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Herman: How my drinking problem sent me to the emergency room – MyStatesman.com

I had a little (real little) medical incident the other day. All is well, and, more importantly, I did prove a medical theory of mine. This all stems from a drinking problem: Apparently, I dont drink enough.

I recently opined to friends and family that it is my semi-informed belief that before you reach the point of dehydration youll get thirsty. Kind of like youll get hungry before you starve. The body is a wonderful thing, equipped with all kinds of warning devices were free to ignore.

So it was fortuitous that I recently had the opportunity to test whether one indeed will get thirsty prior to getting dehydrated. Obviously, one has to reach the point of dehydration (which I maintain is beyond thirst) to run this test. So, in the name of research, I reached the point of dehydration. Youre welcome. And the short answer is yes, I did get thirsty before I was pushed on a gurney dehydrated into the ambulance.

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This excitement went down when I couldnt get up last Saturday during a morning bike ride that started at 8 a.m. in Northwest Hills and ended in early afternoon in North Austin Medical Centers efficient (and well air-conditioned) emergency room.

Just over 28 miles into what would have been a 28.2 mile ride a routine distance for me and, lest you judge my mph, this ride included a leisurely breakfast stop at Sweetish Hill (and lest you judge my breakfast, it was eggish, not sweetish) fellow American-Statesman staffer and cyclist Ralph K.M. Haurwitz and I turned into Anderson High School to take a look at the new robotics building. After rolling by that, we dismounted to watch an inning of the adult baseball league game underway at the high school.

I felt a bit fatigued, hot and thirsty after a westbound, mildly uphill stretch of Steck Avenue, but nothing serious. Things got more serious when I tried to stand up and felt my field of vision narrowing like a curtain closing as nausea brewed within. I told Haurwitz to give me a few moments and Id be fine. I wasnt. I actually got less fine pretty quickly as seated on the bleachers advanced to prone on the ground. I still thought Id be OK, though I was pretty sure Haurwitz would not offer mouth-to-mouth resuscitation if needed.

So there was that.

Haurwitz quickly realized this was not going to end with me getting back on the bike and pedaling the few blocks back to my house. And I quickly realized I was on the verge of a Saturday nap. Dont get me wrong. Im pro-Saturday naps, but the scheduled, voluntary kind watching televised baseball in a comfy chair, not the unscheduled, involuntary kind watching live baseball prone on the ground.

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One thing led to another, though I dont remember all of them. Haurwitz later told me the real action began when he yelled Emergency! and called 911. Folks on hand for the baseball game gathered to help as I sat in a chair, apparently un- or semiconscious for a few seconds. (And here is where its OK for you to say, Oh, kind of like when you write columns?)

I recall some conversation, not including me, about the approaching ambulance. And I recall the two friendly and helpful EMS guys (I wish I got their names; thanks, guys) moving quickly to assess my situation by asking three questions, including one intended to shock my heart back to pumping if it had stopped:

Who is the president of the United States? he asked.

I answered correctly, somehow opting not to offer editorial comment. (Imagine the battery of psychological exams that would have ensued if, a mere three years ago, youd have answered that question with Donald J. Trump.) He also asked me what city we were in and, attempting to trip me up, added a math question: How many dimes in a dollar? Not bragging here, but I aced the exam.

They hooked me up to some fluids as I shared with them the coincidence of this happening a few days after my official pronouncement of my theory about thirst and dehydration. By the way, they agreed that youll get thirsty en route to dehydration.

I felt much better by the time we got to the hospital, where, shortly after being wheeled into a chilly ER treatment room, I quickly realized my next challenge might be frostbite. I got to meet lots of helpful ER folks, all of whom were affable and relaxed. Must be nice to go to work in your pajamas. They ran some tests and pronounced a diagnosis of dehydration and syncope. Id never heard of syncope until I saw it in the discharge paperwork.

