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| Urgent surgery: a forgotten wait time? | |
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| Tweet Topic Started: Dec 10 2013, 09:39 AM (1,320 Views) | |
| Berton | Dec 10 2013, 09:39 AM Post #1 |
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Urgent surgery: a forgotten wait time? Michael’s Story Michael is a 35 year old with a past history of gallstones. He began to feel a stabbing pain in his belly one evening and tried to sleep it off. He was woken up by an excruciating pain, something he’d never felt before, and his wife drove him to the local emergency department. First, Michael waited in the emergency department to see a doctor, who suspected gallbladder inflammation related to gallstones. The doctor ordered diagnostic tests to confirm this and called for a surgical consultation. The surgeon on-call was busy with a full slate of scheduled cancer surgeries that day, and not wanting to cancel those patients, waited until he had a moment towards the end of the day to see Michael. By the time the surgeon saw Michael, he realized he needed surgery to remove his gallbladder within the next day. The doctor bumped a patient scheduled for surgery for the next morning and fit Michael in. Michael is a fictitious patient. However patients like him arrive daily to Canada’s emergency departments. A 2007 Canadian Institute of Health Information report found that about 20% of the one million Canadians admitted to hospital from the emergency department require surgical care, some of it urgent. An ignored and fragmented patient population There are many conditions that require urgent surgery, but disorders such as hip fracture, acute cholecystitis (acute gall bladder inflammation) and appendicitis are particularly common. Time is of the essence in treating patients who require urgent surgery. Delaying an urgent surgery for lengthy periods of time, in some cases, increases complications and may even lead to death. For example, an inflamed appendix, untreated, may rupture, spreading infection throughout the abdominal cavity. There is a growing body of research suggesting that patients with urgent surgical needs are waiting too long for surgery. From the time that they present to an emergency department to being booked in for surgery, they can experience many periods of prolonged waits. (continued) LINK It seems that at least some Canadian Hospitals do not have dedicated ER doctors. |
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| campingken | Dec 10 2013, 11:21 AM Post #2 |
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Maybe "made up" Michael can explain why the Canadians, with their horrible health care system, are healthier than we are.
Edited by campingken, Dec 10 2013, 11:21 AM.
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| Brewster | Dec 10 2013, 11:45 AM Post #3 |
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| Neutral | Dec 10 2013, 11:49 AM Post #4 |
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The facts get ignored by the libs again. |
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| Berton | Dec 10 2013, 12:30 PM Post #5 |
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I wonder why some major Canadian Hospitals do not have dedicated ER doctors? Some bureaucrat decision? Edited by Berton, Dec 10 2013, 12:31 PM.
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| Deleted User | Dec 10 2013, 03:28 PM Post #6 |
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Which ones? I have never seen any except in small towns. You did not answer camping kens question. Nobody is denying, BTW, that our system is under stress and has its problems,and they will likely get worse with an ageing population, but whether you get health care does not depend on how fat your wallet is here, and that appeals to most Canadians sense of fairness. Neither i nor my family have had any problems. I waited 3 hours a couple of months back to get an infected cyst lanced on my back in emergency. It was not really an emergency, but it was a holiday and my doctors office was closed. Part of the problem was the Americans in there waiting for cheaper treatment (they do charge them BTW, the rate sheet is posted in the emerg dept.). I live 2 miles from the border, its cheaper & closer for uninsured Americans to drive to our hospital than to the one in Bellingham 20 miles south. I guess in some ways it is fair, we cross the border for cheaper gas. |
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| Berton | Dec 10 2013, 08:28 PM Post #7 |
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According to the link it is most of them. |
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| Sea Dog | Dec 10 2013, 09:18 PM Post #8 |
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No sense arguing with Bertie. He is not interested in facts, only rightwing, anti Obama fiction. |
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| Bobcatkitty | Dec 10 2013, 09:24 PM Post #9 |
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Telco, I have 2 questions. Why did you wait so long to have the cyst taken care of? Did it really need to turn into an emergency? edit for spelling Edited by Bobcatkitty, Dec 10 2013, 09:25 PM.
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| tomdrobin | Dec 10 2013, 10:11 PM Post #10 |
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We have an excellent local public hospital (affiliated with Mayo Clinic). But, if you go to the ER there without a life threatening problem, you're going to wait a few hours. Why? Because the waiting room is full of uninsured people seeking treatment for things most get treated for in their doctors offices. Doctors offices and Urgent care facilities won't treat you unless you have cash or insurance. For things like bronchitis, sprains, etc. I always use the urgent care facilities. ER only for the big one. |
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