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I wonder if this is because she wasn't insured?Follow

#1 Jun 14 2007 at 2:43 AM Rating: Good
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Woman dies in ER, after multiple calls to 911

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LOS ANGELES, California (AP) -- A woman who lay bleeding on the emergency room floor of a troubled inner-city hospital died after 911 dispatchers refused to contact paramedics or an ambulance to take her to another facility, newly released tapes of the emergency calls reveal.

Edith Isabel Rodriguez, 43, died of a perforated bowel on May 9 at Martin Luther King Jr.-Harbor Hospital. Her death was ruled accidental by the Los Angeles County coroner's office.

Relatives said Rodriguez was bleeding from the mouth and writhing in pain for 45 minutes while she was at a hospital waiting area. Experts have said she could have survived had she been treated early enough.

County and state authorities are now investigating Rodriguez's death. Relatives reported she died as police were wheeling her out of the hospital after the officers they had asked to help Rodriguez arrested her instead on a parole violation. Sheriff's Department spokesman Duane Allen said Wednesday that the investigation is ongoing.

In the recordings of two 911 calls that day, first obtained by the Los Angeles Times under a California Public Records Act request, callers pleaded for help for Rodriguez but were referred to hospital staff instead.

"I'm in the emergency room. My wife is dying and the nurses don't want to help her out," Rodriguez's boyfriend, Jose Prado, is heard saying in Spanish through an interpreter on the tapes.


I don't really blame the emergency dispatcher in this case. The lady was already in the hospital waiting room, it was reasonable to expect the hospital staff would address her needs appropriately. It wouldn't suprise me if they get calls from impatient relatives or friends of someone awaiting care regularly, in most cases they are probably over-reacting. I do wonder though if the lady was insured, and maybe that's why they were making her wait.
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#2 Jun 14 2007 at 4:18 AM Rating: Excellent
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That's really sad. Smiley: frown That's not something that should be happening anywhere, let alone in a country with our level of medical care.

Nexa
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#3 Jun 14 2007 at 6:00 AM Rating: Excellent
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After reading the whole article it sounds like that hospital needs some balls broken for it to get it's act in gear. They've been given 23 days prior to the incident to shape up or lose their federal funding. I'm going to guess they're going to lose it now after this case.

From the 911 dispatcher point of view, I can understand it. Their job is to get emergency services to you as quickly as possible. Being in a hospital with a medical emergency and calling 911 seems rather redundant. Unfortunately the hospital itself appears to be rather lax.
#4 Jun 14 2007 at 6:40 AM Rating: Decent
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Being in a hospital with a medical emergency and calling 911 seems rather redundant. Unfortunately the hospital itself appears to be rather lax.


Your vocabulary seems rather limited.
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#5 Jun 14 2007 at 11:40 AM Rating: Good
It had nothing to do with her being uninsured; it probably had everything to do with a majority of their patients being without insurance. The hospital is located in downtown LA county and it certainly wasn't catering to the rich and famous. I would be surprised if 25% of the patients had insurance. Of course the hospital is short staffed and overcrowded.

The response to this shouldn't be 'close down the hospital'. How is that going to help the situation down there? It is just going to push more of a burden onto the remaining hospitals which in turn will eventually fail from overcrowding and no payments. The country's Emergency Services are on the brink of failure in many places in the country as it is the last bastion of the ininsured. You can easily wait in the waiting room of large downtown county hospitals for hours due to overcrowding.

You want to be upset about the situation? Put your money where your mouth is. Don't cry out for more closures; cry out for socialized medicine to help alleviate the situation.

--DK
#6 Jun 14 2007 at 11:59 AM Rating: Good
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Darkknight wrote:
cry out for socialized medicine to help alleviate the situation.

--DK


Whatsa Dentist?
#7 Jun 14 2007 at 12:13 PM Rating: Decent
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Don't cry out for more closures; cry out for socialized medicine to help alleviate the situation.


Why on Earth would anyone want to do that when we can pay five times as much for sub standard care??

Stop the crazy-talk.

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#8 Jun 14 2007 at 12:19 PM Rating: Decent
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Darkknight wrote:


You want to be upset about the situation? Put your money where your mouth is. Don't cry out for more closures; cry out for socialized medicine to help alleviate the situation.

