Pacientes sin nombre: cuando el personal del hospital tiene que ser detective

El hombre de 50 años con la cabeza rapada y los ojos marrones no reaccionó cuando los paramédicos lo llevaron a la sala de emergencias. Sus bolsillos estaban vacíos: ni billetera, ni teléfono, ni un solo trozo de papel que pudiera revelar su identidad a las enfermeras y médicos que estaban tratando de salvarle la vida. Su cuerpo no tenía cicatrices ni tatuajes distintivos.

Casi dos años después de ser atropellado por un automóvil en el ajetreado bulevar de Santa Mónica, en enero de 2017, y de que lo transportaran a Los Ángeles County + USC Medical Center con una lesión cerebral devastadora, nadie había venido a buscarlo o lo había reportado como desaparecido. El hombre murió en el hospital, todavía sin nombre.

El personal del hospital a veces debe actuar como detective cuando un paciente sin identificación llega para recibir atención. Establecer la identidad ayuda a evitar los riesgos que pueden conllevar realizar tratamientos sin conocer el historial médico del paciente. Y se esfuerzan por encontrar parientes cercanos para ayudar a tomar decisiones médicas.

“Buscamos a alguien que pueda tomar decisiones, una persona que pueda ayudarnos”, dijo Jan Crary, trabajadora social clínica supervisora ​​en L.A. County + USC: con frecuencia convocan a su equipo para identificar a pacientes sin nombre.

El hospital también necesita un nombre para cobrar el pago de un seguro privado o programas de salud del gobierno como Medicaid o Medicare.

Pero las leyes federales de privacidad pueden hacer que descubrir la identidad de un paciente sea un desafío para el personal de los hospitales de todo el país.

En L.A. County + USC, los trabajadores sociales revisan las pertenencias y la ropa del paciente, sus teléfonos celulares si no tienen contraseña, buscando nombres y números de familiares y amigos, y revisan recibos o pedazos de papel arrugados en busca de cualquier rastro de la identidad del paciente. Hacen preguntas a los paramédicos que lo trajeron o a los operadores del 911 que atendieron la llamada.

También toman nota de los tatuajes y piercings, e incluso intentan rastrear los registros dentales. Es más difícil chequear las huellas dactilares, porque eso se hace a través de la aplicación de la ley, que se involucrará solo si el caso tiene un costado criminal, dijo Crary.

A menudo, los pacientes no identificados son peatones o ciclistas que dejaron sus identificaciones en casa y fueron arrollados por vehículos, agregó Crary. También pueden ser personas con deterioro cognitivo grave, como Alzheimer, pacientes en estado psicótico o usuarios de drogas que sufrieron una sobredosis. Los pacientes más difíciles de identificar son aquellos que están socialmente aislados, incluidas las personas sin hogar, cuyas admisiones en hospitales han aumentado considerablemente en los últimos años.

Lenh Vuong, trabajadora clínica social de Los Angeles County+USC Medical Center, visita a un paciente que ingresó sin nombre y que recientemente fue identificado. ((Heidi de Marco/KHN))

En los últimos tres años, el número de pacientes que llegaron sin identificación a L.A. County + USC aumentó de 1.131 en 2016 a 1.176 en 2018, según datos proporcionados por el hospital.

Si un paciente permanece sin identificar por mucho tiempo, el personal del hospital inventará una identificación, generalmente comenzando con la letra “M” o “F” para el género, seguido de un número y un nombre al azar, dijo Crary.

Otros hospitales recurren a tácticas similares para facilitar la facturación y el tratamiento. En Nevada, los hospitales tienen un sistema electrónico que asigna a los pacientes no identificados un “alias de trauma”, dijo Christopher Lake, director ejecutivo de resiliencia comunitaria en la Asociación de Hospitales de Nevada.

El tiroteo en un concierto de Las Vegas en octubre de 2017 representó un desafío para los hospitales locales que intentaron identificar a las víctimas. La mayoría de los asistentes al concierto llevaban muñequeras con chips escaneables que contenían sus nombres y números de tarjetas de crédito para poder comprar cerveza y recuerdos. En la noche del tiroteo, el último día de un evento de tres días, muchos se sentían tan cómodos con las pulseras que no llevaban carteras ni billeteras.

Esa noche, más de 800 personas resultaron heridas y fueron trasladadas a numerosos hospitales, ninguno de los cuales estaba equipado con dispositivos para escanear las pulseras. El personal de los hospitales trabajó para identificar a los pacientes por sus tatuajes, cicatrices u otras características distintivas, y por fotografías en las redes sociales, dijo Lake. Pero fue una batalla, especialmente para los hospitales más pequeños, agregó.

Jan Crary, trabajadora social clínica supervisora ​​en L.A. County + USC, lidera un equipo que muchas veces tiene que jugar el papel de detective cuando no se puede identificar a un paciente.((Heidi de Marco/KHN))

La Ley federal de responsabilidad y portabilidad del seguro de salud (HIPAA, por sus siglas en inglés), destinada a garantizar la privacidad de los datos médicos personales, a veces puede hacer que la identificación sea más ardua porque es posible que un hospital no quiera divulgar información sobre pacientes no identificados a personas que indagan sobre personas desaparecidas.

