September, 2007 Archive

July 28, 2016, 11:00 am

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12:59 am

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I am appalled at a certain HMO whose slogan rhymes with “Drive”.

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In my ER, detrol 2mg pills $104.00 if you come in with pain in your calf with redness and heat, detrol 2mg pills $104.00 a doppler study is done to determine if a deep vein thrombosis (DVT) is present. Detrol 2mg pills $104.00 If you complain that your other calf is also sore, detrol 2mg pills $104.00 we will do a doppler study of that leg to make sure you don’t have bilateral DVTs.

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In my ER, detrol 2mg pills $104.00 if you present with all this and you are a status/post trauma patient of four-and-a-half-months with bilateral fused ankles, detrol 2mg pills $104.00 a cast on one leg and a halo on the other leg with explicit instructions to keep your legs elevated since the accident until you began weight bearing two weeks ago, detrol 2mg pills $104.00 you would be admitted for observation.

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Take the same patient with the same chief complaint and let’s see how one particular HMO facility decided to handle the case.

Well, detrol 2mg pills $104.00 they did a doppler study of one leg, detrol 2mg pills $104.00 despite the presence of pain in both. Detrol 2mg pills $104.00 What do you know? There’s a DVT there!

Then, detrol 2mg pills $104.00 they gave an anticoagulant and sent the patient home.

No doppler on the second leg. Detrol 2mg pills $104.00 No EKG. Detrol 2mg pills $104.00 No CT of the chest despite the presence of transient chest burning and jaw pains earlier in the day.

You see, detrol 2mg pills $104.00 if you have a simple DVT, detrol 2mg pills $104.00 you can take oral anticoagulants and follow up as an outpatient with your doctor.

But…the patient didn’t have a simple DVT. Detrol 2mg pills $104.00 The patient had bilateral DVTs.

That wasn’t all she had.


How did the patient finally get the correct diagnosis? She was taken by ambulance late last night to a decent facility; one that was not affiliated with the HMO.

She had chest burning, detrol 2mg pills $104.00 shortness of breath and bilateral leg pain.

She was throwing pulmonary embolisms.

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Just like they did last May.


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This patient nearly died last May. Detrol 2mg pills $104.00 What the hell was “Brand X ” HMO thinking when they saw this constellation of symptoms?

“Let’s finish the job?”

Health maintainence, detrol 2mg pills $104.00 my derriere.


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July 28, 2016, 1:59 am

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How could this be done?

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Why not entire units?

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About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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