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Viagra uit india Her diagnosis?
Viagra uit india Coordination, viagra uit india impaired, viagra uit india manifested by an inability to dance secondary to klutzemia and exacerbated by ETOH intoxication.
Viagra uit india Recommendation: no second date.
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Viagra uit india Ahhhhh….the statistics test has been uploaded. Viagra uit india The literary narrative has been finalized and sent to my professor in Wisconsin.
Viagra uit india I can breathe. Viagra uit india Finally.
Viagra uit india Actually, viagra uit india I was breathing pretty heavily earlier this week. Viagra uit india With all due respect to my husband, viagra uit india here is a pic of yours truly with the cause of last Tuesday’s hyperventilation.
Viagra uit india That’s Jeff Scott Soto on the right, viagra uit india just in case you were wondering who was who. Viagra uit india You know, viagra uit india I’d look a hell of a lot better if I had Photoshop. Viagra uit india My image correction software just doesn’t cut it.
I am appalled at a certain HMO whose slogan rhymes with “Drive”.
Let me put it this way.
In my ER, viagra uit india if you come in with pain in your calf with redness and heat, viagra uit india a doppler study is done to determine if a deep vein thrombosis (DVT) is present. Viagra uit india If you complain that your other calf is also sore, viagra uit india we will do a doppler study of that leg to make sure you don’t have bilateral DVTs.
In my ER, viagra uit india if you present with bilateral calf pain, viagra uit india redness and heat and you happen to mention you had burning in your chest that morning and jaw pain the night before, viagra uit india you get all of the above and (a) an EKG, viagra uit india (b) a big ass IV in your left antecubital space for the contrast you will get when you go for the (c) CT scan of your chest to rule out pulmonary embolism.
In my ER, viagra uit india if you present with all this and you are a status/post trauma patient of four-and-a-half-months with bilateral fused ankles, viagra uit india 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, viagra uit india you would be admitted for observation.
At least. Viagra uit india
Take the same patient with the same chief complaint and let’s see how one particular HMO facility decided to handle the case.
Well, viagra uit india they did a doppler study of one leg, viagra uit india despite the presence of pain in both. Viagra uit india What do you know? There’s a DVT there!
Then, viagra uit india they gave an anticoagulant and sent the patient home.
No doppler on the second leg. Viagra uit india No EKG. Viagra uit india No CT of the chest despite the presence of transient chest burning and jaw pains earlier in the day.
You see, viagra uit india if you have a simple DVT, viagra uit india you can take oral anticoagulants and follow up as an outpatient with your doctor.
But…the patient didn’t have a simple DVT. Viagra uit india 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, viagra uit india shortness of breath and bilateral leg pain.
She was throwing pulmonary embolisms.
This facility gave a damn. Viagra uit india This facility did not brush off her complaints. Viagra uit india This facility did the tests. Viagra uit india This facility made the diagnosis. Viagra uit india And this facility will treat her appropriately.
Just like they did last May.
You know that HMO, viagra uit india the one that has the slogan beginning with “Be Well….”? They should change it to “Go to Hell…” because that is how they treat their members.
Yeah, viagra uit india pardon the language, viagra uit india but I’m pissed.
This patient nearly died last May. Viagra uit india What the hell was “Brand X ” HMO thinking when they saw this constellation of symptoms?
“Let’s finish the job?”
Health maintainence, viagra uit india my derriere.