Hospital Forms

Because unlike many countries we don’t have a national ID. Efforts to institute one have failed for a variety of reasons, but mainly those having to do with privacy and government surveillance. It would also likely be unconstitutional.Such an identifying number is useful for sharing medical data between labs, practices and hospitals. It is also necessary for bill collecting. Without a national ID the social security number is used as an alternative since nearly everyone needs to be registered with the Social Security Administration.

No. The portability act makes things a bit more cumbersome. An app that all health systems can use interchangeably is where things may be going but have not signNowed that level of access yet… you're asking for a web site to store all of your data and all hospitals to subscribe.

Recently I have come across a possible scam about counterfeit/fake products in India. Counterfeit/fake products are nothing new to Indian Society. These products are easily available in markets like Pallika Bazar (Delhi), Fashion street (Mumbai) etc. You can get first copy products of many branded companies included Puma, Nike, Adidas, Reebok (shoes, t-shirts etc), Micheal Kors, Guess (hand bags, Purse). There are markets where you can easily get copies of branded wrist watches and even perfumes. But people who buy products from these markets are aware of the fact that these are duplicate products.No, No… This is not the scam I am talking about. The scam starts from next level. It involves giant e-commerce websites including Snapdeal. The people who lives in India are pretty much aware of this e-commerce website and the discounts which it offers on multiple products including clothing, electronics and many other things.Recently, I was surfing on Facebook, then there was an advertisement regarding sales on Nike Shoes. It obviously got my attraction. I was amazed to see the discounts on shoes. Some discounts were close to 60% of the market value. It was a great deal. I thought of giving it a try because I did not want to miss the deal. And I am sure many people like me might have got attracted to same deals and bought the shoes from the website. I received the product within 3 days. When I opened the package, I was shocked to see that the shoes were duplicate (I am a regular user). I showed it to one of my friends, he told that “Shi to hai yaar, tujhe aise hi lag rha h” - (It is good bro, you are having false doubts). But still I wanted to get it tested from official Nike store to confirm. I visited the Nike store and they confirmed my doubt. The shoes were fake. I contacted Snapdeal regarding this problem. They told me that I can return the product and they would be refunding my money. But then I asked, what are you going to do to seller who is sending fake products using your website. He replied with standard answer - “We will look into this matter. We take extreme care before onboarding any seller. Blah Blah…..!!!” He even told me that the seller was Authorised Nike Dealer.Then, I understood the whole concept behind the huge discounts on branded materials. These websites are full of such kind of sellers. The sellers provide huge discounts on branded products (though they are cheap fake products which are easily available in market at no more than Rs. 500–700). They sell these products at Rs. 2000–3000 by showing the original price equivalent to Rs. 6000–10000 (Equivalent to original prices in showrooms). This is how these sellers are looting people by selling them fake products. It it hard to notice if the products received are fake or original for new users as they look exactly the same in every manner. Since they are coming from a trusted channel (like Snapdeal), nobody sheds a doubt and may take them as original.Now, you must be thinking why these website allow such sellers on their websites. The reason is simple, it increases the number of sales on their websites and WHO DOES NOT WANT THAT. After all, the investors are looking for these sales figures.I hope you understood the scam. Beware when you buy such items from e-commerce websites. You might be their next victim.Here are few tricks to avoid buying fake products:When you are buying from these website, look at the original price on which discount is being applied and the visit the official website of that brand. If the price is same, then it may or may not be original but if the price is different, I would suggest you to stay away from that product.Whenever you buy expensive branded products, just get it confirmed from an official store (if you can). It is completely useless to throw away your money on fake products unknowingly.Here some photographs related to this incident:Link to the product on Website: Nike Air Max 2017 Running ShoesLink to the Product on Nike Website: Look what I found at Nike online.