En 2016, un hombre con Alzheimer fue ingresado en un hospital de Nueva York a través de la emergencia como paciente no identificado y se le asignó el nombre de “Trauma XXX”.

La policía y miembros de la familia preguntaron por él en el hospital varias veces, pero le decían que no estaba allí. Después de una semana, durante la cual cientos de amigos, familiares y agentes de la ley buscaron al hombre, un médico que trabajaba en el hospital vio una noticia sobre él en la televisión y se dio cuenta que era el paciente no identificado.

Más tarde, los funcionarios del hospital le dijeron al hijo de este hombre que, debido a que no había preguntado explícitamente por “Trauma XXX”, no pudieron darle información que pudiera haberlo ayudado a identificar a su padre.

A raíz de esa confusión, el Centro de Información para Personas Desaparecidas del estado de Nueva York elaboró ​​un conjunto de pautas para los administradores de hospitales que reciben solicitudes de información sobre personas desaparecidas de la policía o miembros de la familia.

Estas pautas incluyen aproximadamente dos docenas de pasos que deben seguir los hospitales, que incluyen la notificación a la recepción, la introducción de descripciones físicas detalladas en una base de datos, tomar muestras de ADN y el seguimiento de correos electrónicos y faxes sobre personas desaparecidas.

Las pautas de California estipulan que, si un paciente no está identificado y tiene incapacidades cognitivas, “el hospital puede revelar solo la información mínima necesaria que sea directamente relevante para ubicar a los familiares del paciente, si esto es por el mejor interés del paciente”.

En L.A. County + USC, la mayoría de los pacientes sin nombre se identifican rápidamente: o bien recuperan el conocimiento o, como en la mayoría de los casos, amigos o familiares llaman para preguntar por ellos, dijo Crary.

Aun así, el hospital no siempre tiene éxito. De 2016 hasta 2018, 10 personas sin nombre permanecieron sin identificar durante sus estadías en L.A. County + USC. Algunos murieron en el hospital; y otros fueron a hogares de adultos mayores con nombres inventados.

Pero Crary dijo que ella y su equipo agotan todas las vías en busca de una identidad.

Una vez, un hombre mayor, no identificado y de aspecto distinguido, con una barba recortada con pulcritud, fue llevado a la sala de urgencias delirando, con lo que luego se diagnosticó como encefalitis, y con incapacidad para hablar.

Siguiendo la corazonada de que este hombre tan distinguido debía tener a alguien que lo estaba buscando, Crary consultó con las estaciones de policía en el área. Lo que descubrió es que el hombre era buscado en varios estados por agresión sexual.

“Es un caso que nunca olvidaré”, agregó Crary. “La verdad es que estoy más feliz cuando podemos identificar a un paciente y ubicar a la familia para tener una hermosa reunificación, en vez de encontrar a un criminal”.

Kaiser Health News

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Lala Kent’s Fiance Heads to Hospital With Heart Attack Symptoms Amid 50 Cent Feud

Lala Kent’s fiancé, Randall Emmett, headed to the hospital with chest pain amid the couple’s feud with 50 Cent.

According to a text message conversation posted by the rapper on Instagram on Friday, April 26, the movie producer was having health issues as their disagreement — over Kent and money — escalated.

“I said I’m sorry fofty [sic] I’m heading to emergency room Im not doing well Please don’t text me anymore,” Emmett, 48, wrote according to the screen grab. “This is too much for me I’m so hurt and not feeling well Now my ex is f–king with me after your post this is very bad for me on all levels going to er to make sure not having heart attack. Please fifty no more.”

As Us Weekly previously reported, the Vanderpump Rules star, 28, and the “Candy Shop” rapper, 43, got into a NSFW exchange on Instagram over the story of how she and Emmett first got together. 50 Cent posted a video of Kent telling costar Stassi Schroeder that Emmett sent her a car after “the first night we banged.”

The rapper, who starred in and coproduced the series Power with Emmett, captioned the video, “10 seconds left in the 4 quarter hoe’s are Winning. Do you want A range rover, yes, bitch yassss. Then just run out and suck a d–k. LOL smh.”

Kent — who got engaged to Emmett in September 2018, less than a year after they went public with their relationship — fired back in comments with, “She swears she’s a thug from south side Jamaica queens & she’s up in here watching Bravo. Someone has forgotten where they come from. Coming for me on the gram!? I smell fish coming from fifty’s direction.”

Lala Kent’s Fiance Randall Emmett Heads to Hospital With Heart Attack Symptoms Amid 50 Cent Feud
Randall Emmett and 50 Cent attend the House of Hype LIVEstyle Lounge on January 22, 2011 in Park City, Utah. Rodney Itier/WireImage

50 Cent claimed in his post that Emmett owes him a million dollars and he wants “the rest” of it by Monday.

In a second post on Friday night, he shared a screen grab of another text message exchange with Emmett, in which the Hollywood honcho said of Kent, “She is my fiancé and I asked you to be in My wedding last week.”

“What the f—k would you want me in your wedding for,” 50 Cent wrote back. “Like I ain’t got s—t else to do.”

