Thứ Ba, 31 tháng 10, 2023

Was I placed in small Psych ward?

I’ll preface this by saying - I’m not American, and I just had my first experience with American healthcare

Had a panic attack today in the early morning and didn’t know what to do (was breathing heavy and lacked oxygen) so I called 911 to see if they could direct me to another hotline or the EMT give me something. Granted this was dumb but I was passing in and out of consciousness and didn’t know what was happening as my body stiffed up and I was on the floor.

Ended up in the emergency room of a public hospital because I told EMT I couldn’t afford much with insurance that I had

It was scary, there was a guy with an ankle monitor shouting to be discharged, another guy with a bible shouting to be discharged as well and various other individuals who seem to be talking to themselves.

I feared that they placed me in a psych ward since I mentioned the panic attack. So when the DR. Came to examine I was straight forward with him and said I passed out from exhaustion and fatigue - I just wanted to seem normal so they don’t keep me.

As I waited they let the ankle monitor guy keep walking around the ER - he eventually started making conversations with me and mentioned he had shot and stabbed several people. I was fine at first until he complimented my looks and said I looked like his GF - I broke down crying since he was just shouting about his GF and I thought he was about to attack me. Nurses intervened (thank god) and I had to wait 30 more mins until I could get my stuff while the dude was across from me. I immediately booked it after that.

Is the ER normally like that or was I placed in a small psych ward? I can’t imagine why they would let an individual who was just placed there by police be surrounded by other people he could potentially hurt

Didn’t know where to ask this and I’m still a bit shaken. I won’t be calling 911 even if I get stabbed that’s for sure



https://ift.tt/NRpZGyM Submitted October 31, 2023 at 07:27PM by thane-nialle https://ift.tt/AwvdyLO

NPR News: Worldwide, women cook twice as much as men: One country bucks the trend

Worldwide, women cook twice as much as men: One country bucks the trend
A new gallop survey finds the gender gap in home cooking has widened. Globally, women cook an average of 9 meals per week, compared to 4 meals for men. And some countries have bigger gaps than others.

Read more on NPR

Is this Kickback??

There is an entity who is willing to assist a company in some administrative tasks without payment, but only if they get referrals. This seems sus to me, wondering if it would be considered Kickback or something??



https://ift.tt/NRpZGyM Submitted October 31, 2023 at 03:52AM by Correct_Chipmunk5966 https://ift.tt/E0384Pd

Thứ Hai, 30 tháng 10, 2023

Question on HIPAA and listening session

I plan on providing some feedback at a listening session about drug costs which may include me giving information on the medical and financial impacts of certain drugs and the costs.

Would the sponsor being a health plan need to provide me with a HIPAA authorization form to record my session? Even though I'm not signed with said plan?

I'm somewhat concerned about my recording being used, so I was curious if HIPAA applied to health plans even if I'm not their patient.



https://ift.tt/NRpZGyM Submitted October 30, 2023 at 10:52PM by Agreeable_Safety3255 https://ift.tt/kf7DySc

NPR News: Less snacking, more satisfaction: Some foods boost levels of an Ozempic-like hormone

Less snacking, more satisfaction: Some foods boost levels of an Ozempic-like hormone
Popular weight-loss drugs mimic GLP-1, a hormone the body makes naturally after eating. Turns out some foods trigger GLP-1 better than others, making us feel full and eat less.

Read more on NPR

Chủ Nhật, 29 tháng 10, 2023

$11,400 for an IV at an ER

Went to a completely empty ER at midnight to get an IV for dehydration / vomiting (if it matters, this ER was a standalone satellite ER to our main hospital).

I gave my insurance information during my stay, left and went on vacation a few days later. While on vacation I was sent a letter for a $11k charge for the visit.

The due dates on the letter were for before I got back from vacation.

I feel like I’m taking crazy pills that this could possibly be real. This systemis obviously massively flawed/abusive.