--DK


I've been crying out for less darkies, that would solve alot of problems.

Edited, Jun 14th 2007 4:19pm by NephthysWanderer
#9 Jun 14 2007 at 5:55 PM Rating: Good
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Darkknight wrote:
The response to this shouldn't be 'close down the hospital'. How is that going to help the situation down there? It is just going to push more of a burden onto the remaining hospitals which in turn will eventually fail from overcrowding and no payments. The country's Emergency Services are on the brink of failure in many places in the country as it is the last bastion of the ininsured. You can easily wait in the waiting room of large downtown county hospitals for hours due to overcrowding.

You want to be upset about the situation? Put your money where your mouth is. Don't cry out for more closures; cry out for socialized medicine to help alleviate the situation.

--DK


Your post is made all the more funny by the fact that MLK hospital is essentially an example of "socialized medicine" at work in the US. It was built by the state in response to the Watts riots back in the 60s to provide closer medical care for the mostly poor citizens living nearby. Since then it's been used as a clearing house for handing out jobs in that same poor neighborhood as some sort of economic-aid program. The result of course is that most of the people working there don't actually know how to do their jobs and the care is horrible.

About half of its operating expenses come directly from the state government. The only reason it's still open is because civil rights leaders like Jesse Jackson have fought any effort to close or even reform it. Despite a string of mistakes costing people their lives, and depite threats to remove its various certifications as a result, it's managed to keep in business due to the political connections and association with the civil rights movement in particular.


"The people" refuse to allow it to be closed, no matter how often they kill people. Because for "the people", keeping the hospital has ceased to be about medical care and has become about some kind of political movement or something. It's nuts IMO, but not surprising really...
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#10 Jun 14 2007 at 5:56 PM Rating: Decent
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Your post is made all the more funny by the fact that MLK hospital is essentially an example of "racism" at work in the US.


Indeed. The funniest part is people pretending it doesn't exist.

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To make a long story short, I don't take any responsibility for anything I post here. It's not news, it's not truth, it's not serious. It's parody. It's satire. It's bitter. It's angsty. Your mother's a *****. You like to jack off dogs. That's right, you heard me. You like to grab that dog by the bone and rub it like a ski pole. Your dad? Gay. Your priest? Straight. **** off and let me post. It's not true, it's all in good fun. Now go away.

#11 Jun 14 2007 at 7:29 PM Rating: Good
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Quote:
bleeding from the mouth and writhing in pain for 45 minutes
A 45 minute wait in the ER is nothing, sadly. Unless she had a gunshot wound or a knife sticking out fo her, they probably took other patients with more sever trauma ahead of her, not to mention they may not have had a bed to put her in or more than one doctor staffing their ER. Hell, even a CT to see the internal bleeding would have taken a couple of hours.

I recently helped a patient file a complaint to the charge nurse at our ER because he came in at 1am, and wasn't seen till 6pm for a bleeding head trauma. He actually lost consciousness in our waiting room. That night we had 12 traumas, and only two doctors on staff (one attending, one resident). When you pretty much run on charity, you do the best you can with what you have, and so many times, it's not enough. It's a chronic problem that hospitals in the US can't staff like they need to to operate at prime capacity, and it doesn't help that all of our patients are lower-income, no insurance, and the money isn't coming in to help remedy the situation.

It's awful and sad, but these things happen in healthcare facilities all the time. They just don't get reported. If you ever think you're seriously ill, for ****'s sake, pay for the ambulance. At least you'll get triaged in a decent amount of time and you might ever get a room right away, if one is available.
#12 Jun 14 2007 at 7:33 PM Rating: Decent
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I first saw this news report on CNN, broadcast on a big-screen TV. In a hospital emergency waiting room. Was not terribly comforting. Smiley: frown
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#13 Jun 14 2007 at 7:36 PM Rating: Good
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We're trying to institute a streamlining process here to get our Door to Doc to Door time to under 3 hours, and it's considered outrageously ambitious by most.
#14 Jun 14 2007 at 9:02 PM Rating: Good
Quote:
Your post is made all the more funny by the fact that MLK hospital is essentially an example of "socialized medicine" at work in the US. It was built by the state in response to the Watts riots back in the 60s to provide closer medical care for the mostly poor citizens living nearby. Since then it's been used as a clearing house for handing out jobs in that same poor neighborhood as some sort of economic-aid program. The result of course is that most of the people working there don't actually know how to do their jobs and the care is horrible.


