Medical services taking short cuts in moto accidents?

[KnifeySpoony]

Kaiser is the worst. I’ve gone through 5 doctors and they’re all just as useless as the previous one. Seems like they only ever want to do the absolute minimum. I’m seitching to PPO the first chance I get.

My comment was regarding physician autonomy. However, I'm sorry to hear you had a bad experience with Kaiser.

 

[afm199]

Why don't you just shut your nasty face. For over a least a year, you have nothing but crap to say toward other posters. I have understood for a LONG time that you think you are more important than the rest of us. Especially since you have a superior Hispanic background. However, I do wish you would just THINK once in awhile before you attack other posters. It was the other posters with a stick up their ass about poor doctors. But with your mental handicaps, I suppose that you couldn't understand that I was opening the discussion to a less BIAS slant. YOU, being constantly bias about every-damn-thing, won't ever understand. Too bad, turtle boy. Roll over in your shell and hope the sharks fail.

 

[Moto Beck]

Third hand information about a nurse armchair quarterbacking a doctor.

Exactly - the nurse provided an opinion that was relayed to someone and then relayed to another person.

If none of us were there / have no medical experience - i'm not really sure that anyone's opinion on the matter is really worth a damn.

My wife is a nurse - gossip and rumors spread through her job like wild fire.

I'm not trying to deny that hospitals probably want to take cost cutting measures any time they can.

But it should be common sense to get a second opinion on anything related to the treatment of your/a loved ones body, particularly when it involves something like you know....amputation.

I've gotten second opinions for significantly less serious injury treatment - it was a good idea.


TBH - it'd be good to know in an emergency situation - what's the best way to ask for a second opinion. In times i've had to do it - i was well enough to go to another office to be examined but how does it work when you're conscious or unconscious in a hospital bed contemplating something as serious as the story above? Do they just pull in another doctor? Can they ask someone from out of network? Do they present you with options if you request a second opinion?

 

[LakeMerrit]

Armchairing the docs after the fact is a slippery slope. If a doc believes amputation = 90% survival chance, and trying to save a limb = 60% survival chance, the doc will likely go for the amputation as many believe their goal is to save the life.

If you were fully aware, and able to make the conscious decision to go with the riskier route to save your limbs, sign off (with full consciousness and agency) that's one thing. That however is rarely the case in trauma situations with an unconscious or sedated patient.

If a doc makes the risky choice for you, then you die, then your estate sues the doc for malpractice, that's a whole other can of worms for the doc. Better for her to take the medically advisable (read: most likely to save the life) route as it's defend-able both medically and legally.

 

[afm199]

Be careful what you wish for. I have the opposite experience. After a near fatal MTB accident in 2002, Kaiser rebuilt my shoulder so that I could ride and windsurf again after the trauma center I was medivacc'd to totally fucked it up.

Separately, many of my employees moaned and bitched about our company Kaiser plan. So we expanded our options, sadly from our experience the PPO's don't hold a candle to Kaiser.

Yep. Kaiser for me has been very very good. They caught my stage 3 cancer ( throat, minimal symptoms) and had me under the knife in less than a week. They've been excellent for most of my problems.

A hint with Kaiser is that they are great for big problems and will throw resources at them. Don't expect sympathy if you go in for a broken toe or cold.

 

[norcalkid]

I'm not in the ER that much but haven't noticed motorcycle riders being treated any differently than anyone else.

 

[Mellowtonin]

Me thinks it's 'bout high time for Mr. Marc to go start his own Motorcycle Forum somewhere else...since he apparently doesn't know how to place nicely with others.

 

[dravnx]

Maybe it's like when your standing in front of a LEO on the side of the road. Attitude, attitude, attitude.

 

[MotoCat]

Sometimes I think medical doctors are like used car salesmen but with more school.

I apologize if I offend any used car salesmen.

 

[Frisco]

I'm not in the ER that much but haven't noticed motorcycle riders being treated any differently than anyone else.

I was told by a paramedic in the ambulance that if I wanted iv pain meds (morphine) she would administer en route to the ER. “They don’t like motorcyclists in the ER and probably won’t offer pain meds”.

CJ

 

[Marcoose]

Me thinks it's 'bout high time for Mr. Marc to go start his own Motorcycle Forum somewhere else...since he apparently doesn't know how to place nicely with others.

Awww ... look ... the dog-pile ... how cute ... nobody thought of that before ... awww ...