He added in a caption that Emmett “sent me 250k today but I want all my money Monday,” adding, “if he ain’t got it he can put his Rolls Royce on the truck to NY.The friend s—t is over rated.”

On Saturday, April 27, the rapper shared a photo that showed the producer taking a selfie at an awards show as 50 Cent stood in the background and wrote, “look at this fool taking selfies, you better get me my money fool.”

Us Weekly has reached out to Emmett and Kent’s reps for comment.

Us Weekly

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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Megan Barton Hanson rushed to hospital

OHMYGOSSIP — Megan Barton Hanson was rushed to hospital this morning (10.04.19) after suffering an allergic reaction.
The former ‘Love Island’ star – who recently split from Wes Nelson – fell ill during the night so headed to a medical facility to be treated for the mystery ailment.
A source told MailOnline: “Megan was rushed to hospital this morning with an allergic reaction.
“Doctors are still trying to establish what has caused it and she is currently undergoing tests to determine this.
“Megan went into hospital in the early hours after suffering pain and discomfort throughout the night.”
In February, Megan revealed she was undergoing therapy following her split from Wes.
She said: “I need to make sure I’m in a good place. I’ve gone back to therapy. I’m doing (cognitive behavioural) CBT therapy, that’s a way they teach you to rationalised your thoughts and keep going over things.”
In January, Megan was rushed to hospital after she was struck down with a bladder infection leading to a “nightmare few days” when the problem spread to her kidneys.
She wrote: “Glad to be home after a nightmare few days! Don’t ignore a bladder infection it WILL spread to your kidneys.
“Never been in so ill in my life!! (sic)”
The 25-year-old star also praised her parents for writing her a lovely get well soon note and sending her some flowers.
She wrote: “My parents are the best nothing worse than being away from your family when your poorly thank you (sic)”

Source: celebretainment.com
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Michael Irvin Posts Photo From Hospital, Asks For Prayers

Former Dallas Cowboys wide receiver Michael Irvin posted a photo of himself in a hospital bed on Instagram Tuesday, saying he is worried he may have throat cancer and has been undergoing tests for the disease.

Irvin reveled in the post that his father died from throat cancer at 51, and after having persistent throat issues for two months, he decided to get tested.

The post says:

“Spent Sun & Mon in LA at UCLA medical Health (Ronald Reagan Hospital) doing health test. I would not usually do this but this I need to share. Growing up in the ghetto of Ft Lauderdale the one thing you have to conquer to get out is FEAR. I did! As a football player the no fear gift served me well as a blessing and an asset on the field but sometimes off the field it’s been a curse and a liability. This past football season after the @dallascowboys beat the @Saints i was so elated and hyped I lost my voice and the problem persisted for almost 2months. After visiting some of the best throat Doctors they thought it to be wise to take a deeper look at the situation. So we schedule and performed a throat biopsy. To give background I share with you that I lost my father at the young age of 51. He had throat cancer. This daemon has chased and vexed me deep in my spirit all my life. So saying I am afraid this time is a big big understatement. I AM TERRIFIED!! My Faith tells me whenever you face great fear you go to your greatness power. Mine is God. I am asking all who will. Could you please send up a prayer to help my family and I deal with whatever the results may be? Thanks for your thoughts and prayers in advance🙏🏾🙏🏾I will continue to pray for your fams protection and prosperity as well. May God Bless us all 🙏🏾🙏🏾”‬

View this post on Instagram

‪Spent Sun & Mon in LA at UCLA medical Health (Ronald Reagan Hospital) doing health test. I would not usually do this but this I need to share. Growing up in the ghetto of Ft Lauderdale the one thing you have to conquer to get out is FEAR. I did! As a football player the no fear gift served me well as a blessing and an asset on the field but sometimes off the field it’s been a curse and a liability. This past football season after the @dallascowboys beat the @Saints i was so elated and hyped I lost my voice and the problem persisted for almost 2months. After visiting some of the best throat Doctors they thought it to be wise to take a deeper look at the situation. So we schedule and performed a throat biopsy. To give background I share with you that I loss my father at the young age of 51. He had throat cancer. This daemon has chased and vexed me deep in my spirit all my life. So saying I am afraid this time is a big big understatement. I AM TERRIFIED!! My Faith tells me whenever you face great fear you go to your greatness power. Mine is God. I am asking all who will. Could you please send up a prayer to help my family and I deal with whatever the results may be? Thanks for your thoughts and prayers in advance🙏🏾🙏🏾I will continue to pray for your fams protection and prosperity as well. May God Bless us all 🙏🏾🙏🏾

A post shared by Michael Irvin (@michaelirvin88) on

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‘Teen Mom 2’: Leah Messer’s Daughter, 6, Admitted To The Hospital: ‘Keep Our Girl In Your Prayers’

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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Man slapped with nearly $5K hospital bill after fainting from flu shot

Worst flu shot ever? A North Carolina man says he had to be hospitalized after fainting from a flu shot, but it’s what happened next that truly made him sick. When Matt Gleason got discharged, he was reportedly hit with a $ 4,692 medical bill — which included a $ 2,961 ER admission fee and nearly $ 1,000…
News | New York Post

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Hospital charges thousands to man who fainted

The biggest part of Matt Gleason’s bill was the general ER fee.
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SPECIAL NEWS BULLETIN:

http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Hope You’re Sitting Down: Hospital Charges $4,700 For A Fainting Spell

Listen to NPR’s All Things Considered tonight for our audio report on Bill of the Month. It’s scheduled to air at approximately 5:20 p.m. on your local public radio station.

