Can a first year med student legally treat patients without direct Dr. oversight?
Posted 25 December 2012 - 03:12 AM
Posted 25 December 2012 - 03:19 AM
Posted 25 December 2012 - 04:41 AM
Edited by chbare, 25 December 2012 - 04:44 AM.
Posted 25 December 2012 - 05:56 AM
Dylan needs a speech therapist, occupational therapist, has a trainer at the gym. All really, really important to help him participate in his life to the best of his ability and desire. Do you, as his dad, take all of those things away for a $10k cardiac work-up (making assumptions, but, as a clinic visit was a thousand bucks it's probably not far off...) to ease your mind, or try and be more conservative as long as possible when perfusion issues don't appear to accompany the other symptoms...Because there is certainly no way that I can accept that bill and still keep those services.
Not whining, or defending really, just explaining my reasoning. I know the choice that I made, but I'm truly curious about the choices of others...Maybe there are options here that I'm not seeing? I've gotten jammed up by being sensitive to those patients that explained that they couldn't afford a huge hospital bill unless I was really certain that they were in danger..that it would be life altering to be transported for tests to rule out issues...and I get that completely, several times having the family drive them when I felt it was likely non critical, and following them to the ER in the ambulance in case I was wrong.
It's really easy, and makes us feel good to say, "Where our health is involved money should never be considered..." But real life, for me anyway, isn't like that at all. Every dollar I spend on me means that something gets taken away from Babs or Dylan (figuratively speaking)...And to take the therapists away from Dylan could be life altering for him. (Therapists are wicked expensive, but really valuable.) Sure, losing me would be life altering...but I was playing the odds the best way that I knew how...
Again, I'm not whining. I've chosen this career, created that amazing boy, and have chosen, along with Babs of course, to be a single income family. So I'm not pretending to be a victim of the system, just explaining that for me there really isn't a realistic system beyond basic medical needs. Significant non emergent tests and treatments are for those well above or below me financially.
If this was your (speaking to all willing to participate) issue, all family, age, financial, historical issues as described in this thread...what would you do?
Posted 25 December 2012 - 06:23 AM
In the spirit of full disclosure, I developed severe right sided chest pain and dyspepsia intermittently when I'd lay down at night several months ago. I was working a few part time jobs without benefits and could not seem to get coverage due to pre-existing conditions (minor for myself). I took a chance and figured it was likely Gi and I waited. Currently doing quite well with a possible hiatel hernia with symptomology that is well controlled on a PPI.
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