What can I do? There’s no chance I’m paying this.



https://ift.tt/7pP25kR Submitted October 29, 2023 at 03:11AM by Ransom_Gaming https://ift.tt/DlpzMkg

Confused about 0% coinsurance

I have read countless articles on coinsurance and am still confused, especially since there is not much on 0% but rather 80/20.

I have the option for a more expensive Covered CA plan with $60.00 copay or the cheaper 0% coinsurance which sounds better but I must be missing something since its cheaper. Both are Kaiser HMOs. I only go to the doctor for physicals (if that) and am due for a colonoscopy. Other than that I never have a reason to go and don't have any prescriptions.

For the plan with the deducible for doctor visits it says $60.00 copay after deductible and for hospital visits it says 40% coinsurance after deductible. Either way, do I need to pay the full deductible before insurance even kicks in? I'm pretty sure routine physicals etc. would be fully covered.

For the cheaper plan (Bronze 60 HDHP HMO) it actually has a $700 lower deductible but for all services it says 0% coinsurance after deductible. Once again, do I need to pay the full deductible before insurance even kicks in?

I would think the plan with the copay (Bronze 60 HMO) might cover more but I guess the question is how does each one work for having to pay the full deductible before they pay anything and why is the one with no deductible cheaper?



https://ift.tt/7pP25kR Submitted October 29, 2023 at 12:34AM by Wasisnt https://ift.tt/w8KLTev

If I could try to solve one problem, what would it be?

I am a grad student studying computer engineering. I plan on using data science in the healthcare domain and I am scoping out actual issues that need addressing. I don't want to work on something generic I found on Google. If you are a professional or just someone who is annoyed with something in the healthcare domain (doesn't matter if you think data science can't fix it), I want to know your problems.

Thanks!



https://ift.tt/7pP25kR Submitted October 28, 2023 at 11:34PM by Suspicious-Shower114 https://ift.tt/x9l5Inm

Thứ Bảy, 28 tháng 10, 2023

What to do to get a silver plan and switch states every half year?

In the future I plan to live in a Northern state in the summer due to the heat in the South, and in a Southern state in the winter due to the cold in the North. I need to be on a silver plan, because I have a chronic disease that requires regularly expensive medications. In fact, this chronic disease is the main reason I have to live in temperate climates, never too hot or too cold on a prolonged basis, hence my half year / half year state switching.

As far as I can tell, there should be nothing illegal in switching states every half year with silver plans on-exchange. It just seems that with every switch the deductibles and MOOP reset, which I think is unfair because they should be annual figures (overall), not annual-per-plan-enrollment. So I'd have two enrollments per year, which would reset my deductibles and MOOP twice per year.

  • Are there minimum/maximum number of days one needs to reside in a state to be eligible for a silver plan?
  • What do others do? I know there are plenty of people that have a summer home and a winter home. They'd also have two switches per year.

Am I missing something obvious?



https://ift.tt/r4OaoYb Submitted October 28, 2023 at 03:25AM by CantFixMoronic https://ift.tt/O3qutba

Senate Health, Education, Labor, Pensions Committee holds a field hearing in New Jersey on hospital staffing shortage and its impact on nurses and patients. RWJUH has added 200 new nurses in '22 and is working hard to bring nurse vacancy rate under 10%. National nurse vacancy rate is around 16%

https://ift.tt/gNQn3Ut

https://ift.tt/r4OaoYb Submitted October 28, 2023 at 03:26AM by Strict-Marsupial6141 https://ift.tt/ZY1nORX

Thứ Sáu, 27 tháng 10, 2023

Going to ER with no insurance or income - what happens?

If I don't have health insurance or any income, and I need to go to the ER or have extensive testing (x-rays, ultrasounds, etc.) at a doctor's office, what happens? I'm assuming that if I go to the ER, they HAVE to treat me, correct?

Can they come after my savings account if I can't pay?

I'm looking into Medicaid but am confused with the questions. What constitutes a "household member?" I live with my parents but I'm an adult. I don't fill out a tax return because there's no money to report. Am I supposed to include them on the forms as part of the household? I think they list me as a dependent, but I'm not sure.