Matt Gleason had skipped getting a flu shot for more than a decade.

But after suffering a nasty bout of the virus last winter, he decided to get vaccinated at his Charlotte, N.C., workplace in October. “It was super easy and free,” said Gleason, 39, a sales operations analyst.

That is, until Gleason fainted five minutes after getting the shot. Though he came to quickly and had a history of fainting, his colleague called 911. And when the paramedics sat him up, he began vomiting. That symptom worried him enough to agree to go to the hospital in an ambulance.

He spent the next eight hours at a nearby hospital — mostly in the emergency room waiting area. He had one consult with a doctor via teleconference as he was getting an electrocardiogram. He was feeling much better by the time he saw an in-person doctor, who ordered blood and urine tests and a chest-X-ray.

All the tests to rule out a heart attack or other serious condition were negative, and he was sent home at 10:30 p.m.

And then the bill came.

The Patient: Matt Gleason, who works for Flexential, an information technology firm in Charlotte. He is married with two children.

Total Bill: $ 4,692 for all the hospital care, including $ 2,961 for the ER admission fee, $ 400 for an EKG, $ 348 for a chest X-ray, $ 83 for a urinalysis and nearly $ 1,000 for various blood tests. Gleason’s insurer, Blue Cross and Blue Shield of North Carolina, negotiated discounts for the in-network hospital and reduced those costs to $ 3,711. Gleason is responsible for that entire amount because he had a $ 4,000 annual deductible. (The ambulance company and the ER doctor billed Gleason separately for their services, each about $ 1,300, but his out-of-pocket charge for each was $ 250 under his insurance.)

Matt Gleason questioned many of the charges he was billed after a trip to the ER and asked the health care provider for clarity. They sent him their chargemaster so he could investigate the charges himself.(Logan Cyrus for KHN)

Service Provider: Atrium Health Pineville (formerly called Carolinas HealthCare System-Pineville), a 235-bed nonprofit hospital in Charlotte and one of more than 40 hospitals owned by Atrium.

Medical Service: On Oct. 4, Gleason was taken by ambulance to Atrium Health Pineville emergency room to be evaluated after briefly passing out and vomiting following a flu shot. He was given several tests, mostly to check for a heart attack. 

What Gives: Fainting after getting the flu vaccine or other shots is a well-described phenomenon in the medical literature. But once 911 is summoned, you could be facing an ER work-up. And, in the U.S., that usually means big money.

The biggest part of Gleason’s bill — $ 2,961 — was the general ER fee. Atrium coded Gleason’s ER visit as a Level 5 — the second-highest and second-most expensive — on a 6-point scale. It is one step below the code for someone who has a gunshot wound or major injuries from a car accident. Gleason was told by the hospital that his admission was a Level 5 because he received at least three medical tests.

Gleason argued he should have paid a lower-level ER fee, considering his relatively mild symptoms and how he spent most of the eight hours in the ER waiting area.

The American Hospital Association, the American College of Emergency Physicians and other health groups devised criteria in 2000 to bring some uniformity to emergency room billing. The different levels reflect the varying amount of resources (equipment and supplies) the hospital uses for the particular ER level. Level 1 represents the lowest level of ER facility fees, while ER Level 6, or critical care, is the highest. Many hospitals have adopted the voluntary guidelines.

David McKenzie, reimbursement director at the American College of Emergency Physicians, said the guidelines were set up to help hospitals charge appropriately. Asked if hospitals have an incentive to perform extra tests to get patients to a higher-cost billing code, McKenzie said: “It’s not a perfect system. Hospitals have an incentive to do a CT exam, and taxi drivers have an incentive to take the long way home.”

The guidelines don’t determine the prices hospitals set for each ER level. Hospitals are free to set whatever prices they want as long as their system is consistent among patients, he said.

He said the multiple tests on Gleason suggest the hospital was worried he could be seriously ill. But he questioned why Gleason was told to stay in the ER waiting area for several hours if that was the case. It’s also not clear if Gleason’s history of fainting and overall good health were considered.

Blue Cross and Blue Shield of North Carolina said in a statement that the hospital “appears to have billed Gleason appropriately.” It noted the hospital reduced its costs by about $ 980 because of the insurer’s negotiated rates. But the insurer said it has no way to reduce the general ER admission fee.

“We work hard to negotiate discounts that reduce costs for our members, but costs are still far too high,” the insurer said. “This forces consumers to pay more out of pocket and drives up premiums.”

Gleason, in fighting his bill, actually got the hospital to send him its entire “chargemaster” price list for every code – a 250-page, double-sided document on paper. He was charged several hundred dollars more than the listed price for his Level 5 ER visit.

Gleason reviews the chargemaster he received from Atrium Health.(Logan Cyrus for KHN)

“In this specific example, the price of admission to the ER was more than $ 2,960. That was on top of more than $ 1,000 for the medical procedures actually performed. We won’t significantly bring down health care costs until we address the high prices like these,” BCBS-NC said in the statement.

