NomoreDramaQ1015
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Post by NomoreDramaQ1015 on May 10, 2011 9:56:07 GMT -5
The reason they don't give you stuff to eat and drink is that--if you would have to rush to surgery--you don't aspirated gastric contents into your lungs on induction or emergence from anesthesia.
yeah, yeah I know. Doesn't mean I have to agree with it.
20/20 hindsight I would have eaten before I arrived if I had known. What are they going to do, deny me giving birth till it's been 12 hours since I last ate?
Know that for next time.
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swamp
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Post by swamp on May 10, 2011 9:57:25 GMT -5
So you are going back for more?! ![:P](//storage.proboards.com/forum/images/smiley/tongue.png)
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on May 10, 2011 10:00:51 GMT -5
So you are going back for more?!Don't know. As of right now the answer is a big N-O. IF I ever do it again though I have a list of things I plan on doing different. Two big ones is make DH stop at McD's so I can get food and make sure I give birth at a hospital DD's pediatrician has priveleges at. I just happened to go into labor at midnight and arrived at 5 am. If I had gone into labor at 1 pm what are they going to do, make me throw up my lunch so I have an empty stomach? I get their policy, I just didn't realize it meant I had to sit there till I was dialated fully with nothing to eat or drink. I'd rather be thristy than suck on a washrag, blech. I wasn't fully dialated till around 11 am. ![>:(](//storage.proboards.com/forum/images/smiley/angry.png)
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Gardening Grandma
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Post by Gardening Grandma on May 10, 2011 10:14:08 GMT -5
So you are going back for more?!Don't know. As of right now the answer is a big N-O. IF I ever do it again though I have a list of things I plan on doing different. Two big ones is make DH stop at McD's so I can get food and make sure I give birth at a hospital DD's pediatrician has priveleges at. I just happened to go into labor at midnight and arrived at 5 am. If I had gone into labor at 1 pm what are they going to do, make me throw up my lunch so I have an empty stomach? I get their policy, I just didn't realize it meant I had to sit there till I was dialated fully with nothing to eat or drink. I'd rather be thristy than suck on a washrag, blech. I wasn't fully dialated till around 11 am. ![>:(](//storage.proboards.com/forum/images/smiley/angry.png) Reminds me of my oldest's birth. Long labor, nothing to eat or drink. They gave me a cup of ice chips to chew on. His father went out for something to eat and returned with a hamburger, fries, and a shake.....which he proceeded to eat in front of me. ![](http://us.social.s-msn.com/s/images/emoticons/angry_smile.gif)
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dancinmama
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Post by dancinmama on May 10, 2011 10:15:49 GMT -5
'As for doctors salaries I'd venture a guess that we put a whole lot more demands on doctors than other countries do. In many other countries doctors are employed by the government so that's not an apples to apples comparison.' Remember, a doctor has to pay a receptionist/secretary, book keeper, X-Ray tech, nurse, medical supplies and lab workers. Not to mention power, , phone, internet and rent. Which by the way are the same things a mall pays, rent, book keeper, phone, internet and power. But people like going to the mall. I do not think that most doctors are in it for the money - especially when you consider their investment in time and money to get there. The doctors who have to pay all the overhead out of pocket for a private practice are rare these days. Most doctors practice in a group to bring down overhead costs. Many work for a company that pays ALL the overhead and provides the doctor with a salary/benefits package in return. I don't think doctors are making megabucks when everything is taken into consideration.
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on May 10, 2011 10:15:16 GMT -5
At least DH had the decency to leave for the cafeteria. I still hollered at him as he left. If I have to be hungry he should be too, after all he was half responsible for the situation I was in! ![:P](//storage.proboards.com/forum/images/smiley/tongue.png) Next time we are making a trip thru the McD's drive thru and I am eating in the car.
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dancinmama
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Post by dancinmama on May 10, 2011 10:29:03 GMT -5
And I don't know how much this is effecting health care costs these days, but back in the day DH's company covered our premium 100% and there were no co-pays when going to the doctor. This was pretty standard in the 80s. Because it was "free" to the consumer, people would run to the doctor ailments with no serious symptoms: sniffle with no fever, a cut that needed a butterfly bandaging rather than stitches, etc. I think a lot of people still do this even though they still have to pay a co-pay (which has gone up from $10/visit to $15, $20, and now is $30).
