r/healthcare

If you work for Navi or United Healthcare, I don't know how you sleep at night.

If you work for Navi or United Healthcare, I don't know how you sleep at night.

https://www.beckerspayer.com/legal/judge-orders-unitedhealth-to-hand-over-broad-discovery-in-ai-coverage-denial-case/

Elderly family member recently fell, broke ribs and can't walk. After the hospital released her (the shit that is Marshfield Clinic), she was sent to a long-term care facility for rehab. Under Medicare she is entitled to 21 days. Thanks for Navi and UHC, she is being released despite not being able to walk, go to the bathroom, bathe, eat etc. Called both and you can't get in touch with an actual person because everything is AI now and the only person who would talk to us (a case manager, former nurse) was ridiculously cruel and didn't think a 97 yr old woman with all of these medical issues deserves care. She also denied any use of AI and said the 21-day-rule never existed. For a former nurse, she sure doesn't have any compassion or critical thinking skills.

If you work for either of these companies, I don't know how you live with yourself when your stakeholders have paid premiums for this insurance for years only to be denied in their greatest time of need. How Christianlike, huh?

u/Top_Plenty_1971 — 3 hours ago
New Staffing Grid for Medsurg - Thoughts?

New Staffing Grid for Medsurg - Thoughts?

This is the new grid for my medsurg floor. Hospitals are always pushing patient experience levels and how to raise them. They ask us how they can make things better for workers and then do the complete opposite. If you’ve ever worked on medsurg you know the lights are constant and non stop. A slow day? Almost rare. A day where a CNA or a nurse is able to relax and actually enjoy work? Rare. It seems like management and whoever makes the grids are looking for ways to put more pressure on workers to constantly be up on their feet and busy. Anyways, this is the new grid what are your thought?

Ex: 7 patients. How is 1 RN supposed to be primary to 5 patients? And a charge nurse is primary to 2 patients with all charge nurse duties and responsibilities? They send a CNA home with 7 patients. 1 CNA to handle 12 different patients? Outrageous. CNAs are essential. We are the ones answering the call lights and doing the dirty work so RNs can complete their work on time. Finding help to boost or clean up a heavy patient is already limited.

I think we’re going to see an increase in injuries. Decrease in patient experience scores. And higher turnover rate with burnt out workers. The old grid was 2 techs for 12 patients ect. They’ve cut the grid in half with half the help when we’ve already been drowning.

u/UnlikelyAd3196 — 4 hours ago

Chest pain after lifting heavy weight but heart tests normal what could it be?

​

Hi everyone,

My father has been having pain just below the left chest (near the heart area). We got all the heart-related tests done (ECG, Echo, blood tests, TMT), and everything came back normal.

The pain actually started after he lifted something heavy. It also seems to get worse when he has gas or bloating.

We’re a bit confused because:

- Heart reports are normal

- Pain increases with gas

- It started after physical strain

Has anyone experienced something similar? Could this be muscle strain like costochondritis or something related to acidity/GERD?

Also, which specialist would be best to consult next general physician, orthopedic, or gastroenterologist?

Any advice or similar experiences would really help. Thanks!

reddit.com
u/No-Championship-7898 — 10 hours ago
A Free-Market Path Forward in Louisiana’s PBM Debate

A Free-Market Path Forward in Louisiana’s PBM Debate

Came across this with all the PBM talk lately. Seems like they handle more of the pricing and access side than people give credit for. Not sure if changes like this would help or just make things tougher for patients.

Thoughts?

pelicanpolicy.org
u/con_founded — 21 hours ago
▲ 2 r/healthcare+1 crossposts

Curious about street nursing

Hi ya'll! so I am a nursing student graduating in June, and I recently did a rotation in a wound care clinic which I absolutely loved! during my rotation, I cared for a couple of patients that were currently experiencing homelessness, and it got me curious! do any of you have any experience with street level nursing on a volunteer or paid basis? How do you feel about it? what does a typical day look like, and what sort of care do you provide. if an opportunity arose I think this is something I would really like to be involved in!

reddit.com
u/Pretty-Date1630 — 21 hours ago

What challenges do you face in hospitals/clinics

From your experience, what are the biggest problems you deal with on a daily basis? This could be anything — organization, patient flow, handling bookings and calls, internal processes, lab work, staff coordination, or anything else that makes your work more difficult.