John Hennessy, chief business development officer for WellRithms, a consulting firm that reviews bills for large employers, said the hospital charges are significantly higher than what Medicare pays in the Charlotte area, but those are the prices Gleason’s insurer has negotiated. “Seeing billed charges well in excess of what Medicare pays is nothing unusual,” Hennessy said.

He said the insurer likely agreed to the higher charges to make sure it had the large hospital system in its network. Atrium is the biggest health system in North Carolina.

He said the coding “makes sense” because it meets the guidelines — even if that meant a nearly $ 4,000 bill for Gleason.

“The hospital has every right to collect it, regardless if you or I think it’s a fair price,” he said.

Gleason says the $ 3,700 hospital bill won’t bankrupt his family, but “what it does is wipe out our savings.”(Logan Cyrus for KHN)

Resolution: After Gleason appealed, Atrium Health reviewed the bill but didn’t make any changes. “I understand you may be frustrated with the cost of your visit; however, based on these findings, we are not able to make any adjustments to your account,” Josh Crawford, nurse manager for the hospital’s emergency department, wrote to Gleason on Nov. 15.

Atrium Health, in a statement to KHN and NPR, defended its care and charges as “appropriate.”

“The symptoms Mr. Gleason presented with could have been any number of things — some of them fatal,” the hospital said.

“Atrium Health has set criteria which determines at what level an [emergency department] visit is charged. In Mr. Gleason’s case, there were several variables that made this a Level 5 visit, including arriving by ambulance and three or more different departmental diagnostic tests.”

Gleason said the $ 3,700 hospital bill won’t bankrupt his family. “What it does is wipe out our savings,” he added.

The Takeaway: Gleason, understandably, said he’s reluctant to get a flu shot in the future. But that’s not the best response. It’s important to know that fainting is a known reaction to shots and some people seem particularly prone. It’s best to sit or lie down when you get the vaccine, and wait five to 10 minutes before jumping up and returning to business.

Be aware: If you — or someone else — calls 911 for a health emergency, you are very likely to be taken to the hospital. You probably won’t have a choice of which one. And a hospital trip may not even be needed, so think before you call: “How do I feel?”

The medical professional who administered the shot might have suggested that calling 911 wasn’t a smart or needed response for a known side effect of a vaccine injection in a young person.

The emergency room is the most expensive place to seek care.

In hindsight, Gleason might have gone to an urgent care facility or called his primary care doctor, who could have evaluated him and run some tests at much lower prices, if needed.

But employers, hospitals and doctors regularly tell patients if they need immediate care to go to the ER, and hospitals often tout short waiting times in their ERs.

With high deductibles becoming more common, consumers need to be aware that a single trip to the hospital, especially an ER, could cost them thousands of dollars — even for symptoms that turn out to be nothing serious.

Alex Olgin of WFAE and Elisabeth Rosenthal of Kaiser Health News contributed to the audio version of this story.

Do you have an exorbitant or baffling medical bill? Join the KHN and NPR Bill-of-the-Month Club and tell us about your experience.

Kaiser Health News

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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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30 staff members give birth to 31 babies at Minnesota hospital

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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Doctors are asking Silicon Valley engineers to spend more time in the hospital before building apps

Doctors have had enough with software that's not useful, so they're inviting entrepreneurs to shadow them.
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Supreme Court Justice Ruth Bader Ginsburg Discharged From Hospital

Supreme Court Justice Ruth Bader Ginsburg was released from the hospital on Tuesday after undergoing surgery last Friday, a court spokeswoman said in a statement on Wednesday. “Justice Ginsburg was discharged from the hospital yesterday and is recuperating at home,” said Public Information Officer Kathy Arberg.
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Remy Ma Leaves Hospital After Emergency Surgery: ‘I Am Doing Much Better.’

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Source: Bennett Raglin / Getty

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

One day after having to undergo an emergency procedure after giving birth to her daughter, it looks like Remy Ma is finally back home.

On Thursday (Dec. 20), the femcee posted a post-delivery pic of her and her husband Papoose looking healthy and happy.

“I’m FINALLY back home and doing much better. The baby has been PERFECTLY fine since being born Dec. 14th and I’m resting & recovering at home. (Pap is VERY happy, on cloud 9,999😊),” the new mother wrote on Instagram.

Not going into any detail about her surgery, she also thanked everyone for checking in on her family and sending them well-wishes.

“Thank you to all of our family, friends, and loved ones who reached out- Sorry for not responding to texts and/or calls – I physically was not able to and my husband @papoosepapoose was concerned & worried about me all while looking after our “Golden Child.”

Remy also showed love to her fans and the hospital staff that took such good care of her.

“Also, thank you to all the fans who sent their love and prayers🙏🏽 We would also like to thank the ENTIRE staff at the hospital (doctors, nurses, aides, even the housekeeping) as well as the AMAZING security team ; not only did you all make sure my family was well taken care of but everyone was very professional and extremely respectful & protective of our privacy; we truly appreciate it – 💋

with love, The Mackies #RemAndPap #BlackLove #RemyMa #MeetTheMackies #TheGoldenChild #RemyMafia (I luv y’all 😘).”

