I am in the US, so financial calculations need to be factored in.

For a moment, I couldn’t breathe, felt like I was going to die, then vomitted.

Now heart beating slightly off, not feeling great but not terrible, had mild chest pain earlier in evening…

Kinda feel off. Have medical insurance with large deductible.

Ignore it? Taxi to ER? Call 911? Genuinely don’t know and don’t like 911 since police are involved.

Also I feel hot, feel burning around my neck.

  • MagicShel@lemmy.zip
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    7 months ago

    Alright. Way too many socialists in this post who don’t know how 'Murica works, god dammit. Here’s real advice:

    You woke up, so you aren’t dead yet. In most cases, that’s a good sign. Give it 30 minutes. If you feel better, great! This is where I preposterously tell you to follow up with your family doctor and we both have a good chuckle.

    (Edit to explain: we have no idea who our family doctor is and we haven’t been there in so long we would be considered a new patient.)

    If you don’t feel better, might well give it another hour. Most of the damage from a heart attack or stroke is done in the first 30 minutes, so you’re probably not going to get any worse.

    If you’re still not dead after that, you’re probably clear to make it through the weekend.

    Next question is do you have sick leave? If not, congratulations, you’re fine! If you do have sick leave, go ahead and make an appointment first thing Monday. They won’t do anything, just send you for labs, maybe or just leave that part to the specialist they will refer you to.

    So now it’s 6 weeks later and the specialist is calling to confirm the appointment you’re forgotten about. Do you feel better or are you out of sick leave? Congratulations, you’re fine.

    Next, is your deductible over 10% of your annual income? (5% if it’s after Nov.15. You’re gonna wind up paying that whole thing for diagnostic tests this year and the actual treatment will hit you after Jan 1 and you’re double fucked.) If it is, congratulations, you’re fine!

    If you reach this point, you probably are in need of medical attention and can afford it. Congratulations on getting the help you need.

    Bask in the superiority of the best healthcare in the world, you European nancies!

    Obviously the tone is meant to be humorous, but this is basically the reality. The only thing I’ve omitted is that you can just go to the hospital and get the treatment you need and then avoid answering unknown numbers for 7 years. I have yet to see anyone sued over medical debt.

  • secretlyaddictedtolinux@lemmy.worldOP
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    7 months ago

    Yeah, I think I’ll just go back to sleep and risk death. Tired of being fuxked over by hospitals, society, everyone. If I die, so be it. Peace out.

    • troglodytis@lemmy.world
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      7 months ago

      Hope ya didn’t die.

      For those in a similar situation the correct answer is Uber to a hospital ER. Do not use stand alone ERs. Chest pain gets ya to the front of the line.

      • lennybird@lemmy.world
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        7 months ago

        This. They’ll hook you up immediately to an ECG to see the state of your heart in the moment and draw blood for labs to check for signs of a recent heart attack or clot issue (trops, d-dimer, etc.). If ischemic heart attack, you’ll be rushed to cath lab. Urgent Care doesn’t have the resources to do this and will likely re-route to a hospital anyway, charging you separately in addition.

  • Dorkyd68@lemmy.world
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    7 months ago

    Sounds almost identical to my panic attacks. But im no dr, go see one if you don’t feel better

  • fullsquare@awful.systems
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    7 months ago

    this could be a number of things, some of which can be fatal. lab tests or imaging for these things are cheap, but only available at hospital and what else do you expect from random internet people than “haul your ass to hospital and ask someone irl that actually knows”

  • Nindelofocho@lemmy.world
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    7 months ago

    I know its late for this but you can also start with Urgent Care. With insurance it could be a fairly cheap copay. They will advise on what to do next. You could have something like the flu (i had the flu and it fucked me all sorts of up) and theyd just prescribe you some medicine and rest

  • shalafi@lemmy.world
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    7 months ago

    Taxi to ER. No medical office will touch you having complained of, even mild, chest pain and a weird feeling heart. Been there, done that. Walk in the ER talking of chest pain, and say that first!, they will throw you in a room and attach an EKG. Been there, done that.

    I don’t mean to alarm you, but taken together those symptoms smell like a mild heart attack. By some voodoo I don’t understand, the EKG can tell, even if the event is not happening in the moment.

    I say no medical office will touch you, but first time my doc sent me to the ER, second time they whipped out a portable EKG. Times change, I may be wrong.

    • Drusas@fedia.io
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      7 months ago

      In my experience, taxi drivers will refuse to take customers to the ER due to liability concerns.

      • Nollij@sopuli.xyz
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        7 months ago

        Uber and the like have specific warnings about that, too. Of course, you can just ignore them and say you’re going to see someone else that’s in the ER.

      • GreenBottles@lemmy.world
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        7 months ago

        This is what killed my grandfather. Before he passed, they removed half his esophagus and pulled his stomach into his chest to remove the damaged parts, that lasted a few years, then he gave in to cancer.

        Definitely get on top of it while you still can.

      • MrsDoyle@sh.itjust.works
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        7 months ago

        Chiming in to say you’re right. I ignored acid reflux for years and now have what’s called “Barret’s esophagus”, pre-cancerous cells in my throat. It turned out I had a hiatus hernia. Had that repaired and now have a gastroscopy every couple of years to check I don’t have cancer. So yes, listen to your body.

  • zkfcfbzr@lemmy.world
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    7 months ago

    > Makes thread asking if you should go to the ER

    > Literally everyone says to go to the ER

    > Doesn’t go to the ER

    ok

  • NatakuNox@lemmy.world
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    7 months ago

    Welcome to America. Where medical advice is asked to a bunch of weebs on the internet over going to the fucking hospital when you feel ill because of money concerns… I hate it here.

  • folekaule@lemmy.world
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    7 months ago

    Consider going to a walk in clinic. If it’s nothing serious, you pay 100-200 and you’re on your way. If you go to the ER and it’s nothing serious, your insurance may deduct you hundreds more (my ER copay is $500 and I have great insurance).

    If it is serious, the walk in will tell you to go to the ER. In that case, the insurance may waive the ER copay. While it is true they can’t deny you care, this system of expensive ER copay was presumably put in place to stop people using the ER to provide free care. Check your insurance policy (preferably before you get sick). I believe some places also have free clinics, but I would expect them to be pretty crowded.

    Good luck OP. This sounds serious and you need to take care of your health. Try to find a way you can at least get some real qualified medical advice, even if you seemingly recovered this time.

    • shalafi@lemmy.world
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      7 months ago

      Heart issues? Chest pain?! They’re not touching OP with a ten-foot frog, straight to the ER is all they will say.

      • folekaule@lemmy.world
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        7 months ago

        You’re not wrong, but I would rather OP seek any qualified medical care than none, even if all they do is refer them to the ER.