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	<title>Comments on: ED Abuse</title>
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	<link>http://www.epmonthly.com/whitecoat/2009/04/ed-abuse/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: brighid</title>
		<link>http://www.epmonthly.com/whitecoat/2009/04/ed-abuse/#comment-7727</link>
		<dc:creator>brighid</dc:creator>
		<pubDate>Fri, 03 Apr 2009 20:00:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2345#comment-7727</guid>
		<description>I read that 8 of the 9 had psychiatric diagnoses. Which makes me wonder two things: Given their evidently tenuous grasp on reality, what sanctions against these 8 would actually make a difference in their behavior?

And why in the world hasn&#039;t someone diagnosed the 9th?</description>
		<content:encoded><![CDATA[<p>I read that 8 of the 9 had psychiatric diagnoses. Which makes me wonder two things: Given their evidently tenuous grasp on reality, what sanctions against these 8 would actually make a difference in their behavior?</p>
<p>And why in the world hasn&#8217;t someone diagnosed the 9th?</p>
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		<title>By: SeaSpray</title>
		<link>http://www.epmonthly.com/whitecoat/2009/04/ed-abuse/#comment-7711</link>
		<dc:creator>SeaSpray</dc:creator>
		<pubDate>Fri, 03 Apr 2009 02:35:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2345#comment-7711</guid>
		<description>I meant to say LIFETIME with all medical anywhere.

All my medical appointments/tests,procedures,surgeries,office visits and even pharmacy visits... anything medical combined during my entire life wouldn&#039;t amount anywhere near that number of visits.anywhere..never -ever.

I agree about accountability fostering responsible decisions... one would hope so anyway.</description>
		<content:encoded><![CDATA[<p>I meant to say LIFETIME with all medical anywhere.</p>
<p>All my medical appointments/tests,procedures,surgeries,office visits and even pharmacy visits&#8230; anything medical combined during my entire life wouldn&#8217;t amount anywhere near that number of visits.anywhere..never -ever.</p>
<p>I agree about accountability fostering responsible decisions&#8230; one would hope so anyway.</p>
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		<title>By: SeaSpray</title>
		<link>http://www.epmonthly.com/whitecoat/2009/04/ed-abuse/#comment-7710</link>
		<dc:creator>SeaSpray</dc:creator>
		<pubDate>Fri, 03 Apr 2009 02:29:27 +0000</pubDate>
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		<description>I can not imagine that many visits for a LIFETIME.. NEVER MIND THE ED.</description>
		<content:encoded><![CDATA[<p>I can not imagine that many visits for a LIFETIME.. NEVER MIND THE ED.</p>
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		<title>By: Bianca Castafiore</title>
		<link>http://www.epmonthly.com/whitecoat/2009/04/ed-abuse/#comment-7690</link>
		<dc:creator>Bianca Castafiore</dc:creator>
		<pubDate>Thu, 02 Apr 2009 05:15:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2345#comment-7690</guid>
		<description>When I first saw this, I was hoping against hope that it was an April Fools Joke.</description>
		<content:encoded><![CDATA[<p>When I first saw this, I was hoping against hope that it was an April Fools Joke.</p>
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		<title>By: MysteryMedic</title>
		<link>http://www.epmonthly.com/whitecoat/2009/04/ed-abuse/#comment-7688</link>
		<dc:creator>MysteryMedic</dc:creator>
		<pubDate>Thu, 02 Apr 2009 01:36:56 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2345#comment-7688</guid>
		<description>That also mean there were 2,678 calls to 911 as well in Austin.</description>
		<content:encoded><![CDATA[<p>That also mean there were 2,678 calls to 911 as well in Austin.</p>
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		<title>By: k</title>
		<link>http://www.epmonthly.com/whitecoat/2009/04/ed-abuse/#comment-7687</link>
		<dc:creator>k</dc:creator>
		<pubDate>Thu, 02 Apr 2009 01:21:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2345#comment-7687</guid>
		<description>Revise EMTALA to provide for cash copays up front for Medicaid patients - say, the cost of a pack of smokes or a 40-oz bottle of Mickey&#039;s malt liquor. Maybe more institutions can make use of UCMC&#039;s ED protocols. Perhaps it would be less expensive to institutionalize these frequent fraudsters, since we&#039;re paying for it anyway. </description>
		<content:encoded><![CDATA[<p>Revise EMTALA to provide for cash copays up front for Medicaid patients &#8211; say, the cost of a pack of smokes or a 40-oz bottle of Mickey&#8217;s malt liquor. Maybe more institutions can make use of UCMC&#8217;s ED protocols. Perhaps it would be less expensive to institutionalize these frequent fraudsters, since we&#8217;re paying for it anyway.</p>
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		<title>By: toni</title>
		<link>http://www.epmonthly.com/whitecoat/2009/04/ed-abuse/#comment-7685</link>
		<dc:creator>toni</dc:creator>
		<pubDate>Wed, 01 Apr 2009 22:02:40 +0000</pubDate>
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		<description>Amen.  He is preaching to the choir.  Will anybody in Washington ever listen to the common sense of the people.  Why is everyone entitled to a ER doctor when it is clear some cases are not emergent.  Examples, cancer sores, superficial knee abrasion, pregnancy test wanted, and the many other truly stupid reasons people visit the ER.  Can we have some common sense?</description>
		<content:encoded><![CDATA[<p>Amen.  He is preaching to the choir.  Will anybody in Washington ever listen to the common sense of the people.  Why is everyone entitled to a ER doctor when it is clear some cases are not emergent.  Examples, cancer sores, superficial knee abrasion, pregnancy test wanted, and the many other truly stupid reasons people visit the ER.  Can we have some common sense?</p>
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		<title>By: ERP</title>
		<link>http://www.epmonthly.com/whitecoat/2009/04/ed-abuse/#comment-7684</link>
		<dc:creator>ERP</dc:creator>
		<pubDate>Wed, 01 Apr 2009 21:52:19 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2345#comment-7684</guid>
		<description>They are called &quot;Heavy ER Users&quot; and suck up  a vast majority of an ER&#039;s resources. I remember there was a story out of Camden, NJ last year about these types.</description>
		<content:encoded><![CDATA[<p>They are called &#8220;Heavy ER Users&#8221; and suck up  a vast majority of an ER&#8217;s resources. I remember there was a story out of Camden, NJ last year about these types.</p>
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