I Hate Dialysis Message Board

Dialysis Discussion => Dialysis: General Discussion => Topic started by: Rerun on March 20, 2012, 06:40:36 AM

Title: Hospitals aka Big Business
Post by: Rerun on March 20, 2012, 06:40:36 AM
I had to stay in the hospital overnight a week ago. 

I had surgery on Thursday (March 8th) and by Monday I was feeling light headed, my heart was racing, I had no energy.  Thoughts were I may need some blood.  After all, the center had ran out of heparin and I clotted off and they had to toss my kidney and lines, I'd had surgery, lots of blood work etc... 

So they toss me in the hospital to maybe give me a transfusion.  Labs come back that I'm low but not enough to trigger a blood transfusion.

Then the hospital's doctor takes over.... A "Hospitalist".  She says my surgery arm is infected.... even though my surgeon just left me saying my arm looked fine.  It was swollen and red but not infected.  I had no fever.  So... that Hospitalist ordered me an antibiotic (Vancomyson) which requires a shot in the stomach with heparin (ouch) and 3 different blood draws.  The surgeon ordered 2 in the first place; so 5 altogether.  Someone ordered an EKG (not sure who) but I had just had one on Thursday.  A Chest x-ray, which I had just had one the prior week.

Now, I'm thinking I was taken advantage of.  I have Medicare and Blue X Federal.  Can we say CASH COW.  Moo

To me that is BS what happened.  I was in for a possible blood transfusion and didn't need it.  Should be end of story.

Plus I was questioning everything.  I flipped out when the nurse came to give me a shot in the stomach of heparin.   ???  So, maybe they would have ordered MORE tests had I not been such a bitch. 

That is just crazy to me.  How can they get away with that.  Why should Medicare pay for 2 EKG's and 2 chest x-rays within a week of each other?  They shouldn't and I shouldn't. 

This is just not right!    :waiting;
Title: Re: Hospitals aka Big Business
Post by: jeannea on March 20, 2012, 07:26:26 AM
I don't know. You should definitely question everything and refuse what you don't need. But the rates are so low for Medicare reimbursement that I don't know if we're cash cows. I look at my statements from Medicare and Blue Cross. Someone charges $400 and they pay them $30. That sort of thing. I think it's more that these days they do a thousand procedures to make sure they're covered and you can't sue.

I'm sorry you had a sucky night in the hospital. I always refuse shots in the stomach since I'm on PD but I've had them and they hurt like hell. Did they ever figure out what was really wrong with you?
Title: Re: Hospitals aka Big Business
Post by: Rerun on March 20, 2012, 10:09:06 AM
No, they never did find out what was wrong with me.  I'm getting better on my own.  I upped my heart medication and my heart quit racing.  Did I tell my Cardiologist? No.  It would take 2 weeks to get in to see him and ASK so I just did it and it worked.

They say they hate medicare but medicare DOES pay.... maybe not what they charge, but they do pay.  They want $40 for a bandaid and Medicare pays them 90 cents.  Who is correct?

It is a bullshit game and we are the game pieces.
Title: Re: Hospitals aka Big Business
Post by: Whamo on March 20, 2012, 01:42:17 PM
I understand your frustration.  Last week I got a bill for a Hep C test that I'd already taken.  One that determines the strain of hepatitis you have.  Once you have it - it does not change, so it was a waste of money.   And it was not cheap.  It was over $500.   The crazy thing was the hospital that did it self-insures(I have their insurance), and so they ran up the bill on themselves.  I do not think your doctors see you as a cash cow, although it may appear that way, and I understand why you might think that.  They basically order lots of tests to cover their own rear ends should a lawsuit emerge, and they do.  But a lot of money is wasted on tests that aren't needed because of this fear.  That's my take on that stuff. 
Title: Re: Hospitals aka Big Business
Post by: lmunchkin on March 20, 2012, 04:38:04 PM
Rerun, I totally understand your frustration.  So much injustice goes on in these Hospitals.  But I do know that whenever a surgery is performed they want a chest X-ray to be sure everything is "clear".  J was in the hospital for 77 days with a ton of surgeries and a ton of chest x-rays!  Its down right frustrating!

I don't understand why all the blood work.  Seems rediculous to me!

God Bless,
lmunchkin
 :kickstart;
Title: Re: Hospitals aka Big Business
Post by: sullidog on March 20, 2012, 05:43:47 PM
that's why when I had chest pains do to the dypperitimal I didn't go in because I already knew the problem and I would of had to under go unecessary tests.
Title: Re: Hospitals aka Big Business
Post by: kitkatz on March 20, 2012, 09:47:00 PM
MOOO!
Title: Re: Hospitals aka Big Business
Post by: jeannea on March 21, 2012, 10:38:26 AM
Has anyone read Moo by Jane Smiley? Awesome book.