The medical group that we have now always has a call-in doctor that you can talk to. It costs nothing to talk to them. We used this service twice in Jan/Feb when DH was sick. He had no fever or serious symptoms, but it was taking him forever to get back to normal so he THOUGHT he might need antibiotics (like in days past when doctors would prescribe them for everything). I knew that he just needed rest. When we called the doc, both times he said there was no need to come in and eventually DH did get back to normal. That was a huge savings to us ($60 in co-pays) and a huge savings in administrative costs and the time of his primary care physician.
IF you insist on going in to see the doctor despite the fact that the call-in doctor does not think you need to, you are able to do so.
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Sum Dum Gai
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Post by Sum Dum Gai on May 10, 2011 12:46:08 GMT -5
As an retired NICU nurse I can tell you that we had to admit at least once a month a baby from a home delivery gone wrong. Not too long before I retired, one of those died. We tried to save her but she had inhaled too much junk into her lungs before we even got her. If she had been at the hospital when delivered she would have been sucked out and a little oxygen given immediately at birth and no big deal. So sad. ![:(](//storage.proboards.com/forum/images/smiley/sad.png) This is what would have happened to our younger daughter. I won't go into all the gory details, but there was a complication during delivery (detached placenta). They knew something wasn't right, so the nurse got on the intercom and they had a couple NICU nurses in the room with a baby crash cart thing. My daughter was delivered with a bunch of blood in her lungs. The nurses grabbed her out of the doctors hands before he even had a decent grip I think, and started suction and oxygen. She still had to stay in the NICU for a few days, and was on oxygen for a bit when she came home, but she's fine. If we'd done a home birth, she may have drowned in blood in the back of an ambulance while they tried to get her to a hospital. If you want to risk it though, knock yourself out.
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achelois
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Post by achelois on May 10, 2011 12:51:02 GMT -5
Well dq
I hope your family will at least have the decency not to blame us and sue if you aspirated.
I suctioned split pea soup out of a lady's lungs once.
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on May 10, 2011 12:51:42 GMT -5
During childbirth class I remember the video saying that an emergency OB can get a baby out of you in less than three minutes. I thought to myself that THAT is where I want to be if something goes wrong. The level of skill that that must take is absolutely mind boggling to me. ![:o](//storage.proboards.com/forum/images/smiley/shocked.png) There is no way that an ambulance can get me to the hospital in less than three minutes. I hope your family will at least have the decency not to blame us and sue if you aspiratedFair enough, but I do legitmately want to know what would they do if I had shown up after just having eaten a meal. I went into labor at midnight, showed up at 5 am. The odds of me having eaten right beforehand are pretty slim. But what if I had gone into labor earlier than that around a meal time? I had really bad BH's that Thursday afternoon. There was no indication it was actual labor so I ate dinner. What if I had been wrong? Would they make me vomit? Pump my stomach? I get that at the hospital it would be more trouble than it would be worth for them to allow me to eat anything, but what if I had before I arrived? I didn't even know I was 5 cm, I fully expected to be sent home again with BHs because the same thing happened at 35 weeks and they stopped on their own after 4 hours. So what happens if a woman shows up having eaten in a recent time frame? ![???](//storage.proboards.com/forum/images/smiley/huh.png)
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Deleted
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Post by Deleted on May 10, 2011 17:18:31 GMT -5
And home birth is actually not that crazy of an idea. If i was doing it again today ( ![](http://us.social.s-msn.com/s/images/emoticons/52_52.gif) ... sorry, had to pause for a minute there...) ... I would not go to a hospital unless there were complications... I had 2 perfectly seemingly normal births that both ended up with emergency c-sections. I'm glad I was in the hospital when they made that call, instead of attempting to struggle through it at home. Adn then wait 10 minutes for the ambulance to show up and drive 10 miles to the hospital. ok, I can't let this go. Most childbirth 'emergencies' are not life or death situations. In addition, a midwife is WAY more adept at spotting something that requires a transfer to the hospital, way before it becomes an emergency - since they are with you your ENTIRE labor - unlike a nurse down the hall or a doctor that pops in once or twice. In addition, they LISTEN to their patients and take action if the mom feels something isn't right, unlike an OB that tells you everything's fine because the little fetal monitor strip says it is.
