to a US-style system!

I feel like I should make a post about this because it’s not something that’s very well-known, and that Americans in particular may need to know about given the uncertain state of our healthcare system at the moment. I’ve wanted to write this out for a while, It’s kind of a long post, so sorry about that!

If you have an emergency and have to go to the hospital, you’ll owe the hospital a lot of money. (I got into a car wreck and broke my ankle and my arm. My hospital bill was around $20,000)

You’ll also owe the ambulance provider, if you need one. (My ambulance bill was about $800)

You may get separate bills from the anesthesiologist or surgeon. (My anesthesiologist bill was $1,700)

You may need follow-up appointments. (My orthopedic surgeon billed me for the appointments and his surgery together and it was about $1,000)

You’ve also got to pay for medical equipment you need afterward, like crutches or a walking boot. (Mine cost about $75)

Altogether, I ended up with almost $24,000 in medical debt from one car accident. That’s a really scary number for someone like me who makes $10/hr at a 12 hour a week job.

I got my debt down to $1075 by making some phone calls and submitting some paperwork.

The first thing I did was contact the hospital. They don’t make it easy to find, but many hospitals (perhaps most hospitals?) have financial assistance programs for people who can’t afford medical bills. I don’t make a lot of money, and I have bills to pay, so they were able to help me. I called the billing department and asked if they had any assistance programs for low income people who can’t pay their bills. I had to call multiple times, and I got transferred in circles by people who didn’t know what I was talking about. Finally, I got an appointment with someone in “Eligibility Services” (I don’t know what other hospitals call it, if it’s something different). I had to bring my pay stubs and copies of all of my bills. When I got to the hospital for the appointment, nobody knew what I was talking about so I had to wander a little to find where I needed to go. I spoke with the guy in Eligibility Services, and I waited for a decision on how much of the bill they would forgive. A month later, I got a call telling me it was totally forgiven.

I did the same thing for my ambulance bill and my anesthesiologist, but the process was a LOT easier. I just had to mail some paperwork and it was totally forgiven.

I didn’t bother with the medical equipment suppliers, since the bills came from separate companies and I didn’t feel like going through the process twice for $75. I was assured at the hospital that they had similar programs for debt forgiveness, so I could have probably avoided paying that too.

The only thing I couldn’t get taken care of was the surgeon/follow-up appointment cost, but they were able to put me on a no-interest payment plan.

Medical debt is scary because it’s something that can come from stuff that’s already really scary. I didn’t need the burden of $24,000 in debt on top of trying to get around on a crutch with a broken arm (it’s not easy, believe me!).. but I can’t imagine what it would be like with a bigger debt or a more severe medical emergency. I see lots of people in even worse trouble than I was in, both financially and medically. Please know that there are options for you when that GoFundMe doesn’t do enough. Even if your income is higher than mine, it’s worth a shot even for partial debt forgiveness.

[macgyvermedical]

Hospital Lengths of Stay

I think people outside the USA severely overestimate how long hospital stays are here.

Like, appendectomy, right? That's maybe 24-36 hours door-to-door if there's no complications. If the appendix actually burst it might be 3 days, but only because they're giving you IV antibiotics and setting up home care to do that at home would take longer than just keeping you in the hospital.

A scheduled surgery like a hysterectomy, cholecystectomy, mastectomy, or anything else they can do laparoscopically (though small "keyhole" incisions)? You're probably not staying overnight at all.

Planned surgeries that need some kind of after care (like bariatric surgery, knee replacements, hip replacements, total vaginal hysterectomies, bladder lifts, etc...) would be usually 1-3 days.

Minor heart attack? 2-3 days.

Fracture and surgical repair of a large bone (like the femur)? About 2-3 days.

What about the exacerbation of a chronic illness like asthma, COPD, heart failure, or hypertension? IF they admit you (not just stabilize and discharge from the emergency department), it will be generally less than about 3-5 days.

Gunshot wound to the abdomen with surgery to repair things? 3-5 days.

And a stroke, sepsis, gunshot wound to the chest, or major heart attack? That would be somewhere in the 5-7 day range.

Severe trauma with multiple severely broken bones and relatively extensive surgery? This might be somewhat longer, but usually for nursing and pain control reasons rather than the surgery or injuries themselves. 1-3 weeks would be usual.

In the hospital for a mental health reason like decompensated schizophrenia or major depression? A little less than a week is normal, though some people stay several weeks if medications aren't working well.

The people who stay in hospitals for weeks or months typically have whole systems that don't work, or are waiting for a major organ transplant. For example, I had a patient once whose entire abdomen was open and couldn't be closed surgically. She was on TPN (IV nutrition) and IV antibiotics and needed massive amounts of wound care done every hour or so because her intestinal contents were spilling out of her open abdomen. She was there for months and ultimately didn't make it.

