that stuck with me too. I had to take deep breaths as I was reading it.
Not going to be tonight. I'll let you guys know about tomorrow.
I've kinda hit a plateau, where I'm not as bad as I was earlier in the week, but I stopped improving. Kinda yo-yos back and forth between better and worse, throughout the day.
In the ER now
GL me
Well I haven't had a heart attack yet, but this hospital might give me one.
Check out this idiotic argument I'm having here. Keep in mind I try NOT to be a difficult patient. I try to follow their requests and generally trust the doctors to do the right thing. However, sometimes dumb shit happens and I have to speak up.
Here's the progression of things, so everyone can understand..
On Monday, I was 100% fine.
Tuesday I woke up with some left foot pain. I stood up and noticed it was worse with the pressure of standing on it. I could walk, but it was painful and I was limping. The pain was at the back of the foot and heel area. I thought maybe I did something to it while sleeping and wasn't alarmed.
Wedenesday I woke up and it was much worse. I couldn't stand on it. Horrrrrrible pain. I couldn't walk. Had to hop on one foot to go take a piss. It also hurt even when I was sitting or lying down, just not nearly as much as when standing.
I also went to the doctor on Wednesday. It was an orthopedist. I was squeezed in with a non-appointment. It was determined I most likely had a very bad case of gout, wihch I've had twice before in the past 10 years, but only in my hands. The Achilles tendon seemed to be fine. The foot was swollen, but nothing else was. I was prescribed an anti-inflammatory and told it would likely get substantially better within 1-2 days.
For the entirety of Wednesday and Thursday, I could not walk and was in substantial pain in the area. However, nothing else on my body hurt, and I didn't feel sick. I cancelled radio because the pain was too distracting.
Thursday night I could walk again, albeit in pain and with a limp. It seemed to be getting better and better, but then Friday it got worse again. It almost got to the point where I couldn't walk once again, but I never quite got there. Saturday it seemed to yo-yo between bad pain to moderate pain.
Saturday night, however, was the problem. All of a sudden, new things started happening. The other foot swelled up, though it didn't hurt. The swelling then hit both ankles. I started feeling pins and needles in both hands. I started getting moderately lightheaded.
:shock
Uh oh. Maybe it wasn't gout, after all!
I also took my blood pressure. 175/88 -- the highest I've ever seen in my life, by a wide margin.
I decided at that point to go to the ER. That's where I am right now.
Now what is my issue with them? Among other things, they're taking a blood test. Okay, standard. I asked, "Can you check my uric acid?" The reason I wanted that checked is obvious. I was diagnosed with gout on Wednesday, but it wasn't verified with any labs. Wouldn't it be useful to see the uric acid level, even if that alone can't confirm gout? Also, I told them that my uric acid level was high, in my last blood test in late May (even though I didn't have gout them).
They didn't care. I was told, "The doctor ordered what they felt was important", and that I had no control over whether they test uric acid.
:no
I told them that they just drew my blood and it was very trivial to add uric acid to what's being tested. The nurse begrudgingly asked the doctor if they'd test uric acid, at my request.
The doctor sent her back to tell me that it wasn't medically necessary, since uric acid alone can't diagnose gout, and it wouldn't be done.
:wtf2
MOTHERFUCKERS YOU JUST TOOK MY BLOOD, JUST TICK THE FUCKING URIC ACID BOX
So here I have a gout diagnosis from 3 days ago, and they are refusing to throw a uric acid test in there, while already testing my blood for other things.
I told them I was going to walk out and go elsewhere (or home) if they refused to test it. Laughably, they told me I can get uric acid tested later this week with my regular doctor. You gotta be fucking kidding me. Wouldn't it be useful to know if uric acid is unusually high, given that gout is strongly suspected?
What's also annoying is that the doctor still won't come out and talk to me (don't even know if it's a male or female) and keeps sending messages through the nurses. Also they wanted to prescribe meds which duplicate my blood pressure meds, and nobody bothered to ask me what meds I'm currently on.
Isn't that like super standard to check?
Total fail here so far.