You have been diagnosed with syncope (pronounced SINK-uh-pee). This is the medical term for a rapid loss of consciousness or a fainting episode. There are many causes of syncope. Some of these are life-threatening and others are not serious, it said, adding, Patients without life-threatening conditions may be sent home.

I was pleased to qualify for that. And I didnt need the hospital definition of dehydration. I know what that is. And I was correct. Its that thing beyond thirsty.

Now, having proven my point that youll get thirsty before you get dehydrated, Im working on my acceptance speech for the Nobel Prize for Medicine.

Friends, its hot out there. Youve probably not heard this from anyone, but, having road-tested this theory, let me recommend the introduction of orally administered liquids when youre thirsty. And sometimes water isnt enough. Electrolytes, yes. Alcohol, no (ever).

And, despite how you feel about it, endeavor to give the right answer, sans editorial comment, when a health care professional asks you whos the president of the United States. This is about your state of consciousness, not your state of confusion about how this particular president got to be this particular president.

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Herman: How my drinking problem sent me to the emergency room – MyStatesman.com

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Who pays when someone without insurance shows up in the ER? – USA TODAY

Right now, GOP senators are trying to gather enough votes to pass their Obamacare replacement plan, but even fellow Republicans are having a time a hard time accepting the health care bill. USA TODAY

An ambulance arrives at a hospital emergency room.(Photo: PhotoDisc)

WASHINGTON If an uninsured patient shows up in the emergency room, who pays? The hospital? Taxpayers? The patient? Other patients?

The question is important as Republicans debate health care legislation that could result in more than 20 million fewer Americans having health insurance in ten years.If that happens, some people will go without care. Others will show up at hospitals, but wont be able to pay their bills.

The year the Affordable Care Act passed, hospitals provided about $40 billion in “uncompensated care” that is, care they were not paid for.That was nearly 6% of their total 2010 expenses.

A 1985 federal law requires emergency departments to stabilize and treat anyone entering their doors, regardless of their ability to pay.

But that doesnt mean the uninsured can get treated for any ailment.

Theres lots of medical care we want to consume thats not an emergency, said health care economist Craig Garthwaite, an associate professor and director of the health care program at Northwestern University’s Kellogg School of Management.

It also doesnt mean that hospitals wont try to bill someone without insurance. And the bill they send will be higher than for an insured patient because theres no carrier to negotiate lower prices.

As a result, the uninsured are more likely to be contacted by collection agencies, as they face problems paying both medical and non-medical bills. One study, published in 2016 by the National Bureau of Economic Research, found that someone who goes into the hospital without insurance doubles her chances of filing for bankruptcy over the next four years.

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For the bills that go unpaid, hospitals can try to compensate by charging other patients more. But that doesnt happen as much as many people including policymakers — think.

The authors of the ACA believed thatincreasing insurance coverage through Medicaid and subsidies for private insurance would lessen the cost-shifting that leads to higher insurance premiums. Supreme Court Justice John Roberts also mentioned that benefit in the 2011 decision he authored upholding the laws constitutionality. But researchers havent been ableto document much of a cost shift.

Studying the effects of expanding Medicaid in Michigan where more than 600,000 gained coverage researchers at the University of Michigan havefound no evidence that the expansion affected insurance premiums. They did, however, document that hospitals uncompensated care costs dropped dramatically by nearly 50%.

Conversely, when Tennessee and Missouri had large-scale Medicaid cuts in 2005, the amount of care hospitals provided for free suddenly increased. In a 2015 study published by the National Bureau of Economic Research, Garthwaite and his co-authors estimated every uninsured person costs local hospitals $900 in uncompensated care costs each year.

This is not a trivial thing for a hospital to deal with, Garthwaite said. While hospitals average 7% profit margins, uncompensated care costs can be more than 5% of revenue.

Hospitals do get help with the unpaid bills from taxpayers.

