Re: Infant Mortality
From: art fougner, md (evsono@pipeline.com)
Tue Jun 14 07:34:47 2005
Nor are folks of any political persuasion ( eg DNC Chair Howard
"YEEEEAAAAGGGHHHH" Dean) - not since William F Buckley Jr hosted Firing
Line.
art
At Tue, 14 Jun 2005, David Rivera wrote:
>
>Republicans aren't noted for dispassionate discussion of emotional issues...
>
>Harrison Sheld <hsheld@anv.net> wrote:I don't think ideological invective adds to an intelligent discussion of access to medical care.
>
>--
>David Rivera wrote:
>Why?
>
>Harrison Sheld <hsheld@anv.net> wrote: Nonsense.
>
>Richard Chudacoff, MD wrote:
>
>So, is health care a right or a privilege? If the former, lets get anational health care system, two tiered in my opinion and get on with takingcare of our fellow citizens. If the latter, then this guy is simplyunfortunate that he doesn't have the money for the privilege of good healthcare. Too bad, but that is the republican way after all; all for one andnone for all.Richard Chudacoff, MDThis message is confidential, intended only for the named recipient(s) andmay contain information that is privileged or exempt from disclosure underapplicable law. If you are not the intended recipient(s), you are notifiedthat the dissemination, distribution or copying of the messages is strictlyprohibited. If you receive this message in error, or are not the namedrecipient(s), please notify the sender at either the e-mail address ortelephone number above and delete this e-mail from your computer.-----Original Message-----From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
> Seele,MonaSent: Monday, June 13, 2005 4:14 PMTo: Multiple recipients of list OB-GYN-LSubject: RE: Infant MortalityThat's right. We see women all the time on Medicaid who are working and/ortheir husbands are working, but it is a minimum wage job that has nobenefits. We are all responsible because we shop for the lowest price andthose merchants make up some of their costs by not paying for benefits.There are alot of Medicaid moms out there who are hard-working responsiblepeople who just can't find a job with benefits because they are noteducated.-----Original Message-----From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of ainsronSent: Monday, June 13, 2005 4:03 PMTo: Multiple recipients of list OB-GYN-LSubject: RE: Infant MortalityLike David said, there are multiple reasons why this happened to thisunfortunate man. It was "big" of his employer to finally takeresponsibility for the accident that occurred on the job. Unfortunately foryour painter, his employer was
> probably paying him under the table, to cuthis overhead, therefore he was not paying for workman's comp insurance,health insurance, retirement benefits or any other benefits. As a result,this man was left to negotiate the medical system, looking for someone totake pity on him and correct the problem which his employer was responsiblefrom the beginning. Ultimately however, the problem originates with you and me. We look for thelowest cost contractor to do our painting or carpet laying or whatever. Tocut costs, the contractor hires non-union laborers or pays his employeescash for service and they have no benefits to fall back on when they becomesick or injured.Ronald E. Ainsworth, MD, FACOG-----Original Message-----From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Cheri VanHooverSent: Monday, June 13, 2005 11:33 AMTo: Multiple recipients of list OB-GYN-LSubject: Re: Infant MortalityDavid Rivera wrote:
>
>I spent the last 4 months taking care of indigent patients in New Mexico, many of whom were jerked around because no one wanted to take them and the indigent clinic had a major backlog.
>
>One of the painters who has helped us with our house cut his hand badly last fall when he leaned his hand onto a broken window pane at night. It was, reportedly, spraying blood, as he sliced deeply into the pad of muscle on the lateral side of the hand, severing arteries and tendons, as well. He is a Vietnam Vet, with only VA health insurance. He works for a small business here in town.He went to the local emergency room, where they placed enough stitches to stop the hemorrhage, but left the wound open for surgical repair. The town surgeon came in to evaluate the wound, but told the patient that he would not do the surgery until the Veteran's Administration approved payment because they are frequently slow to pay or might not approve the necessary reconstruction.The patient went home (still oozing blood), with an appointment to return for the surgery in 2 days. He went in, had the IV placed and was pre-medicated, then the nurse came in and told him she was sorry but the VA
> approval had not come yet so the surgeon would not operate. He would have to go to the VA hospital in Seattle (1-1/2 hours away). She pulled the IV and he was sent home, still groggy.The next day he believed he had an appointment for the surgery in Seattle. His wife dropped him off in the waiting room, went to do errands, and when she returned several hours later she found him still sitting there. There had been a scheduling error. He was instructed to return the next day. He continued to ooze blood from the gaping wound intermittently.The next day he refused to make the trip back to Seattle. Told his wife that if he was going to bleed to death he was going to do it in his own bed. He was weak and dizzy and couldn't deal with it anymore. About that time, his employer called to see how he was. When the situation was explained to him he called the local hospital and demanded that his employee receive care. He was told that if he would pay $10,000 cash they would do the
> surgery. He hesitated, talked to his wife, then called them back. They agreed to do it for $4,000.So the patient went in and had the surgery, 5 days after the original injury. By this time he had significant shortening of the muscle body and ligaments. After the repair he was having pain up into his elbow, which he was told was because of his occupation (painter).Doesn't sound to me like everyone receives equal access to adequate medical care in this country.Cheri Van Hoover, CNM, MSFaculty, Midwifery Institute at Philadelphia University-----------------------------------------Methodist. Leading Medicine. ***CONFIDENTIALITY NOTICE*** This e-mail is the property of The Methodist Hospital and/or itsrelevant affiliates and may contain confidential and privilegedmaterial for the sole use of the intended recipient(s). Any review,use, distribution or disclosure by others is strictly prohibited. Ifyou are not the intended recipient (or authorized to receive for therecipient), please
> contact the sender and delete all copies of themessage. Thank you.
