10 4 W

On Thu, 14 Oct 2004 13:20:12 -0400, "Jay C"
<jwcNOSPAM DeleteThis @NOSPAMsysmatrix.net> wrote:

 > (That's when I got really pissed since I
 >didn't think of using glue - I generally like to fix these minor things
 >myself)

I used to do the stitches thing but about 10 years ago, switched to plain
old superglue. It works great (which it should because I believe it's
original purpose was closing battlefield wounds), though unilke your PA,
I'm paranoid about cleaing the wound well to avoid entombing something
infectious.

 >
 >The scary part is that the insurance company actually paid it! The only way
 >that this medical industry thing is going to get under control is if the
 >insurance companies start telling the med guys to stuff these ridiculous
 >charges up their asses.

Emergency care is probably not the best way to make the example about
health care costs. It's expensive and it's not at the same time. You
aren't paying for some dork with a box of bandaids to be on standby.
You're paying for an unbelievably expensive collection of gear, a
collection of people with education/training that soars above what you'll
find in any other 40 acre footprint in your town, and asking them to be
responsible for and ready to do things that are almost unimaginable. And
to be in position to do all those things 24x7. It doesn't represent the
situation fairly to assume the delivery cost is driven by an analysis of
what was done in a non-emergency situation. $550 is chump change when you
want access to those kind of resources/people on your schedule, even
momentarily.

For routine healthcare.. non-urgent, it starts to make more sense. But
high-availability costs.

Mike

 >
 >Jay
 >

--
Mike W.
96 XR400
74 CZ250 Enduro
70 CT70
71 KG 100 (Hodaka-powered)
99 KZ1000P
BRC, AMA, NETRA, NOHVCC, NRA

"Why do they call it Cobra Grass?"<!-- ~MESSAGE_AFTER~ -->
 >> Stay informed about: 10 4 W 

The price of medical services in the counry is mind boggeling.
I saw the ins. bill from the ER for my concussion I got back in April.
$4,600+!!!!!! 7 hours in a waiting room.......10 minutes with a Dr.,
10 min. in a CT scanner. 5 more min. W/Dr. & take it easy and have a
nice day Mr. Wallace....
Something got to change....but I don't know what...
SloCalSpode
**********************************************************************
"Dean H." wrote in message
 > "There's no market" for health care, because health care (in the US) is
 > mostly paid by a third party.
 >
 > Maybe the smartest thing I ever heard W say.

<SNIP, Dean's med costs>

 > I don't know that W. has the answer, but he nailed the
 > problem.
 >
 > okay, I just missed a bunch of stuff...<!-- ~MESSAGE_AFTER~ -->
 >> Stay informed about: 10 4 W 

On Thu, 14 Oct 2004 13:35:38 -0400, Mike W. <outofthe.DeleteThis@emailbiz.com>
wrote:

 >Emergency care is probably not the best way to make the example about
 >health care costs. It's expensive and it's not at the same time. You
 >aren't paying for some dork with a box of bandaids to be on standby.
 >You're paying for an unbelievably expensive collection of gear, a
 >collection of people with education/training that soars above what you'll
 >find in any other 40 acre footprint in your town, and asking them to be
 >responsible for and ready to do things that are almost unimaginable.

Which is why it sucks that indigent illegal aliens use the ER for
routine healthcare issues like drippy noses, and while ducking them,
pass along all costs of that staffing and techno gear collection to
us.
San Jose Med Center, a Trauma Center, is closing because of, "rising
numbers of uninsured patients, unfunded mandates, low reimbursement
and high healthcare labor costs..."
<a style='text-decoration: underline;' href="http://www.sanjosemedicalcenter.com/" target="_blank">http://www.sanjosemedicalcenter.com/</a>

Does (the unscientific and false) claim that a caesarean procedure
somehow reduces cases of infant cerebral palsy, drive-down costs -
when doctors who *don't* use it get sued by Edwards?

-k

1997 KTM 300 MXC, 1999 Beta Techno<!-- ~MESSAGE_AFTER~ -->
 >> Stay informed about: 10 4 W 

On Thu, 14 Oct 2004 18:59:48 GMT, DirtCrashr <Dirt RemoveThis @Crashr.org> wrote:

 >
 >Which is why it sucks that indigent illegal aliens use the ER for
 >routine healthcare issues like drippy noses, and while ducking them,
 >pass along all costs of that staffing and techno gear collection to
 >us.
 >San Jose Med Center, a Trauma Center, is closing because of, "rising
 >numbers of uninsured patients, unfunded mandates, low reimbursement
 >and high healthcare labor costs..."
<font color=purple> > <a style='text-decoration: underline;' href="http://www.sanjosemedicalcenter.com/</font" target="_blank">http://www.sanjosemedicalcenter.com/</font</a>>

No!!!! Please don't close it down.. *I* will be happy to pay for the poor
helpless indigent illegal (oh.. that word is just too judgmental and has
to go!) aliens. PLEASE let me pay for them!!!! Brain... you want some of
this action? I can't believe I just *found* this in RMD!

