a**********2
发帖数: 3726 | 1 Has anyone been working in an inner city hospital, with the majority of
patients being druggies, multiple comorbidities, last minute ER seeking,
really really sick, and not speaking English?
What are you guys' opinion?
Before, I thought every one should be offered free medical care, it's a
right. Now, after I have seen so many patients who never ever take care of
themselves and we have to spend so much money and human resources saving
their (druggies, alcoholics, etc) lives, but they take it for granted and
continue their vicious lifestyle, I realize American healthcare system is
totally a failure. We spent so much of tax payers' money on many people who
literally do not deserve it. It's pathetic! | M****a
发帖数: 577 | 2 I am doing a rotation at a County Hospital now. I have to say I love every
minute of it, well, maybe except when I have to fill out some dumb paperwork
, which is the bane of my existence as a junior resident after all. The
patients are poor and most of them have no insurance. And apparently most of
them don't know how to take care of themselves. But they are so easy to
deal with and so appreciative of what you do to them. They are the polar
opposite of the bourgeois I see in the university hospital.
No one wants to be in the situation they are in. They know that too. But
when you are stuck in the "vicious life cycle", the last thing you want to
happen is for someone to take away the safety net that you can hopelessly
fall onto. Not English-speaking is not their fault. We didn't speak English
when we were born, remember? When I drag my intern or nurse to interpret for
me, that's the moment that I feel I am at fault for not learning to speak
Spanish in the past 10+ years.
Live and let live. At some point in life, you'll hope someone do the same
thing to you. | J****7
发帖数: 125 | 3 Yes. Sometimes people don't have a choice. Or they just simply don't know
there is another way of living.
paperwork
of
【在 M****a 的大作中提到】
: I am doing a rotation at a County Hospital now. I have to say I love every
: minute of it, well, maybe except when I have to fill out some dumb paperwork
: , which is the bane of my existence as a junior resident after all. The
: patients are poor and most of them have no insurance. And apparently most of
: them don't know how to take care of themselves. But they are so easy to
: deal with and so appreciative of what you do to them. They are the polar
: opposite of the bourgeois I see in the university hospital.
: No one wants to be in the situation they are in. They know that too. But
: when you are stuck in the "vicious life cycle", the last thing you want to
: happen is for someone to take away the safety net that you can hopelessly
| a**********2
发帖数: 3726 | 4 I agree with you. The thing that bothers me is that it seems that they are
abusing this system. Since they have no insurance, they don't pay a penny
for anything. So after they are discharged, they continue drinking, using
drugs, etc, because they know when they become sick again, they can come
back to er again and get FREE everything. | A*******s
发帖数: 9638 | 5 A nice statement. The poor people could be one of us, and they need
necessory medical care.
I agree current medical system has its limit, sometime stupid. One patient
was just discharged from hospital with a prescription of seizure meds. The
patient could not refill the meds because he has no transportation to
pharmacy, 3 days later, he has more seizures and family wants to call 911 to
sent him back to ER. The fact is: The ambulance service to ER is "free",
but a Taxi trip to pharmacy costs money.
Why at discharge the patient did not get the prescription filled in hospital
? The answer is: the hospital is not allowed to have an outpatient pharmacy
or have to have a different license.
paperwork
of
【在 M****a 的大作中提到】
: I am doing a rotation at a County Hospital now. I have to say I love every
: minute of it, well, maybe except when I have to fill out some dumb paperwork
: , which is the bane of my existence as a junior resident after all. The
: patients are poor and most of them have no insurance. And apparently most of
: them don't know how to take care of themselves. But they are so easy to
: deal with and so appreciative of what you do to them. They are the polar
: opposite of the bourgeois I see in the university hospital.
: No one wants to be in the situation they are in. They know that too. But
: when you are stuck in the "vicious life cycle", the last thing you want to
: happen is for someone to take away the safety net that you can hopelessly
| r*****1
发帖数: 805 | 6 Touched by Micasa's experience, although ur sharing is always illustrating.
My thoughts from a short period of ob are similar to April. As we met four
diabetic osteomyelitis cases that the patients are at their 30-50s, and don'
t care about amputation of toes/foot; three factitious disease pt, one of
which is an African American with AIDS comes here only for another dialysis
because the registered hospital is far away from where he lives. We can
rarely see these situations in hospitals@ China, which is a waste of time,
money, and energy for the medical system | n***a
发帖数: 1373 | 7 Feel the same. But Nothing we can do but to treat them. I guess alcohol
abuse and drug abuse are diseases too. They still deserve to live. Anyway
don't think too much.