Instagram Photo

 

As we previously reported, days after giving birth to her and Papoose’s “Golden Child,” Remy Ma was rushed back to the hospital due to complications from her delivery.

According to TMZ, the rapper was admitted back into the hospital to endure emergency surgery after suffering excessive bleeding on Tuesday night. The site reported that her procedure was a success thanks to blood transfusions.

On December 14, after what Papoose described as a “tough labor,” Remy gave birth to a little girl. The couple has yet to release a picture of their daughter or share her name with the public.

Instagram Photo

Instagram Photo

 

We’re so glad that Remy and the baby are doing well! PRAISE!

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Sources: Redskins QB Alex Smith out of hospital after surgeries, infection

After spending days in the hospital and enduring multiple surgeries on his broken leg, Washington Redskins quarterback Alex Smith finally has been released — with an encouraging prognosis, no less — per league sources. There is some optimism, but hardly certainty, that Smith will be able to resume his NFL career, though the priority for now is simply recovering from a spiral leg fracture that became infected after multiple surgeries. Smith’s future is at stake, and so is the Redskins’. Taking the personal and most important component out of it, Washington would struggle to overcome the setback that would be created if Smith were unable to return to football. If Smith were unable to play, the Redskins would have to eat $ 20.4 million worth of salary-cap space next season and $ 21.4 million in 2020 — essentially about 13 percent of the NFL’s projected salary cap. A financial scenario such as this would catapult the Redskins…
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Winter meetings’ biggest trade was made from the hospital

Jerry Dipoto will literally trade from anywhere. The Mariners general manager is baseball’s biggest dealer, and that reputation was perpetuated at the winter meetings in Las Vegas when he acquired Edwin Encarnacion from the Indians. But it wasn’t that he made the trade that was shocking, but where he made it. Dipoto was admitted to…
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Fear and confusion erupt at Walter Reed military hospital after false alerts about an active shooter

Alerts about an active shooter at Walter Reed National Military Medical Center caused patients and a U.S. congressman to fear the worst on Tuesday, but the Pentagon said they were part of an "exercise." 
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Michelle Stuns in Her First Photo Shoot Since Leaving the Hospital | Chad Loves Michelle | OWN

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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Aerosmith rocker Joe Perry reportedly rushed to hospital after performing with Billy Joel

Aerosmith rocker Joe Perry was reportedly rushed to the hospital Saturday night after jamming with Billy Joel at Madison Square Garden.

Perry, 68, had just wrapped a performance of “Walk This Way” with the Piano Man and returned to his dressing room when he collapsed, TMZ reports.

“Joe did not…

/entertainment – New York Daily News

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Garden Grown: A Fresh Take on Hospital Food

You can’t get any fresher or more local than just-picked produce from the garden. That’s why Heidi Thompson, food-and-nutrition services manager at Westside Medical Center, decided to try growing herbs and vegetables right there at the hospital.

Parsley from the garden garnishes patient trays, and the herbs and veggies enliven menu offerings at Westside Medical Center’s Courtyard Café. The experiment fits in perfectly with Kaiser Permanente’s mission of helping members choose healthful, plant-based foods.

“Being very local is cost-effective and great for the environment. It’s also very fresh, which is good for nutrients,” Thompson said. “That’s the beauty and benefit of growing your own and having it right there.”

She and her staff started with an 18-foot diameter round bed for herbs in spring 2017. They harvested $ 700 worth of herbs that season, including mint, marjoram, thyme, rosemary, sage, oregano and parsley.

Last May, staff planted 115 vegetable starts in four on-site raised beds that are roughly 12-feet-by-4-feet. Over the summer, the garden produced lettuce, beets, spaghetti squash, leeks, purple scallions, heirloom tomatoes, a variety of peppers and such edible flowers as nasturtiums. For fall, the staff planted fall crops of rainbow carrots, scallion, purple broccoli and beets.

Evolution to healthier menu

The Courtyard Café treats customers to creations featuring the garden’s bounty — for example, chicken marinated in herbs from the garden, grilled and served over the ultra-local Red Sails and Buttercrunch Bibb lettuces. Look for the “Garden Grown” logo on the café menus and patient tray tickets.

Westside Medical Center’s food-and-nutrition service department — like those at other Kaiser Permanente facilities — strives to provide a bulk of café choices that are lower in fat and sodium. The café does not sell any sugar-sweetened beverages.

“The menu has evolved bit by bit to offer more interesting and healthier choices,” Thompson said.

Scott Sales, Westside Medical Center chef and food and nutation supervisor harvests a spaghetti squash from the medical center’s garden.

Scott Sales, Westside Medical Center chef and food and nutrition supervisor harvests a spaghetti squash from the medical center’s garden.

She credits the ingenuity of her staff. For example, Scott Kaopua, one of the cooks, focuses on creative salads with grilled protein as his specialty. He candies nuts, toasts cornbread croutons and mixes dressings to give salads extra oomph.

Courtyard Café diners appreciate his and other staff members’ effort. Customer feedback has been 95 percent positive so far this year, Thompson said. One customer remarked, “I no longer go to out to eat. My friends and family meet me here instead.” Other customers said they go to the medical center for lunch, even when they don’t have doctor appointments there.

