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A & E charges (argument)

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Comments

  • #32
    ateam
    Closed Accounts Posts: 986 ✭✭✭ateam


    There is a culture of people going to an A + E for things they wouldn't go to if they had to pay for it.


  • #33
    Frisbee
    Registered Users, Registered Users 2 Posts: 23,587 ✭✭✭✭Frisbee


    Used to work in an A+E myself and we always took cash/cc/laser or we could post it out to you.
    Had to go into A+E myself there last week and got sped through fairly fast, the one and only benefit of working night shifts there then going straight to college... :p


  • #34
    DundalkDuffman
    Registered Users, Registered Users 2 Posts: 737 ✭✭✭DundalkDuffman


    Perhaps this new 100 yoyo charge will keep away some of the non essential cases from A&E. Unless of course the GPs now follow suit and hikeup their charges. There is a certain amount of responsibility on the staff in A&E as well, some chancer with a medical card should have to wait behind a paying patient all medical things being equal. ;)


  • #35
    meathstevie
    Registered Users, Registered Users 2 Posts: 4,778 ✭✭✭meathstevie


    Darragh29 wrote: »
    I disagree with this, it sounds like a rational argument but when you look under the surface a bit, I think it should be the opposite, that the price should be doubled... I brought my Dad into A & E not too long ago, he was having an aortic aneurysm, I should have called an ambulance for him and he'd have been triaged on arrival but he was working near enough to St. James in Dublin so I threw him in his van and ran him up there. I didn't knwo that when you present as a patient as a walk in, you have to queue to be triaged. Usually when you get this, you bleed to death internally after 3 minutes but the type of aortic aneurysm that he was having gave him a 40 minute window in which he could be operated on.

    I'll never forget being in the A & E waiting room with my Dad unconcious sitting beside me falling off his seat and the room mostly full with dipso junkie wasters who had absolutely fu*k all wrong with them. I had to make a huge scene at the reception just to get him into triage as he was dying in front of me. I saw told 3 times to shut up, sit down and get back in the queue. When he was triaged, it was like a scene straight out of ER from that point onwards.

    Sorry if this seems combative, I'm just relaying my own experience of A & E, and from my experience, most of the people I saw there that day had neither an accident or an emergency that warranted them being there. There were people there with injuries, a man who had something going through his hand after a workplace injury on a building site, an elderly woman who fell and busted her head, etc. But most people I saw had nothing seriously wrong with them that would justify a trip to A & E, they were just sitting there like people you would see in your local GP waiting room.

    Had my Dad died that day, I'd have run amok in that waiting room almost full of wasters. Thankfully he survived, but I'll never forget seeing him being stretchered out of the waiting room and into recussication room 4, past a room full of selfish c*nts that I had to queue behind while they had their sore thumb attended to.

    Sorry I've wandered off topic here, just wanted to make this point...


    Know exactly what you're talking about Darragh. I reverted to a similar course of action a couple of years ago in the A&E in Mullingar. My little one was literaly dying of dehydration after allready being misdiagnosed by some plunker in the same hospital. When I got to the receptionist she started on her usual routine when I interrupted straight away and told her in short what was going on and to get someone to see the little one straight away. She was having none of it. The cnut at the desk just kept saying : "Get this through and get in the q or you won't be seen.". It went to the point where I just about threatened to punch her through the corridor and back when a senior nurse walked past and saw what was going on. One look at the little one and she was whipped out of mummy's arms and rushed to a treatment room. And what was ahead of me in the q was exactly as you describe...bashed up drunks, out of their head scrotes, a couple of victims of domestic violence that only happens at peculiar weddings and funerals and more of the likes. And the first person you meet is a paperpusher while it should be a straight triage from walking in the door and do the paperpushing bovine excrement after. Any medically valid questions can easily be asked by a nurse or doctor when starting triage/treatment. Whether the patient's name is John or Paul or Mary or Bridget is just about as relevant as the airpressure in the Himalaya's at that moment.

    Another point made here is also very valid. Access to GP services should be easier. It can't be that impossible to have an out of hours GP service ran on a regular basis all over the country. Most European countries have GP's working a regional 24hr. cover rota, why can't it be done over here ?


  • #36
    Darragh29
    Closed Accounts Posts: 7,097 ✭✭✭Darragh29


    meathstevie wrote: »
    Know exactly what you're talking about Darragh. I reverted to a similar course of action a couple of years ago in the A&E in Mullingar. My little one was literaly dying of dehydration after allready being misdiagnosed by some plunker in the same hospital. When I got to the receptionist she started on her usual routine when I interrupted straight away and told her in short what was going on and to get someone to see the little one straight away. She was having none of it. The cnut at the desk just kept saying : "Get this through and get in the q or you won't be seen.". It went to the point where I just about threatened to punch her through the corridor and back when a senior nurse walked past and saw what was going on. One look at the little one and she was whipped out of mummy's arms and rushed to a treatment room. And what was ahead of me in the q was exactly as you describe...bashed up drunks, out of their head scrotes, a couple of victims of domestic violence that only happens at peculiar weddings and funerals and more of the likes. And the first person you meet is a paperpusher while it should be a straight triage from walking in the door and do the paperpushing bovine excrement after. Any medically valid questions can easily be asked by a nurse or doctor when starting triage/treatment. Whether the patient's name is John or Paul or Mary or Bridget is just about as relevant as the airpressure in the Himalaya's at that moment.