I don't want to get crapped on here so I'll just say that I have a lot of mental and physical health problems that prevent me from working. They were not diagnosed back when I had insurance so that's why I never filed for disability.



https://ift.tt/r4OaoYb Submitted October 27, 2023 at 10:13AM by lilblu87 https://ift.tt/f5YQaPO

Picking a new ACA plan for 2024

I appreciate anyone who answers. I think I understand how this works, but would like to see if there is something I have not thought of or don't understand correctly. I think there is a 50% chance I will need surgery next year. Google says the procedure is minimally invasive and can cost between 6000-25,000 and can either be out patient or require one night stay. Other than that I am healthy, on one low cost prescription and don't go to the Dr. very often.

I am assuming that premiums never count towards the deductible or out of pocket max.

Plan A is free. It has a 7500 deductible and 9400.00 OOPM. Surgery is covered at 50% co-insurance. If the surgery above cost 25,000 I would play the first 7500.00, the the plan pays 50% for the next 19,000 at which time they plan pays the balance. Total cost for me is 9400.00.

Plan B is 526.00 a month (6312.00 a year) with 0 deductible and 9400.00 OOPM. If the surgery above cost 25,000 I would pay 0 and then 50% for outpatient so I would pay half of the 25,000 (12,500) but I'd reach my OOPM before that so I'd pay 9400.00+I'd also pay 6312.00 a year for the premiums. Total cost of 15,712.

It just seems like Plan B will only cost me 6312.00 more a year and not cover more.

There is another plan with 0 deductible, 5500 OOPM and 30% coinsurance (hospital stay) and a 200.00 co pay for outpatient. That plan is 591.46 a month so 7092 per year with an OOPM of 5500.

Am I thinking of all this is the right way?



https://ift.tt/r4OaoYb Submitted October 27, 2023 at 04:29AM by jigsawjanelle https://ift.tt/qo7VYbd

Thứ Năm, 26 tháng 10, 2023

Rant: "Spouse surcharge" AKA $1200 pay cut

I had never even heard of these until today, though google search tells me they are not super new--but I bet if you've not been targeted by it you're on the chopping block.

I have family coverage through my very well-heeled employer. They are now instituting a spousal surcharge of $100/month for anybody who has a spouse that could get insurance through their employer. So if today my spouse is unemployed and tomorrow gets a job my employer effectively then docks my pay another $1200 with no change in benefits.

Of course, this is because my employer would rather I don't use them for insurance and go with my spouse and/or just do individual insurance. And of course it's legal because this country is irrevocably broken.



https://ift.tt/MeyQsmY Submitted October 26, 2023 at 04:58AM by DontEatConcrete https://ift.tt/9I2bfJE

Thứ Tư, 25 tháng 10, 2023

Orthopedic practices in my area will no longer prescribe narcotic pain medication to non-surgical patients as a matter of policy. So they don't offer a full continuum of care. Or they believe non-surgical patients don't ever need narcotic pain meds. Which is it?

When I saw my pcp in the beginning, he told me to go to the ER for pain medication. Again, healthcare not offering the full continuum of care or only patients with a particular treatment plan are experiencing pain severe enough for narcotic pain medication?



https://ift.tt/tgZ23Ty Submitted October 25, 2023 at 05:07AM by hippiedawg https://ift.tt/OVPamFX

NPR News: Questions still swirl around Al Ahli Arab Hospital blast in Gaza. Here's what we know

Questions still swirl around Al Ahli Arab Hospital blast in Gaza. Here's what we know
Israel and Hamas have put forth dueling explanations about what caused the deadly blast at Gaza's Al Ahli Arab Hospital. Publicly available evidence presents problems for both versions of the story.

Read more on NPR

Unemployed, had to go to the ER because of a severe asthma attack, $2,400 bill.

What are my options here, I went to an ER in the Chicago suburbs because I was going to pass out from not being able to breathe. I received two bills from Vituity, a billing company, both for ~$1,200 (one is hospital fee and the other one is for the physician) I filled out a form at the ER for Medicaid but when I call Medicaid, my info is not on file.

