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Title : "Chief Justice John G. Roberts Jr. suffered a fall at a Maryland country club last month that required an overnight stay in the hospital..."
link : "Chief Justice John G. Roberts Jr. suffered a fall at a Maryland country club last month that required an overnight stay in the hospital..."
"Chief Justice John G. Roberts Jr. suffered a fall at a Maryland country club last month that required an overnight stay in the hospital..."
"... a Supreme Court spokeswoman confirmed Tuesday night," after an inquiry from The Washington Post. The incident had not been disclosed voluntary, but The Washington Post had heard a tip.The 65-year-old chief justice was taken by ambulance to a hospital after the June 21 incident at the Chevy Chase Club.... Roberts has twice experienced seizures, in 1993 and in 2007, but Supreme Court spokeswoman Kathleen Arberg said doctors ruled out that possibility in the latest incident. Doctors believe he was dehydrated, she said.... The scene was apparently witnessed by some at the club.... The person who told The Post about the incident said Roberts’s head was covered in blood....The bloody scene was witnessed and it still took more than 2 weeks to get in the newspaper. Makes you wonder what else goes on.
I hope he's okay. It is possible to be walking along, doing nothing particularly challenging, and simply to fall. I've done it. I've tripped over an irregularity in the sidewalk. I've had a shoe malfunction — twice, in recent years. When you're older, a standard question from your doctor is whether you've fallen in the last year. I try to keep my record clean, but then there's that one fall, and you've got to say yes, and the doctor is marking you down as an old person who falls.
Somebody asked at Quora why the doctor asks if you've fallen, and a doctor of internal medicine gives this answer (which surprised me):
No matter how ridiculous it may seem, there is a “QM” quality metric that will determine your doctors “P4P” or “pay for performance.” Checking off how many people 65 or older have fallen within the last 6 months will set off the “fall risk” QM metric on which we are mandated to do or not get paid.
In our medical system, we have to take your blood pressure over and over and over again in the same visit trying to get a reading that is below 140/90. Why? So our QMs will show “blood pressure under control.” So literally I could be adjusting your blood pressure medication and teaching you how to adjust your diet and helping you quit smoking and I could be “low quality” but someone who fudges the numbers several times until your pressure appears to be lower on the chart but does NOTHING ABOUT IT will be “high quality.” Then the insurer will call me a low quality doctor.
Some dumb ass bean counter thinks they can create quality metrics to determine who the good doctors are, and then the “system gaming doctors” spend the entire visit clicking a bunch of pure bullshit into your chart so every useless QM is clicked, checked, buffed, and appearing to look good but then they did not listen to you or deal with the problem that you came in for. This is what enraged me so much when I went in to see my personal PCP and it was click click click and a lot of pressure to fill out what I knew to be QM bullshit and I said that I “came here to discuss problem x and I don’t really care about your QM” and then my physician told me “YOU NEED A PSYCHIATRIST I CAN’T WORK WITH YOU.” Okay. She was having a bad day and I was not playing. I thought I had the right to choose the care that I wanted and to refuse the care that I didn’t want, but she was having none of that. So we parted ways in a non friendly manner. (I know, this makes me sound horrible but I was polite and not behaving badly at all, the only bad thing I said was, “I don’t care about that I just want to talk about problem x.” And I did not say it with a raised voice at all. I thought that since she knew I was an MD she would be cool with cutting the crap. She wasn’t. I stood corrected.) Now I do not have a doctor. Oh well, haha.
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"... a Supreme Court spokeswoman confirmed Tuesday night," after an inquiry from The Washington Post. The incident had not been disclosed voluntary, but The Washington Post had heard a tip.
I hope he's okay. It is possible to be walking along, doing nothing particularly challenging, and simply to fall. I've done it. I've tripped over an irregularity in the sidewalk. I've had a shoe malfunction — twice, in recent years. When you're older, a standard question from your doctor is whether you've fallen in the last year. I try to keep my record clean, but then there's that one fall, and you've got to say yes, and the doctor is marking you down as an old person who falls.
Somebody asked at Quora why the doctor asks if you've fallen, and a doctor of internal medicine gives this answer (which surprised me):
The 65-year-old chief justice was taken by ambulance to a hospital after the June 21 incident at the Chevy Chase Club.... Roberts has twice experienced seizures, in 1993 and in 2007, but Supreme Court spokeswoman Kathleen Arberg said doctors ruled out that possibility in the latest incident. Doctors believe he was dehydrated, she said.... The scene was apparently witnessed by some at the club.... The person who told The Post about the incident said Roberts’s head was covered in blood....The bloody scene was witnessed and it still took more than 2 weeks to get in the newspaper. Makes you wonder what else goes on.
I hope he's okay. It is possible to be walking along, doing nothing particularly challenging, and simply to fall. I've done it. I've tripped over an irregularity in the sidewalk. I've had a shoe malfunction — twice, in recent years. When you're older, a standard question from your doctor is whether you've fallen in the last year. I try to keep my record clean, but then there's that one fall, and you've got to say yes, and the doctor is marking you down as an old person who falls.
Somebody asked at Quora why the doctor asks if you've fallen, and a doctor of internal medicine gives this answer (which surprised me):
No matter how ridiculous it may seem, there is a “QM” quality metric that will determine your doctors “P4P” or “pay for performance.” Checking off how many people 65 or older have fallen within the last 6 months will set off the “fall risk” QM metric on which we are mandated to do or not get paid.
In our medical system, we have to take your blood pressure over and over and over again in the same visit trying to get a reading that is below 140/90. Why? So our QMs will show “blood pressure under control.” So literally I could be adjusting your blood pressure medication and teaching you how to adjust your diet and helping you quit smoking and I could be “low quality” but someone who fudges the numbers several times until your pressure appears to be lower on the chart but does NOTHING ABOUT IT will be “high quality.” Then the insurer will call me a low quality doctor.
Some dumb ass bean counter thinks they can create quality metrics to determine who the good doctors are, and then the “system gaming doctors” spend the entire visit clicking a bunch of pure bullshit into your chart so every useless QM is clicked, checked, buffed, and appearing to look good but then they did not listen to you or deal with the problem that you came in for. This is what enraged me so much when I went in to see my personal PCP and it was click click click and a lot of pressure to fill out what I knew to be QM bullshit and I said that I “came here to discuss problem x and I don’t really care about your QM” and then my physician told me “YOU NEED A PSYCHIATRIST I CAN’T WORK WITH YOU.” Okay. She was having a bad day and I was not playing. I thought I had the right to choose the care that I wanted and to refuse the care that I didn’t want, but she was having none of that. So we parted ways in a non friendly manner. (I know, this makes me sound horrible but I was polite and not behaving badly at all, the only bad thing I said was, “I don’t care about that I just want to talk about problem x.” And I did not say it with a raised voice at all. I thought that since she knew I was an MD she would be cool with cutting the crap. She wasn’t. I stood corrected.) Now I do not have a doctor. Oh well, haha.
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