    Another point made here is also very valid. Access to GP services should be easier. It can't be that impossible to have an out of hours GP service ran on a regular basis all over the country. Most European countries have GP's working a regional 24hr. cover rota, why can't it be done over here ?

    Couldn't agree more Steve. First person you should see should be a medical person. I'll never forget that day for the rest of my life and I'm sure you're the same. My Dad was in surgery within 8 minutes of being triaged, he spent a month in ICU after the operation, I remember the few minutes before emergency surgery, I was outside the recussication room and could see out into the A & E waiting room through a window in the double doors between the waiting room and the A & E unit itself. I knew by the number of people running in and out of the room he was in that he would be very very lucky to survive. I felt like going out there and throwing about 5 junkie wasters out through the windows in the waiting room...

    Most people who have an opinion on this haven't had to bring someone on their last legs into an A & E Dept. I think the increase is a great idea. They should take tax breaks from property and give them to GP's who get together to invest in modern technology for their practice...


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  • #37
    Darragh29
    Closed Accounts Posts: 7,097 ✭✭✭Darragh29


    Best thing we could do with A & E's in this country is put a machine like a metal detector at the entrance, only this machine is like a junkie & waster detector, and if you set the machine off, there should be a fu*king trapdoor under where you are standing that opens up and drops you into an endless pit.


  • #38
    Darragh29
    Closed Accounts Posts: 7,097 ✭✭✭Darragh29


    Apologies Mods, opened this thead to copy the link and forgot to close it!


  • #39
    Spyral
    Closed Accounts Posts: 885 ✭✭✭Spyral


    remember to claim tax back


  • #40
    oztots
    Closed Accounts Posts: 297 ✭✭oztots


    kmick wrote: »
    Unfortunately in A&E those that shout loudest i.e. make the most fuss tend to get seen quicker.

    Not sure about shouting, before i had my appendix out i went (half carried as walkig doubled over leads to collisions) to the GP. He took one look and said to A & E, he needs to be operated asap.

    Got in, and heard my mother whisper in my ear "Make it sound like its worse than it is" my reply being "F*ck off im trying not to scream in pain". Doctor said how do i feel said pretty much the same, was a pound lighter in an hour.

    Though i suppose theres people who will try it for things that arent serious.


  • #41
    jdivision
    Registered Users, Registered Users 2 Posts: 4,260 ✭✭✭jdivision


    If you've a medical card I presume you don't have to pay A&E charges? So why bother going to the GP first if it's free anyway. That's partly the problem I think. LAst time I was in an A&E was with a mate who'd had his breastbone broken and the next patient after him was a girl who had a small little cut on her finger. WTF? They cleaned it, put a plaster on it and told her to go home. She asked if she had to come back afterwards!


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  • #42
    Darragh29
    Closed Accounts Posts: 7,097 ✭✭✭Darragh29


    oztots wrote: »
    Not sure about shouting, before i had my appendix out i went (half carried as walkig doubled over leads to collisions) to the GP. He took one look and said to A & E, he needs to be operated asap.

    Got in, and heard my mother whisper in my ear "Make it sound like its worse than it is" my reply being "F*ck off im trying not to scream in pain". Doctor said how do i feel said pretty much the same, was a pound lighter in an hour.

    Though i suppose theres people who will try it for things that arent serious.

    Well if I didn't make an absolute scene in A & E when I had to bring my Dad in, he would be dead now. There isn't a doubt in the world about it...


  • #43
    oztots
    Closed Accounts Posts: 297 ✭✭oztots


    Darragh29 wrote: »
    Well if I didn't make an absolute scene in A & E when I had to bring my Dad in, he would be dead now. There isn't a doubt in the world about it...

    Your actions were justified. Hope all is well.


  • #44
    Darragh29
    Closed Accounts Posts: 7,097 ✭✭✭Darragh29


    oztots wrote: »
    Your actions were justified. Hope all is well.

    All is now thank God, he was very lucky, A & E Surgeons copped what was wrong with him very quickly once I got the girl at reception to get him into triage. Usually you're dead on arrival with what he had, from massive internal bleeding, but he was given a bit of time and luck was on his side... I could have gone the other way though and he could have been taken out of the A & E waiting room in a body bag. Never again...


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