> surgery. He hesitated, talked to his wife, then called them back. They agreed to do it for $4,000.So the patient went in and had the surgery, 5 days after the original injury. By this time he had significant shortening of the muscle body and ligaments. After the repair he was having pain up into his elbow, which he was told was because of his occupation (painter).Doesn't sound to me like everyone receives equal access to adequate medical care in this country.Cheri Van Hoover, CNM, MSFaculty, Midwifery Institute at Philadelphia University-----------------------------------------Methodist. Leading Medicine. ***CONFIDENTIALITY NOTICE*** This e-mail is the property of The Methodist Hospital and/or itsrelevant affiliates and may contain confidential and privilegedmaterial for the sole use of the intended recipient(s). Any review,use, distribution or disclosure by others is strictly prohibited. Ifyou are not the intended recipient (or authorized to receive for therecipient), please
> surgery. He hesitated, talked to his wife, then called them back. They agreed to do it for $4,000.So the patient went in and had the surgery, 5 days after the original injury. By this time he had significant shortening of the muscle body and ligaments. After the repair he was having pain up into his elbow, which he was told was because of his occupation (painter).Doesn't sound to me like everyone receives equal access to adequate medical care in this country.Cheri Van Hoover, CNM, MSFaculty, Midwifery Institute at Philadelphia University-----------------------------------------Methodist. Leading Medicine. ***CONFIDENTIALITY NOTICE*** This e-mail is the property of The Methodist Hospital and/or itsrelevant affiliates and may contain confidential and privilegedmaterial for the sole use of the intended recipient(s). Any review,use, distribution or disclosure by others is strictly prohibited. Ifyou are not the intended recipient (or authorized to receive for therecipient), please
> surgery. He hesitated, talked to his wife, then called them back. They agreed to do it for $4,000.So the patient went in and had the surgery, 5 days after the original injury. By this time he had significant shortening of the muscle body and ligaments. After the repair he was having pain up into his elbow, which he was told was because of his occupation (painter).Doesn't sound to me like everyone receives equal access to adequate medical care in this country.Cheri Van Hoover, CNM, MSFaculty, Midwifery Institute at Philadelphia University-----------------------------------------Methodist. Leading Medicine. ***CONFIDENTIALITY NOTICE*** This e-mail is the property of The Methodist Hospital and/or itsrelevant affiliates and may contain confidential and privilegedmaterial for the sole use of the intended recipient(s). Any review,use, distribution or disclosure by others is strictly prohibited. Ifyou are not the intended recipient (or authorized to receive for therecipient), please
>
> surgery. He hesitated, talked to his wife, then called them back. They agreed to do it for $4,000.So the patient went in and had the surgery, 5 days after the original injury. By this time he had significant shortening of the muscle body and ligaments. After the repair he was having pain up into his elbow, which he was told was because of his occupation (painter).Doesn't sound to me like everyone receives equal access to adequate medical care in this country.Cheri Van Hoover, CNM, MSFaculty, Midwifery Institute at Philadelphia University-----------------------------------------Methodist. Leading Medicine. ***CONFIDENTIALITY NOTICE*** This e-mail is the property of The Methodist Hospital and/or itsrelevant affiliates and may contain confidential and privilegedmaterial for the sole use of the intended recipient(s). Any review,use, distribution or disclosure by others is strictly prohibited. Ifyou are not the intended recipient (or authorized to receive for therecipient), please
>
> surgery. He hesitated, talked to his wife, then called them back. They agreed to do it for $4,000.So the patient went in and had the surgery, 5 days after the original injury. By this time he had significant shortening of the muscle body and ligaments. After the repair he was having pain up into his elbow, which he was told was because of his occupation (painter).Doesn't sound to me like everyone receives equal access to adequate medical care in this country.Cheri Van Hoover, CNM, MSFaculty, Midwifery Institute at Philadelphia University-----------------------------------------Methodist. Leading Medicine. ***CONFIDENTIALITY NOTICE*** This e-mail is the property of The Methodist Hospital and/or itsrelevant affiliates and may contain confidential and privilegedmaterial for the sole use of the intended recipient(s). Any review,use, distribution or disclosure by others is strictly prohibited. Ifyou are not the intended recipient (or authorized to receive for therecipient), please
> surgery. He hesitated, talked to his wife, then called them back. They agreed to do it for $4,000.So the patient went in and had the surgery, 5 days after the original injury. By this time he had significant shortening of the muscle body and ligaments. After the repair he was having pain up into his elbow, which he was told was because of his occupation (painter).Doesn't sound to me like everyone receives equal access to adequate medical care in this country.Cheri Van Hoover, CNM, MSFaculty, Midwifery Institute at Philadelphia University-----------------------------------------Methodist. Leading Medicine. ***CONFIDENTIALITY NOTICE*** This e-mail is the property of The Methodist Hospital and/or itsrelevant affiliates and may contain confidential and privilegedmaterial for the sole use of the intended recipient(s). Any review,use, distribution or disclosure by others is strictly prohibited. Ifyou are not the intended recipient (or authorized to receive for therecipient), please
--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
