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Aloha_Snackbar357 t1_iytxx69 wrote

I’m a Hospitalist that works in a NH hospital. Our ED wait time is ridiculous.

There are no beds. None.

Our hospital is operating at 105% capacity. We have patients in the hallways upstairs. Admitted patients, on a medical floor, in a hallway. We’ve had patients in the library before.

Your wait time in the ED isn’t because the staff is inept. It’s because half of the ED is admitted patients waiting to get upstairs (usually overnight). Recently there was a 19:1 patient to nurse ratio in our ED because of shortages and call outs. Every single unit in our hospital is down LNAs and RNs compared to what the staffing matrix should be.

We are doing our best. Please bear with us.

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yodelingspitz t1_iytybf2 wrote

As a physician in NH, I can tell you all hospitals in Boston, NH and southern maine are on code help and code divergent. Means they are full and busting at the seams with patients both in the hospital and in the emergency room. This has been the case for the past 4 or so days.

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comefromawayfan2022 t1_iytj55q wrote

It's hospitals in general. The hospitals are super short staffed and the waits are hours long almost anyplace you go. You generally have a long wait at Concord but it's especially bad right now. Waiting is good,means you aren't at deaths door

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[deleted] t1_iyteg9b wrote

The doctors probably have real medical emergencys.if you've been there 6 hours chances are your not a medical emergency.you should have made an appointment to see your PCP.Trust me,the people at snhmc really do care.you don't see ambulances that go in the back all the time.be patient.your number will be called when they are ready for you and your situation.

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theunknownunknown166 OP t1_iytemrs wrote

She subscribes to that health network thing and we already got the diagnosis from them. Unfortunately, we gotta wait till the doctor discharges, her home.

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theunknownunknown166 OP t1_iytel2g wrote

Oh I know she’s not a medical emergency. She sprained her ankle really bad but the point is it’s been six hours. It’s a little ridiculous.

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DeerFlyHater t1_iytfkfb wrote

Welp, that's why you're waiting.

A sprained ankle equals RICE, maybe NSAIDs(I personally would add G&Ts to that), and then see an urgent care in the morning.

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theunknownunknown166 OP t1_iytfo9m wrote

Yeah, we would leave but they’ve already started the process so we can’t go or we get the bill and the insurance don’t pay it is that

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DeerFlyHater t1_iytizw9 wrote

Understand where you're coming from. I hope it is just a simple sprained ankle and she heals up quick. I know hobbling around on them are not fun.

Good luck. Hope you all get out of there soon!

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akcattleco t1_iytnhb3 wrote

SMH.....I thought you actually needed to be at the hospital.........a sprained ankle.......🤦‍♂️

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Dependent_Ad_5546 t1_iytfods wrote

Sorry your going through this. It’s triage….when I cut off part of my thumb and another time my wife sliced open her foot on a pool tile we got in right away, no wait!

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theunknownunknown166 OP t1_iyth2ie wrote

I know the more serious go first. I would not expect a tummy ache to go before a gsw

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P0Rt1ng4Duty t1_iytkgx7 wrote

Isn't this the kind of thing that only happens in countries with universal healthcare?

Or was that a lie being told by the people who are currently getting rich off of our privatized system?

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nascarkat t1_iytr9xt wrote

This is an expected wait time on the weekend unfortunately, I've only had 1 ER visit under 2 hours in my entire life and that was a Tuesday afternoon. Lots of sick kids and stuff right now, hopefully everyone is OK.

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movdqa t1_iyvc0pm wrote

I think that the combination of RSV, Flu and COVID has hospitals fairly full.

I assume that you are referring to Southern New Hampshire Regional Medical Center, the hospital with a mouthful of a name. Hospitals have to respond to demand and sometimes demand overwhelms their capacity.

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Apprehensive-Ad6466 t1_iyvep3w wrote

Comments like this are one of the leading reasons hospitals are loosing staff left and right. Nobody wants to care for assholes. My wife is an rn and her and every other Healthcare worker we know are burnt out on the disrespect and preventable illnesses going around.

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theunknownunknown166 OP t1_iyvg919 wrote

I am not an asshole you moron I am a former nurse myself. Maybe it is comments like this that might bring about change. If nothing is said nothing is done

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theunknownunknown166 OP t1_iyvgy4t wrote

And also if you checked I never mentioned who was to blame. Maybe instead of trying to be an asshole yourself try to think intelligently

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ggtffhhhjhg t1_iyvmvu4 wrote

Are you saying you don’t wants to be accused of be apart of a great conspiracy to take down their orange god?

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sheetmetal_head t1_iytcy0z wrote

Is this the one in Nashua? Haven't been there in ages but last time I was I waited something like 4 hours for a doctor to see the person I drove in and it was empty as hell in the waiting area.

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Azr431 t1_iytw139 wrote

Isn’t the capitalist healthcare model great

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ZoomZoomNH t1_iyv84lm wrote

In a capitalist system, this shortage would cause hospitals to raise their pay and attract more doctors and nurses. But since Medicare and insurance companies decide the reimbursement rates, that can't happen, at least not for as long while until new contracts are negotiated. Since most people get medical coverage through their employer, we can't even have insurance companies competing directly for our business. We may not have fully socialized medicine, but we most definitely do not have a capitalist system either.