Are there people who stay longer than these cases? Of course! These are just averages pulled from medicaid data and personal experiences, based on patients who are coming in relatively healthy. Patients who have other significant health problems usually stay longer than patients who come in with a single problem.

But if you are otherwise healthy except for the reason you came into the hospital, unless you fell off a building or were in a massive car accident you are probably not staying in the hospital very long at all.

[ebenrosetaylor]

Healthcare can be expensive depending on the country you live in, but it is impossible to attain when you live in a country/place where no doctors can perform the procedures that you need. It may be due to lack of equipment, lack of specialized doctors, or no hospitals at all.

I am raising $ for my friend's mother Nabila @nabila60 This is urgent. Her life is at risk RIGHT NOW and we don't know how much longer she can hold on without treatment. If you answered this poll, please reblog it to reach more people. If you have ever had expensive hospital visits, please show sympathy to a mother who will die without treatment. You can save a life! Every donation counts.

[mysharona1987]

[genderqueerdykes]

at the ER, dealing with enough pain to make me feel like I'm going to pass out. pain is traveling to other areas. hard to breathe and stand. will post updates

[kathaynesart]

Since people liked Out of Context Replica Donnie, have an Out of Context Replica Leo.

Note, these won't be making an appearance in the actual comic, they're just "what if" scenarios that I might consider for Patreon down the line. For this one? Let's just say things don't go so well in the early years at the Central Park Colony. Guess they forgot Leo can pretty much change anything metal to a weapon.

[sugas6thtooth]

It's fucking genocide.

[feminist-space]

December 2024

"Across the country, hospitals are dispensing medications to patients in labor, only to report them to child welfare authorities when they or their newborns test positive for those very same substances on subsequent drug tests, an investigation by The Marshall Project and Reveal has found.

The positive tests are triggered by medications routinely prescribed to millions of birthing patients in the U.S. every year. The drugs include morphine or fentanyl for epidurals or other pain relief, anxiety medications, and two different blood pressure meds prescribed for C-sections.

In a time of increasing surveillance and criminalization of pregnant women since the end of Roe v. Wade, the hospital reports have prompted calls to the police, child welfare investigations and even the removal of children from their parents.

The reporting for this story included interviews with two dozen patients and medical professionals, and a review of hundreds of pages of medical and court records. Some spoke about cases on condition of anonymity because the custody of children is at stake."

[writer-in-theory]

"It's a wonder Steve's survived this long, Jesus H. Christ," Eddie hissed.

Eddie hasn't stopped pacing the hospital waiting room ever since Steve was taken back for 'testing'. The doctors had listed out various scans but there were too many acronyms to keep track of. All Eddie knew was that Steve had been hiding his pain for at least a day, maybe longer, until he collapsed at work with Robin.

That was the second worst call Eddie had ever gotten in his life.

"Harrington?" the doctor called out then, holding onto a metal clipboard tightly and looking around the busy emergency room. In an instant Eddie was on his feet, practically sprinting to where the doctor was standing.

"How is he, doc? Get to keep all his fingers?" He wanted to joke, but the words fell flat in the sterility of the room. The last time he'd been here had been after...No. The Upside Down had long since been closed off from their world and Vecna was disintegrated into that weird otherworldly ash. It was over.

"Are you family?"

Nancy and Robin had prepped him for this one, too. In everything but the law, Eddie and Steve were husbands. They'd had a wedding with Robin and Dustin as their Best (Wo)Men and Wayne as their officiant, in the middle of the night where no one would notice but them. They'd celebrated their fifth anniversary two weeks ago, they were the loves of each others' lives. But to the government, to this doctor, they weren't anything but friends who shared a bed. Fuck the nineties.

"Yeah, he's my brother-in-law," Eddie answered, knowing when Nancy showed up they could pass this lie off decently. "How's Steve doing?"

The doctor gave him a long look, but otherwise nodded and rechecked his clipboard. "Mr. Harrington is getting prepped for emergency surgery, currently, as he's s—"

"Emergency surgery? What do you mean surgery?" Already Eddie could feel the tell-tale warning signs of panic as his heart began to race and his palms got sweaty. Surgery wasn't good. They weren't supposed to do this. No more hospitals, no more surgeries, no more 'wait and see's. They'd promised after last time, Steve promised.

"Sir," the doctor pushed, looking more irritated than concerned. "This is a routine procedure, we see it all the time. Mr. Harrington has a case of appendicitis, pretty bad by the looks of it. Has he been feeling any pain lately?"