Now that patients are enjoying eating the ultra-local produce, Thompson would like to get them involved with growing it.

“Eventually I would like this to be an education piece for our patients,” Thompson said. Gardening not only produces fresh vegetables packed with nutrition, but the activity itself also provides many benefits including fresh air, light exercise and a feeling of accomplishment.

The post Garden Grown: A Fresh Take on Hospital Food appeared first on Kaiser Permanente.

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Like Clockwork: How Daylight Saving Time Stumps Hospital Record Keeping

Modern technology has helped medical professionals do robot-assisted surgeries and sequence whole genomes, but hospital software still can’t handle daylight saving time.

One of the most popular electronic health records software systems used by hospitals, Epic Systems, can delete records or require cumbersome workarounds when clocks are set back for an hour, prompting many hospitals to opt for paper records for part of the night shift.

And it happens every year.

“It’s mind-boggling,” said Dr. Mark Friedberg, a senior physician policy researcher at RAND, adding that in 2018, “we expect electronics to handle something as simple as a time change. “Nobody is surprised by daylight savings time. They have years to prep. Only, surprise, it hasn’t been fixed.”

Dr. Steven Stack, a past president of the American Medical Association, called the glitches “perplexing” and “unacceptable,” considering that hospitals spend millions of dollars on these systems, and Apple and Google seem to have dealt with seasonal time changes long ago. Epic was founded in 1979, but some hospitals have used these electronic systems longer than others.

Carol Hawthorne-Johnson, an ICU nurse in California, said her hospital doesn’t shut down the Epic system during the fall time change. But she’s come to expect that the vitals she enters into the system from 1 a.m. to 2 a.m. will be deleted when the clock falls back to 1 a.m. One hour’s worth of electronic record-keeping “is gone,” she said.

Hospital staff have learned to deal with it by taking extra chart notes by hand, but it’s still a burden, she said, especially if vitals change, or a patient needs something like a blood transfusion.

Although hospitals often avoid the software glitches by turning the software off and switching to paper charts, it’s far from ideal because hospitals have evolved to become increasingly reliant on electronic systems, said Stack, an emergency physician in Kentucky.

“When [electronic medical records] work, it’s wonderful,” he said, but when the system is turned off, doctors can’t use it to access patient records or order tests. Whiteboards are a thing of the past, and some staff members aren’t as comfortable with paper records because they’ve relied on electronic records their entire careers.

“It’s an hour where you’re flying sort of blind,” Friedberg said.

The one-hour pause slows everything down, which can cause patients to spend more time in emergency department waiting rooms, prompting some to go home before seeing a health care provider. That’s dangerous, Stack said.

Not all hospitals turn Epic off, however. At Johns Hopkins Hospital, providers who need to check patients periodically through the night use a workaround. They enter vitals at 1 a.m. and then when the clock falls back an hour later and they have to enter new vitals, they list them at 1:01 a.m. They leave a note that it’s an hour later, not a minute later. That’s how the Cleveland Clinic does it, too.

“I don’t disagree with the sentiment that we would like health IT systems to be much more sophisticated,” said Dr. Peter Greene, Johns Hopkins chief medical information officer. But there are plenty of other problems he’d like to see fixed first. “This particular aspect is not one that has caused us a lot of trouble.”

Other electronic medical records systems may require similar workarounds, said Jennifer Carpenter, vice president of IT clinical systems at University Hospitals in Cleveland, which uses several electronic medical records systems. Cerner, another major electronic medical records company, was unavailable for comment, but many hospitals plan for Cerner to be down during the time change, too.

When asked to comment on the glitches and workarounds, Epic spokeswoman Meghan Roh provided the following statement:

“Daylight savings time is inherently nuanced for healthcare organizations, which is why we work closely with customers to provide guidance on how to most effectively use their system to care for their patients during this time period. We’re constantly making improvements and looking for opportunities to enhance the system.”

But Friedberg pointed out that hospitals are locked into their electronic medical record systems because they’ve invested so much money in them. And it would cost even more to convert and transfer the records into a new system. As a result, there’s little incentive for software companies to improve their products, he said.

“I shudder to think … what does it do with leap years?” Friedberg wondered.

Kaiser Health News

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Vanessa Lachey Opens Up About Son Phoenix’s ‘Traumatic Experience’ in Hospital

Vanessa Lachey is opening up about her son’s Respiratory Syncytial Virus (RSV) diagnosis that left him hospitalized shortly after his birth.

On Tuesday, the mom-of-three posted a photo of Phoenix, who is now almost 2, when he was a baby and shared her experience about caring for her son — who was born 10 weeks prematurely.

“When I gave birth to my youngest, Phoenix, at 30 weeks, I knew he would need extra care,” she wrote on Instagram.

In the shot, Vanessa, 37, holds a young Phoenix — who is wrapped up in a blanket, wearing a hospital gown, and has a breathing tube up his nose.

“But I wasn’t aware that he was at an increased risk for a common respiratory virus called #RSV due to his under-developed lungs and immature immune system,” she continued.