【在 a**********2 的大作中提到】
: I agree with you. The thing that bothers me is that it seems that they are
: abusing this system. Since they have no insurance, they don't pay a penny
: for anything. So after they are discharged, they continue drinking, using
: drugs, etc, because they know when they become sick again, they can come
: back to er again and get FREE everything.
| W***2
发帖数: 60 | 8 这个帖子应该火， 我来填把柴。
1. 理想的社会是强者帮助弱者而不是相反。 穷人不管如何都是弱者。所以不能不管。
2. 作为世界第一经济大国，美国实际上医疗做的不好。 美国花了很多钱但是没有办好
事是由于其他的原因，不是因为我们给穷人免费看病了。实际上穷人没有机会真正看病。
3. 正是由于美国政府给了穷人一些最基本的生存保证，美国穷人才没有造反。中产阶
级的小区才能够和谐安宁。要不然美国政府不知道要花多少钱去维稳。
4. 人的将来很大程度上是有生存的环境决定的，个人努力的成分很小。 就像match上
的诸位， 90%以上是运气。 我山里大舅的儿子聪明伶俐。在他面前我就是一个弱智，
但他小学没毕业就得劳动。同理美国的穷人出生就是贫民窟，我们无法要求他们有
healthy life style.
5. 正是有了美国的穷人， 我们这些狗屁都不懂的住院医才有了学习机会。他们绝大多
数人对我们都很恭敬，很appreciate。 相反如果你问中产阶级的妻子们：Can you
please allow my intern to do a vaginal examination? 看看他们如何回答。
6. 作为医生，很正常有楼主的困惑。 实际上很多我接触的医生都有，但做事的时候都
心平气和，尤其是老医生。很油条。
|
| b***u
发帖数: 746 | 9 you guys are talking about 2 sides of the same coin. Nothing is simple,
although you can treat it the simple way. When you are a doctor, try your
best to help every patient, no matter they are poor or rich, nice or vicious
, after all, you are dealing with your own emotion, this is called 'counter-
transference'. You shall know the system, so that you can work with it. If
you want to change it, be a politician, I am not saying it in a sarcastic
way, actually, I think we CMGs lack of people who has this potential, so it
will be great someone pursue this route. | l**n
发帖数: 60 | 10 其实公立医院还是有必要的，因为中产阶级破产的第一原因就是医疗账单。一个大学教
授算是中产阶级了吧，但是一个大学教授生病了不能去上班，失去了医疗保险就只能到
公立医院来看病，你说他难道是从小就穷，出生在贫穷的环境里面?不是吧，人家还是
COLUMBIA大学的PHD毕业，估计生活环境比一般的人还好一些，但是有什么办法，生病
了就失去工作，公立医院就是他的唯一去处。不要以为医生就比他好了，医生不是一样
的，都是有工作才有保险，你要是有一天生大病了，不能上班，照样得上公立医院。穷
人是不如有钱人会照顾自己，但是他们也很少COMPLAIN啊，有钱人屁大点事情就MAKE A
BIG DEAL就要COMPLAIN甚至告你，不是说穷人就不告你了，但是没有有钱人那么多。
其实说句心里话，穷人病人比有钱病人可爱，对于医疗工作者来说。 | | | H****B
发帖数: 33 | 11 Soldiers are sent to the silly unjust wars all the time. Guess what, just
deal with it.
Just thank God, the inner cities provide most of the residency spots. Just
thank God, we got practically free education and did not have to serve our
time. Just Thank God for living in a country that gives us the cleanest
environment, the best education, the best health care, a country nobody can
bully, a passport most countries can let us in freely or by a few clicks on
the internet, a country that has been progressively improving on all fronts,
a country that is most productive, has the most and biggest corporations
that take money from everyone else in the world, take the goods produced at
the most expense of environments on the turfs of others and the lowest cost
of labor elsewhere.
Life is no fair and stop whining. I am generally amazed at how unhappy
people can get even though they take a lot more from the society, from
others and take it for granted for what they have. | f*****w
发帖数: 1451 | 12 不太同意你的一些观点.
我们不是出生就会英语,所以需要学习.而不是就躺在那里等着别人给饭吃.如果人人都
那样,社会还会进步吗?
也不是所有的病人都appreciate你的.见了太多太多的drug seeker, alcoholism,堂而
皇之的获得医治,不为自己的人生和作为感到惭愧,反而会把他们所有的仇恨都放在医护
身上,稍有不满就大吵大闹,不给methadone都从早骂到
晚.
人都有感情,有恨有爱.
在美国行医,确实和中国很不一样,不过也是一种锻炼.学会了不管什么情况下保持理智,
不对病人judge,或者就算心理judge了,但是不会因此而在对他的care上打折.....就好
了.
paperwork
of
【在 M****a 的大作中提到】
: I am doing a rotation at a County Hospital now. I have to say I love every
: minute of it, well, maybe except when I have to fill out some dumb paperwork
: , which is the bane of my existence as a junior resident after all. The
: patients are poor and most of them have no insurance. And apparently most of
: them don't know how to take care of themselves. But they are so easy to
: deal with and so appreciative of what you do to them. They are the polar
: opposite of the bourgeois I see in the university hospital.
