回复 158楼的帖子

你自己看看帖子和自己发言中自相矛盾的地方。

“我告诉你这医生是斯坦福博士，不是说他是MD，意思是他跟斯坦福有关系，斯坦福也知道他不是江湖郎中。中医跟西医没有合作治疗，但是也是在共同治疗。“

中医口口声声和斯坦福医生“合作治疗“ “共同治疗” 住院病人。

住院病人所有的治疗和检查都是需要通过电子病历系统下医嘱执行的。

这个中医没有斯坦福医院授予的医生privilege,如何登陆Epic系统，给住院病人下医嘱，“共同治疗“住院病人？

另外我用了Epic这么久，还不知道哪个医嘱是用来开中药的。如果你知道，请你教教我。

住院病人唯一可能吃中药的途径是家属要求给病人“home food”,医生同意病人吃”home food”。

HHW13 发表于 2023-04-09 07:23

目前有些医院的确有中西医合作，不太清楚斯坦福医院的事，但是知道术后疼痛local医院有开专科针灸帮助止疼。我们公司医疗保险也写有会包针灸20次。 我网上查了一下mayoclinic也有推荐针灸，这里边有它家官网推荐的医生，mayoclinic.org/tests-procedures/acupuncture/doctors-departments/pdc-20392765看起来还是有合作的。有的老外医生点进去看1989年 Licentiate in Acupuncture, British College of Acupuncture

但是这位楼主写的不写中医生名字不好查。针灸这个也是近些年我才听说某些连锁医院有这个门诊，之前我也不知道。

芝加哥这个西北医院官网也有写针灸和中草药治疗，说明有的医院的确有合作。西北医院是西北大学医学院的合作教学医院，在州里排名第一，全美排名前十的医院。 我自己local医院也是Memorial Hospital有这种医生，不太清楚斯坦福大学医院的事。

/www.nm.org/conditions-and-care-areas/integrative-medicine/traditional-chinese-medicine 西北医院链接这里详细列出了哪些情况需要Chinese herbal medicine， 也列出了它家医院这方面的医生说明医院有用针灸，中草药方面的

Our providers

• Ania Grimone, LAc, CH
• Fang Lin, LAc
• Tatyana Shafiro, LA

查了一下原来clevelandclinic 也有Chinese Herbal Therapy ，医院也有这样的治疗团队，这里详细介绍治疗什么my.clevelandclinic.org/departments/wellness/integrative/treatments-services/chinese-herbal-therapy#what-we-treat-tab

好奇保险真的会拒付么？住院期间遵医嘱的治疗肯定都是合理的治疗啊。
yysimplelle 发表于 2023-04-09 12:11

会的，如果是保险不包的治疗，我一个朋友是NP，她老公是医学院金融VP，她老公一个手术当时不被批的新型手术，她说从她家房子里边贷款出来做的手术，自己花钱。

这里我感觉是家长听到要被告就吓住了。

“被告”不代表“有罪”啊。斯坦福需要在法庭上证明家长的行为“导致孩子危及生命”。

如果家长是带孩子走，去另一家医院，除非另一家医院让孩子出生命问题，不然哪里来的“转院导致孩子危及生命”？

CK 发表于 2023-04-09 10:37

在美国应该是可以转院，寻求第二治疗意见的。家长也可以签against medical advice" (AMA)自己出院，如果医院医生不签出院，但是自己弄的AMA，医保会不会付之前治疗的钱？那么中产非穷人（美国穷人可以低保，自己不用花钱）中产付高额医疗费很头疼，所以他家没有医生签出院或者转院才可能害怕可能的高额医疗账单，所以没敢随便转院。如果是很穷的，不怕医疗费用的就无所谓了，自己签了AMA 文件自己出院，跑到另外一家急诊入院就好了。不用担心高额医疗费用。我猜他家是因为这个不能随便转院。其实如果几千，几万的钱自己付掉，签个AMA，自己转院就算了，估计花费太大。。。所以捐款上边提到高额药费，治疗费。本来医保下有个上限，出那个钱就够了。

我上网查了一下，好像也付。

Will Medicare pay my bill if I leave AMA?

AMA Discharges Do Not Affect Insurance Coverage

This is simply not true, although doctors frequently tell patients who wish to leave AMA that they will be solely responsible for their medical bills if they do so.

www.agingcare.com/articles/know-your-rights-understanding-hospital-discharges-against-medical-advice-445934.htm#:~:text=AMA%20Discharges%20Do%20Not%20Affect%20Insurance%20Coverage&text=This%20is%20simply%20not%20true,bills%20if%20they%20do%20so

Consistent with previous studies, most of these patients had government-funded insurance, either Medicare or Medicaid (78 percent), or no insurance (14 percent). The average hospital charge was nearly $28,000, of which insurance paid on average almost $6,000. (Most patients also owe a minimal co-pay.) So leaving against medical advice brought no additional financial burden to the patient.

Of the 453 insured patients who left AMA, payment was initially denied in only 18 cases. All of those cases involved problems with the bill, not with the patient''''s behavior. None of those patients were denied coverage for leaving against doctors'''' orders.

A survey of internal medicine residents and attending physicians, however, found many did believe payment would be denied and warned patients that they could be held financially responsible if they left against medical advice.

An expanded survey found similar beliefs among residents at other Chicago-area hospitals, with more than 40 percent agreeing that they "often or always inform patients that they may be held financially responsible if they leave AMA." Consent forms for patients leaving AMA from two area hospitals warned patients about possible financial consequences.

www.uchicagomedicine.org/forefront/news/do-patients-pay-when-they-leave-against-medical-advice

“

atients and doctors beware: The next time you or your loved one has decided that it’s time to leave the hospital, don’t let us doctors coerce you into staying by threatening you with the bill.”

 You can read his full article at KevinMD (“Does Leaving Against Medical Advice Stick Patients with a Bill?”) here.

birthmonopoly.com/leaving-against-medical-advice-will-insurance-pay/