Mike



--
Mike W.
96 XR400
74 CZ250 Enduro
70 CT70
71 KG 100 (Hodaka-powered)
99 KZ1000P
BRC, AMA, NETRA, NOHVCC, NRA

"Why do they call it Cobra Grass?"<!-- ~MESSAGE_AFTER~ -->
 >> Stay informed about: 10 4 W 

In article <-P2dnRPb6dCNKfPcRVn-jA.RemoveThis@sysmatrix.net>,
"Jay C" <jwcNOSPAM.RemoveThis@NOSPAMsysmatrix.net> wrote:

 > "Dean H." <moto.RemoveThis@groove.calm> wrote in message
 > news:zQkbd.252632$3l3.109259@attbi_s03...
  > > "There's no market" for health care, because health care (in the US) is
  > > mostly paid by a third party.
  > >
  > > Maybe the smartest thing I ever heard W say.
 >
 > Funny, I've been ranting about the same thing this past week. I got an ER
 > statement from a couple of months ago when I stuck the end of a crowbar into
 > my forehead (don't ask).
 >
 > I went in to the exam room (after an hour wait - dammit)

A hour isn't bad for an ER, they do triage. We have to. Crushing chest
pain and limb amputations and the like take priority over minor wounds.
Sorry you didn't get instant care, we were probably taking care of
someone's baby having seizures, or someone's mother who was found
unresponsive on the floor.


 > with a 3/4" cut on
 > my forehead.

Was it gushing blood? If not why didn't you try and get an appointment
with your regular doctor or find an urgent care clinic. That's what they
are there for. Now if the crowbar was still imbedded in your head,
that's a different story. Much cheaper and you'd be helping to not
increase everyone's health insurance.

 > A PA came in and squeezed the cut together. I told her that
 > since the wait was so long, I didn't have time for Novocain, so just stitch
 > it.

Oh joy, just what we love to do try and sew together someone who leaps
off the table every time you try and take a stitch. Then you'd probably
be unhappy when the suturing needle got stuck in your eye.

 > She replied that the skin edges came together pretty good, and she
 > could probably just glue it. (That's when I got really pissed since I
 > didn't think of using glue - I generally like to fix these minor things
 > myself)

Yeah, or a $4 box of butterfly closers you could stick on to hold the
edges together

She then wiped off the cut (didn't even wash/disinfect it - just
 > wiped it off),

That's not right, unless she wiped it with an antiseptic.

 > squeezed my skin together, blobbed on a bead of that new
 > liquid skin stuff that you can get at Wal-Mart for $5, and I was out of
 > there 30 seconds later.

Isn't that what you wanted???????????

 >
 > Bill: $550.

Yup, that was actually cheap for an ER visit. Think about what it costs
for an ER to actually exist. You aren't just paying for the visit.

 > The scary part is that the insurance company actually paid it! The only way
 > that this medical industry thing is going to get under control is if the
 > insurance companies start telling the med guys to stuff these ridiculous
 > charges up their asses.

They already do, they control every aspect of what we can charge. One
of the reason's I had to quit my last NP job. My employer was struggling
to cover costs of her clinic due to low reimbursement rates. *L* Better
establish a relationship with a doc who takes Medicare now, cause I wish
you luck trying to find one later.

What we need to do is tell people with minor problems, like you, who
don't really need the ER to go elsewhere. Oh and we can start paying us
medical people minimum wage, I'd love to do what I do for $5 an hour.
Who needs that EKG machine, that chest pain might just be indigestion.
Bleeding? I'll just stuff the wound with paper towels. Acute abdominal
pain? Who needs an ultrasound or CT, I'll just guess whether your
appendix is about to burst.......

Oh, and then there's malpractice insurance. That's another whole issue.
I won't even go there. In another 10 years people will be having babies
at home because there won't be an OB left in this country........

