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Re: Go to the ER

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lorijkarasek@... wrote:

> I have good health insurance and I see my doctors on a regular basis. Even so,

my doctors use the ER more than folks without insurance. I'm so darn sick of

doctors using the ER as triage. Anyone else dealing with this along with many

doctors not having admitting privileges?

>

Lori,

It is common practice now that you usually do not see your doctor but they have

a " hospital doctor " assigned to see me. Of course ,this was not with my

surguries and the Doctor was good, I asked her to be my primary care, she said "

I share the hospital job with another female doctor and do not have a private

practice "

So thus, Doctors we may see do not have admitting privilages but the hosptial

doctor will see you.

Doctors use the ER as they fear their offices cannot handle the problem or

exams. My doctor keeps no IV's etc on hand.

Heck, back in my day (ha!) , we would put an IV in a person who was dehydrated

in the office and do in office surgery, so those days are gone to prevent

lawsuits.

Bennie

,

>

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I know what you mean. Most doctors have a recording saying " If this is an

emergency goes to the nearest ER. " What ever happened to the ability to have

your doctor paged and he/she will call you, then decide. Even worse, if you go

to a hospital that your doctor does not have privileges then you are stuck with

a resident.

I am terrified that if I get hospitalized for my diabetes some doctor will be

screwing around with my insulin. I have seen it happen. there was a patient on

the psychiatric unit who was diabetic on insulin.

the psychiatrist who admitted her apparently ordered a different

name insulin than she took. The patient was trying to explain to

the nurse. She didn't want to call the psychiatrist.

the patient was concerned about getting a low blood sugar since she had never

been on this brand. Understandable. Luckily she was fine. but I don't want

anyone but my doctor, his PA or me changing my pump settings.

What ever happened to the old country doctor who came out to see the patient?!

Hugs to all Tami

>

> I have good health insurance and I see my doctors on a regular basis. Even so,

my doctors use the ER more than folks without insurance. I'm so darn sick of

doctors using the ER as triage. Anyone else dealing with this along with many

doctors not having admitting privileges?

>

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I've worked in the medical field since i was 14,now 45. When you go to the

hospital and are admitted you are assigned a hospitalist. Which is a physician

that sees patients only in the hospital. when you are discharged you go back to

your regular doctor. Your regular doctor may also visit you in the hospital, but

the hospitalists oversees your care so you can get orders for tests or

medication faster.

Tree

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Tree,

Unless you had surgery and your surgeon will usually see you the first time and

assess you and your progress. As he did the surgery

and not the hospitalists the surgeons do have admitting privileges.

This has been true with me with my neurologist, thyroid surgeon, and kidney

surgeon They are also accessible anytime of a colleague taking call to answer

your questions as that is in your patient bill of rights.

Hospitals do not like to be written up for this also as it can become a quality

assurance issue and the accreditation does not like to see those complaints.

Bennie

>Tree wrote:

> I've worked in the medical field since i was 14,now 45. When you go to the

hospital and are admitted you are assigned a hospitalist.

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Here in Toledo many doctors have no admitting privileges and use the ER for

about everything. The use of hospitalists perpetuated the ER trend.

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