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Deleted
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Post by Deleted on May 10, 2011 17:19:39 GMT -5
As an retired NICU nurse I can tell you that we had to admit at least once a month a baby from a home delivery gone wrong. Not too long before I retired, one of those died. We tried to save her but she had inhaled too much junk into her lungs before we even got her. If she had been at the hospital when delivered she would have been sucked out and a little oxygen given immediately at birth and no big deal. So sad. ![:(](//storage.proboards.com/forum/images/smiley/sad.png) was it a planned home birth that the mother (and father) actually were prepared for?
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Deleted
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Post by Deleted on May 10, 2011 17:22:48 GMT -5
During childbirth class I remember the video saying that an emergency OB can get a baby out of you in less than three minutes. I thought to myself that THAT is where I want to be if something goes wrong. The level of skill that that must take is absolutely mind boggling to me. ![:o](//storage.proboards.com/forum/images/smiley/shocked.png) There is no way that an ambulance can get me to the hospital in less than three minutes. I hope your family will at least have the decency not to blame us and sue if you aspiratedif it's a true emergency c-section (remember, most are spinal or epidural anesthesis) they put a breathing tube down your throat. Not nearly the death sentence it's being made out to be. Same thing if you're in a car accident on your way back to the office from lunch. Fair enough, but I do legitmately want to know what would they do if I had shown up after just having eaten a meal. I went into labor at midnight, showed up at 5 am. The odds of me having eaten right beforehand are pretty slim. But what if I had gone into labor earlier than that around a meal time? I had really bad BH's that Thursday afternoon. There was no indication it was actual labor so I ate dinner. What if I had been wrong? Would they make me vomit? Pump my stomach? I get that at the hospital it would be more trouble than it would be worth for them to allow me to eat anything, but what if I had before I arrived? I didn't even know I was 5 cm, I fully expected to be sent home again with BHs because the same thing happened at 35 weeks and they stopped on their own after 4 hours. So what happens if a woman shows up having eaten in a recent time frame? ![???](//storage.proboards.com/forum/images/smiley/huh.png)
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Deleted
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Post by Deleted on May 10, 2011 17:23:07 GMT -5
if it's a true emergency c-section (remember, most are spinal or epidural anesthesis) they put a breathing tube down your throat. Not nearly the death sentence it's being made out to be. Same thing if you're in a car accident on your way back to the office from lunch.
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april47
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Post by april47 on May 10, 2011 17:50:23 GMT -5
Food in the stomach INCREASES the risk due to potential aspiration but no its not a given. It's one thing to take the risk in an emergency where the alternative to surgery is death but foolish to risk your life and a babys life just because you're a little hungry. I have seen an OB postpone till evening a scheduled C/S for morning because mom ate breakfast. The docs don't want to be sued for something so preventable. When a mom pukes during delivery its not much fun for the mom or anyone else. Why increase the odds?
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Deleted
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Post by Deleted on May 10, 2011 17:52:45 GMT -5
Food in the stomach INCREASES the risk due to potential aspiration but no its not a given. It's one thing to take the risk in an emergency where the alternative to surgery is death but foolish to risk your life and a babys life just because you're a little hungry. I have seen an OB postpone till evening a scheduled C/S for morning because mom ate breakfast. The docs don't want to be sued for something so preventable. When a mom pukes during delivery its not much fun for the mom or anyone else. Why increase the odds? Because asking a woman to do the equivalent of climbing a mountain without being able to eat or drink anything increases the chances of being labeled 'failure to progress' which then starts a cascade of interventions (pitocin, epidural, c-section).
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myrrh
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Post by myrrh on May 10, 2011 18:04:41 GMT -5
If you have an epidural or spinal you are awake for the c-section. There is almost no chance of aspiration. It's more likely if they put you completely under (I don't think this is common at all anymore.)
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wvugurl26
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Post by wvugurl26 on May 10, 2011 18:05:33 GMT -5
I've been seeing an allergy doctor since February. Took me a month to get in after my allergies took a serious nosedive in mid January post Vegas trip. By the time I got in there I wanted to claw my skin off it itched so much and I couldn't sleep at night because my breathing got worse at night and I had annoying chest pain. Since then I've had multiple appointments and had a chest ct scan, metabolic panel, ekg, echocardiogram and an appointment with cardiologist.
Nothing came back off any of that. I fully expected to be able to start allergy shots last time I went. Nope, I have to see a pulmonary specialist now who I can't get into until June. In the meantime my allergies continue to make my life hell. The last time they were this far out of control was pre diagnosis when I was 3. The pulmonary consult is annoying me bc the chest pain has gone away and I do believe congestion and all the sinus drainage is the reason I can't get a good deep breath and get winded pathethically easily during exercise. The other stuff I went along with even though I'd had an ekg/echocardiogram come back normal in 2005.