The majority of hospitals are non-profits and are exempt from federal, state and local taxes if they provide a community benefit, such as charitable care. Hospitals also receive federal funding to offset some of the costs of treating the poor.

The ACA scaled back those payments in anticipation that hospitals’ uncompensated care costs would go down. The GOP proposals to overhaul the ACA would reinstate the payments, while making changes to Medicaid and private insurance subsidies that the nonpartisan Congressional Budget Office estimates would result in more than 20 million fewer people having insurance by 2026.

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The return of extra federal payments to hospitals for uncompensatedcare wouldnt be enough to offset the unpaid bills, according to an analysis by the Commonwealth Fund. The study examined the Medicaid changes included in the bill that passed the House in May, and co-author Melinda Abrams said the effects of the Senates pending proposal would be at least as great.

Hospitals operating margins in all states would decline. And hospitals in most of the 31 states which expanded Medicaid under the ACA would have negative operating margins by 2026, according to the analysis.

Ultimately, you have to cut services, fire people, or both, Abrams said. It is shifting the burden of the cost. What is currently shared between the federal government and state governments will be shifted largely to the states. And the burden will be felt by the providers, the patients, the community and the taxpayer.

Pressure from hospitals was often a factor in states decisions to expand Medicaid under the ACA. In some states, such as Indiana, hospitals even agreed to a pay new taxes in exchange for the additional federal revenue from Medicaid patients. Most of the recent decline in hospitals uncompensated care costs has been in states which expanded Medicaid.

And hospitals are among those fighting hard against GOP efforts to phase out the expansion and cap overall Medicaid payments to states.

If these proposed cuts take place, devastation would occur for local rural economies due to hospitals closing and patients incurring huge amounts of debt, Trampas Hutches, CEO of Melissa Memorial Hospital in Holyoke, Colo., said at one of the many events organized by the American Hospital Association and other health care providers in opposition to the GOP bills.

One reason Medicaid has been harder to cut than other safety-net programs such as welfare cash payments is that a large part of the spending is a transfer to health care providers, Garthwaite argues. Thats particularly true for hospitals which are essentially insurers of last resort when there are large coverage gaps.

When policymakers decide not to provide health insurance for a portion of the population that otherwise could not afford insurance,” Garthwaite and his colleagues wrote in their 2015 analysis, “hospitals ultimately bear the cost of that decision,

As President Donald Trump continues to push his agenda of repealing and replacing Obamacare, Americans are not on his side about this. Susana Victoria Perez (@susana_vp) has more. Buzz60

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Who pays when someone without insurance shows up in the ER? – USA TODAY

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Orange hospital builds new kind of emergency room for growing mentally ill population – OCRegister

Theres a new model for hospital emergency rooms and given the pressures on the health care system it appears to have arrived just in time.

Most hospital emergency care centers are ordered chaos a kid with a broken leg and a worried parent in one room, a mountain biker with a concussion in another, a muttering and bleeding homeless man in a third.

Glenn Raup, right, Executive Director of Emergency Nursing Services at St Joseph Hospital in Orange, chats with psychiatrist Ernest Rasyidi and nurse practitioner Cindy Illescas in the hospitals psychiatric strategy room. This is where the patients course of treatment is planned.(Photo by Mindy Schauer, Orange County Register/SCNG)

Nurses David Barone and Kearylyn Stanton work inside the temporary Emergency Clinical Decision Unit at St Joseph Hospital in Orange, where psychiatric patients are treated. (Photo by Mindy Schauer, Orange County Register/SCNG)

Glenn Raup, center, Executive Director of Emergency Nursing Services at St Joseph Hospital in Orange, chats with nurse Kearylyn Stayton, psychiatrist Ernest Rasyidi and a psychiatric patient. The hospital will get a new Emergency Clinical Decision Unit in one-to two-years.(Photo by Mindy Schauer, Orange County Register/SCNG)