Quite a few actually.No idea why we have a full 6 months extra for year 2. Absolute waste of time. Can trim the course to 4+1 years.No emphasis whatsoever on clinical medicine.No training in First Aid, basic surgical skills, critical care scenarios prior to joining internship, they just ask for a BLS at the “end” of internship. Not really sure how BLS will help after finishing the whole internship.Too much emphasis on non clinical gross anatomy rather than practical application to surgery. No wonder kids in year 1 MBBS fear anatomy as a monster.Exam pattern is too subjective. Have a good handwriting and draw few random cartoons, you get good marks. RIP logic.You realise your whole 4 and half years’ medical training is absolute trash once you start working in the hospital as an intern when you don't even know ABC for a trauma patient.Too much emphasis on how to describe a lump in surgery rather than discussing meaningful imaging and operative plan.Useless discussions on whether the power of a limb was 2/5 or 3/5 rather than discussion on how to optimise a stroke patient and deal with his rehab.People are just worried about all the anomalies of a gall bladder but have no clue how to position a patient for lap cholecystectomy.No freakin guidelines on when to use blood or antibiotics leading to complete wastage of resources and antibiotic resistance.Pharma talks at length about difference mechanisms of drugs but you end up with no clue as to which inotrope to use during sepsis.A few peripheral elective postings like radio, dermat shoo away medical students, effectively limiting the imagination in that direction. I heard people say “You don't know anything, why do you even come?” I was like “I thought we are supposed to learn stuff here”.Too much focus on teaching all the causes of pancreatitis but having no idea how to hold a difficult conversation with a patient’s relative.Denying the importance of imaging like CT and MRI and emphasis on plain X rays as you are too “junior” for this stuff. But right at the start of internship, you are supposed to know when to order a CT scan for head injury. What????Practical exams are another big joke. All you need to do is get the long case discussion right and you stand a good chance to pass. By the same token, have a horrible initial discussion and it will scar your performance for the day. No second chance ?Faculty suggesting outdated and irrelevant books like Hutchinson which are of absolutely no use in present times. Older edition was good maybe.Emphasis on outdated clinical examination techniques. No one really does all the fancy varicose veins tests now as there was little evidence to support their use in routine practice. Further we are completely oblivious of the use of bedside doppler which is a far greater useful tool.Guy learns in and out chest anatomy in year 1 MBBS but doesn't know how to place a chest drain in safe triangle.Beautiful subjects like forensic med are reduced to clown by teaching them in closed classrooms with old, image-less PPTs which can be mind numbing rather than involving the students in a post mortem session or showing practical applications.Precious time is lost reading biochem from satyanarayan as reading lippincott doesn't help you through exam questions, while the other book puts across basic fundamentals of clinical importance.Same story with Cunningham and Guyton, don't really know why the faculty was big on these but I found them thoroughly useless for any purpose.I could go on but I made peace with the fact that the system in its current form can't be changed.You just let go of it and build yourself up the way you want.I keep hearing news of changes in curriculum and other related BS but practicality is far less and I don't think this is going to change anytime sooner.

