Healthcare USA #1

The quality of those lights is really key. I have a DayLight by Carex and it helps a good amount in the winter or on cloudy days. It’s not as good as direct sunlight outside, but it comes fairly close. 30-45 minutes of it give me maybe 75% of the benefit of 15 minutes outside in direct sunlight.

For Vitamin D I’m using a Sperti Sunlamp, it was about $550. My sleep coach said it’s the best you can get and the one she suggests. For the effect of imitating sunlight in the eyes (you wear goggles with Sperti), I’m using a DayLight by Carex.

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Yeah that’s the same one I have in the photo. Probably the most affordable one of the research-grade lights.

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Yeah, my sleep coach said as far as the consumer-grade ones it’s the best in terms of lux output. They all send samples to her or she buys them and tests them.

Feels weird that I came to that conclusion about 15 years ago when I bought mine, because I don’t remember there being a ton of good information on them back then. I gotta admit though, a real UVB bulb setup for home use is pretty wild and I was not expecting you to post a $550 lamp, and I bet Marksman definitely wasn’t expecting it.

*We should probably say don’t buy any of this shit without talking to your doctor first.

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I think you meant to say you were not expecting me to post a $550 lamp right?

Yeah and to be really clear you DO NOT let the $550 one get into your eyes. It’s dosed very specifically for short amounts of time, and not used if/when you’re able to get sufficient Vitamin D from regular sun exposure.

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Right, fixed.

Good info guys, thanks. Going to see how I do with the supplements first.

Have had a series of headaches for the past couple weeks, rare for me. I became concerned enough that I decided to see a head specialist.

Monday morning, call the doctor’s office. They don’t accept appointments so just come on down. Arrive at 9:30. Fill out a few forms. About a 10-minute wait, then check blood pressure, provide urine sample, take blood test. Check height and weight. Then a 20-minute consultation with a nurse.

Another 10 minutes or so and I’m in for a 15-minute consultation with the doctor. he decides I should get an MRI. So after about a 20-minute wait for the machine to open up, I’m in there and the machine does its work. Another 10 minutes and I’m back with the physician, going over the results.
Fortunately, nothing serious was wrong, and the headaches appeared to be stress related.

Finally, a 20-minute massage table session followed by 10 minutes of electric stim to relieve some of that stress, and finally, a full morning of thorough examination and treatment was over.

Total cost: about $60 US.

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Surely this was not intentional!

The aid enriched some well-off systems, while failing to meet the needs of many that were struggling, according to a Wall Street Journal analysis of federal financial-disclosure reports.

The mismatch stemmed in part from the way the federal government determined how much a hospital should get. A main factor used to allocate relief was a hospital’s revenue, rather than Covid caseload or financial distress. The idea was that revenue was a good indicator of a hospital’s size.

Oh.

Are you sure you don’t mean CT scan? How loud was it?

I dunno man my view is complicated by how many CT scans I order (I jokingly call it the donut of truth).

They also aren’t that big of a deal. Usually takes more than 10 minutes to read as well if it’s an MRI.

I’m more impressed by the massage and stim stuff tbh. I could use more of that.

I think I’m more impressed that he could walk into a doctor’s office without an appointment and get all that service in a timely manner.

My GP is pretty good and I can get same day appointments pretty easily, but any specialty is weeks/months out at a minimum.

And veterinarians are worse.

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Oh shit that’s a very good point.

Easily half of my job as an ER doc is doing primary care stuff I have little training in.

USA needs to massively change how they do training for physicians, otherwise there will always be a shortage of PCPs.

They had both in the office, but having had an MRI on my knee earlier this year, I can say with certainty it was an MRI.

Anti-good health care Americans often cite lack of access as a reason for opposing any meaningful healthcare reforms, but in Japan at least, you are free to visit almost any doctor’s office without an appointment–through there are some specialists that require a referral from a prior doctor once the need for further care has been escalated.

Wait times vary. I’ve had walk-in visits where I’ve waited a couple hours, but on average, I wait less without appointments at Japanese clinics than I did with appointments at American ones.

I walked into one of the best hospitals in Mexico w/o an appointment, got my foot x-rayed, got a diagnosis from a doctor. In and out in less than 2 hours. Total cost $100.

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I was able to get a walk-in, same-day brain MRI earlier this year. I even got the results back the same day! Sure, I walked into the ER with the help of my partner because I was confused, repeating the same questions, and was unable to form new memories, but those are just minor details! diagnosed as Transient Global Amnesia

Now let’s juxtaposition that against the scheduled CT scan I had on November 15 with a follow up appointment in early February. 2.5 months just to hear how it went… This CT is part of the work up required for a major surgery that I’ll be having probably next year, but I guess that depends on the results of the CT though.

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What’s the going rate for an MRI in the US these days?

Here’s a full breakdown of my same-day, walk-in treatment. I believe it is there under 061X - Rad Magnetic, so $7696.38 before insurance. The grand total you can see up at the top was $13380 minus insurance of 12552, so I ended up paying out the difference. At least, I think this is all the charges…

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My last brain MRI was one of the long ones. T1/T2/FLAIR/SPGR on all three planes, 2 mm slices, T1 coronal seq on sella post gad, maybe some other shots too can’t remember. No one had any idea how much it would cost when I offered to bypass insurance and pay OoP. A few of the places I called were complete assholes about it too, like how dare I have the nerve to ask questions about pricing. “This might be $80 or $8,000 but sign for it now and we’ll bill you later,” which is on the order of a Nigerian money scam.

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So I assume that the government pays the doctor’s office something on top of your $60 for all of that shit. Any idea how much that was? Do you get an EOB or something as is standard over here.