Glenn Raup, Executive Director of Emergency Nursing Services at St Joseph Hospital in Orange, is reflected in a mirror outside what will be the temporary Emergency Clinical Decision Unit for psychiatric patients.. (Photo by Mindy Schauer, Orange County Register/SCNG)

Security officer Anthony Davila works inside the Emergency Clinical Decision Unit at St Joseph Hospital in Orange, where psychiatric patients are treated. (Photo by Mindy Schauer, Orange County Register/SCNG)

Glenn Raup, Executive Director of Emergency Nursing Services at St Joseph Hospital in Orange, outside the hospital where psychiatric patients are usually brought in for treatment. St Joseph, the busiest ER in OC and the second busiest in the State, is completely revamping the way it triages patients to help reduce wait times and is building a new and completely different model of care.(Photo by Mindy Schauer, Orange County Register/SCNG)

But at St. Joseph Hospital in Orange one of the busiest ERs in Orange County there now are two separate emergency areas that administrators say allows all patients to receive faster triage while providing mentally ill patients with tailored, comprehensive treatment.

When a patient is admitted, a mental health assessment is made. Those with mental illness are treated for their physical condition, but also are seen by a special team that includes a social worker, nurse practitioner, a psychologist and a psychiatrist.

Emergency and behavioral health treatment at St. Joseph is expected to improve even more with a combined $13 million-plus fundraising effort to expand facilities for mentally ill ER patients.

The needs of the mentally ill are different, explains Glenn Raup, executive director of emergency nursing and behavioral health services at St. Joseph. Yet few if any other hospitals in California, he reports, offer a separate ER for mentally ill people.

In regular emergency care centers, bright lights help doctors and nurses make fast diagnoses, orderlies move swiftly, people confer in hallways, machines beep and blink.

But for many mentally ill patients, noise, lighting and movement can be frightening.

St. Josephs new ER facility for mentally ill patients is like no other. Lighting is low, machines work in a whisper, caregivers speak in hushed tones, visitors are limited.

Theres also a very sturdy guard.

But transforming hospital care doesnt come easy or cheap. If St. Joe was a retail store, creating an ER for the mentally ill would be called a loss leader.

Instead of being a money maker, the move took morality and moxie. It also took vision.

Raup is either obsessed with degrees or he loves learning. Spend some time with this man who recently rappelled off a 16-story building to raise funds to fight addiction and its clear its the latter.

The director also loves serving and, yes, challenges.

Hes been on the front lines as well as behind a desk. Hes performed an emergency tracheotomy with a pen. The patient lived. And hes massaged a heart that stopped beating during surgery. The patient died.

Still, the experiences, however painful, informed both his thinking and his confidence. The registered nurse realized, I can do this.

He admits to two masters degrees and a Ph.D. Before becoming an administrator at St. Joe, he was a police officer in Kansas, a registered nurse, a SWAT paramedic in Houston and a college dean in Colorado.

Raup and his wife announced their move to Denver with relatives by Skyping from the front porch of the house where his relatives lived.

But the reason for the move was serious. Raups brother, Greg, was diagnosed with severe multiple sclerosis. He died two years later at age 40.

Now 50, Raup spends much of his time thinking about the larger issues of treating people. We take people from a death situation, to a life situation, he says. But the bigger question is why are these people coming into my ER?

ER is an example of the total failure of the whole system. All social ills end in ER.

Pause for a moment and ponder his points.

Raup isnt saying ERs are a failure. Rather, he is saying that if things were designed better perfectly, really health care wouldnt be handling so many emergencies.

Consider cellphones. Yes, cellphones.

The inventors and designers of cellphones dont consider the spiritual and mental health impacts of people texting rather than talking, Raup says. They dont take into account the physical hazards of texting while driving.

If cellphones were designed differently, there could be fewer patients in emergency rooms.

We need to look upstream, Raup explains, to where all these failures occur.

