Re: In Atlanta.. in America..

From: Dr. Andrew B. Chung, MD/PhD (nospam6_at_heartmdphd.com)
Date: 11/14/04 

Date: 14 Nov 2004 04:49:04 -0800

Richard Periut <rperiut@nj.rr.com> wrote in message news:<ViBld.1893$Vk6.1621@twister.nyc.rr.com>...
> Dr. Andrew B. Chung, MD/PhD wrote:
>
> > Richard Periut wrote:
> >
> >
> >>Dr. Andrew B. Chung, MD/PhD wrote:
> >>
> >>
> >>>liaM wrote:
> >>>
> >>>
> >>>
> >>>>If someone comes in to the emergency ward with all the symptoms
> >>>>of clogged arteries, but he has no money, will he still be eligible
> >>>>for open heart surgery ??
> >>>>
> >>>>liaM
> >>>
> >>>
> >>>Homeless and destitute people arrive in emergency rooms all over the
> >>>U.S. on a daily basis and receive the best available emergency room care
> >>>despite inability to pay. If such a person comes in with a bullet
> >>>through the chest, s/he will receive open chest/heart surgery if needed
> >>>to save his/her life. Appropriate care is given as needed on an
> >>>emergency basis without regards to ability to pay here in the America.
> >>>May God continue to bless America and the president He has chosen.
> >>>
> >>>Servant to the humblest person in the universe,
> >>>
> >>>Andrew
> >>>
> >>>--
> >>>Dr. Andrew B. Chung, MD/PhD
> >>>Board-Certified Cardiologist
> >>>http://www.heartmdphd.com/
> >>>
> >>>**
> >>>Who is the humblest person in the universe?
> >>>http://makeashorterlink.com/?L26062048
> >>>
> >>>What is all this about?
> >>>http://makeashorterlink.com/?R20632B48
> >>>
> >>>Is this spam?
> >>>http://makeashorterlink.com/?N69721867
> >>>
> >>>
> >>
> >>Very true with one exception.
> >>
> >>If you have good insurance, chances are you are going to get a cath, and
> >>with many people, a CABG.
> >>
> >
> >
> > This would be an instance where having good insurance may lead to suboptimal
> > medical care. One of the ironies of life in this world.

But, one of the truths from Jesus Christ:

"Those who are last will be first."

 
> >
> >>If you don't have insurance, they do what they are suppose to do with an
> >>uncomplicated first time MI; stratify you and place you on medical
> >>treatment without intervention.
> >>
> >
> >
> > Unless you stratify into the high risk group of multivessel or left-main
> > disease.
> >
> >
> I meant stratify to low risk, and optimize medical management.

Ok.

> >>Physicians practice a lot of the medicine their own way. The heart,
> >>blood, lung institute still recommends beta blokers and diuretics as
> >>first line agents for HTN; most docs usually jump to an ACE or
> >>ARB--medications that are ultra expensive when it comes to BB and
> >>furosemide.
> >>
> >
> >
> > Yes, each doctor has his/her own "style."
>
> Which scares the f**K out of me, if I ever end up in a hospital.

You probably left out "...and unconscious."

The Lord is your shepherd. He will watch over you, dear Richard.
There is no need for a Christian to fear.

> BTW, I
> have a handful of colleagues which will be the only physicians that may
> take care of me, should I fall ill and require hospitalization. God's
> will allowing of course. I'm serious. My jaw drops in awe, when I see
> many of our colleagues practice and get away with unbelievable stuff.

Would suggest you refrain from judging your colleagues, dear friend.
God has a purpose for everything you see and experience.

> Many times, I have to instruct diabetics, to carry glucose tablets,
> check their glucose frequently in order to recognize patters of high Bg
> and their association with diet, activity, medications, et cetera. I'm
> pulmo not endo.

I too am doing what you are doing. We are both also internists though
we each have our respective subspecializations.

> There are damn good internists out there, but the majority are just
> money making Rx writers.

Would suggest you follow my lead and refrain from judging others, dear
Richard.

Instead, continue those good works for which God has made you and
planned for you to do (Ephesians 2:10).

> >>And we wonder why the cost of health care is through the roof; not to
> >>mention those inevertebrates; the malpractice lawyers.
> >>
> >
> >
> > So to reduce costs you would propose that we stop providing medical care to
> > the uninsured and indigent folks?
> > Or would you have all doctors practice medicine uniformly ?
>
> No, provide the proper care to uninsured, and stop cathing/bronching
> (whatever) every body that is brought into a hospital.

I do not believe that cathing and bronching is behind the ever
increasing cost of healthcare here in America or even elsewhere in the
world.

> Also, stop those PCP's which treat you like a car in a car wash: ekg,
> bone density study, x-ray, spiro, echo (for those with balls,) and in
> the end, they didn't address the patients CC.

Nor do I believe that these less invasive tests are behind increasing
medical costs.

> I don't have anything against Cardios, but I stopped referring to a
> particular group, because every patient I sent to them received a cath.

Then you have done your part of God's plan.

 
> It's like they helped the patient mouth the words "I have substernal
> chest pain that radiates down my left arm, when I walk a couple of feet,
> and the medications are not helping me!" : )

Again, would refrain from judging others and leave this to God who
knows the whole story, friend.

You remain in my prayers, dear Richard whom I love unconditionally, in
Christ's holy name.

May you join us in our walk with Him.

Servant to the humblest person in the universe,

Andrew 

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/
**
Who is the humblest person in the universe?
http://makeashorterlink.com/?L26062048
What is all this about?
http://makeashorterlink.com/?R20632B48
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http://makeashorterlink.com/?N69721867
Post a follow-up to this message

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