What are my options here?



https://ift.tt/tgZ23Ty Submitted October 25, 2023 at 02:23AM by acastrov9 https://ift.tt/Ah1w85B

Thứ Ba, 24 tháng 10, 2023

NPR News: Long COVID brain fog may originate in a surprising place, say scientists

Long COVID brain fog may originate in a surprising place, say scientists
Scientists studying the causes of long COVID symptoms are proposing a surprising pathway. Their research weaves together several prominent lines of evidence on what might be driving the condition.

Read more on NPR

NPR News: A crime lab scientist's work exonerated 13 people. But some say she altered evidence

A crime lab scientist's work exonerated 13 people. But some say she altered evidence
Decades after the Virginia crime lab found DNA evidence that exonerated more than a dozen people, a new review of records shows a former employee altered evidence to help prosecutors.

Read more on NPR

Thứ Hai, 23 tháng 10, 2023

Pharmaceutical supply chain revamp?

What if we scrapped the pharmaceutical supply chain and made it the same as the hamburger supply chain?

The pharmaceutical supply chain is too damn complicated, and the complexity is why drugs are so expensive, and why sometimes they aren't covered at all. What if the system was rebooted so that it was as simple - relatively speaking - as the supply chain that makes Big Macs?



https://ift.tt/3cJVYxP Submitted October 23, 2023 at 06:27AM by ferriematthew https://ift.tt/HwVLAvS

Yo Group’s objective is to build a healthy and long-lived Vietnamese society, similar to the Japanese. "We hope to become a bridge between Việt Nam and Japan in the field of healthcare," Giang said.

https://ift.tt/K4HEJ6y

https://ift.tt/1LPbv3C ky hop dong giua Yo Group va Nakanihon Capsule (2).JPG Submitted October 23, 2023 at 02:39AM by dannylenwinn https://ift.tt/HCTDsUQ

Chủ Nhật, 22 tháng 10, 2023

Thứ Bảy, 21 tháng 10, 2023

Patients Split on Trust in Artificial Intelligence in Healthcare Experience: American patients are torn about whether they are comfortable with the use of artificial intelligence in the healthcare setting, survey data shows.

https://ift.tt/3YCSJW1

https://ift.tt/gxeV6Yv Submitted October 21, 2023 at 11:43AM by thinkB4WeSpeak https://ift.tt/XYskbWa

who can I hire to make a timeline of my medications from medical records?

I am looking for someone to make a timeline of medicines from my medical records (I have the records in my possession, just need help organizing), including the:

name of the medicine and starting dosage, date started, djustments in dose (increase or decreases) with date, side effects of med if any, and date medication was stopped and why

who would I hire to do this? I am unable to do it myself due to time, energy, and trauma related to them



https://ift.tt/gxeV6Yv Submitted October 21, 2023 at 06:50AM by concertgoer69 https://ift.tt/XYLvB4u

NPR News: Wastewater reveals which viruses are actually circulating and causing colds

Wastewater reveals which viruses are actually circulating and causing colds
While COVID, flu and RSV remain the big three of respiratory illnesses in the U.S., researchers are getting a clearer picture of other circulating viruses with wastewater surveillance.

Read more on NPR

How is it legal to restrict virtual visits?

I am in need of a specific therapist for a specific issue. I found someone who is perfect but they are three hours away from me so we'd have to do virtual. Even though she is covered under my insurance, insurance will not cover it if we do a virtual appointment, it only covers in person, and this is apparently for any therapist on my plan. Do insurance companies not realize it's really effing obvious this is just to prevent you from using your benefits, and how is this even legal? It's the same therapy and is probably even cheaper if the therapist doesn't have to maintain a space in their office for a client to sit in. I hate US healthcare so much. I thought my insurance covered virtual appointments but nope it only covers virtual appointments with a physician.