Stay with me here because it is this kind of thinking that led to St. Joseph Hospital agreeing to revamp triage.

When a typical patient arrives in the ER with chest pains, the job is to treat the problem. Raup says, Hes one and done.

But diagnosis and treatment for a mentally ill patient often is more complicated. Theres a psychiatric component, he says. Some have anger, others are bipolar, others have eating disorders.

Before the new ER facility was built, regular physicians treated all patients. Now, mentally ill people homeless as well as people with homes are treated by a special team.

Administrators say this allows physicians in the main ER to focus on the stream of strokes, heart attacks and trauma.

Raup walks through the area for mentally ill patients. There are eight beds with another three-dozen beds elsewhere in the hospital for longer-term mentally ill.

Four beds are empty on this day an example of swift, efficient care, Raup offers. Staff, he says, are rocking it.

Raup also points out it is mid-morning, a typically quiet time of day. ERs heat up in the afternoon and peak hours usually run from about 8 at night to early morning.

About 5 percent of ER admissions involve mentally ill patients, and an estimated 80 percent to 90 percent are treated and released. Yetthe numbers are staggering.

Raup reports that St. Joe averaged 330 mentally ill patients a month before the new facility was built. Since it opened, that number has jumped to 420 patients a month because of the shift in function.

Im still band-aiding, the director admits.

Getting the facility up and running hasnt been easy. Along with grants and the fundraising campaign, there also had to be a cultural change for separating out mentally ill patients.

In some places theres a philosophy of, Build it and they will come, Raup allows. I say, Build it because they are already here.

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Orange hospital builds new kind of emergency room for growing mentally ill population – OCRegister

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Black widow spider bite sends 5-year-old girl to emergency room – CBS News

28 Photos

Kailyn Donovan, 5, is recovering from a black widow spider bite in Mendon, Massachusetts.

CBS Boston

At first, Kristine Donovan thought the dark mark on the back of her 5-year-old daughter’s leg looked like a bruise.

CBS Boston

It wouldn’t have been unusual, given that her energetic daughter, Kailyn, frequently plays outside their Mendon, Massachusetts, home for hours.

But when the “bruise” started turning black a few days later, Donovan knew something wasn’t right.

On Friday, the concerned mom rushed her daughter to a nearby hospital, where she was told the wound was caused by a black widow spider bite.

Thebite of a female black widowcan be very painful. The venom is thought to be 15 times more potent than that of a rattlesnake, and can cause severe muscle pain and spasms, as well as abdominal cramps, for up to a week.

“She never felt it bite her,” a surprised Donovan told CBS Boston. “It could have been in her jeans in the location where it bit her, we just don’t know.”

Kailyn is now being treated with antibiotics and frequent dressing changes.

Dr. William Durbin, the pediatric infectious diseases specialist who has been treating Kailyn at UMass Memorial Medical Center since Saturday, told The Boston Globe the dark purple and black colors on the wound was a byproduct of necrosis, or cell death.

“She had a very distinctive bite, which was very scary for her parents and of course the doctors, too,” Durbin said.

More than 2,000 people in the U.S. report black widow spider bites yearly, but deaths are rare these days. According to the National Institutes of Health, fatalities from black widow bites typically occur among young children, the elderly and those who are extremely ill.

Luckily, Donovan says the bite was treated in time and already appears to be healing.

“She’s happier now that we’re not in the hospital,” Donovan said. “It doesn’t seem to bother her. She looks at it, she doesn’t think it’s gross, so I try not to make a big deal out of it, to make her nervous or anything.”

Though black widows are mostly found in the southern and western regions of the United States, Donovan says her daughter’s story should serve as a warning — there’s a possibility of a black widow spider bite no matter where you live.

As a precaution, Donovan plans to spray around her house, hoping to kill any venomous spiders that may remain.

