Recently I was reading an article on Propublica.com. The article stated a mother was offered the chance to have her 5 year old daughter's ears pierced while she was under general anesthesia for another procedure. The mom thought that was a nice offer by the surgeon and agreed, only to receive a bill for $1877 from the hospital for the procedure which was not covered by insurance.
From the article:
Only months later did O'Neill discover her cost for this extracurricular work: $1,877.86 for "operating room services" related to the ear piercing — a fee her insurer was unwilling to pay.
At first, O'Neill assumed the bill was a mistake. Her daughter hadn't needed her ears pierced, and O'Neill would never have agreed to it if she'd known the cost. She complained in phone calls and in writing.
The hospital wouldn't budge. In fact, O'Neill said it dug in, telling her to pay up or it would send the bill to collections. The situation was "absurd," she said.
"There are a lot of things we'd pay extra for a doctor to do," she said. "This is not one of them."
Kelley and the hospital declined to comment to ProPublica about the ear piercing.
Surgical ear piercings are rare, according to the Health Care Cost Institute, a nonprofit that maintains a database of commercial health insurance claims. The institute could only find a few dozen possible cases a year in its vast cache of billing data. But O'Neill's case is a vivid example of health care waste known as overuse.
Now I will be the first to admit that overcharges occur in hospitals routinely. The part of the whole article that I found mildly amusing is… the procedure the 5 year old was in for? A simple lingual frenectomy. Now perhaps there is more to the story as far as management goes. Perhaps the child is very frightened & difficult to control without general. Perhaps there is more to this than meets the eye. However, if this was a routine lingual frenectomy, that could have been done in my office with a few drops of local, no bleeding, no scalpel, no sutures, no post-op pain. I would have done this with a laser. I do it all the time. So, in my opinion, the entire reason the child was in the hospital could have potentially been not necessary… potentially. I don't know all the facts.
However, if you are considering a similar procedure for your child, consult a dentist before going to a hospital.
from ! ORL Sfakianakis via paythelady.61 on Inoreader http://ift.tt/2zLf1wu via IFTTT
Abstract Accessory auricles are rare congenital abnormalities embryologically derived from the first branchial arch. Presentation may be variable with locations grouped into anatomical zones based on the frequency of location found in the literature. This study reviewed the papers between 1981 and 2017. Findings included an association with syndromes including Goldenhar, VACTERL, Treacher–Collins, Townes–Brocks, and Wolf–Hirschhorn. Based on histological and embryological evidence, the term "accessory auricle" is best used as an umbrella term to define this difference. Finally, indications are provided for imaging and laboratory investigations to guide the physician treating patients with accessory auricles. Address correspondence and reprint requests to Mark S. Lloyd, MPhil, FRCS(Plast), Department of Plastic Surgery, Autologous Ear Reconstruction Service, Birmingham Children's and Women's Hospital NHS Trust, 4th Floor, Ladywood House, Steelhouse Lane, Birmingham B4…
Abstract Septoplasty is a commonly used procedure for correcting septal cartilage deformities. Hemorrhage, abscesses, scaling, adhesions, and scar tissue are often seen after the operation of the septoplasty, but temporary or permanent visual loss due to local anesthetic use has been reported very rarely in the literature. The authors also aimed to present a female patient with retinal artery spasm in the right eye after septoplasty in this article. A 27-year-old female patient was admitted to the authors' clinic with long-standing nasal obstruction and postnasal drip. There was no feature in her history and also no sign other than nasal septal deviation on physical examination. The patient was informed about the operation and the operation was planned. Emergency eye consultation was requested after the patient said that the right eye of the patient had never seen in the postoperative wake-up hall. Examination by an ophthalmologist; mild exotropia and total loss of vision in the r…
Abstract Granulomatosis with polyangiitis (GPA) is a necrotizing granulomatous vasculitis occasionally affecting central nervous system (CNS), and GPA patients with initial CNS symptoms are even rarer, whose diagnosis is further confused by an absence of positive antineutrophil cytoplasmic antibody. The authors described the characteristics of antineutrophil cytoplasmic antibody -negative GPA with CNS onset in a patient and discussed on its management, which may contribute to future diagnosis and treatment of patients with similar conditions. Address correspondence and reprint requests to Dr Yongming Qiu, MD, PhD, Department of Neurosurgery, Ren Ji Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai 200127, China; E-mail: email@example.com; Dr Longtian Chen, MD, Department of Rheumatology, Longyan First Hospital Affiliated to Fujian Medical University, Fujian Province, China; E-mail: LT_chen@163.com Received 20 July, 2017 Accepted 24 August, 2017 The authors report no …