Anyway, I'm not kidding. If they won't test the uric acid, I will legit walk out. F them.
Also, since that argument, nobody is telling me yes or no about the uric acid.
It's pretty much, "We'll see what the doctor says now, we communicated your request", and nobody is answering me.
So I think they are slowrolling me, and hoping that when the results come back, I won't want to wait another hour to have it done. They're right, I won't wait another hour just for uric acid to be tested.
But I will walk out and pay ZERO POINT ZERO of the bill if that occurs.
Well, not much to do now besides run my ZED Run horses and wait to see if they tested my uric acid levels.
Well, I got some LOL news.
The doctor left. I guess it was the end of his shift, or whatever.
My case was transferred to a PA, which sucks. I did not agree to this, but whatever.
The PA is the one being the asshole and absolutely refusing the uric acid test, in what appears to be a battle of egos.
The PA also won't come out and talk to me, but keeps sending the (male) nurse with the messages to me. The PA has not made any contact with me yet. As I said, I'm not even sure if it's a male or female.
I just threw down the gauntlet that I'm leaving and making a complaint on Monday if this is being refused. I'm not going to play an ego game with a PA.
If I croak because of leaving early, put on my epitaph that I died being a Jew.
Well I've been kicked loose anyway because nothing of note was found.
Complaint likely coming about this. I will check with some doctors I know who work in a hospital setting to see if I'm out of line here, or if my demand was reasonable. If they agree with me, I'm filing a complaint and demanding a steep discount off this bill. If I'm told I was wrong, then I'll drop it.
No EKG was done, either. Don't know how they know my heart is ok, but I'm done with this place.
I cannot think of a worse place to be on a Saturday night than an ER in Los Angeles. However, you were in the wrong here, complaining and bitching to overworked doctors in an ER, in the middle of Covid, I would have kicked you out. You came in there for a non ER issue looking for help, and you basically shit all over everyone on a technicality. They will not give a shit if you pay or not, they will simply farm out the invoice to a bill collector.
You probably have peripheral neuropathy, the onset is pretty severe but you will get used to it. There are meds you can take to mitigate the effects.
Getting back to your hospital experience, you joked about being a Jew. No, it has nothing to do about that. You were a fucking ass, and if you had any decency you'd go back to the ER and apologize and offer to cater in lunch. You were flat out wrong. Berating people in an ER working for peanuts in Covid is a terrible look.
Anyway, I'm back home.
Before I left, I did talk to that PA. They chose not to do the uric acid test because they said it "wouldn't change treatment either way" no matter what it read.
But it was a conscious choice to refuse to do it. There was no "technicality" preventing it, and they wouldn't have been under any liability had they done it. It was also extremely fast and cheap to do, since they already took my blood. The results of the uric acid test would have informed all of the other results, because it would increase or decrease the likelihood gout was the cause of the problems.
The refusal was actually the misapplication of a general policy to avoid allowing patients to use the ER as a substitute for their general doctor. For example, if I were to say, "While you've got my blood, can you check my testosterone? I want to know if it's still normal for my age", they'd be correct to refuse, because that would have nothing to do with the reason I was there.
However, they did the standard metabolic panel, of which uric acid is often part anyway. For example, they checked my potassium, which also had no direct correlation with treatment.
I'm going to ask some doctors I know to give me their opinion. If they agree with bottomset and say I was out of line, then I will not complain. If they agree with me, then a complaint is forthcoming.
Oh, they admitted the uric acid level was relevant to what's going on with me. They just felt it wasn't their responsibility to check, and if I wanted to know, I could go to my general doctor on Monday.
My next move if my conditions worsen would be to go to a different hospital.
I want to say one other thing.
It's extremely stupid to just blindly say/do what doctors and hospitals tell you, without both sanity-checking the situation and advocating for yourself if you feel there's an issue. Medical malpractice -- both undertreatment and overtreatment -- kills about 250,000 people (!!) in the US each year.
While you don't want to be the asshole who doubts everything your doctor tells you, you also don't want to be the dummy who blindly follows everything they say.