“We’re going to be spraying, and they’re going to come in the house and do some spraying in here too,” Donovan told CBS Boston. “But the doctor said it definitely was outside — they don’t chase people. It probably was bothered. We’ve been doing a lot of yard work, it probably upset one of them and she was just in the wrong place at the wrong time.”

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Rep. Haddad: ER wait times show it’s time for mental health solutions – Fall River Herald News

Stephanie Murray State House News Service

BOSTON For a mentally ill person in a crisis, it can be difficult to travel to an emergency room and seek help. But if they are able to make that trip, those patients are often left waiting for care for 16 to 24 hours at Massachusetts hospitals. That’s over three times longer than patients who wait about four hours to be seen for non-mental health care.

And without new laws, Speaker Pro Tempore Patricia Haddad says “nothing’s going to change.”

Looking to address emergency room wait times for patients who need mental health care, Haddad spoke before the Joint Committee on Mental Health, Substance Abuse and Recovery on Monday in support of two bills she filed to create a pilot program for mental health patients at Taunton State Hospital and intensive stabilization and treatment units within the state’s Department of Mental Health.

“Let’s get people into a setting where they’re actually getting help,” Haddad said. “And they’re not waiting for help, they’re actually getting it.”

Patients who visit Massachusetts emergency rooms seeking mental health care wait for an inpatient bed significantly longer than patients who require care not related to mental health, according to a study published in the Annals of Emergency Medicine, an international medical journal. Wait times climb higher for the uninsured and Medicaid enrollees, who are more likely to spend over 24 hours in the emergency department.

The study said “mental health boarding” consumes scarce emergency room resources and worsens crowding “so that other patients with undifferentiated, potentially life-threatening conditions wait longer to be seen and treated.”

“There are going to be backups, there are going to continue to be hospitals and private places that just can’t handle these people. So what happens very often is they stay in the emergency room until they calm down and then many of them, their families just take them out,” Haddad said. “They say okay, well the crisis has passed and we have nowhere to put this person and you’re saying there’s nowhere to go so after 24, 48, sometimes even 72 hours, they take them home.”

The two Haddad-sponsored bills, H 1064 and H 1065, were also filed by Sen. President Pro Tempore Marc Pacheco.

The first bill would create a pilot program at Taunton State Hospital to “accept medically stable, high acuity behavioral health and dual diagnosis patients from emergency departments in the Southeast region.” If a patient in need of mental health care cannot be placed in an appropriate setting within four hours of admission, the bill would require they be transferred to the pilot program.

Dual diagnosis, according to the bill, means a patient is mentally ill and has a substance abuse problem. The pilot department would be staffed by registered nurses and psychiatrists, among others.

Taunton State Hospital would be allowed to accept patients to the pilot program who are classified under Section 12 of Chapter 123 of the General Laws, meaning they are at serious risk of harming themselves or others due to mental illness.

“If we did something at Taunton State Hospital I think it would create a few new beds. And to me, that’s the answer,” Haddad said.

The second bill, H 1065, calls for the state Department of Mental Health to create at least two intensive stabilization and treatment units — one for men and one for women. The units would serve patients who “exhibit persistently aggressive of self-destructive behavior” or violent behavior that requires specialized care.

The units would provide services like evaluation, stabilization and psychiatric treatment. At the end of a patient’s stay, the staff would be responsible for developing a plan for the “safe and timely transfer” of the patient out of the intensive stabilization and treatment unit. Other services would include violence assessments, interpersonal conflict resolution strategies, critical incident debriefings and transfer evaluations.

According to the bill, “appropriate staffing” would include registered nurses, clinical social workers, mental health workers, psychiatrists, clinical psychologists and rehabilitation specialists — all who have undergone specialized training to work with the patient population the bill aims to help.

“For those who are very difficult to manage, they’re violent or whatever,” Haddad said. “We need to staff that with people who understand how difficult that job is and are willing to do it.”

A similar program at Taunton State Hospital that treated more than a dozen men with severe mental illness was shut down in 2003 in an effort to save money.