"Yeah, yeah the bastard has," Eddie hissed, not sure if he was about to laugh or cry. Appendicitis. Fucking appendicitis. He'd had that as a kid, he still remembered all the popsicles and ice creams Uncle Wayne let him have in the days after, cooped up in the trailer watching boring TV shows while all his friends were at school. "Is he already in surgery? Can I see him?"

"He's being prepped, but you can see him. We gave him some medication to calm him down and ease his pain, so Mr. Harrington may be...out of it," the doctor warned as he led Eddie through the maze of hallways behind the front desk. "Next time, let your brother-in-law know he shouldn't ignore this kind of pain."

"Oh don't you worry, doc, I'll make sure to pass on the message," Eddie answered, practically glaring at the closed hospital room door. Fucking appendicitis and Steve had ignored it, passed it off as a pulled muscle after a run.

Seeing Steve in a hospital bed didn't get any easier, though it was hard to be angry or scared when the man's head lolled across the pillow to reveal a brilliant, out-of-it smile Eddie had never seen before. "Eddie!" Steve cooed, reaching his arms out for the other man.

Eddie couldn't help but laugh, crossing the distance quickly so he could press Steve's arms back to the bed. "Hey, c'mon now, Harrington, don't wanna pull that IV line out."

"Did they tell you they're stealing my organ? They're stealing it, Eds!"

"It's a pretty useless one anyway, you won't even miss it."

Steve's face scrunched up at that, like he couldn't quite believe what he was hearing. "How dare you! Of course I'll notice one of my little guys got separated! What if he gets lonely?"

"You're..." Eddie tried not to laugh, if only because he's sure that'll make Steve fly off the handle even further. He scrubbed a hand across his tired face, sure his expression was full of nothing but fondness now for the man laying in the hospital bed. "You're afraid your appendix will get lonely?"

"I just...they're all meant to be together, you know? You can't separate one and expect it won't get lonely. Don't let them steal my organ, Eds."

"I," Eddie began, unable to help the smile that pulled on his lips. "Stevie, baby, it's not stealing if a doctor does it. They're taking it out because it's being a troublemaker. It doesn't belong there anymore, you can't keep trying to make it fit somewhere it doesn't."

"Never stopped me before," Steve answered with a little slur. "Maybe I like troublemakers." Then, leaning over with his hand by his mouth in a conspiratorial whisper, he said at full volume, "I mean you, Eddie."

There was no laugh like the one Steve was able to pull from him, of that Eddie had learned years before. He laughed until his chest hurt and tears gathered in his eyes, until even the nurse peeked their head in to check on the two of them.

"C'mon, Stevie. You go be a rockstar in there and I'll be right beside you when you wake up. We'll go get so much ice cream you forget about your stolen appendix," Eddie offered, pressing a kiss to Steve's non-IV lined hand.

"I'll be such a good rockstar you gotta put me in the band," Steve answered, blowing a kiss to Eddie as the surgical team came in to wheel him off. "Love you, Eds."

Warmth spread through his chest, warming him from the insides out until Eddie worried he might burn up from the intensity of Steve's love. "Love you too, Steve."

Eddie stands and watches as they wheel Steve out of the room, laughing as Steve yelled after him.

"I can't believe you're letting them steal my poor appendix, Munson! I won't forget this!"

[lottiestudying]

13.09.2024—being discharged home today, looking foreword to being back in my own space. final diagnosis for this admission is adhd and unspecified psychosis

[10yrsyart]

(alternative music only video)

"Can anything separate us from Christ's love? Does it mean He no longer loves us if we have trouble or calamity, or are persecuted, or hungry, or destitute, or in danger, or threatened with death? (-) No, despite all these things, overwhelming victory is ours through Christ, who loves us.

And I am convinced that nothing can ever separate us from God's love. Neither death nor life, neither angels nor demons, neither our fears for today nor our fears about tomorrow- not even the powers of hell can separate us from God's love. No power in the sky above or in the earth below- indeed, nothing in all creation will ever be able to separate us from the love of God that is revealed in Christ Jesus our Lord." -Romans 8:35,37-39

transcript:

Suddenly the world seems such a perfect place Suddenly it moves with such a perfect grace Suddenly my life doesn't seem such a waste It all revolves around you And there's no mountain too high No river too wide Sing out this song and I'll be there by your side Storm clouds may gather And stars may collide But I love you Until the end of time Come what may Come what may I will love you Until my dying day

[morganski-19]

Chills Right to the Marrow Part 7

part 1, prev part

Hospitals brought a sense of comfort to Dustin that he didn’t quite understand. Or felt he could even admit. Somewhere among the bustling doctors and the constant beeping, he’s reminded that people are being saved every day. That the people inside these walls are doing their best to make sure his friends stay alive. And at the end of the day, or week, or month, he’ll be able to talk to them again.