My question is how is this legal, and has anyone else had this issue?



https://ift.tt/gxeV6Yv Submitted October 21, 2023 at 01:53AM by BottleWhoHoldsWater https://ift.tt/vrqU4yF

Thứ Sáu, 20 tháng 10, 2023

NPR News: This week in science: How albatrosses navigate, fossilized ocean worms, meteor shower

This week in science: How albatrosses navigate, fossilized ocean worms, meteor shower
NPR's Ailsa Chang talks with Regina Barber and Aaron Scott of Short Wave about albatrosses' impressive navigational abilities, fossilized ocean worms and an upcoming meteor shower.

Read more on NPR

NPR News: Too much red meat is linked to a 50% increase in type 2 diabetes risk

Too much red meat is linked to a 50% increase in type 2 diabetes risk
A study finds people who eat more than one serving of red meat a day are at higher risk of developing type 2 diabetes. Processed meats, like bacon and hot dogs, were linked to an even higher risk.

Read more on NPR

Job wants to switch me from aetna open access, managed choice to Anthem blue cross blue shield

hi, my company has provided aetna insurance for a long time and while copays and customer service have been a pain, they now want me to switch to anthem. My boss is very manipulative and always has a way with his words so I don’t want to trust him for it and actually want to do research on if this is a better insurance or worse. He says it will save so much money, but is it just the company saving the money? Does anyone have opinions or facts on aetna compared to anthem and with that if one is going to be a big difference from the other? I would really appreciate if anyone has any insight to help me figure this out! Thank you



https://ift.tt/eCwnkAl Submitted October 19, 2023 at 11:51PM by Acceptable-Ad7944 https://ift.tt/mGD60fs

Thứ Năm, 19 tháng 10, 2023

Thứ Tư, 18 tháng 10, 2023

What’s ur option?

Is it rude to switch doctors without letting your old one know?

I want to go to a young more new doctor who works at the same facility as my old doctor.

I feel my old doctor never really cares about our health. Seems rushed to get us in and out and overall I’m not loving there way of doing things.

I hear this new doctor is great and fresh from med school. I’m afraid if I see my old doctor she may get upset that I switched and didn’t say anything.



https://ift.tt/60UpwBc Submitted October 18, 2023 at 12:02PM by Kate_jesican https://ift.tt/BC3vwGT

Hearing 10/18 on Deceptive Practices in Medicare Advantage

For those in the US, the senate finance committee will be holding a hearing tomorrow focusing on deceptive and problematic advertising practices in Medicare Advantage:
https://www.finance.senate.gov/hearings/medicare-advantage-annual-enrollment-cracking-down-on-deceptive-practices-and-improving-senior-experiences

Should be interesting, particularly given the numerous recent and damning allegations about other problematic practices in MA (e.g. 1 and 2).



https://ift.tt/60UpwBc Submitted October 18, 2023 at 12:58AM by tpafs https://ift.tt/28mtA0l

Thứ Ba, 17 tháng 10, 2023

Abortions should be covered by insurance

Where I’m from, it costs $130. It probably costs more in the US, but in my country this is a lot of money. It’s around 1/4 of an average high school teacher’s monthly salary. For certain demographic groups it is unaffordable. More often than not they are not educated on how to practice safe sex. Pregnancy happens more likely. This is so, so wrong. Everyone has the right to decide if they want a child or not. They have the right to choose what happens to their body, their life. Abortion should be part of healthcare, isn’t it? Instead of doing something about the aforementioned issues, they ban abortion. More and more states and countries ban abortion. Honestly, I’m scared where we are heading. What will happen with abortion, a procedure which should give us a peace of mind, in the future?

