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If you've ever had a surgical procedure, you know it can often mean a high hospital bill. Now, more people are turning to surgery centers for a lower cost.Sandi Bowen is one of those people.Something as simple as picking out a shirt is more challenging for Bowen than she ever thought it'd be. On Easter, she found a lump in her breast. Doctors told her it was cancer."It was very very very confusing," Bowen says. "It still is. It brings tears to my eyes, because I don't understand how I got it."Instead of a lumpectomy, she decided to remove her entire breast. And instead of going to a hospital for breast reconstruction, Bowen opted for the Kaiser Permanente Ambulatory Surgery Center, where she got the surgery. In less than 24 hours, she was back home recovering. "I felt very special," Bowen says. "They were there every time I moved. They came in and talked to me, even goofed around with me."Dr. Mike Sawyer, the director at the center, says they've worked hard to address concerns regarding patient care."If it's a patient that just needs physicians to kind of come to the bedside, and maybe we have to have some kind of intervention, we're able to do that because are here and we are present," Dr. Sawyer says. "On site, as they say. If it's really something that requires a higher level of care, that again allows us to do a pretty quick transfer process over to one of our partner hospitals."Compared with hospitals, Kaiser Permanente says its patients are seeing an average cost savings of 30 percent on their procedures. It can be anything from simple orthopedic procedure to joint procedures.However, Dr. Sawyer says there are important questions you need to ask before determining if a surgery center is the best option for you."Does your physician feel comfortable with this operation there?" Dr. Sawyer says. "Have you and your physician discussed all the ramifications of that procedure? And then what sort of plans does that ambulatory surgery center have if you were required a higher level of care?" 2037
If you have any old Levi jeans lying around and don't want them anymore, Levi's will take them back.This week, the clothing company launched a denim buyback program through its recommerce website Levi's Secondhand. The way it works is you drop off used Levi’s jeans and denim jackets at participating stores and you'll receive a gift card in exchange.Your items will then be professionally cleaned and then listed on the Secondhand website, "keeping garments in use and out of landfills," Levi's stated on its website.According to Vogue, some of the clothing will be handpicked vintage items, but most will come directly from consumers. 644
If you thought doctors making house calls was a thing of the past, check this out: They may be more relevant now than ever before. It starts with a call for help. But the responders aren't caped crusaders, and they are not riding in the Batmobile. Still, those who need their help would say they are saving the day. Pam Womack and Dan Eppelsheimer are with DispatchHealth; on demand urgent care at your house. On a recent house call, they visited Lee Armstrong, whose gout made it nearly impossible to make it to the doctor. "Is it this toe?" Womack asks. "Yes," Armstrong replies. "Right there where I'm touching?" Womack confirms. After evaluating him, Womack was able to give Armstrong a dose of medication on the spot. "Okay I'm going to print you up some instructions here," Womack says. He was relieved. "It's a shame that you can be so sick that you can't travel," Armstrong said. "I couldn't hardly walk to the door in there. I really appreciate it. I really do." "I like going into the home with the patients," Womack said. "And seeing the challenges they might have in the home that if you came into the emergency room you might not see." "People would come to the emergency department just for simple things like that which we can do quickly and easily at their own home," says Phil Mitchell, an ER physician and Medical Director at DispatchHealth.Dr. Mitchell said that experience is a catalyst for the work dispatch health does.Nationwide, 50 percent of emergency rooms operate at or above capacity. And every year 500,000 ambulances are diverted away from the closest hospital due to ER overcrowding."How do we provide more value for patients?" Mitchell says. "How to we decrease 911 transports and how do we decrease emergency medicine and emergency department visits for patients that don't really need to be in that high level of care." From gout to a common cold, no need is too small. And the company says on average it's about 80 percent more affordable than a visit to the emergency room.There is an ongoing effort to streamline service and provide care where it's most comfortable.Right now, DispatchHealth operates in Colorado, Arizona, and Virginia and is continuing to expand nationwide with new operations scheduled to open in Las Vegas this year. 2375
In August, a male cub born to panda Mei Xiang at the Smithsonian National Zoo recently got his 3-month check-up.The cub has remained nameless, so now the zoo in our nation’s capital needs help naming the little guy.Until Nov. 20, the public can vote on one of four Mandarin Chinese names on the zoo’s website.The names are Fu Zai, which is Mandarin for “prosperous boy”; Xiao Qi Ji, or “little miracle”; Xing Fu, or “happy and prosperous”; and Zai Zai, a Mandarin Chinese nickname for a boy.Pronunciations for each name are available on the site via audio files. 570
House Judiciary Chairman Bob Goodlatte has issued subpoenas for former FBI Director James Comey and former Attorney General Loretta Lynch.Goodlatte, a Virginia Republican who is retiring, is requesting private depositions from Comey on December 3 and Lynch on December 4. House Republicans have been investigating FBI actions in the 2016 campaign, but that probe will end when Democrats take over the committee in January.Comey, who has previously rejected the committee's request for him to appear privately before the GOP-led inquiry, reiterated his position soon after the subpoenas became public."Happy Thanksgiving. Got a subpoena from House Republicans. I'm still happy to sit in the light and answer all questions. But I will resist a 'closed door' thing because I've seen enough of their selective leaking and distortion. Let's have a hearing and invite everyone to see," Comey tweeted.David Kelly, an attorney for Comey, said Thursday that his client will fight the order in court."While the authority for congressional subpoenas is broad, it does not cover the right to misuse closed hearings as a political stunt to promote political as opposed to legislative agendas," Kelly said.Lynch has not yet commented publicly about the subpoenas.After the House Judiciary Committee signaled earlier this month their intention to subpoena Comey and Lynch, Rep. Jerry Nadler, the Democrat who is expected to chair the panel next year, criticized the move as "unfortunate.""Months ago, Director Comey and Attorney General Lynch both indicated their willingness to answer the Chairman's questions voluntarily. My understanding is that the Republicans have had no contact with either the director or the attorney general since," Nadler said last week.Deputy Attorney General Rod Rosenstein remains another potential witness hanging over the GOP-led investigation. Conservatives on the panels demanded that Rosenstein appear to answer their questions about his reported remarks about wearing a wire to record the President and efforts to recruit Cabinet members to invoke the 25th Amendment to remove Trump from office. A scheduled meeting with Rosenstein last month was postponed and has not been rescheduled. 2215