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Those with the respiratory virus typically experience cold-like symptoms, including coughing, runny nose, and fever. Although most RSV infections clear up on their own within 7-14 days, it is especially dangerous for young infants as it can cause breathing difficulty and dehydration, according to the Center for Disease Control and Prevention.

“So when he was hospitalized for six days for severe RSV disease, I was shocked and terrified,” Vanessa added. “I wish I had known more about RSV before this traumatic experience.”

RELATED: Vanessa Lachey Says Goodbye to Summer with Adorable Family Vacation Photos: ‘Take Us Back!’

She also went on to explain that she is partnering with AstraZeneca, a pharmaceutical company, to raise awareness about the disease during its month-long initiative.

RELATED: Nick and Vanessa Lachey Are ‘Content’ with 3 Kids But ‘Wouldn’t Be Devastated’ with a Fourth Baby

Vanessa and husband Nick Lachey, 44, previously opened up to PEOPLE about adjusting their expectations when it came to the youngest member of their family.

“What I’ve had to do for myself now as a mom of a preemie is to not count the milestones,” Vanessa said at the Pampers‘ #SleptLikeThis event back in January.

“I mean that loosely and with love — to not compare him because every kid is going to be different, especially a preemie,” she added.

RELATED VIDEO: Vanessa Lachey Breaks Down as She Reveals She Underwent an Emergency Surgery During Premature Birth of Son Phoenix

The pair — also parents to Brooklyn Elisabeth, 3, and Camden John, 6 — were also careful to not compare what their two older kids were doing as 1-year-olds to what Phoenix was capable of doing.

“He’s smaller, but he’s healthy. He’s so happy,” Vanessa said. “Brooklyn and Camden were standing and walking a little bit at this point and he’s not even near that.”

“And I’m okay with that because every kid has their own time and their own moment,” she explained, “and instead of us dwelling on what he’s not doing, we’re just living and relishing in what he is doing.”

“He’s the happiest, most joyful kid ever,” added Nick. “He’s crawling everywhere, he’s so curious and into everything now.”


PEOPLE.com

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Bob Barker reportedly rushed to hospital with back pain

Bob Barker was reportedly hospitalized Monday after complaining of severe back pain.

Paramedics responded to the Hollywood Hills home of the “Price is Right” icon around 1 p.m. after he called 9-1-1, according to TMZ.

Barker’s manager told the gossip site that the 94-year-old former game show host…

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Bride Who Wed in Hospital So Ailing Father Could Walk Her Down Aisle Launches Tribute Foundation

Last November, Vieneese Stanton was on top of the world as her father, Preston Rolan, walked her down the aisle at University of California, San Francisco Medical Center where she wed Douglas Stanton.

Less than a month later, Rolan died from acute myeloid leukemia, leaving Vieneese devastated. Now the 28-year-old new mother is determined to preserve her father’s memory through her newly-minted Stanton Standards Foundation.

“A lot of people connected to us after they saw our wedding story go viral, and having my dad be there for us. So we started thinking, like, what if we could do the same thing for other families? UCSF hospital really put in a lot of effort to make that day happen for us… So we thought, ‘What if we formed an organization like that for people?’ ”

So, they did. They launched the organization to provide lasting memories for family members that have a loved one with a terminal illness. By May of this year, the foundation was officially established as a non-profit 501(c)3 organization.

RELATED: California Bride Weds in Hospital So Dying Father Can Walk Her Down the Aisle

With that, the Stantons got to work. The foundation’s first helped Yvonne, who has a heart condition and has about a year left to live. Through the foundation, Vieneese and Douglas raised hundreds of dollars to treat Yvonne and her close friends and family to a nice dinner at Oakland’s Southern Cafe.

“We hosted a rose ceremony where we bought her two bouquets of roses and we had her family and friends go around and they each gave her a rose. We really believe in giving people their roses while we can still smell them,” she says.

“They shared with Yvonne their greatest memories with her. They reminisced on good times they had with her and she was able to really enjoy those moments. “That’s something that’s always done at funerals.”

RELATED: Cancer Patient Who Walked Daughter Down the Aisle in Hospital Wedding Dies: ‘I’ve Lost My Superman’

The couple shared smiling photos of Yvonne Barela with her friends and family on the foundation’s website. And Vieneese says she’s eager to create lasting memories for more families in the future.

The foundation is accepting donations on its website and through a GoFundMe page set up for the organization.

“We really want to be a reliable resource when a family says, ‘We have a loved one who’s about to pass away. Are you able to help us?’ We want to say yes. We don’t want to tell them to wait six months,” Vieneese tells PEOPLE.

“We really want to be proactive because with terminal illness time is limited. We want to be there for the families because we believe that helps with the mourning process. I can speak for myself when I say that. I miss my dad like crazy. I think my father would be ecstatic if he were here today.”

Vieneese’s story made headlines last year, as photos of her with her ailing father made their way around the Internet. In the months after Rolan’s death, Vieneese and Douglas welcomed their first child, now 6-month-old Noelle.

“I miss my dad like crazy. Being a parent for the first time and not having my parents has been emotional at times,” she says, alluding to her late mother. “My daughter is awesome and my husband is awesome. Together we’re pushing through it.”


PEOPLE.com

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