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occasional_cynic t1_iyy9aec wrote

Go to Canada and see how quickly you get in. Hell most of Europe has been like this for generations.

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hardsoft t1_iyv4m0w wrote

It's not really free market. Though does have some of the shortest average wait times so.... not the best example of it's shortcomings.

Issues are more price and accessibility for the poor.

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Hungry-Big-2107 t1_iytk5r7 wrote

That's just American hospitals on average. Singling out one place ain't accurate.

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Emeleigh_Rose t1_iytwocc wrote

I know a lot of hospitals in NH are overwhelmed with kids with RSV and no beds are available. The entire hospital system and its staff are under intense pressure between RSV, Flu and Covid.

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ggtffhhhjhg t1_iyvmmd7 wrote

They’re quitting in droves because they’ve been abused by science deniers/ Trumpers for the past 3 years.

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thread100 t1_iytm1p7 wrote

6 hrs isn’t that long in what has turned into a place people now go when they don’t feel well.

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sweetnsalty24 t1_iytnm1i wrote

I remember waiting a long time in the Elliot ER for intense stomach pain. Unfortunately, the ER was my only option because urgent care and PCP won't see you for multi-day stomach pain. Since I wasn't actively dying, I had to wait...

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comefromawayfan2022 t1_iytykx8 wrote

I have chronic pancreatitis. The ER is my ONLY option for treatment when my pancreatitis is bad enough because usually by the time I'm sick enough to need an ER for my pancreatitis I'm at the point where I need IV pain meds, IV fluids and IV nausea meds and chances are I'm probably going to need to be admitted. They can't do iv meds in my doctor's office so my PCP just sends me to the ER. And as soon as urgent care hears that I have a history of pancreatitis they send me to the ER as well when I go to urgent care with abdominal pain complaints so I feel like I can't win

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pinkpuppetfred t1_iyv5kad wrote

That's weird... I've gone to urgent care for multi-day stomach pain before. Isn't that kinda stuff what they're there for?

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Jay_Derkin t1_iyv8qga wrote

First time going to the er?

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BigLarge87 t1_iytoqbv wrote

As someone who lives in California and follows this subreddit (planning to relocate next year) this is how the hospitals are here too. Both central CA and the bay area. ER visit for non life threatening injuries is about a 10 hour wait. Even for life threatening injuries it's not much better

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kmkmrod t1_iytq1k3 wrote

That’s not common for southern NH. There’s something extraordinary going on for the wait to be that long.

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wilsonwillis t1_iyvfqss wrote

It’s a compound issue. There aren’t enough PCPs so there isn’t capacity for same day, after hours or even real time medical advice. Then patients, who should be more closely monitored by their PCPs end up in the ED. Those (avoidable) ED patients become soft admits or go into obs but there’s no beds on those floors available.

Right now isn’t the time to be going to the ED for a sprained ankle, there’s not much they can do for you anyways? Is there a reason you chose the ED over urgent care?

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theunknownunknown166 OP t1_iyvhf78 wrote

I am a former nurse myself. The problem has been there since health care became a business. When you try to change it the corporate world threatens it will get worse. Like giving nurses more money more help better hours. Because healthcare is a business all they care about is the bottom line. And I not even going to get started on health insurance

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Dapper-Bluebird2927 t1_iytdopf wrote

Exeter Hospital ER is always a mess. Don’t go there if you’re in pain. Doctors are not compassionate.

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comefromawayfan2022 t1_iytjwf8 wrote

I would say that exact same thing about Wentworth Douglass and Portsmouth hospital too. Have lost track of the amount of frustrating ER visits Ive had with er Drs with zero compassion. Last time I was at the Portsmouth ER I was there over the summer,chronic pancreatitis flare up and I needed to be admitted and hadn't been able to eat in two weeks. Dr basically refuses to deal with me and said "If you'll excuse me I have actually sick patients to see" within a couple days of that visit I ended up hospitalized in Boston where the Dr said I should've been admitted sooner...it was like ummm I did try to get help

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Few-Afternoon-6276 t1_iyts1lk wrote

You could drive north in Everett Turnpike to the 93 split, turn around to read the southbound sign hospital current wait time( snap a photo of it )at a Manchester hospital… drive back to snhu, pick up the patient, drive then to the Manchester hospital- wait the 20 minutes and have a lesser wait time! 30 years ago, I waited 5 hours on a Friday night for someone to see my son. Not much has changed. Well, the wait time has…

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ClariNerd617 t1_iyviuub wrote

Could be worse, could be St. Joseph.

Went in there because doctor saw a weird red dot on my back.

St Jo folks said “we’re just gonna take a small skin sample”

Digs all the way down to the bone.

Test results come back: “just a freckle, but we messed up with the stitches so you can never expose your back to sunlight again”

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Daniboi1977 t1_iyw08cp wrote

Right. I'm sure that's exactly how it happened.

What did they do with the stitches to make you unable to expose your back to sunlight? Please, share.

Idiot

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Otherwise-Ad-1363 t1_iz3cuk4 wrote

What? I've had like 10 different skin biopsies and mole removals and I've never heard of that.

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