Portland, Oregon

Portland, Oregon
Showing posts with label ER. Show all posts
Showing posts with label ER. Show all posts

Sunday, March 6, 2016

Frugal Healthcare

There are many blogs today about living frugally.  Do you ever hear anyone talk about spending healthcare dollars frugally?  Not a word.

At our house we have excellent health insurance and almost never have any healthcare expense.  It worries me when that happens to people because I'm of the old school that people don't value what costs them nothing.  Perhaps I am the exception.  I cringe at all the waste I see everytime I'm in a clinic or the hospital.

How about Medicare?  Spend those Medicare dollars you say.  Not me.  I have a chronic condition that lands me in an Urgent Care Clinic about every three to four months.  I don't know what that costs but I figured there had to be a cheaper way.  I set about to come up with a plan.

Why did Medicare and my insurance company need the expense of me visiting an Urgent Care Clinic when I knew, my doctor knew, and the Urgent Care Clinic knew what the problem was.  All I needed was a prescription.

I decided to approach my doctor about allowing me to keep on hand the prescription I needed, give me a limited number of refills and cut out the expense of the Urgent Care Clinic.  He agreed.

Have you noticed how wasteful hospitals and emergency rooms in particular are with supplies?

An elderly family member was recently prescribed a back brace that was terribly expensive.  She will never wear it.  It was a waste of Medicare dollars.  The doctor should have been smarter.

No wonder healthcare expense is out of control but if you said the word frugal in the same sentence with healthcare people would go all Sarah Palin on you.  Frugal doesn't mean cutting quality, it means cutting waste.

Let's hear it for frugal healthcare dollars!

Wednesday, February 17, 2016

Tale Of The Lowly Aspirin



Do you know anyone that's not taking 81mg of Aspirin, or at least not had their doctor suggest taking it?

Not so long ago Bob was in the emergency room with a bleeding issue. He's one of those guys that eats up a lot of time for hospital staff, he's 83 with a long medical history and takes a lot of medicine. Drives them nuts.

He's a heart patient on both warfarin (blood thinner) and Aspirin 81mg, prescribed by his cardiologist.  Oops, a problem.  He also sees a hematologist because he has a very low platelet count. Hmmmm  Makes no sense to take blood thinners if you have a low platelet count, right?  Wrong, it does.  Fortunately the cardiologist and hematologist have reached a compromise, something Congress is unable to do these days, and the two of them know what they're doing.  The emergency room doctor did not.

a) The emergency room doctor told him to stop taking the aspirin until he saw his geriatrician first of the week.

b) His geriatrician said aspirin lowers the platelet count in older adults so he should stay off the aspirin.

c) The cardiologist was mad because they had meddled in his business changing what he had prescribed for his patient.  His opinion was 81 mg of aspirin did not lower the platelet count that much.

d) His hematologist is a peace loving man, wants to get along with everybody so he said "Yes, but......."

Now what's a person to do?  I figured it this way.  If his heart stops beating it won't matter about his platelet count.  He's back on 81 mg of aspirin.  The cardiologist is happy.