Haddad said long wait times will remain “the status quo” for patients who need mental health care if legislation is not passed.

“I’ve filed it before, I’ve talked about it before,” Haddad said.

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Rep. Haddad: ER wait times show it’s time for mental health solutions – Fall River Herald News

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Emergency Room Docs Urging ‘No’ Vote On AHCA – The Daily Caller

As House lawmakers gear up to vote on the American Health Care Act (AHCA) Thursday afternoon, Emergency room physicians are voicing their concerns to members of Congress, urging them to vote no on the Republican plan to repeal and replace Obamacare.

E.R. doctors say the AHCA strips features of Obamacare that secured emergency room services as an essential health benefit. If the AHCA passes, they warn U.S. health care consumers will be left with higher costs for emergency treatment.

The Affordable Care Act included emergency services as an essential health benefit and any replacement legislation must do the same, American College Of Emergency Physicians President Dr. Rebecca Parker said in a statement to The Daily Caller News Foundation.

Dr. Parker argues that any replacement legislation should protect consumers access to emergency care at an affordable price. Patients cant choose where and when they will need emergency care and they shouldnt be punished financially for having emergencies, Dr. Parker said. Federal legislation must ensure that patients having emergencies can seek emergency care knowing their insurer will provide coverage.

Thursdays vote will be the first test for House leadership to see if they have the votes to pass one of President Donald Trumps chief campaign promises, The Wall Street Journal reports. Trump and Speaker Ryan pulled the AHCA just hours before it was slated to go up for a vote in March.

Leadership has spent weeks courting wayward conservative and moderate Republicans behind the repeal effort. House Freedom Caucus Chairman Rep. Mark Meadows and Tuesday Group Leader Rep. Tom MacArthur put forth an amendment in April that is serving as the basis of the new AHCA.

The version would slash many of the Obamacare taxes and subsidies, and cut funding to Medicaid likely to be a point of contention for House Democrats. Another point of debate for Democrats will be that the millions of Americans who obtain health insurance through their employer could be at risk of losing protections that limit out-of-pocket costs for emergency and catastrophic illnesses.

If the AHCA passes the House Thursday, it will move on to the Senate for a vote. As it stands, Senate Republicans remain divided on the AHCA. Republicans hold a slim majority in the Senate with 52 seats, so they cant afford to lose more than 2 votes.

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Carson City Sheriff: Apparent stabbing victim drove self to emergency room – KRNV My News 4

by News 4-Fox 11 Digital Staff

Image courtesy MGN Online.

Deputies are investigating a report of a stabbing after the victim apparently drove himself to a local emergency room, according to the Carson City sheriff.

A 24-year-old man arrived at the Carson Tahoe Regional Medical Center at about 10:45 p.m. on Thursday, Sheriff Ken Furlong said in a statement. Medical staff contacted the sheriff’s office, and responding deputies learned the victim’s injuries were substantial.

The deputies could not find any identifying information in his possession, but they reviewed surveillance video and saw that he drove to the hospital in a red Chevy Camaro, which was parked outside.

Authorities were later able to confirm his identity through the vehicle registration and contacting family members, who said the victim arrived in Reno on a bus from San Francisco in the late afternoon.

The victim was coming back from a short trip to Ukraine, family members told the sheriff’s office, and was last seen in the downtown Reno area at about 6:30 p.m.

Furlong said the victim might have eaten at a downtown area fast food restaurant and somehow arrived safely at his father’s home on Thompson Street in west Carson City later in the evening, then picked up his Camara at the house before leaving.

The victim is described as 6 feet, 3 inches tall, weighing just under 190 pounds, with brown hair and brown eyes. Investigators have not been able to speak with him due to the severity of the injuries, according to Furlong.

Anyone with information about the case or how the victim was able to travel to Carson City is asked to contact the sheriff’s office at 887-2677.

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