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 hear 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.

  • Owl@mander.xyz
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    3 hours ago

    You definitely want to get that checked out

    Vomit, burning, heart pain etc… Are all in the “pretty alarming” category

  • Lovable Sidekick@lemmy.world
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    4 hours ago

    Could be a simple case of reflux - when some stomach valve doesn’t stay completely closed during sleep and lets gastric juices and food creep upwards.

    But the best medical advice is not to seek medical advice from randos online. Go to urgent care and see what they say, or at the very least lookup if there is a nurse hotline where you live and call it.

  • Libra00@lemmy.ml
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    4 hours ago

    Here’s some general life advice: if your body (especially your heart) starts doing things it shouldn’t be doing you should probably talk to a doctor. You have insurance, this is what it’s for. Hit up your nearest urgent care.

    • OneWomanCreamTeam@sh.itjust.works
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      1 hour ago

      Healthcare, in the US, is still pretty expensive even if you have insurance. Chosing between maybe dying or being disabled, and being homeless is pretty common place here in the best country in the world.

      • Libra00@lemmy.ml
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        28 minutes ago

        I am a disabled American in my 50s, I have dealt with serious medical issues my entire life, including the ones that have made me unable to work for the last ~15 years. I understand the healthcare ‘system’, such as it is, far too well. But you know what sucks worse than being broke? Being dead.

    • Luffy@lemmy.ml
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      3 hours ago

      You have insurance

      No. If you had decided to pull your head out of your ass, you would know that insurance in The US is not a thing.

  • lennybird@lemmy.world
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    8 hours ago

    Hope you’re doing better now. As someone who works in the medical field, it can be a real bitch to navigate everything.

    For the future: Nobody here knows your baseline. If you tell any clinical medical worker you have had chest pain followed by difficulty breathing and vomiting they’re very likely to tell you to go to the ED/ER (Emergency Department / Room). Speaking for myself only, that would depend how stable I feel following the vomiting incident and if the chest pain persisted, and baseline conditions and history (e.g., do you have a history of hypertension, high cholesterol, overweight, etc.? When was your last physical exam?).

    We also don’t know the full context on what you mean by couldn’t breathe and feeling like you could die. For example, did you have a major GERD / Acid-Reflux incident (could explain mild chest pain)? Did you eat something and have an allergic anaphylactic reaction followed by a surge of adrenaline from your fear of death and a panic attack followed by vomiting? Have you had sinus congestion say from a cold and a glob of postnasal drip obstructing your airways? Do you take drugs? And yes, it’s possible you also had a heart attack.

    Worth noting: Urgent Care has limited resources beyond an X-ray machine, usually. The moment you mention chest pain, they’ll hook you up to an ECG to take a reading. If your vital signs are okay (blood pressure, SPO2, heart-rate, temperature) and your ECG reads no active heart attack, then they might just refer you to a cardiologist follow-up. If on the other hand there are signals of a recent or active heart attack, they will pretty much demand you get loaded up into an ambulance and send you to the nearest hospital with a cath lab (due to liability on themselves). You’ll thus be triple-dipping costs from urgent care, ambulance, and hospital when you might’ve been better off going straight to the ER.

    ER will be a higher co-pay with insurance and absurdly costly without (but there are options, some ethical some not surrounding this). The good news is unlike Urgent Care, they cannot refuse treatment based on lack of insurance, if that’s your predicament. Urgent Care will.

    Also when you call 911 for a medical emergency, police aren’t going to be involved. ACAB rhetoric aside, DO NOT REFUSE TO CALL 911 BECAUSE OF THIS. The moment the dispatcher sees this is a medical emergency, nearby fire departments or ambulances will be notified.

  • ohellidk@sh.itjust.works
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    9 hours ago

    Kind of sounds like a magnesium deficiency. My buddy had that exact same thing happen to him. Got really weak too.

    Get it looked at soon, for sure!

  • Nindelofocho@lemmy.world
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    9 hours 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

    • throwawayacc0430@sh.itjust.works
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      6 hours ago

      Ironically, if your situation is “Urgent”, you do not go to an “Urgent Care”. Its a misnomer.

      I had chest pains and the Urgent Care I went to just told me to go to an ER. I’m like… 🧐 they didn’t have blood tests lmfao. “Urgent” Care is for flu and like ear infections, not for a fucking heart attack or gasterointestinal problems.

      Edit: It turned out to be fucking anxiety. Lmfao I hate myself. I was on my parent’s insurance so they covered most of it.

      • Glad you went. I worked with a healthy young guy, he was like 26 at the time, and he had a heart attack on shift. It can happen to anyone.

        Oh and the lovely hospital made him wait hours to be seen because they thought he was too young for a heart attack.

        • throwawayacc0430@sh.itjust.works
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          6 hours ago

          I mean in case you missed it, I said it was anxiety. They found nothing from blood tests, chest x-ray showed nothing. The “chest pain” was just my anxiety. So in hindsight, I could’ve just skipped all the trouble if I had known… 🤷‍♂️

    • toynbee@lemmy.world
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      9 hours ago

      Urgent Care (or possibly insurance, I can’t recall) will charge you more if they deem the situation “not urgent.”

    • Drusas@fedia.io
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      3 hours ago

      Urgent care will just tell you to go to the ER if you come in with something potentially serious like chest pain. They’re useless for anything but the most minor issues. They don’t even do stitches or blood work.

  • TinyPuni (she/her) @lemmy.world
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    9 hours ago

    As someone with heart problems herself I always say that you only have one heart so I would absolutely get it checked out. At least get an ECG workup done. Nausea and vomiting alongside an irregular heartbeat can be a symptom of atrial fibrillation which would be confirmed with an ECG

  • shalafi@lemmy.world
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    10 hours 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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      3 hours ago

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

  • NatakuNox@lemmy.world
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    11 hours 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.

  • Gerudo@lemm.ee
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    11 hours ago

    Medical debt in the US is an unsecured debt. You won’t be thrown in jail or any impact on credit if it takes you forever to pay it off. Go to the emergency room and ask for a payment plan when the bills due. Then, do what you wish with the first sentence I wrote.