Because single payer plans like the UK’s NHS and Canada’s national healthcare system are running into the same exploding financial problems that the United States is having due to the tremendous costs of new technologies and new expensive drugs. Those systems are not handling the growth in expenses well either.But they react differently. Instead of rapidly building new facilities and installing new high tech machines as occurs in every city in the United States, the UK and Canada slow things down with budget creep. They can’t commit political suicide with huge tax increases that would hurt their economies so they incrementally pass increases. That signNowly delays but doesn’t prevent new technologies coming into play (Most cities in the US have more MRI and PET scanners than entire Canadian provinces.It’s a form of government rationing because budget restrictions create a shortage for everyone in the system, resulting in waiting lists that some patients never get off. Their citizens mostly accept that for non-emergencies because fortunately, as in the US, most people don’t require sophisticated or advanced medical care. When they cannot accept it, they leave the system and fund their own private healthcare.Before Obamacare, more than 85% of Americans expressed approval of their healthcare. That number has fallen somewhat but still represents a sizable majority.Most Americans don’t want what a federally run program would entail. They don’t want their options reduced. They don’t want to be put on waiting lists. They don’t want to lose their choice of physicians and hospitals. They don’t want bureaucratic layer upon layer getting in the way of their healthcare. In short, they don’t want what Medicaid patients currently get. They also don’t want what we’ve been hearing that a signNow number of American’s veterans get.Many Democrats say they want Medicare for all. Medicare simply doesn’t pay the bills of hospitals and doctors. Medicare exists at it’s current high level of care because a signNow part of the care is cost shifted from the 170 million Americans who have employer based health insurance.I’ve used Nobel Prize winning liberal economist Paul Krugman’s response to Bernie Sanders’ Medicare-for-All plan time and time again. Krugman was a big supporter of Obamacare and also of Hillary Clinton’s candidacy. So here goes again:My column and Bernie Sanders’ plan crossed in the mail. But the Sanders plan in a way reinforces my point that calls for single-payer in America at this point are basically a distraction. Again, I say this as someone who favors single-payer — but it’s just not going to happen anytime soon.Put it this way: for all the talk about being honest and upfront, even Sanders ended up delivering mostly smoke and mirrors — or as Ezra Klein says, puppies and rainbows. Despite imposing large middle-class taxes, his “gesture toward a future plan”, as Ezra puts it, relies on the assumption of huge cost savings. If you like, it involves a huge magic asterisk.Now, it’s true that single-payer systems in other advanced countries are much cheaper than our health care system. And some of that could be replicated via lower administrative costs and the generally lower prices Medicare pays. But to get costs down to, say, Canadian levels, we’d need to do what they do: say no to patients, telling them that they can’t always have the treatment they want.Saying no has two cost-saving effects: it saves money directly, and it also greatly enhances the government’s bargaining power, because it can say, for example, to drug producers that if they charge too much they won’t be in the formulary.But it’s not something most Americans want to hear about; foreign single-payer systems are actually more like Medicaid than they are like Medicare.And Sanders isn’t coming clean on that — he’s promising Medicaid-like costs while also promising no rationing. The reason, of course, is that being realistic either about the costs or about what the system would really be like would make it a political loser. But that’s the point: single-payer just isn’t a political possibility starting from here. It’s just a distraction from the real issues.Health Reform Is HardHospital waiting lists at seven-year high as 3.4m need treatment193,000 NHS patients a month waiting beyond target time for surgeryhttp://www.telegraph.co.uk/news/2017/03/30/hip-knee-surgery-waiting-lists-lengthen-nhs-focus-ae-cancer/Hip and knee surgery waiting lists to lengthen as NHS focus on A&E and cancer careNHS Health Check: Hospital op 'long waiters' rise by 163% - BBC NewsCanada lags G7 in cost-saving IR proceduresHealthcare wait times hit 20 weeks in 2016: reportWaiting Your Turn: Wait Times for Health Care in Canada, 2015 ReportCanadians increasingly come to US for healthcare: https://www.usnews.com/news/best...

I think I have a somewhat unique perspective on this. I am originally from London and lived in the UK for 42 years. I have lived in the US for over 10 years and I am a Health Insurance Agent. The US has some wonderful hospitals and doctors. Without any doubt if you are wealthy or have good insurance you can receive some of the best healthcare anywhere in the world. However.You could lose your health insurance for just being sick. Yep that’s right. You are working and get seriously ill. You do not get statutory sick pay. So your employer may just replace you and drop you from your health insurance. There is a provision called COBRA that allows you to keep the insurance as long as you pay both your portion as well as the employers portion, oh and a couple of % for admin. What Bollocks! You're ill, you're fired and to add insult to injury you are charged more. This sounds like a fairy story. A one in a million chance. Nope, it happens all the time.In the 42 years I was in the UK. I broke a pelvis, broken arm. 4-inch cut wrist. Cutting tendons and artery in arm. Operation on throat. All that was before I was 12. Add to that doctors visits a serious traffic accident, helicopter evac with blood transfusion. I would say that I have come in contact with the NHS.I have seen both countries’ systems close up. I would gladly choose another profession and have the NHS in the US. Shocking, right? Well not really, you see the 42 years I spent in the UK made me understand that if we are all covered by health insurance it makes it cheaper and far better for everyone including me.The main reasons Americans cannot seem to wrap their head around it are: ignorance, political bias and stupidity. Also the total belief that if it is not done in USA it can’t be any good. You do not realize how good the NHS is until you no longer have it. Rule Britannia!