Does your country offer free abortion? Does it allow abortion at all?



https://ift.tt/83bVpcw Submitted October 17, 2023 at 04:57AM by Just-Ad-8050 https://ift.tt/0Oeuyx9

Thứ Hai, 16 tháng 10, 2023

Chủ Nhật, 15 tháng 10, 2023

Important: Out of state medicaid

Hi! I'm a college student with out of state medicaid. I've been seeking urgent mental health services before it gets worse. I am stranded in my current state, and my insurance is under my mother's. I called the medicaid office and asked them what i could do. they told me i could request a prior authorization form from whatever psychiatrist i see, and they will expedite the review to 3 days. if approved (which he said was likely) then they would cover the costs so long as the facility accepts medicaid. 2 separate insurance agents told us this. however, i havent been able to get any actual care. every facility tells me that they wont accept out of state insurance or they just cancel the appointment without much elaboration. the issue is that when scheduling appointments i make all of this very clear, then suddenly they will switch their answers shortly before the appointment. im getting very desperate. i had to take a leave of absence from school and stay with my sister because it is getting that bad. i have no way of going to my home state for atleast a few months. i have already been diagnosed with very severe depression, and i know how bad it can get. i dont want it to get to the point where i am suicidal and refuse to seek help. if i switch my insurance to the state im in then what am i supposed to do when i go back home for about a year? and when i come back here for college? any help would be GREATLY appreciated thank you



https://ift.tt/QpP7evr Submitted October 15, 2023 at 03:37AM by NormalDemand20 https://ift.tt/T1d49mh

Is 99213 the correct code for this clinic visit?

I made an appointment with the OB-GYN back in August due to BV. I was aware that I had BV (it occurs every time I have a period), but my clinic requires that I get tested before they’ll prescribe meds. I was seen by an APNP and I self administered my BV test. My appointment was coded as 99213. Does this seem like the correct code for this type of appointment? I just want to check before I make payment on it, since it’s a higher bill than previous appointments of this nature. Thanks!



https://ift.tt/QpP7evr Submitted October 15, 2023 at 02:53AM by FeistyRoll2278 https://ift.tt/cPWw8eI

Thứ Bảy, 14 tháng 10, 2023

ISO: A Healthcare HR Associate for School Project

Hi,

I have a project for school that requires me to interview an HR associate from the healthcare field. The interview questions are pretty standard and I will email a list of them prior to the interview. The interview will need to be held over Zoom, however, cameras do not have to be on. I am prepared to compensate for the courtesy.

Thank you so much!



https://ift.tt/AsQyrid Submitted October 14, 2023 at 08:41AM by littlebo_weep https://ift.tt/nwKp1oj

When was the last time you or your hospital used a phone interpreter?

I wanted to know from your personal experiences, whether as a healthcare provider or a patient, when was the last time you used a phone interpreter? How was the experience like?



https://ift.tt/AsQyrid Submitted October 14, 2023 at 03:31AM by otaku2sday https://ift.tt/2l7FOQi

How much of a patients medical records can an mri tech have access to?

Basically the title, my mri was scheduled with a tech that I know in my personal life and I'm concerned with how much they were able to see of my records? The appt ended up being canceled and I'll be rescheduling somewhere else, idk if that makes a difference. But they reached out and messaged me that I was on their schedule. I'm disabled and they're not the most supportive, tend to gossip a considerable amount, and I'm just... I have privacy concerns I guess and I'm worrying about it. I googled it and the only thing that came up was stuff like mri techs can't diagnose you. Let me know if there's a different subreddit I can go to and post on. Thanks guys.



https://ift.tt/AsQyrid Submitted October 14, 2023 at 01:25AM by amanita_porphyria https://ift.tt/oDU6lTu

Thứ Sáu, 13 tháng 10, 2023

NPR News: New atlas of brain cells offers insight on disorders like autism and ADHD

New atlas of brain cells offers insight on disorders like autism and ADHD
An NIH-led effort to create an atlas of human brain cells has identified more than 3,000 types of cells. The finding will help researchers understand disorders like autism, ADHD, and schizophrenia.

Read more on NPR

Anyone know of a good (probably satirical) video that does a good job showing the insanity of the acronyms, generic-branding, insurance, PBMs, specialty pharmacies, countless apps/sign-ins, etc. required in order to navigate the American healthcare system? I'm losing it.

I was mostly pretty healthy until a vague/ever-changing auto-immune diagnosis about 5 years ago. While attempting to figure that out and treat it, I changed jobs 3 times and it's been a hellish nightmare attempting to navigate new docs (primary care, rheum), new pharmacy benefits for very expensive specialty medications (Humira), medication "discount" cards/programs, etc.