A message from someone on the other side,

Janet<!-- ~MESSAGE_AFTER~ -->
 >> Stay informed about: 10 4 W 

On Thu, 14 Oct 2004 19:49:41 GMT, Janet <maliu.TakeThisOut@ilhawaii.net> wrote:

  >>
  >> I went in to the exam room (after an hour wait - dammit)
 >
 >A hour isn't bad for an ER, they do triage. We have to. Crushing chest
 >pain and limb amputations and the like take priority over minor wounds.
 >Sorry you didn't get instant care, we were probably taking care of
 >someone's baby having seizures, or someone's mother who was found
 >unresponsive on the floor.

Listen to the Witch... talking like she fixes people up too! Don't fall
for it!!! She'll push you into an oven and EAT you!!!!

 >
 >
  >> with a 3/4" cut on
  >> my forehead.
 >
 >Was it gushing blood?

I think she's getting aroused!

 >
  >> A PA came in and squeezed the cut together. I told her that
  >> since the wait was so long, I didn't have time for Novocain, so just stitch
  >> it.
 >
 >Oh joy, just what we love to do try and sew together someone who leaps
 >off the table every time you try and take a stitch. Then you'd probably
 >be unhappy when the suturing needle got stuck in your eye.

Thank you for restoring my standard nightmare... which only took 20 years
to get out of my fucking head. AGH!!!!!!!!!!!!!!!! Fucking National
Lampoon Radio Hour and witches...

 >
  >> She replied that the skin edges came together pretty good, and she
  >> could probably just glue it. (That's when I got really pissed since I
  >> didn't think of using glue - I generally like to fix these minor things
  >> myself)
 >
 >Yeah, or a $4 box of butterfly closers you could stick on to hold the
 >edges together

I'm telling you.. superglue! Ever try and put a butterfly on your hand?
You need a prehensile dic... er... Just use superglue!!!!!

 >
 >She then wiped off the cut (didn't even wash/disinfect it - just
  >> wiped it off),
 >
 >That's not right, unless she wiped it with an antiseptic.

So licking it clean is definitely out?

 >
 >A message from someone on the other side,

Ominous...

 >
 >Janet

WBG^3

Mike


--
Mike W.
96 XR400
74 CZ250 Enduro
70 CT70
71 KG 100 (Hodaka-powered)
99 KZ1000P
BRC, AMA, NETRA, NOHVCC, NRA

"Why do they call it Cobra Grass?"<!-- ~MESSAGE_AFTER~ -->
 >> Stay informed about: 10 4 W 

"Janet" <maliu.DeleteThis@ilhawaii.net> wrote in message
news:maliu-194111.09462514102004@news.verizon.net...

  > > with a 3/4" cut on
  > > my forehead.
 >
 > Now if the crowbar was still imbedded in your head,
 > that's a different story.

Hey, I would have removed it for $40. I would even fill the
hole with spackling compound.

 > Yeah, or a $4 box of butterfly closers you could stick on to hold the
 > edges together

I would generally do this, except for facial lacerations. In
Jay's case, it probably wouldn't have made much difference.

I think I'm going to keep my helmet on 24/7 for a while
now. Can't be too careful out there.

 > A message from someone on the other side,

Janet, thanks for everything you do. I wish I knew the
anwsers to fixing out healthcare system. I would guess that
socialized medicine in inevitable, given our current
direction.

-Jeff Deeney- DoD#0498 NCTR UTMA BRC COHVCO AMA
'99 ATK 260LQ-Stink Wheels '94 XR650L-DreamSickle
We don't stop riding because we get old, we get old because we stop riding.<!-- ~MESSAGE_AFTER~ -->
 >> Stay informed about: 10 4 W 

On Thu, 14 Oct 2004 19:49:41 GMT, Janet <maliu.TakeThisOut@ilhawaii.net> wrote:

 > They already do, they control every aspect of what we can charge. One
 >of the reason's I had to quit my last NP job. My employer was struggling
 >to cover costs of her clinic due to low reimbursement rates. *L* Better
 >establish a relationship with a doc who takes Medicare now, cause I wish
 >you luck trying to find one later.

Since I'm sorta at a career-crossroads, I'm not taking this to be a
real big path recommendation - or would that be wrong? Probably too
hard, for me to start so late.

I got an email offer to go over to the dark side: Insurance... But I
seem to recall hearing that Farmer's wasn't real highly thought of, at
least in these RMD parts.

