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This. People need to understand that these clinics are not equipped to deal with this stuff, they do not have ventilators and equipment like that. They are no

This. People need to understand that these clinics are not equipped to deal with this stuff, they do not have ventilators and equipment like that. They are not hospitals, some are no bigger than a dentist office. Some clinics like this may only have one doctor on staff with just Nurses and PAs seeing patients. If this kid was in that bad of shape they probably couldn't have helped him at this facility.

salawat 7y ago
Doesn't matter. If they made the professional judgement call he needed more than they could offer, someone should have been calling 911 in order to get a meat wagon on the way. If he was bad enough gone to have to head to an ER, th he Urgent Care should have at a minimum hit him with prednisone and a nebulizer treatment to get his airways open. Most also have Epi-Pens on site if they were really worried about his chances of making it to the hospital alive. You don't get to cherry-pick patients because it's inconvenient. Shit happens, and you're the Doc/NP. Get out the prescription pad, write a scrip or call in to the nearest pharmacy to expedite, and have office staff or whoever drove him in pick it up. Welcome to professional culpability. Now if what they said was, we won't see you because you can't pay; go to the ER, some naming and shaming is in order.
- ng12 7y ago
  If someone's at risk of dying on the way to the hospital making a CVS run is not the right call.
  - salawat 7y ago
    More meant as a mitigation to "The ambulance will be here in 15 minutes. Go next door, get this, and bring it back so I can keep him alive until then." You are by no means helpless as a medical practitioner with modern pharmaceuticals minutes away most anywhere. Not "Stop at CVS on your way there." Once a medical practitioner sees you are in need of more intensive care the onus is on them to ensure they do what they can to get you there alive. I'm fairly secure in my assertion of these courses of action. Even bounced it off an RN to make sure; so I'm not just pulling it out of my ass here.

salawat 7y ago

Doesn't matter. If they made the professional judgement call he needed more than they could offer, someone should have been calling 911 in order to get a meat wagon on the way. If he was bad enough gone to have to head to an ER, th he Urgent Care should have at a minimum hit him with prednisone and a nebulizer treatment to get his airways open. Most also have Epi-Pens on site if they were really worried about his chances of making it to the hospital alive. You don't get to cherry-pick patients because it's inconvenient. Shit happens, and you're the Doc/NP. Get out the prescription pad, write a scrip or call in to the nearest pharmacy to expedite, and have office staff or whoever drove him in pick it up. Welcome to professional culpability. Now if what they said was, we won't see you because you can't pay; go to the ER, some naming and shaming is in order.

ng12 7y ago
If someone's at risk of dying on the way to the hospital making a CVS run is not the right call.
- salawat 7y ago
  More meant as a mitigation to "The ambulance will be here in 15 minutes. Go next door, get this, and bring it back so I can keep him alive until then." You are by no means helpless as a medical practitioner with modern pharmaceuticals minutes away most anywhere. Not "Stop at CVS on your way there." Once a medical practitioner sees you are in need of more intensive care the onus is on them to ensure they do what they can to get you there alive. I'm fairly secure in my assertion of these courses of action. Even bounced it off an RN to make sure; so I'm not just pulling it out of my ass here.