I've become so overwhelmed by it that I'm starting to give up on treatment, even though it has helped a lot. I'm currently 2 months behind on medication (I was recently 4 months behind and in constant pain due to the job/insurance change) and continue to fight weekly for my last dose of Humira to be reimbursed through some rebate program. Apparently, I exhausted the "rebate card" or whatever it was I was using for almost 5 years which brought my monthly bill from $1,200 or so to $5 so I had to pay cash and was told it would be refunded through this program. I'm on the phone constantly, with all kinds of entities I can't tell apart (CVS caremark, Humira, optiva, iqvia, god fucking knows...), uploading bills and bank statements which are constantly rejected even though I ask every time for "the absolute most in-depth, itemized receipt you can possibly provide me," which is then mailed a few weeks later and apparently doesn't meet the requirements for refund.

I'm at a loss for words and would just feel great if I could find a video that succinctly shows the absurdity and utter frustration of this system. Something that can reinforce to myself and my family that I'm not crazy and this system is insane and inhumane.



https://ift.tt/eSgbjXu Submitted October 13, 2023 at 04:03AM by BenjaminFraudulent https://ift.tt/5Hr7B6k

Thứ Năm, 12 tháng 10, 2023

A Letter to my Senators.

I want to introduce myself as a Data Scientist who has worked with healthcare data for decades. I’m writing to you also as a frequent healthcare customer (let’s call it like it is) who is discovering the misinformation that now exists as a result of the digitization of health records and processes. I’m writing to you with great alarm over the use of the Electronic Health Record (EHR) as the source of information for healthcare and treatment decisions. Healthcare customers need to be made aware of the impact on healthcare of relying on an electronic record, specifically in conjunction with Artificial Intelligence.

The following link describes how AI currently is being used in treatment decisions, including in Colorado. (https://kffhealthnews.org/news/article/artificial-intelligence-pain-medication-narx-score/). A proprietary algorithm that produces a “NarxScore” theoretically informs likelihood of prescription drug misuse, and produces recommendations around (not) prescribing. The known factors considered are prescribing numbers, including number of opioid prescriptions, number of docs prescribing, sedative prescriptions, and dosages. Other factors in the algorithm aren’t revealed. Which makes it impossible to speak to the accuracy of the information.

I don’t know if my provider uses this software currently, but if not, this just exemplifies my future. Where does the NarxScore gets its data? It could be from Electronic Health Records, which I never consented to have my information used in this way, and I do own the information in my medical record. It could be pharmacy prescribing records, which I never consented to give access to a third party for these purposes. It could be from the state drug monitoring database, again I never consented to my information being used this way. However, Data Privacy is just one of the issues.

The larger problem is that there is no assurance that the data upon which the AI operates is complete, accurate, quality information.

AI is an incredible tool. Electronic Medical Records are a great concept, but the execution has failed. They’re not accurate, in part (mostly?), due to pulling data from other health systems and failing to assure accurate incorporation into the health record.

I’ve been a regular customer of healthcare through the years, mostly due to being a weekend athlete (ortho surgeries). My most recent surgery was in February 2023 at CUHealth. I received three weeks of pain medications. At EVERY follow-up for the surgery (5-6 visits, the last one in August) the opioid prescriptions were back in the electronic chart, despite the surgeon’s office who has prescribed them removing them. Repeatedly. Remember this part.

In August 2023, pickleball hit hard, with a broken foot. As a result of that injury and an altered gait, I’m currently trying to get care from my primary care (New West Physicians) for a hip that is almost constantly spasming. Extremely painful. Not responsive to OTC meds. However, I can’t get any pain medication because the New West chart incorrectly has me on opioids for six months, instead of the 3 weeks. What is the data source? Obviously somehow connected to the UCHealth chart. How can I change it? There’s nothing I can do about it. Even if I knew the path by which the information got there. Because without a change to the EHR data processing systems it will keep happening.