Your post is made all the more funny by the fact that without this hospital there would be *nothing* there to fill the gap.

Why do you think there isn't a hospital there functioning like a well-oiled machine? Until the system is socialized the poor areas aren't going to have decent care. If you're rich, though, I suppose that doesn't matter.

--DK
#15 Jun 14 2007 at 9:09 PM Rating: Good
Quote:
It's awful and sad, but these things happen in healthcare facilities all the time. They just don't get reported. If you ever think you're seriously ill, for @#%^'s sake, pay for the ambulance. At least you'll get triaged in a decent amount of time and you might ever get a room right away, if one is available.


Personally I don't think you can blame the Emergency Rooms. There is only so much space and only so many doctors. What are they supposed to do? You can only care for so many people at a time.

--DK
#16 Jun 15 2007 at 3:08 AM Rating: Excellent
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Darkknight wrote:
Personally I don't think you can blame the Emergency Rooms. There is only so much space and only so many doctors. What are they supposed to do? You can only care for so many people at a time.
I think the ED Triage should have, at the VERY least, a medical student or first-year resident triaging folk that can better discern an acute case from one that can wait, because to the layperson like myself (even some of the nurses), bleeding from the mouth could have meant a domestic battery, TB, or any number of things that could have waited until I attended to more acute cases (which there almost always are:Miscarriages, stabbings, shootings, cardiac arrest, etc, and no one has insurance).
#17 Jun 15 2007 at 8:04 AM Rating: Good
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Triage is a *****. Go to any ER these days and you'll see lots of writhing and blood. Everybody and their brother goes to the ER for medical care these days regardless of how spurious it is, which in turn waters down the response of an overworked medical staff. Half the homeless in an ER are writhing from DTs and the other half are writhing from the worms, lesions, and poor hygiene that they routinely exhibit.

Add to it that she or her husband don't speak English and you have a ready made recipe for disaster.

Sometimes bad stuff happens. It's gonna happen.

Totem
#18 Jun 15 2007 at 8:15 AM Rating: Excellent
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Quote:
Everybody and their brother goes to the ER for medical care these days regardless of how spurious it is, which in turn waters down the response of an overworked medical staff.


The hospital with which my PPO is affiliated has an ER and a separate Urgent Care walk-in clinic. While it does require that people somewhat self screen the level of care they require, it's far more efficient and I assume more cost-effective than having everyone pile into the same place.
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#19 Jun 15 2007 at 8:32 AM Rating: Good
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Out here one particular hospital has contracted with the state for indigent medical care. So regardless what their condition is, bums, hobos, homeless, ne'r-do-wells, and the chemically enhanced all go there, where, unless they are visably dying, sit until a nurse or doctor has the time or inclination to see them.

I suspect it's a way of culling the herd and making the determination that if you really are that sick, you'll stay until you get seen. Otherwise the walk-outs are just proving that they really weren't that bad off anyways.

Totem
#20 Jun 15 2007 at 10:37 AM Rating: Good
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Smasharoo wrote:


Your post is made all the more funny by the fact that MLK hospital is essentially an example of "racism" at work in the US.


Indeed. The funniest part is people pretending it doesn't exist.



You're correct, there is a racist aspect to this. Because the problem is that the hospital was built so that black people would have their own hospital. They predominantly hire black "friends" from the local neighborhood. You know. Those people who need a job and "the man" wont give them one, so this hospital does. Never mind that they aren't qualified for the job...

It's more important that this "help the black folks with a job" aspect of the hospital keeps working then that it actually save people's lives. That's why Jackson and others have made it a political landmine for anyone to actually do anthing to reform the hospital. That's why this woman died.