I woke up yesterday believing my problems were the result of a very bad case of gout. Then, when things started to get weird at night, I wondered if maybe it wasn't gout, and if it was something more dangerous. So I went to the ER to be safe rather than sorry, since some of the symptoms are ones which can be dangerous.
When a patient shows up and says, "I have X and Y problem, a doctor already said this week it was probably gout, but didn't verify, and I'm worried maybe it's something worse", then you check the uric acid to see if gout is the likely culprit. You don't refuse in a battle of egos.
More info is always better in medical situations.
BTW, in case anyone is wondering, nobody there was overworked. There were tons of empty beds, and nobody looked particularly frantic or extremely busy. Just looked like an average middle-of-the-night in an ER.
What a horses ass you are. You go into an ER for a NON life threatening issue, and you berate nurses and doctors who are treating people dying from Covid every day. First you overreacted by going to an ER for a non emergency, then you bitch out people for no reason trying to help you in an ER for your non life threatening issue. And LOL saying nurses in an ER are not underpaid, you have no clue. They are not there for the pay, hours or prestige. They are there because they like helping patients. They even accept the fact they have to deal with an unruly asshole with a sore foot at 2am. Get some business about yourself. Life and personal conduct does not always have to be transactional.
If it was a NON life threatening issue, I wouldn't have gone. I'd have waited until Monday and gone to a regular doctor. I hate the ER.
I'm about to turn 50, and all of a sudden I had increasing swelling in both feet and legs, plus tingling in both arms and hands, and higher BP than I ever had in my life.
On Saturday night at 1am, I can't exactly stroll into my doctor's office. It's either the ER or lol Urgent Care, the latter of which is useless.
The average RN in Los Angeles makes over $100k per year: https://www.indeed.com/career/regist...os-Angeles--CA
My argument wasn't even with the nurse. It was with the PA (physician's assistant), who makes $125k per year on average: https://www.salary.com/research/sala...los-angeles-ca
What does the average plumber make?
There you go again, equating everything in life to money. You can 'tilt' me all you want calling me a plumber, a joke Jewdonk made back in the day, I am just impressed I am so front and center with people they remember that. But back to the topic, I LOL saying you will not complain if all your doctor friends(another LOL) tell you that you were in the wrong. You walk into basically a Covid Ward with a sore foot and you bitch and complain about the care you are receiving. Then you say you will not complain if you were in the wrong. You already complained and berated people. Your real answer should be: I will not continue to make a horses ass and bother people in an ER at 2am with a sore foot. Something you already did, but lets take small steps here.
You are priceless, go back to selfies with poker players who have no idea who you are. You got that down cold. You have more in common with Alec Baldwin, another delusional bot who claims he did nothing wrong. It's everyone else.
You made the moronic statement that nurses and PAs were "underpaid". I posted a link to their salaries to show you how stupid you were.
It wasn't a COVID ward. It wasn't busy at all. I walked in fearing a heart issue or some other life threatening condition. The "sore foot" was going to wait until Monday at a regular doctor's office.
I will complain if doctors with actual ER experience tell me the hospital was wrong to deny the uric acid test. If these doctors tell me their refusal was correct, then I will drop it. Sorry you have a hard time understanding this.
I don't take selfies with poker players. Is that what you do when you go to Vegas and see Mike Matusow walking around?
I think someone needs a meal at Red Lobster and a trip to Perth to unwind.
Druff isn’t 100k in LA underpaid?
I can see if you made 100k in some small hick town in the Midwest….but LA I’m assuming 100k is peanuts now.
Hope you feel better and figure it out.
It's not big money, but by no means is it "underpaid". You can live quite well on 100k in LA, especially if it's part of a 2-income family (or you're just supporting yourself).
The "stop hassling underpaid workers" line should be reserved for situations with the employee making minimum wage, not a PA who makes $125k. That was my point to hurricane boy.
Anyway, thanks for the well wishes. The past week has been quite difficult. You don't know how awful it is to not be able to walk until you can't walk.
I forgot to say one other thing.
