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Date Posted: 20:38:30 09/11/07 Tue
Author: Jennn
Subject: Re: Lynx's Very Long Tale
In reply to: Lynx 's message, "Lynx's Very Long Tale" on 10:22:11 09/11/07 Tue

I do find it very odd they gave you an EKG just before releasing you based on what you said, but being on the healthcare side of the coin I can tell you what my thought process might be. Also, if they wanted to confirm you were having a heart attack right at that time there's a blood test they do - you can read about it here if you want:

http://www.americanheart.org/presenter.jhtml?identifier=4477

So this is what's going through my head:

You stated you had bronchitis, but if you go into the ER with complaints of chest pain (you stated you didn't, but any indication of discomfort in the chest - even if it's from bronchitis and coughing) difficulty breathing, and nausea (from the stomach virus), the combination of the 3 things together, they probably should rule out MI (myocardial infarction). Just difficulty breathing and nausea would probably be enough reason for the EKG.
I'm assuming you were having difficulty breathing because you stated you expected to have a nebulizer treatment. Did they give you a bronchodilator (xopenex or albuterol perhaps)? You also mentioned you probably needed some rehydration - that would most likely cause a lower BP, but what was your BP at? Was it increased? Perhaps if you were having some discomfort and/or fever your pulse would be a little high as well. Did you have a fever? If you didn't have a fever I would have been really suspicious of your symptoms. Were you coughing, if so how much? Were you pale? Did they give you oxygen? Monitor your oxygen? Did they draw a blood gas? What was your heart rate and blood pressure? Also, did you inform them that you had a cardiac history? If you present with the above symptoms and tell them you have a history they're going to check.

It makes it a little harder for me to disagree with what they did without having more details. I'm assuming you had an elevated ST segment in your EKG which indicates injury or MI. I don't know what your EKG looked like, but apparently it had something abnormal that the doc wanted to investigate further.

You have the right to refuse treatment of any kind, and you can do so "AMA" (against medical advice). It's probably true that insurance won't cover problems later if you refuse necessary preventive medical procedures. I don't do insurance stuff so don't quote me on it. I would definitely talk with your insurance company about what you experienced to see what they say - there's always the possibility you had unnecessary treatment.

I'm also going to point on a few things:

Blood sugar checks in a hospital are important. If glucose levels get high the chance of infection increases significantly. If you already have an infection then all the more reason to monitor and keep glucose levels in check. They don't want you going into septic shock.

Medications are given based on risk vs. gain. If there's a slight risk of contraindication, but it helps the patient more than it will be a risk, the medication will be given. An extreme example is Indomethacin is given to premature neonates to close a patent ductus arteriosis (PDA). This medication can cause necrotizing enterocolitis (NEC) - more or less killing the tissue in the colon. So either let the kid suffocate because not enough oxygenated blood can get to the tissues, or take a risk of developing NEC (that might be correctable) and make the PDA close so the kid doesn't suffocate. Again, very hard to comment without knowing type of medication.

For the list of herbal supplements, and nobody to look at your list of things you take is very, very wrong. That is sheer stupidity, IMO.

As for doing things naturally, lynx, I like it better that way too. I think everything man made has a side effect so natural is the better way to go. I also believe in preventive medicine by way of diet and exercise. The one thing that doesn't mix is you can't step into modern medicine and expect them to help you only on your terms. If they mix the 2 there's going to be a result of a half assed job, and half assed jobs in the hospital can be detrimental to the patient.

Anyway, I at least hope you're feeling better now :)

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