-k


1997 KTM 300 MXC, 1999 Beta Techno<!-- ~MESSAGE_AFTER~ -->
 >> Stay informed about: 10 4 W 

In article <6b3um01dra4bbs6qu54r5uu6qi8q75oatr DeleteThis @4ax.com>,
DirtCrashr <Dirt DeleteThis @Crashr.org> wrote:

 > On Thu, 14 Oct 2004 19:49:41 GMT, Janet <maliu DeleteThis @ilhawaii.net> wrote:
 >
  > > They already do, they control every aspect of what we can charge. One
  > >of the reason's I had to quit my last NP job. My employer was struggling
  > >to cover costs of her clinic due to low reimbursement rates. *L* Better
  > >establish a relationship with a doc who takes Medicare now, cause I wish
  > >you luck trying to find one later.
 >
 > Since I'm sorta at a career-crossroads, I'm not taking this to be a
 > real big path recommendation - or would that be wrong? Probably too
 > hard, for me to start so late.
 >


you wanna make money in medicine???? Become an Orthodontist. No
insurance companies telling you how much to charge. Payment up front or
you hand the client a financing brochure. People are usually really
happy when you're done with them.

 > I got an email offer to go over to the dark side: Insurance... But I
 > seem to recall hearing that Farmer's wasn't real highly thought of, at
 > least in these RMD parts.
 >
 > -k
 >
 >
 > 1997 KTM 300 MXC, 1999 Beta Techno

Selling or defrauding *G*<!-- ~MESSAGE_AFTER~ -->
 >> Stay informed about: 10 4 W 

  >> Since I'm sorta at a career-crossroads, I'm not taking this to be a
  >> real big path recommendation - or would that be wrong? Probably too
  >> hard, for me to start so late.

 >you wanna make money in medicine???? Become an Orthodontist. No
 >insurance companies telling you how much to charge. Payment up front or
 >you hand the client a financing brochure. People are usually really
 >happy when you're done with them.

Orthodontist? Oh hell I'm not trying to make a lot of money, I'm
trying to figure out a way to survive.

  >> I got an email offer to go over to the dark side: Insurance... But I
  >> seem to recall hearing that Farmer's wasn't real highly thought of, at
  >> least in these RMD parts.

 >Selling or defrauding *G*

Last time I sold anything it was 11th grade when I worked in an
ice-cream parlor... I guess you could say I HELPED orthodontists, but
I doubt they would help me now.

My ex-brother-in-law the big a-hole, has a State Farm franchise.
I don't know nuthin' about running a bid'ness. I'm a 'tard.

-k

1997 KTM 300 MXC, 1999 Beta Techno<!-- ~MESSAGE_AFTER~ -->
 >> Stay informed about: 10 4 W 

On Fri, 15 Oct 2004 00:21:42 GMT, Janet <maliu DeleteThis @ilhawaii.net> wrote:

 >you wanna make money in medicine???? Become an Orthodontist. No
 >insurance companies telling you how much to charge. Payment up front or
 >you hand the client a financing brochure. People are usually really
 >happy when you're done with them.

Shhhh. Don't tell anyone. That's exactly what I'm pushing my kid to
do. Plus the whole 4 day work week thing.

Another line of physicians that seems to be getting run out on a rail
is the neurosurgeons. I have two as clients that just retired (late
40s, early 50s) due to not being able to make any money at all after
insurance payments.

I thank John Edwards and his ilk for this.

I don't think we need to "outsource" our brain surgeons to whatever
third world country will do it for "low-bid".<!-- ~MESSAGE_AFTER~ -->
 >> Stay informed about: 10 4 W 

"Janet" <maliu RemoveThis @ilhawaii.net> wrote in message news:maliu-

 > you wanna make money in medicine???? Become an Orthodontist. No
 > insurance companies telling you how much to charge. Payment up front or
 > you hand the client a financing brochure. People are usually really
 > happy when you're done with them.

No shit. I'm doing my best to my my kids' Ortho a car.

OTOH, for $4,000 you get a couple of dozen visits, a whole pile of nifty
hardware, and end up with beautiful teeth for the rest of your life. In the
ER, the same money will buy an X-ray, 2 bandaids, a half an asprin, and 15
minutes of a PA's time, not to mention a note to see your family doctor the
next day to actually address the problem.

Jay<!-- ~MESSAGE_AFTER~ -->
 >> Stay informed about: 10 4 W 

On Thu, 14 Oct 2004, Jay C wrote:

 > statement from a couple of months ago when I stuck the end of a crowbar into
 > my forehead (don't ask).

I've been trying to hold off, but I can't.

How did you stick the end of a crowbar in your forehead?

Or did the wife do it?

Craig<!-- ~MESSAGE_AFTER~ -->
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