Barry wants to take my sedatatives away when the dr "violates" me

[PICK3]

wtf???


Study: Colonoscopies often come with costly, unnecessary sedation - HealthPop - CBS News


They're basically giving them a luxury that is not strictly necessary," said study author, Dr. Soeren Mattke, a senior Rand Corp. scientist. That matters because policymakers are trying to rein in rising medical costs

 

[mrplunkey]

Welcome to clinicoeconomics!

It will be the new norm shortly.

 

[PICK3]

Welcome to clinicoeconomics!

It will be the new norm shortly.

I'll bring my own seds from home

 

[mrplunkey]

I'll bring my own seds from home

Hoarding has its advantages.

 

[PICK3]

Hoarding has its advantages.

me thinks the $500 savings will discourage this preventative procedure and cost Uncle Sug moar in the long run



just sayin'


The extra treatment added an average of about $500 to an insured patient's bill in 2009, and $150 to a Medicare bill.

 

[nangiggles]

In CR gastroscopys are done with topical throat anesthesia and wide awake that's what you get with socialized medicine.... needless to say I got mine privately/paying

 

[mrplunkey]

me thinks the $500 savings will discourage this preventative procedure and cost Uncle Sug moar in the long run



just sayin'


The extra treatment added an average of about $500 to an insured patient's bill in 2009, and $150 to a Medicare bill.

That's a key element of the new health care -- curb demand.

 

[nydj66]

wtf???


Study: Colonoscopies often come with costly, unnecessary sedation - HealthPop - CBS News


They're basically giving them a luxury that is not strictly necessary," said study author, Dr. Soeren Mattke, a senior Rand Corp. scientist. That matters because policymakers are trying to rein in rising medical costs

What do you need sedation for? You don't even need lube.

 

[nydj66]

Welcome to clinicoeconomics!

It will be the new norm shortly.

I would think you'd be ok with stripping the unnecessaries out of entitlements.

 

[rotaredometile]

a little versed and fentanyl goes a long way. Propofol and anesthesia supervision are not needed for low risk screening cases.

Spot on.

 

[WoodyO]

The doctor should just spit on your butthole then slide that apparatus right on in Rocco Siffredi style.

 

[mrplunkey]

I would think you'd be ok with stripping the unnecessaries out of entitlements.

I'm against the government even being part of the decision.

If the government simply has to insert itself into health care, I'd vastly rather give the patient a voucher and let them shop for the colonoscopy they want. There are dozens of decisions to make (doc versus PA, sedation or not, inpatient versus outpatient, etc)

 

[PICK3]

There are dozens of decisions to make (doc versus PA, sedation or not, inpatient versus outpatient, etc)

in the stall of Cutter's men's room or outside of it

the possibilities are endless

 

[canadianhitman]

Barry should have to go through all of these procedures without sedation to see just how 'optional' it truly is.

 

[rotaredometile]

Barry should have to go through all of these procedures without sedation to see just how 'optional' it truly is.

Did u read the article?

 

[mrplunkey]

When the study kicked off, 14 percent of these tests included an anesthesiologist. That climbed to more than 30 percent by 2009. The portion of this extra sedation treatment given to low-risk commercially insured patients remained constant during the study and fell slightly in Medicare fee-for-service patients. But the study authors said far too many low-risk patients are still getting this treatment - more than three-fourths of the commercially insured patients and two-thirds of the Medicare group.

To me, nothing screams "quality healthcare" more than not having an anesthesiologist administering my anesthesia.

 

[rotaredometile]

To me, nothing screams "quality healthcare" more than not having an anesthesiologist administering my anesthesia.

Twilight is far from what people think of anesthesia in tthe OR. You don't need an anesthesiologist to give you some versed and fentanyl.

Come on plunk, you're arguing for the sake of arguing.

 

[PICK3]

To me, nothing screams "quality healthcare" more than not having an anesthesiologist administering my anesthesia.

 

[mrplunkey]

Twilight is far from what people think of anesthesia in tthe OR. You don't need an anesthesiologist to give you some versed and fentanyl.

Come on plunk, you're arguing for the sake of arguing.

If your baby was getting twilight anesthesia tomorrow morning, would you want an anesthesiologist in the room or would you be fine with the physician doing the procedure monitoring that as well?

 

[rotaredometile]

If your baby was getting twilight anesthesia tomorrow morning, would you want an anesthesiologist in the room or would you be fine with the physician doing the procedure monitoring that as well?

I'd be fine with it. I've used twilight and ketamine sedation on young children before without the presence of anesthesia. If you can hear a beeping monitor, place an oral pharyngeal airway, and have access to flumazenil and naloxone, it's pretty damn easy. If things get out of hand, I can tube just about anybody and am certified to do so in newborns on up.

The article is talking about low risk screening procedures like colonoscopies, so you're twisting and taking things out of context.

 

[mrplunkey]

I'd be fine with it. I've used twilight and ketamine sedation on young children before without the presence of anesthesia. If you can hear a beeping monitor, place an oral pharyngeal airway, and have access to flumazenil and naloxone, it's pretty damn easy. If things get out of hand, I can tube just about anybody and am certified to do so in newborns on up.

The article is talking about low risk screening procedures like colonoscopies, so you're twisting and taking things out of context.

Which brings up another point...

I'd want propofol if someone is going to stick a scope up my ass and mill around. I'd want lots of propofol and a healthy dose of Versed beforehand just to insure retrograde amnesia.

 

[PICK3]

Which brings up another point...

I'd want propofol if someone is going to stick a scope up my ass and mill around.

I wood settle for dinner and a few cawktails

 

[rotaredometile]

Which brings up another point...

I'd want propofol if someone is going to stick a scope up my ass and mill around. I'd want lots of propofol and a healthy dose of Versed beforehand just to insure retrograde amnesia.

Really? Because it sounds like in the post before, you were worried about safety. How would propofol be safer? Or is it the coolness factor that attracts you?

 

[rotaredometile]

Which brings up another point...

I'd want propofol if someone is going to stick a scope up my ass and mill around. I'd want lots of propofol and a healthy dose of Versed beforehand just to insure retrograde amnesia.

Also, I know a GI clinic in Vegas that would love to scope you with propofol. Gimme your info and I'll hook you up.

 

[PICK3]

Also, I know a GI clinic in Vegas that would love to scope you with propofol. Gimme your info and I'll hook you up.

in

 

[rotaredometile]

in

Ask for Dr Desai!

 

[mrplunkey]

Really? Because it sounds like in the post before, you were worried about safety. How would propofol be safer? Or is it the coolness factor that attracts you?

Propofol in the hands of a really good, attentive anesthesiologist in a state-of-the-art facility is safe enough for me.

 

[Dial_tone]

Which brings up another point...

I'd want propofol if someone is going to stick a scope up my ass and mill around. I'd want lots of propofol and a healthy dose of Versed beforehand just to insure retrograde amnesia.

I'd settle for a couple of White Russians......I mean....

 

[rotaredometile]

Propofol in the hands of a really good, attentive anesthesiologist in a state-of-the-art facility is safe enough for me.

That's what I thought.

 

[PICK3]

I'd settle for a couple of White Russians......I mean....

sounds :geigh: when you say you wood be good to go after a few cawktails



just sayin'

 

[mrplunkey]

sounds :geigh: when you say you wood be good to go after a few cawktails



just sayin'

Indeed.

 

[nangiggles]

Ask for Dr Desai!

LOL 2 of our Dr have that last name....