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lesherb	Feb-05-02, 08:57 PM (CMT)
"Urgent Care Center"
One of my coworkers is a migraineur and was out a few days a couple of weeks ago due to one. After my recent experience I asked if she had gotten her shot of Demerol at the ER or her doctor's office. (I told her I had a 3 hour wait before getting my shot). She told me she went to the Urgent Care Center and only had a 15 minute wait. Have any of you used one of these facilities instead of an ER? I am not sure but I think this type pf place is also called a Walk-In Medical Facility. I am going to keep it in mind just in case. Łeslie
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RE: Urgent Care Center, zuzu, Feb-05-02, (1) RE: Urgent Care Center, charmed quark, Feb-06-02, (2) RE: Urgent Care Center, Norma, Feb-06-02, (3) RE: Urgent Care Center, lesherb, Feb-06-02, (4) RE: Urgent Care Center, tmensink, Feb-07-02, (5)

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zuzu	Feb-05-02, 09:45 PM (CMT)
1. "RE: Urgent Care Center"
Leslie, In my home town we used to have one of these but it closed down a couple of years ago, don't know the reason but I used it a few times and it was great. No long waiting, don't have the hassle of going to a emergency room and when you cannot get a appointment at your family doctor's office it was worth going. KiM
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	charmed quark	Feb-06-02, 07:44 AM (CMT)
	2. "RE: Urgent Care Center"
	> >hassle of going to a >emergency room and when you >cannot get a appointment at >your family doctor's office it >was worth going. > But why does migraine treatment require going to the ER or urgent care center? If your doctor knows that on occasion he will not be able to give you an appointment when you have a severe migraine and he also knows it's going to be a 3 hour or more wait at the ER ( and who wants to be in an ER with a migraine? Blech!) why doesn't he arrange a small prescription of emergency pain and anti-nausea medication for you? Isn't it his duty under the Hippocratic Oath to offer effective treatment? Just wondering, as I hear about this problem all the time. My attitude is that I have a right to effective treatment. -Peter
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	Norma	Feb-06-02, 09:18 AM (CMT)
	3. "RE: Urgent Care Center"
	I have never gone to the ER for a migraine, but I did go to the Urgent Care here once. I was seen quickly, the nurse was a migraineur and immediately gave me a dark room to lie down in until the dr could see me. The only delay occurred because I wanted something migraine specific, like imitrex, which is what their protocol called for, but because my BP was extremely high the dr. who was a "fill-in" for their regular person was hesitant to give it. So they went around and around, and finally decided to give me a small dose of morphine. Those of you familiar with me know that I stay away from narcotics because of history, but I took the shot anyway, then had to contend with a major attitude from my husband for the rest of the week, because he was sure that one shot would be my undoing. I got less than 3 hours relief from the shot, and the visit cost $90. As I've said before, it just isn't worth it to me. But if a person reaches a level of pain that can't be managed at home, and it's not "office hours," I think the Urgent Care is an excellent option. They are much less likely to be caught up with life and death emergencies, so patients are seen more quickly, and you don't get that attitude that you sometimes get in the ER that they are resentful of you taking up their time and space. Norma
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	lesherb	Feb-06-02, 05:14 PM (CMT)
	4. "RE: Urgent Care Center"
	Yes, Peter, I agree with you 100%. My problem is I haven't found a decent doctor yet. My neuro said he would be there for me (when I started with him last Spring). He was aware that I had missed a lot of work and was going out on short term disability (no payment received because the insurance company said migraines only last one day). He was really not good at communicating with the short term disability insurance company so that should've been my first clue. When asked if he would be willing to call in an order for a demerol if I needed it, he said he would. When I needed this help a week ago, he refused to do it. To make a long story short, I am going to try a pain specialist next week. I am very hopeful that he or she (I can't tell by the name) will treat my pain aggressively and be there for me when the chips are down.
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	tmensink	Feb-07-02, 00:37 AM (CMT)
	5. "RE: Urgent Care Center"
	Hi Everyone, WHere I live we only have the doctors office during the day during the week, other times it has to be the er so for me there is not choice, but I think its a great idea for those of you who have it. I also have it good in the way that my doctor has a standing order for me at the er, when I come in depending on which nurse is on finally after years and years and a doctor who informed the er that I was to be treated appropriately most of the nurses will take me right away to the back room where it is dark and they will even go get my shot first as they know as soon as they are finished I am out of there, however there is still one nurse that will make me wait as long as she can, its almost like she disagrees with the doctors diagnosis and his treatment but I just ignore her when I go in. I try not to let her get me upset. But I have found that with this order I avoid having to see the on call doc, and then get whatever he feels like. I can't go as often as I need, but I can go to a max of 3 times a month, sometimes I use it and sometimes I don't. I wish you all had this, for those days where you just can't take no more, it did take me years to get to here but it is nice, good luck to you all, bye Roxy.
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