I'm sure that's not what you thought you were saying, but thanks for pointing out that very important aspect of this issue.
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#21 Jun 15 2007 at 11:38 AM Rating: Decent
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They predominantly hire black "friends" from the local neighborhood. You know. Those people who need a job and "the man" wont give them one, so this hospital does. Never mind that they aren't qualified for the job...


Yeah, they are widely known to be lazy and shiftless. I hear some of them are kinda "clean" these days though.


I'm sure that's not what you thought you were saying, but thanks for pointing out that very important aspect of this issue.


I was just idly luring you into making overtly racist statements. Thank goodness you avoided that trap, though. Or as they say: *****, please.



Edited, Jun 15th 2007 3:40pm by Smasharoo
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To make a long story short, I don't take any responsibility for anything I post here. It's not news, it's not truth, it's not serious. It's parody. It's satire. It's bitter. It's angsty. Your mother's a *****. You like to jack off dogs. That's right, you heard me. You like to grab that dog by the bone and rub it like a ski pole. Your dad? Gay. Your priest? Straight. **** off and let me post. It's not true, it's all in good fun. Now go away.

#22 Jun 15 2007 at 12:01 PM Rating: Good
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Sure Smash. Because it's "overtly racist" to point out that running a hospital as an affirmative action employment center is not only racist but a bad idea...

I'm sure the woman was appreciative that the honorable Jesse Jackson fought so hard to prevent "the man" from cleaning up the hospital while she was dying on the floor in a pool of her own blood. Just another death for the cause I suppose. No biggie.
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#23 Jun 15 2007 at 12:03 PM Rating: Decent
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Anyone ever noticed that little kids have the biggest f'ucking boogers? I swear I pulled one out of my son's nose that looked like a freaking grape. I don't even get boogers that big, trust me, I check often.
#24 Jun 15 2007 at 12:15 PM Rating: Good
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Atomicflea wrote:
We're trying to institute a streamlining process here to get our Door to Doc to Door time to under 3 hours, and it's considered outrageously ambitious by most.
We pay about 20% less per head as Americans in Healthcare taxation.

Dentristry jokes aside, the most anyone has to pay for any drug is $13, all healthcare costs (apart from unproven interventions or cosmetic procedures) are met by the system. Dammit - it even covers emergency care costs for most overseas visitors (including Yanquis).

Our Paramedics have to achieve a target of 90% of attendances in 8 minutes.

Our ER departments have to see all cases within 4 hours.

Both targets are routinely met.

Serious trauma in ER is usually dealt with in 15 minutes.

Our system is not by any means perfect, but yours is indefensible on any grounds of ethics, economics or common fUcking sense.

That said, you can't judge any healthcare system by individual fUck-ups, and the fact that this made the news tells me it's far from the norm. We have the odd tragic aberration here too.

However, I still don't understand why the USA maintains a system that costs so much more than ours, leaves millions of people uninsured and requires most of you to supplement the cost with additional insurance premia.

Surely republicans and democrats alike should be railing against so much taxpayers' money being channeled into a system that fails so many citizens .
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#25 Jun 15 2007 at 12:23 PM Rating: Good
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The simple solution? Just don't get sick. And if you do, learn to suffer quietly and with dignity. After all, our present medical system is what trial lawyers and outrageous malpractice settlements have so effectively given you. The coup d'grace would be to elect John Edwards, wherein the trial lawyer lobby would have one of their own safely esconced in the Oval Office.

Next up? Sueing the chemotherapy drug companies for failing to rid his wife of her cancer. Or for causing her discomfort. Or for losing her hair. Or for making her bloat. Or for...

Totem
#26 Jun 15 2007 at 12:25 PM Rating: Excellent
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gbaji wrote:
I'm sure the woman was appreciative that the honorable Jesse Jackson fought so hard to prevent "the man" from cleaning up the hospital while she was dying on the floor in a pool of her own blood. Just another death for the cause I suppose. No biggie.
The point that you're missing is that this shit goes on all the time in hospitals both public and private. A privatized hospital in the same area would almost certainly be akin to the one Flea works at -- understaffed and overwhelmed, just as the county hospital is. The "news worthy" part of this story wasn't that a woman died in the ER waiting on care, it was the 911 call to take her elsewhere.

Keep talkin' out your *** though.
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