Now I'm just annoyed at the cover your azzness of the whole process. I could land myself in the ER from an allergic reaction before I ever get shots. I do carry epi pens now. Its going to be late July now due to when my followup is scheduled, time to formulate the serum and me having to travel for work the week after I should be starting shots.
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Sum Dum Gai
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Post by Sum Dum Gai on May 10, 2011 18:23:19 GMT -5
Because asking a woman to do the equivalent of climbing a mountain without being able to eat or drink anything increases the chances of being labeled 'failure to progress' which then starts a cascade of interventions (pitocin, epidural, c-section). I remember Loop being on IV fluids for both deliveries, and getting to chew on the ice chips. They just didn't want her eating. She was in enough pain that I don't think she would have wanted to anyway. Of course she was only in labor for 4 hours the first time and 6 the second. Also, there's a difference between enduring pain and climbing a mountain. I've never delivered a baby, obviously, but I have climbed a mountain and had the shit kicked out of me. The caloric requirements for the former are way higher than they are for the latter, and there's a certain pain threshold where most people get nauseous anyway. A more accurate analogy to childbirth would probably be mild torture/harsh interrogation.
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Deleted
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Post by Deleted on May 10, 2011 18:29:40 GMT -5
Because asking a woman to do the equivalent of climbing a mountain without being able to eat or drink anything increases the chances of being labeled 'failure to progress' which then starts a cascade of interventions (pitocin, epidural, c-section). I remember Loop being on IV fluids for both deliveries, and getting to chew on the ice chips. They just didn't want her eating. She was in enough pain that I don't think she would have wanted to anyway. Of course she was only in labor for 4 hours the first time and 6 the second. Also, there's a difference between enduring pain and climbing a mountain. I've never delivered a baby, obviously, but I have climbed a mountain and had the shit kicked out of me. The caloric requirements for the former are way higher than they are for the latter, and there's a certain pain threshold where most people get nauseous anyway. A more accurate analogy to childbirth would probably be mild torture/harsh interrogation. I'm sorry, how many times have you given birth? I wouldn't equate the pain to torture. and in none of my 3 births did I throw up or get nauseous.
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Sum Dum Gai
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Post by Sum Dum Gai on May 10, 2011 18:39:54 GMT -5
How many mountains have you climbed? Laying in bed and enduring pain is nothing like the exertion required to haul your ass and gear up the side of a mountain.
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Deleted
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Post by Deleted on May 10, 2011 18:42:22 GMT -5
How many mountains have you climbed? Laying in bed and enduring pain is nothing like the exertion required to haul your ass and gear up the side of a mountain. I was never 'lying in bed' while in labor. Counterproductive.
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Sum Dum Gai
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Post by Sum Dum Gai on May 10, 2011 18:57:52 GMT -5
OK, fine. Waddling around while enduring pain isn't the same thing as climbing a mountain. Have you ever seen a headline that said 400 pound woman summits Everest? Yeah me neither. I have read news stories about really obese woman giving birth though.
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swamp
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Post by swamp on May 10, 2011 19:36:48 GMT -5
I had 2 perfectly seemingly normal births that both ended up with emergency c-sections. I'm glad I was in the hospital when they made that call, instead of attempting to struggle through it at home. Adn then wait 10 minutes for the ambulance to show up and drive 10 miles to the hospital. ok, I can't let this go. Most childbirth 'emergencies' are not life or death situations. In addition, a midwife is WAY more adept at spotting something that requires a transfer to the hospital, way before it becomes an emergency - since they are with you your ENTIRE labor - unlike a nurse down the hall or a doctor that pops in once or twice. In addition, they LISTEN to their patients and take action if the mom feels something isn't right, unlike an OB that tells you everything's fine because the little fetal monitor strip says it is. DS's head was too big to pass out the birth canal. Is that enough of an emergency for you, you freakin' birth nazi?