This thread is related to motorcycling via a gullible knee-jerk of a hearsay of a hearsay of a hearsay, without an iota of evidence. No different than eyewitnesses swearing to God they saw the motorcyclist splitting at 90mph. It's Fantasyland; 'people say, therefore it's true'.

Granted, I shouldn't have been on Scotland's case for yet another unfiltered post.

Now, back at the dog-piling.

 

[nbean16]

No doubt. I don’t understand the crusade or need Marcoose has to continually and relentlessly attack other members. He’s done a good job of turning General into a sink. Enjoy your echo chamber once you’ve driven all of us of.

The best part of the sink is no marcoose.

 

[Marcoose]

The best part of the sink is no marcoose.

The feeling is mutual.

 

[dowlinginchico]

Doctors are people and people are fallible, therefore additional opinions are never a bad thing. Medicine is not an exact science, therefore is based on professional opinions. I am just glad I hear significantly more good stories than bad, but since only the bad make the evening news, I reserve some of my feelings when I hear things like this. It is terrible to think that doctors may do this based on money. Trust is a big deal.

 

[DataDan]

To slightly modify an old saying:

Do not attribute to malice that which can be adequately explained by bureaucratic indolence.​

While medicine is a noble profession with many fine and dedicated practitioners, in the 21st century it is situated mainly in a nightmare bureaucracy created, directly and indirectly, by government--though with the best intentions. Results are sometimes unintentionally horrific.

I know of two motorcyclists killed by medical malpractice following non-fatal crashes (other BARFers may have known one). If, Zeus forfend, I find myself hospitalized, I'm going to be an absolutely terrible patient: No treatment, no drugs until I've triple-checked both applicability and administration. If Bones thinks I should be given 10cc of Elixium Versatilium, I'm going to find out if it does what he thinks it does, and I won't let Nurse Chapel stick the needle in me until I've read the label and measured the dosage.

 

[LakeMerrit]

To slightly modify an old saying:

Do not attribute to malice that which can be adequately explained by bureaucratic indolence.​

While medicine is a noble profession with many fine and dedicated practitioners, in the 21st century it is situated mainly in a nightmare bureaucracy created, directly and indirectly, by government--though with the best intentions. Results are sometimes unintentionally horrific.

I know of two motorcyclists killed by medical malpractice following non-fatal crashes (other BARFers may have known one). If, Zeus forfend, I find myself hospitalized, I'm going to be an absolutely terrible patient: No treatment, no drugs until I've triple-checked both applicability and administration. If Bones thinks I should be given 10cc of Elixium Versatilium, I'm going to find out if it does what he thinks it does, and I won't let Nurse Chapel stick the needle in me until I've read the label and measured the dosage.

Ideally I would do the same. Unfortunately the likelihood of us being simultaneously in a situation that required emergency care as a result of a moto crash and conscious/thinking-clearly is quite low.

 

[Marcoose]

If, Zeus forfend, I find myself hospitalized, I'm going to be an absolutely terrible patient: No treatment, no drugs until I've triple-checked both applicability and administration. If Bones thinks I should be given 10cc of Elixium Versatilium, I'm going to find out if it does what he thinks it does, and I won't let Nurse Chapel stick the needle in me until I've read the label and measured the dosage.

Dunno. Antagonising the one helping may yield adverse effects.

 

[TTTom]

In response to Budman's initial post, the RN may have had a different opinion about what should have been done... but an RN is about four years of medical school, a year of internship and seven years of residency short of being a trauma surgeon.

Sounds to me like a bad case of Dunning-Kruger effect.

 

[nebulous]

Going to the er could cost you an (arm and a leg)x2

What we all really need is our doctor saying "I'm from the government and I'm here to help."

I'm surprised that anyone in this country thinks that the health care system we have gives a flying fook about anyone that comes through their doors. If they did, every doctor, nurse, and tech would be screaming for universal health care, but all I ever hear is a deafening silence.

https://www.nytimes.com/2018/02/24/...-left-region&WT.nav=opinion-c-col-left-region

Nothing that I posted in the above paragraph is relevant if you're rich. They exist in the parallel universe of privilege and access that precludes the plebs. Enjoy your hooks for hands.

 

[afm199]

My fave story. In E room with high blood pressure, irregular heart beat, dizziness. Straight from race track in summer. Four doctors going "huh, don't know, could be a TIA, we'll keep you four days for a test." Nurse comes up after they have gone: "Did they give you fluid??" "Nope."

She throws up a bag and fifteen minutes later the BP drops fifty points and the pulse forty.