Hospitals attach those matching bracelets on mom and baby. However, I was still given the wrong baby!This was 2001 in a reputable hospital near Philadelphia. It was my second child so I knew the drill. A few hours after birth they took my son for tests and whatnot. I slept a little and woke to the nurse bringing him into my room. She told me he was doing well but was still spitting up a lot of mucus. Then she left. I thought, still? he hadn’t been mucusy when he left. He was wrapped completely in blankets with only his gorgeous little face visible. He started to whimper so I picked him up and thought I would try to nurse him a little. The whimper turned to a cough and then he began to choke on that mucus. I was alarmed. I turned him over, gently tapping on his back. Pressed the nurse button. A prickly feeling that something wasn’t right began to grow. As I patted the baby I quickly scanned the card on the bassinet. It said Andrew. I hadn’t named the baby yet, but Andrew had been a contender. I wondered if it was possible my husband had told them his name was Andrew without speaking to me? Decided it wasn’t likely. Andrew is still choking, I press the nurse button again. Then turn him slightly to see his ears. They were both perfect. My baby had had a strange fold in one ear. Now I know definitively that I am holding someone else’s baby, and this someone else’s baby is choking in my arms. All this takes places in seconds. As I’m about to go into the hallway on my rickety post-delivery legs to find help, the nurse rushes back in. She says she realized what she had done. She takes the baby. Resolves the choking (I don’t remember how). Apologizes. Apologizes again. I ask her if my baby is with Andrew’s mom? She says, no, no. But I can’t tell if she’s lying. She leaves and comes back a few moments later with my unnamed, ear-deformed, but otherwise perfectly healthy baby. I don’t tell anyone about the mix-up except my husband, but we don’t let baby leave my room without us after that. We decide not to name him Andrew.Baby Not-Andrew and his strange ear

Small anecdote.When I worked in USA, I fell and broke my jaw. I could not go straight to the ER because I was leading an expedition along part of the AT.I went to the ER when I got back, I presented them with my insurance card, and they took x rays, and provided care.Then, I found out that my insurance would not cover this, because my injury was one covered by “workers comp” which is when your employer is liable for the cost of medical treatment based on their insurance for employees injuries at work.THEN I found out that I couldn’t claim on workers comp because you have to report the incident within 12 hrs. Which is not possible if you are trekking through wilderness with no means of communicating (this was pre mobile phones)After a YEAR of discussion and disagreement, I wound up having to pay for the treatment myself. Out of pocket. Despite having several million dollars worth of cover on my insurance. Despite not having done anything negligent.Several years later, I had occasion to claim on my medical insurance in the USA again. Again, I presented my insurance card, and received treatment. AGAIN I ended up having to have extended discussions with my insurer, who, in this instance EVENTUALLY covered the expense.When I am in the UK, however, I simply arrive at a hospital, get treatment, and go home, safe in the knowledge that, unless I need further treatment, which I also won’t have to worry about the cost of, I need never worry about it again.I mean, OK the staff in USA were usually NICER to me (NOT always, I have received some amazingly kind and warm care in UK, even just as the visitor of a patient), but, the statistical outcomes in USA are actually worse, the faff to get anything covered even if you ARE insured, and the fact that unless you can afford health care in the USA you are deemed not to deserve any, means that no, I would much rather the UK system.

First, I would eliminate normal civil marriage. We need to start everyone out on a level playing field. I would eliminate a lot of the federal benefits of marriage; there is no reason why that one lifestyle should be privileged over others.Then, I would take the most important marriage rights; medical power of attorney, financial power of attorney, inheritance, hospital visits, financial sharing, benefits beneficiaries, etc., and list them on a long piece of paper with check boxes. People who want to get "married" could go to a clerk and fill out the boxes with the rights they want to designate to that person. They would be able to fill out multiple boxes for multiple people; for those rights that could come into conflict (like power of attorney), the form with the most recent date would overrule others if the bearers disagreed on something. Forms could also be voided at the grantee's discretion. Children should be handled completely separately from marriage. Biological parents (who are on the birth certificate) already have certain established rights and I think that works well. I think that the biological parents should also be able to designate secondary custodians (similar to how grandparents have certain rights with regards to their grandchildren in some states) as they choose; it would take both parents to grant such rights, but they should not be able to revoke them without proving the association is harmful to the children.

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