: No one wants to be in the situation they are in. They know that too. But
: when you are stuck in the "vicious life cycle", the last thing you want to
: happen is for someone to take away the safety net that you can hopelessly
| f*****w
发帖数: 1451 | 13 plus, you should know that you are not supposed to let your nurse or intern
to intepret for you......you should always use a medical trained intepretor..
lol
paperwork
of
【在 M****a 的大作中提到】
: I am doing a rotation at a County Hospital now. I have to say I love every
: minute of it, well, maybe except when I have to fill out some dumb paperwork
: , which is the bane of my existence as a junior resident after all. The
: patients are poor and most of them have no insurance. And apparently most of
: them don't know how to take care of themselves. But they are so easy to
: deal with and so appreciative of what you do to them. They are the polar
: opposite of the bourgeois I see in the university hospital.
: No one wants to be in the situation they are in. They know that too. But
: when you are stuck in the "vicious life cycle", the last thing you want to
: happen is for someone to take away the safety net that you can hopelessly
| M****a
发帖数: 577 | 14 这个话题要说就扯远了。
社会进步有其自己的惯性，不能说考了版当了医生就成了社会进步的动力，失业了或者
压根就不上班就是在拖社会的后腿。一个普普通通的打工的，你可以觉得他/她是混日
子吃救济，但是对他/她来说，也许人家要养孩子，也许家里有个残疾的家属，或者其
他什么的，无论如何，比上一代已经算进步了。
当了医生，认为自己比较精英了，这没有错，但是别人也许觉得没啥，比如硅谷的老板
，比如其他种族的种族主义者，比如住在长岛的old money。他们也许认为自己才是社
会进步的动力，其他人都是社会的蛀虫。
所以对别人judge来judge去，其实是个slippery slope，自己总有被别人judge的时候。
智,
【在 f*****w 的大作中提到】
: 不太同意你的一些观点.
: 我们不是出生就会英语,所以需要学习.而不是就躺在那里等着别人给饭吃.如果人人都
: 那样,社会还会进步吗?
: 也不是所有的病人都appreciate你的.见了太多太多的drug seeker, alcoholism,堂而
: 皇之的获得医治,不为自己的人生和作为感到惭愧,反而会把他们所有的仇恨都放在医护
: 身上,稍有不满就大吵大闹,不给methadone都从早骂到
: 晚.
: 人都有感情,有恨有爱.
: 在美国行医,确实和中国很不一样,不过也是一种锻炼.学会了不管什么情况下保持理智,
: 不对病人judge,或者就算心理judge了,但是不会因此而在对他的care上打折.....就好
| f*****w
发帖数: 1451 | 15 我觉得你是曲解了我的意思.我的原意并没有说觉得自己做了医生就是社会的动力了,就
怎么样,而别人就是蛀虫了...而且你还进一步歪曲了,说那些普通人家都是蛀虫了...
这个帖子的原本意思是那些拿着社会救济,而自己却吸毒,酗酒,根本不工作,也不想工作
的人的吧...
而且我说的我们原本不回英语,本就是针对你的论调"那些人不说英语没关系,我们本来
也不是天生就说英语的..."
不过如果你的理解能力有问题,那说的再多,也徒增争吵,还是各自保留意见好了.
候。
【在 M****a 的大作中提到】
: 这个话题要说就扯远了。
: 社会进步有其自己的惯性，不能说考了版当了医生就成了社会进步的动力，失业了或者
: 压根就不上班就是在拖社会的后腿。一个普普通通的打工的，你可以觉得他/她是混日
: 子吃救济，但是对他/她来说，也许人家要养孩子，也许家里有个残疾的家属，或者其
: 他什么的，无论如何，比上一代已经算进步了。
: 当了医生，认为自己比较精英了，这没有错，但是别人也许觉得没啥，比如硅谷的老板
: ，比如其他种族的种族主义者，比如住在长岛的old money。他们也许认为自己才是社
: 会进步的动力，其他人都是社会的蛀虫。
: 所以对别人judge来judge去，其实是个slippery slope，自己总有被别人judge的时候。
:
| f*****w
发帖数: 1451 | 16 plus,'当了医生,认为自己比较精英了...'
我的帖子没有一个地方透露了这个意思,也许是说者无心,听者有意了吧.
普普通通打工的,好歹还在打工,争多挣少都值得尊敬.....从来没觉得人家是在混日子
拿救济..
候。
【在 M****a 的大作中提到】
: 这个话题要说就扯远了。
: 社会进步有其自己的惯性，不能说考了版当了医生就成了社会进步的动力，失业了或者
: 压根就不上班就是在拖社会的后腿。一个普普通通的打工的，你可以觉得他/她是混日
: 子吃救济，但是对他/她来说，也许人家要养孩子，也许家里有个残疾的家属，或者其
: 他什么的，无论如何，比上一代已经算进步了。
: 当了医生，认为自己比较精英了，这没有错，但是别人也许觉得没啥，比如硅谷的老板
: ，比如其他种族的种族主义者，比如住在长岛的old money。他们也许认为自己才是社
: 会进步的动力，其他人都是社会的蛀虫。
: 所以对别人judge来judge去，其实是个slippery slope，自己总有被别人judge的时候。
:
|
|
