Re: In Atlanta.. in America..
From: Dr. Andrew B. Chung, MD/PhD (nospam6_at_heartmdphd.com)
Date: 11/14/04
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Date: 14 Nov 2004 04:49:10 -0800
"outrider" <outrider@despammed.com> wrote in message news:<1100408384.008055.58170@f14g2000cwb.googlegroups.com>...
> Richard Periut wrote:
> > 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
>
> > >>
> > >>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.
> > >
> > >
> > >>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.
> >
> > >>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. 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.
> >
> > 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.
> >
> > There are damn good internists out there, but the majority are just
> > money making Rx writers.
> >
> >
> > >
> > >
> > >>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.
> >
> > 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.
> >
> > 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.
> > 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!" : )
>
>
>
>
> This is a good conversation. About medicine, cardiology, with two
> physicians discussing technique and practices in a learned manner.
> Welcome Richard. Stay awhile.
>
> Zee
If Richard does, there will be those who will be put to shame for
their untruths (yes, I have trimmed the crossposts per your request
that I not cross-post without your permisson what you have personally
authored despite rumours to the contrary about my betraying this
promise).
You remain in my prayers, dear Zee whom I love unconditionally, in
Christ's holy name :-)
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 Post a follow-up to this message
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