And what would change or improve one thing in your workplace that would make the biggest difference in your daily work.

reddit.com
u/Spirited-Ad899 — 13 hours ago
Covid vaccine details provided in my summary for my emergency room visit, why?

Covid vaccine details provided in my summary for my emergency room visit, why?

https://preview.redd.it/5npfilvfj0tg1.jpg?width=1410&format=pjpg&auto=webp&s=8480b9030a734791d43dae330684d62060ec41c4

Hey! I visited the emergency room a few years ago and I was Looking at my records. There was a Covid vaccine details tab in my after visit summary, I don’t know why this was as I didn’t request a Covid vaccine. I was sedated so idk if I got one or not. I was in the hospital for a rapid heart rate, and was tested for Covid and a few other infections and all came back negative. The Covid vaccine details thing leads to a vaccine record. Why did I get this? Was I vaccinated without my knowing?

reddit.com
u/Fun-Scallion3522 — 8 hours ago

England - Hospital discharged me even though I have constant chest pain and provided no support

I'm a 24F and live in England, UK. I was admitted into the hospital for 5 days and was discharged 2 days ago. gonna be a long one so apologies.

To give some background; i have had nausea for a year and went to the GP multiple times and was only given anti sickness tablets. I then had chest pains and headaches nearly everyday for a couple months but they were here and there and were bearable.

Last week, Thursday night, I had pulsating pain in my upper right abdomen area with constant chest pain, headaches and nausea. I honestly believed its cause I ate too much lasagna and took painkillers and went bed. I kept waking up throughout the night. Woke up for work (i work from home) and an hour into my shift it got intense and I called 111 (non emergency line) and they got the hospitals treatment centre to call me. booked an appointment and was there in an hour. they then transferred me to the surgical floor of the hospital and around 5-6 hours later I was admitted for an inflamed gallbladder and possible gallstones. Got me on antibiotics, had an IV for pain meds, got me on blood thinners and I was constantly on morphine and paracetamol. (my whole family have had gallstones and had their gallbladder removed so im the only one left - thats why we all believed it was gallstones)

I had an abdominal ultrasound done and my gallbladder was fine and so was everything else. chest xray showed nothing either. I had 2 surgical teams working on me and then had the medical team work on me. nothing. I was constantly dismissed and being pressured to be discharged but I kept saying no to the discharge because I didnt get any answers and was still in pain. the antibiotics worked on my inflamed gallbladder so the abdominal pain was gone but the others symptoms were worse and non stop. I had my family advocate for me as the doctors always came after I was given pain meds which made me drowsy and so I was constantly sleeping or not able to understand much. my sister would come at 8am to talk for me because I kept getting ignored and talked over by doctors. the nurses were lovely and always tried to help me and tried to tell the doctors that my chest pain is worse. only one doctor actually listened and said he will get an endoscopy arranged which gave me hope.

after 5 days, the doctors discharged me and said they will provide me with a discharge paper including contact details. I asked for pain meds too and they said they will provide it. I will be getting an endoscopy as an outpatient. when I got to the discharge lounge they gave me a pack of meds and a letter. my family picked me up and when I got home I opened the letter and pack to find they went against everything they said. no pain meds, no contact details and they gave me omeprazole for acid reflux (which I kept saying I dont have at all).

Its been 2 days and Ive tried paracetamol and codeine but its not doing much. I called the hospital and they transferred me to the ward I was on. the nurse said that they have no record of me on the system as I was discharged and they cant give me contact details or pain meds. I said I have a follow up and said the doctors name but its in 8 weeks and she said I have to wait for that letter. I asked about the endoscopy that is planned and she said to wait for the letter. I asked her what should I do and she said to go to A&E (last time I took my sister it took 20 hours to be seen).

I will call my GP tomorrow but not sure what else to do since they gave meds for symptoms I dont have, dismissed me constantly, and discharged me even though I said i still have chest pain. its like they just gave up. my sister advised to make a PALS report. I just cant keep going to the hospital and begging them to listen and then get dismissed as I already lost 5 days of work and I dont get sick pay. i really can't lose anymore pay. my friends said to try a different hospital but again id miss work.

any advice on what to do as im really lost as the chest pain is non-stop and has been affecting my daily life and work? I really cant keep going to A&E as I keep missing work. I know theres not much i could probably do but just thought id see if anyone has advice or went through something similar - thank you in advance.

reddit.com
u/anonymous1223__ — 7 hours ago
Week