Sunday, September 22, 2019

A $12,460 Hangover

PLUS: Daily Baby Aspirin For A Safer Pregnancy
Cameron and Katlynn Fischer celebrated their April wedding in Colorado. But the day before, Cameron was in such bad shape from a bachelor party hangover that he headed to an emergency room to be rehydrated. That's when their financial headaches began.
Courtesy of Cameron Fischer

A Bachelor Party’s $12,460 Headache

Two days before he was to marry in Colorado last April, Cameron Fischer had too much fun at his bachelor party, and woke up the next morning with a hideous hangover. The head pain and gut distress all day were miserable, he says – but nothing in comparison to the medical bill he got for rehydration at an emergency room.

The bill was initially $12,460  -- more than twice the cost of his wedding.

“Fischer had run into a sobering fact about America's health care system,” health reporter Markian Hawryluk, explains in his recounting of the episode this week. ”With few constraints on how emergency rooms set prices, hospital systems have jacked up rates and coded patient visits as being more complex than they would have previously, which increases the payments they receive from insurance plans.”

The result? “ER services have some of the fastest-growing prices in the health care system.”

READ ON to see a breakdown of the bill and learn why free-standing ERs may be particularly culpable.

Bridget Desmukes (center) and her husband, Jeffrey, love having a big, active family. "The kids are always climbing on things, flipping all the time — it's not dull," she says, laughing. Because Desmukes had developed preeclampsia in a previous pregnancy, her OB-GYN recommended low-dose aspirin at her first prenatal appointment this past spring.
Ryan Kellman/NPR

A Baby Aspirin Daily For A Healthy Pregnancy?

In mid to late pregnancy, otherwise healthy women sometimes develop a condition known as preeclampsia. Though doctors still don’t know exactly why it occurs, the attendant high blood pressure and other complications can be serious or even fatal for the mom or baby.

Taking one small, daily dose of prenatal aspirin -- 81 mg, often called a “baby aspirin” -- can reduce the risk of preeclampsia by 24% in women at high risk, according to a review of the scientific evidence by the U.S. Preventive Services Task Force.

But OB-GYNs say a lot of pregnant women with strong risk factors aren't getting the message.

READ ON to learn why some doctors think even more women should take low-dose aspirin daily.

BONUS: Relative risks and benefits of aspirin for healthy seniors

Public health agencies are investigating hundreds of cases of lung disease related to vaping and electronic cigarette use.
Picture Alliance/Getty Images

Vaping Illnesses On The Rise: Here’s What We Know So Far


As some in the U.S. who vape continue to get sick with severe and unexplained lung illness, state and federal health agencies are scrambling to find answers.

So far there have been 530 confirmed or probable cases in 38 states, including eight deaths. Most affected patients have come down with severe breathing troubles; many have been diagnosed with some form of pneumonia. 

READ ON to learn what we know about what’s causing the problem and how to stay safe.

BONUS: The long-term effects of these vaping illnesses could be serious, doctors say.

More of this week's health stories from NPR

Dial 988 for help? Why the FCC wants a 3-digit suicide prevention hotline 

Jumping through hoops to get life-saving diabetes supplies

How to make public toilets female-friendly
We hope you enjoyed these stories. Find more of NPR's health journalism on Shots and follow us on Twitter at @NPRHealth.

Your Shots editor,
Deborah Franklin
 
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