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Saturday, 4 February 2017

10,000 U.S. Seniors Die Within Week of ER Discharge Every Year. February 4, 2017

 10,000 U.S. Seniors Die Within Week of ER Discharge Every Year: Study

By Robert Preidt
Thursday, February 2, 2017 
THURSDAY, Feb. 2, 2017 (HealthDay News) -- Each year, about 10,000 generally healthy U.S. Medicare patients die within seven days of discharge from a hospital emergency department, a new study contends.
"We know that hospitals vary a lot in how often they admit patients to the hospital from the ED [emergency department], but we don't know whether this matters for patient outcomes," said lead researcher Dr. Ziad Obermeyer.
I am not Medicare patient. I am diabetic type 2. When Medicaid was terminated due to overspending, income for two persons over 62 $1348 insulin supply was terminated. I could not afford to buy and to pay for insulin, it is $2000 monthly supply. The result, my blood sugar started to skyride, over 599 mg/dl, the limit of glucose meter I do have. After 599 the reading was only 'high'. So, it was very severe pain, very severe headache. I did not have choice but to call 911. Our local First Respnders are very very good. When they come to my home and BP was too high, they said I have never weight so long, I have to call to them. They will come at any time, day or might. They took me to the hospital. They did not let me walk, even I am very heavy to carry and I suggested I can walk to outside.
     Now I am in ED, and what? No one attention. Time going. Pain going. Severe pain. No one doctor come to see me. Finally someone come. He said I have to undergo some test if there are liquid in my brain, or something like that, I do not remember what he was talking about. He bring a lot of papers to sing up, I did. I never read papers in hospital. There is too low light, usually I do not have reading glasses, and when it is severe pain it is really too difficult to read. So, I just sing all what they show. I think it is all of us do usually. Otherwise there is no treatment for us. So, what is the reason to go to seek medical attention?
      Finally doctor come with something to take test. He was going to take something from my spinal cord. Very danger test to perform, and the papers I sing up were that if I die it is my fault or accident, the reality is the same. He hang me out over back of chair. He closed curtains that no one would see what he is doing. Then he run away. There were no gloves, as he said. Of cause it was pure lie. He was not pretty long. My head was down to the floor. I was very in severe headache, and nothing was given to me to releave high BP.
    Then he come back. He started the proceeding, and .... run away. There was something absent, antiseptic I think. Of cause he knew, I am idiot because of I already sing all papers he needed. He was absent pretty long. I was hanging over the back of the chair.
     -Where is your nurse? Do you have the nurse to assist to you? - I asked when he returned.
     - I do have nurse, but they are all busy. - he did answer.
Finally he pushed needle into my spinal cord, and I burst up, started to scream! Vomiting, severe vomiting just took all my body. He run away another time. Now he did not return.
    I met this creature next time when I was admitted to the hospital and he ... was my doctor. He patted my big belly very ignorantly and vulgar.
     - Here is your insulin! HAHAHA! You do not need insulin! You do not have diabetes at all. Ha-Ha-Ha.
     I am not fancy to be rat for any experiments. I do know rules and how work must be done. With heparin in every hospital patients has right away my headache was eased. I was told I will go home next day. Next day there is no paper, no doctors, some people come in-come out, all ask questions, and I have no clue who they are and why I have to answer to all those questions. There was afternoon, no one paper ready. I cannot be on the street at eve or night alone. I just have very severe depression, and there is no insulin for me, no any medicine for me. I was worry, how may I get home at eve? Even my home is just cross the street still I have to walk there, and I already do know very well I can lost on the way. It is eve, dark. I am very poorly oriented.
      Happily for me my man come to see me. I started to scream.
    -Let me go! I have to go home! - no response from any medical staff. Now I was in panic. They will sent me to mental department, and close doors. They will kill me!
      This is treatment we usually do have in hospitals, and I do not think there are big difference between Medicare patients and every one else. There is no treatment. There are experiments. They like to practice on human being. Also there is pain killers that patients do not scream, do not have panic attack, so they can do forever they wish. If patient in very severe condition they simple left patient as he/she is, let us be, and weight till patient get better or die. I refuse to take any painkillers, especially opium.  This let me keep conscious. So, they discharge me.
    I was discharged from ED with heavy leak blood in my brain. Blood vessel rapture. My face never was dropped, by shoulder was dropped on left side. I was discharged about 2 am, alone on the night street 10 + blocks away from home. No clue how did I get home.
     At that time I was in ED, in hospitals, tried to get any medical help. Nothing. When finally I was in medical office all what doctor presented as treatment, just barking, long and loud, very long, so long that I could not stay in her office, and there were no any sign she will ever stop to bark and see that patient hardly able to seat.  No Rx to insulin, to any medicine I desperately needed. Of cause thei Barking Therapy is very cost effective. Dr. got payment from insurance company, $250 for  the visit. I think she expected to get more but I left.
      No question, if all visits would be counted, there are not 10,000 but 100,000 deaths can be counted as result of Cost Effective Barking Therapy, or Life Style Modifications Therapy first line for every one of us.
    Sure, every one of us has own story. Most of us do have sad one. Many patients died  just because of we do not have treatment we do need. It is safe and easy to Ex Life Style Modifications, but does this therapy really work? Not at all. 12% of all deaths contributed by Diabetes type 2, perfectly treatable medical condition with insulin. The treatment for us is Life Style Modifications, Barking Therapy, and Junk Medicine such as Metfiormin, Invokana, or SU to kill working Beta Cells, to make us sicker and lead to number 3 spot in line to Grave.
Patients at greatest risk for death included those with confusion, shortness of breath or generalized weakness. The researchers found that those with chest pain had a much lower risk of death.
The study looked at ER visits made by seniors between 2007-12 across the United States. It did not include patients with known serious illnesses or diagnoses of life-threatening conditions in the ER, any one over 90, or those receiving palliative care.
"There's a lot of policy interest in reducing unnecessary admissions from the ED," Obermeyer said in a hospital news release.
Obviously, not all patients can or should be admitted to the hospital, he noted.
"But we need to focus on admitting the right patients, rather than admitting more or less," he said.
Of cause, if patient is generally healthy, then it is easy to fill gap in number of admissions. But what to do if patent is ill, in critical condition? Discharge this patient, of cause. At least there is no high deaths statistic in data base. They present, there are more studies needed. I suggest to take a look at the treatment options patient in ED do have. What all the health care colleges such as ADA and other like that present as protocol to treat critically ill patients in ED? It is easy to recommend Life Style Modifications in outpatient setting, but what doctor in ED suppose to do with person 65+ diabetic type 2 with blood sugar 599 mg/dl? Reverse diabetes type 2 with low calorie diet?


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