Likewise, reviewing a list of my conditions in the EHR shows a number of inaccuracies. From old diagnoses that no longer apply but are still active, to blatantly incorrect items.

AI is being used now for healthcare prescribing decisions as above. An article from the National Library of Medicine in 2021 states “it is effective to develop AI that can predict the occurrence of specific diseases or provide individualized customized treatments by classifying the individualized characteristics of patients.” (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8473961/)

Next are Diagnostic decisions. Screening decisions. Treatment decisions. AI will be used to diagnose from transcription of clinic visits. AI, based on co-occurring diagnoses and history, will recommend (read: insurer may pay) whether screening or follow-up should occur. Determining the best treatment approach is dependent on complete, accurate information.

But AI doesn’t know what it doesn’t have. And it believes everything it’s told.

So what is the solution? Everyone’s first response – “Go in and fix your own medical record.” Personal philosophy is I clean up my own messes. I didn’t do this, the moneymakers did. Beyond that, I happened to find this error, where else do I need to look? And do I have access to the source data and processes? And what information is being used by the AI? Remember, that’s proprietary for the NarxScore.

The first solution is to put a halt to the use of AI in any healthcare processes, including visit transcriptions and beyond, until there is assurance around the integrity of the information captured in the Electronic Medical Record.

Further, the cleanup of the existing EHR information and digital processes must include a full audit of the data architecture and ETL processes of the systems that produce the EHR. Then, companies developing these products have the obligation to ensure the integrity of the output, i.e., all of the healthcare data sources are confirmed accurate, and the combination of these multiple data streams produces an accurate record for healthcare.

This situation severely limits the ability of the healthcare provider to provide care, and is unfair and negligent to the healthcare customer. If nothing is done to fix the problem of inaccurate Electronic Health Records and allow unfettered development of AI-powered healthcare processes on the basis of this inaccurate information, the quality of US healthcare at the individual level is guaranteed to disintegrate even more quickly.

I am available to discuss this at your convenience. Thank you for your time.



https://ift.tt/LjihbXt Submitted October 12, 2023 at 08:24PM by hippiedawg https://ift.tt/xOS13X9

How to help others with the inflated price of healthcare

TLDR: How do i help others from paying a 50k hospital bill and what needs to change.

Recently i was admitted to the hospital. Being a nurse I know how much work goes into taking care of each patient and how intense some patients are. To save a long story I was admitted for about 3 days pending an MRI on an observation floor. I wasn’t an intense patient with alot of interventions. Most of the patients on this floor are walking, talking, and in no acute distress, I only interacted with my nurse twice a day to get the meds i needed.

When i left the hospital and received the bill I was absolutely SHOCKED. My hospital bill was close to $50,000. Thankful i had insurance and met my deductible. Sadly this is not the case for many people. I could not imagine how stressful this would have been if i had to pay that entire amount, or even a percentage of it.

My question is how do we change this system. What are the needs and things that an everyday person can do to help others with these issues. I want to make a change in this system but i dont know where to start. Thank you for reading this.



https://ift.tt/LjihbXt Submitted October 12, 2023 at 09:42AM by biolmcb https://ift.tt/elXuVzw

Possibly yorn meniscus - sports recommendation

Hello guys,

Today I had an appointment with my doctor because last 4 months I have some knee nuissance after sitting for 2h in a car/airplane. And also when I play tennis I have a little nuissance.

He asked me for a magnetic ressonance, which I am gonna get an appointment in a range from 1 month to 1 year (spanish healthcare yey).
He forbid me to play tennis, I really love this sport... He also recommended me not to run.

I am 26 years old and the only sport I do is running ~10km a week in 4 sessions and play tennis once every 2 weeks.

I looked in internet which sports to do with damaged meniscus and I found cycling. Do you have any recommendation for me? Would you say that I could run in a flatroad? Is cycling a meniscus-safe sport?

Thank you.



https://ift.tt/LjihbXt Submitted October 12, 2023 at 12:41AM by dj_dogo_nivoa https://ift.tt/MZGLaqg