I never saw a doctor. Didn't even see the PA until I was being discharged. I now belive there was no ER doctor (see below) -- perhaps one in a different part of the hospital who would come over if absolutely necessary.
They didn't disclose this to me. I think it was the PA handling my case the entire time. I don't think the doctor "went home in the middle" like they tried to tell me, because I never saw him.
I just spoke to one of my doctor friends on the phone. Here were some of his quotes:
"Of course they should test uric acid if gout is suspected. That PA is an idiot."
"It sounds like there was no doctor there in the ER, and they were hiding that from you. They should have told you this when you checked in, and had you go elsewhere if you didnt like a PA handling your case. Most people come to the ER to see a doctor."
"How can they not do an EKG of a 50-year-old man with possible heart faiure symptoms? Big time malpractice there."
"Wait, they didn't ask what meds you were taking prior to admitting you? You sure you went to a hospital in the US?"
He said that the whole place was a mess and I should call on Monday and demand for the bill to be written off.
So we are to believe you called one of your 'doctor friends' 6am on a Sunday morning to discuss your invoice? Really, you expect anyone to believe that? Even if it were true, unlikely, who the hell would call anyone about an insurance deductible at 6am on a Sunday morning? I guess you.
I called my doctor friend at 9am EST. Not everyone I know is in California.
I didn't discuss my invoice. I discussed my experience, which he felt was extremely substandard. I told him that I felt I was right for being frustrated, but a plumber on the internet was telling me otherwise, so I wanted to check with him.
He understood.
If this were true and I doubt it is, to call anyone on an early Sunday morning because you are steamed about essentially free care you received for a sore foot, or elevated BP is so bizarre I cannot even take the other side of the position just for perspective. BTW, even though you said you did not talk about the invoice, your Doctor friend said for you to refuse to pay it. Good luck with that, it will go to collections, you just cannot refuse to pay because you received care in an ER.
One more point, since you went to the ER for elevated BP and you are still alive posting all night with effectively no treatment proves the fact you overreacted. And by the way, LOL at saying you will never go to that ER again, they would be thrilled to know that, give them a call and let them know and see what they say.
I texted the guy about my experience and asked if I could call him because it's too long to explain in text. Do I need to post the log of the phone call to get the bottomset approval?
I'm not going to just ignore the bill. I am going to call the hospital on Monday, speak to an administrator, and raise various issues.
Unless you think failing to ask what meds I'm on and failing to take an EKG means a competent ER, there's already a lot to complain about right there.
Obviously you're just trolling so I'm going to end this stupid debate. I already got my answer, and a complaint is forthcoming.
Malpractice, LOL. How much do think a flimsy case such as yours would have net you? Did your Dr. buddies consider the lawyer costs or were you were you on a three way call with Shapiro, Shapiro and Shapiro
Have you contacted desertrunner on this issue?
The judge better be named Shapiro as well
One more thing, how do you like your health care system now compared to that of Canada's communist plan? Did you even get a free healthy meal during your stay?
Oh, there's no malpractice case here.
I wish I could bring one, for their waste of my time and all the needless aggravation. There was definitely malpractice here, but I have no damages, so I have no case.
This one was definitely a FAIL of the US healthcare system, but it wasn't a fail from the standpoint of the system itself. It was just a group of incompetent employees acting stupidly. I probably didn't get the "A" team working there, given it was Saturday night at 2am.
Nobody is trolling you, we all just think its hilarious you are going to tell the hospital you are never coming back. Like they would do anything other than the pizza clerk you berate, saying thank God this guy is never coming here again. Ok Druff, I will go unclog some toilets, hahahaha, so funny.
Test
Hassling small restaurant employees just means you're a shitty person, but the worst outcome is that you'll be ingesting spit hidden in your food, something your body is definitely used to.
Behaving like an entitled, arrogant WebMD expert in the ER couldn't possibly be more -EV. People die and crazy shit happens all day long. An older guy yelling about a foot just doesn't play, regardless of uric acid or knowing other doctors.
Handling things 'your way' with seasoned professionals serves as a massive detriment when it comes to wellness. Be smarter.