That’s what he tells himself every time he walks through the hospital doors. When he goes to the front desk with a smile and asks if it’s ok he visits his friends. When he reads to Eddie as many days as he can and sits next to Lucas in Max’s room. That this place is the best possible place for them to be. That they will be home soon.

It doesn’t matter that they will be changed, it doesn’t matter that they might not be the same. At the end of the day, their alive. Their still here. Dustin doesn’t have to attend another funeral for his friend. Doesn’t have to get dressed in a stuffy suit and hear words of sorrows from people who didn’t care that much when the person in the ground was alive. Instead, he’ll throw a party so big it will shock the smiles right back onto their faces.

Make the bleak seem light again.

Deep inside though, something he never will admit, his own smile starts to fade every day. Seeing his friends lie unconscious on the bed in the same position they were the day before. Nothing changed. Nothing noticeably different. The same tubes still attached. It’s disheartening seeing the bravest people you know stuck somewhere they can’t leave.

The only difference this time is that Steve is there walking beside him. Discharged the day before, wearing his own clothes. Given an ointment for his scars to make sure they heal right and reduce any swelling that might still occur. One to numb the phantom pains when they come and help when they inevitably itch so bad it makes him want to scratch his skin off. Out of the three people who spent the night in the hospital, Steve was the one with the best outcome.

Which is strange to say, since he did pass out from blood loss and lost a good bit of flesh to those damned bats. Has a scar around his neck from their tails that make people’s head turn to look a second time. Think Steve did something he would never even think of. Couldn’t think of. There was too much here that Steve couldn’t leave behind. That any of them could leave behind.

This group of theirs, it was a family. The biggest and best one that ever lived. Where people stepped in to the roles that were given up. Lost. Never had. People come into each other lives just to make them better. It didn’t matter how they met. Everyone had to meet somehow.

It’s why Dustin keeps coming back day in and day out. Insists that he is family when the receptionist asks. This is what real family does. They stand by each other until the end. Give strength when it’s needed so they can get back up again.

Max is the first stop today. An intensity Dustin’s never felt before waiting for him in the room. Like a cloud of misery rests above their heads. Smacking his smile right off his face.

Lucas’s chin rests on his hands, while his elbows dig into the hospital mattress. He looks at Max with tears in his eyes. She’s asleep, the heart monitor attached to her fingers. Breathing tube still resting in her nostrils, just for assistance. Looking stiff with the casts wrapped around her limbs.

“What happened?” Dustin asks bluntly, pulling a chair to sit next to Lucas. He’d rather get to the point that wander around the subject.

Lucas swallows. “You know they scheduled a bunch of tests now that she’s out of the coma. Well, the eye tests were not that intensive, and she wouldn’t have to stay awake for longer than a few hours to get them done. And-.” He gets cut off when a shaky sob crowds his throat.

“And?” Dustin presses. Trying to be gentle but he’s starting to fear the worst. Already making a list of everything that could go wrong, getting ready to check them off.

He’s done research for this. Went to the library and checked out as many books as possible about nerve damage, eye damage. Scars and PTSD. Anything to make him prepared for any diagnosis. To be the best he could for his friends. Ease his own mind while he’s at it.

But nothing he could have done would have prepared him for the words that leave Lucas’s mouth. How they are so pressing that Lucas has to leave the room. Dustin watches as he steps out with tears streaming down his face. Steve pulling him into a hug before the door shuts behind him.

With all of the possibilities, this was the one that none of them wanted. The one that was the worst of his list. Written last in his mind because of how bad he didn’t want it to happen. Proof that none of them were as invincible as he liked to believe. Wanted to feel.

Max was almost entirely blind.

The room starts to close in around him as he stares at the hospital bed. As the heart monitor persists, getting louder with every thump of Max’s heart. Proof that she’s alive, but not proof for how well she is going to live. The life she will face that is so different than the one she had a week ago. Two years ago.

When they brought Max into this hellscape of a situation, Lucas presented her with a choice. To live happily in ignorance, or face the bitter truth that hides underneath this town. Max made her choice. Dustin has never wished she chose differently more than he did right now.

It was easy to believe that everything would be ok, when nothing really bad ever happened directly to you. Sure, he’s lost people. Almost lost people. But the ones he cared the most about were still here. Still above ground. In the end, Dustin could still walk away smiling.

He doesn’t quite feel like smiling anymore.

Next part

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[doctor--malpractice]

KEEP TALKING ABOUT PALESTINE

ISRAEL IS USING IRAN AS A DISTRACTION

[mapsontheweb]

Hospital beds per 1000 people.

[mysharona1987]