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swamp
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Post by swamp on May 10, 2011 19:41:35 GMT -5
if it's a true emergency c-section (remember, most are spinal or epidural anesthesis) they put a breathing tube down your throat. Not nearly the death sentence it's being made out to be. Same thing if you're in a car accident on your way back to the office from lunch. And if the baby can't get out and is starting to show signs of distress, do you consider that an emergency? Do you have to wait until the baby is really, really, really in distress before a c-section is OK? ![](http://i239.photobucket.com/albums/ff155/JiminiChristmas/smileys/75_75.gif)
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wvugurl26
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Post by wvugurl26 on May 10, 2011 19:45:07 GMT -5
If sh!t goes south I'd rather be in a hospital. Things can change very quickly. My mom was in labor with me for over a day and never dilated enough despite drugs. I needed to come out so a c-section it was.
I have a cousin with permanent muscle damage bc she lingered too long in the birth canal.
If you want to give birth at home that's fine. Its not for everyone and I don't blame anyone for wanting to be at a hospital with those resources nearby. I wouldn't advocate home birth as a way to bring down healthcare costs. That's a drop in the bucket compared to all the problems with our system. Yes, its expensive but it costs money to have that stuff I want around there.
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april47
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Post by april47 on May 10, 2011 19:54:39 GMT -5
As an retired NICU nurse I can tell you that we had to admit at least once a month a baby from a home delivery gone wrong. Not too long before I retired, one of those died. We tried to save her but she had inhaled too much junk into her lungs before we even got her. If she had been at the hospital when delivered she would have been sucked out and a little oxygen given immediately at birth and no big deal. So sad. ![:(](//storage.proboards.com/forum/images/smiley/sad.png) was it a planned home birth that the mother (and father) actually were prepared for? Yes, it was planned and there was a midwife present.
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Post by The Walk of the Penguin Mich on May 10, 2011 19:56:34 GMT -5
ok, I can't let this go. Most childbirth 'emergencies' are not life or death situations.
And I'm going to chime in here too. During my sister's third birth (and she would be classified for a home birth, since her first 2 births were easy and uneventful), she delivered and everything was fine.
Then she started hemorraging and in less than 10 min, had lost nearly 2L of blood (I was there watching this and added up her blood loss that the nurse was writing on her scrubs from weighing the blood saturated pads under her). 5 min later, she was in surgery. Fortunately, the epidural was still in place, they hadn't had a chance to remove it.
So, my niece would have been fine.....just she and her siblings would have been left without a mother.
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ruger2506
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Post by ruger2506 on May 10, 2011 20:05:31 GMT -5
I'm thinking the ability of people to have INS that allows them to walk into an ER for something as meaningless as a sliver and have a minimal co-pay or no co-pay at all.
I'm thinking HSA accounts/INS are the wave of the future. Giving people a moment to pause and think about spending their own money vs. going in to an expensive ER/clinic for something they could/should deal with on their own.
On top of that we've had the Dr. prescribe us meds that we were able to get over the counter for 1/3 of the price. It's stuff like that that is making the price of healthcare unrealistic.
People need to be accountable for themselves and their care. Of course looking at all the welfare and bankruptcy threads on here. It seems that's to much to ask.
Perhaps those people should be denied care all together. It's not like there is a world shortage of people. We could do with a few less dumb ones.
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wvugurl26
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Post by wvugurl26 on May 10, 2011 20:12:41 GMT -5
I don't take Allegra anymore as I've been switched to something else. My generic copay was $10/month. It would cost me a lot more than that to go buy a 30 ct of Allegra over the counter and due to the new healthcare laws I can't use my FSA account easily. I think there is a way around it in which I have to get my doctor to write a prescription and then I have to get it at the pharmacy even though they are just giving me the box that's out on the shelf. That's a pain in the azz and time consuming.
But now the makers of Allegra can rake in the money they lost to generic sales and no one will be buying the generic stuff anymore because insurance companies won't cover it. That does suck for those who take it that their insurance company gets out of paying for a medicine they need.
Some of us do think about our healthcare and what we are spending. My ER copay is $100. That's not minimal in my financial world. I'm not the type to run there for the flu or something anyway. And besides I'd be concerned about what else they'd be dragging into the ERs around me this time of the night.
I've spent a whole lot of money on doctor copays and drugs this year trying to get better this is not something I just go along with blindly. In fact I tried going without the expensive eye drops but woke up with my eyelashes matted together. I saw my eye doctor last week for my annual eye exam and asked him about the eye drop thing. He said it is the best one out there and probably the ideal one for my allergies. He is trying me on daily contacts to see if that cuts down on eye irritation from the allergies and all the extra gunk my eyes are making bc of allergies.
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