this post was submitted on 07 Jun 2025
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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 heart 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.

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[–] Gerudo@lemm.ee 13 points 1 day ago (2 children)

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.

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[–] AcidicBasicGlitch@lemm.ee 1 points 17 hours ago* (last edited 17 hours ago)

Do you have any chest, arm or back pain? Do you have a pulse oximeter?

Can you go to a minor ER? If you hadn't said your heartbeat was off, I would say not necessarily a big concern at this point, but this also sounds similar to what happened to a friend of mine with an aortic dissection.

She thought it was food poisoning at first, finally went to a minor med, they refused to treat her bc her and sent her to the ER ASAP. She ended up in the hospital for several weeks.

[–] Nindelofocho@lemmy.world 9 points 1 day ago (6 children)

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

[–] toynbee@lemmy.world 7 points 1 day ago (1 children)

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

[–] Nindelofocho@lemmy.world 9 points 1 day ago

Yea likely insurance, but it would likely still be cheaper than an ER visit

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[–] Ursapharm@lemmy.world 24 points 1 day ago

USA, USA, USA!

[–] Diabolo96@lemmy.dbzer0.com 13 points 1 day ago (1 children)

RIP I guess. Hopefully you don't reincarnate into a poor girl in a third world country.

[–] MissJinx@lemmy.world 8 points 1 day ago (1 children)

At least poor girls in third world countries have free healthcare. Not good but free

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[–] folekaule@lemmy.world 12 points 1 day ago (1 children)

Consider going to a walk in clinic. If it's nothing serious, you pay 100-200 and you're on your way. If you go to the ER and it's nothing serious, your insurance may deduct you hundreds more (my ER copay is $500 and I have great insurance).

If it is serious, the walk in will tell you to go to the ER. In that case, the insurance may waive the ER copay. While it is true they can't deny you care, this system of expensive ER copay was presumably put in place to stop people using the ER to provide free care. Check your insurance policy (preferably before you get sick). I believe some places also have free clinics, but I would expect them to be pretty crowded.

Good luck OP. This sounds serious and you need to take care of your health. Try to find a way you can at least get some real qualified medical advice, even if you seemingly recovered this time.

[–] shalafi@lemmy.world 9 points 1 day ago* (last edited 1 day ago) (1 children)

Heart issues? Chest pain?! They're not touching OP with a ten-foot frog, straight to the ER is all they will say.

[–] folekaule@lemmy.world 4 points 1 day ago

You're not wrong, but I would rather OP seek any qualified medical care than none, even if all they do is refer them to the ER.

[–] Fondots@lemmy.world 19 points 1 day ago* (last edited 1 day ago) (1 children)

Genuinely don't know and don't like 911 since police are involved.

911 dispatcher in the US here

This will vary a lot from one jurisdiction to another, I can really only speak to county I work in

But while in theory every EMS call also gets a police response, probably more than half of them the only action the police take is to tell us "not responding unless requested"

And if they do respond, a lot of time they don't do much besides sit at the end of the driveway with their lights flashing so the ambulance can find the house easier.

Things like overdoses, assaults, shootings/stabbings, psych emergencies, cardiac arrests, etc. they do of course show up to because they may actually need to do something.

And if you live in a bigger city or rougher part of the suburbs, sometimes they may even take their sweet-ass time getting to those.

And if you live in a rural area, there's a decent chance you're covered by some part time or regional police department, or state police/county sheriffs who are stretched way too thin covering a huge area with maybe 2 or 3 officers on duty at any one time, they're probably not gonna show up in a hurry if at all either.

Like I said, it varies a lot, some towns in my county I can count on police being there before the ambulance (whether or not they actually do anything once they're there in a different story) and in others the cops don't give half a fuck unless someone is actively dying.

If you do find yourself calling 911 though, for the love of God, don't tell them you don't want police on your medical call, I swear that might be the most surefire way to make sure they do actually show up in a hurry. If that ends up in the notes of the call it makes the cops think you're hiding something or I don't know, planning to jump the EMS squad or something, some cops can be pretty panicky, paranoid weirdos like that, or sometimes just spiteful.

[–] Rhynoplaz@lemmy.world 10 points 1 day ago

some cops can be pretty panicky, paranoid weirdos like that, or sometimes just spiteful.

And this is why we never want the police involved.

[–] throwawayacc0430@sh.itjust.works 16 points 1 day ago* (last edited 1 day ago) (2 children)

Go to ER.

In the US, they are required to provide care for actute condition (meaning chronic, aka: along term conditions like cancer or diabeted can be legally ignored), so if you are about to die, they are required by law to stop you from dying.

Worry about the debt later. Or just ignore any invoices/bills... they can't seize anything if you have no assets, debt is gone in 7 years.

Edit: If they ask for your social, say you forgot. Don't provide anything other than basic name, birthday, gender, that sort of stuff.

[–] Mearuu@kbin.melroy.org 9 points 1 day ago

If they ask for social just refuse to give it. You don’t even need to give them your real name. They still must treat you.

The last time I was in an American ER they asked for my social before starting to work on me. I told them, very angrily, that I will never give them that info because the last time I did, and paid my bill, it still showed up on my credit report as a collection. It took months to remove. The nurse asking me said okay with no further problems. They began treatment immediately.

[–] Reverendender@sh.itjust.works 8 points 1 day ago* (last edited 1 day ago)

Unless it’s a red state and you have a baby in your belly. Then they will absofuckinglutely let you die.

EDIT: A word

[–] kamills@sh.itjust.works 18 points 1 day ago* (last edited 1 day ago) (1 children)

Seek medical attention now!

Your life is worth much more than the price for emergency care <3

Seek medical attention now!

[–] jnod4@lemmy.ca 11 points 1 day ago (6 children)

Yeah bro being alive is so worthy, who's going to pay for my landlord's vacations if I die? Who's going to slave away 12h a day lifting heavy shit 😢 Y'all can have this life I'll have the next one

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[–] shalafi@lemmy.world 7 points 1 day ago (1 children)

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 2 points 22 hours ago (1 children)

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

[–] Nollij@sopuli.xyz 2 points 21 hours ago

Uber and the like have specific warnings about that, too. Of course, you can just ignore them and say you're going to see someone else that's in the ER.

[–] underline960@sh.itjust.works 6 points 1 day ago (1 children)

Do urgent care instead, if that's an option where you are.

Urgent Care vs. ER

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[–] TinyLittlePuni@lemmy.world 6 points 1 day ago* (last edited 1 day ago)

Go to the ER. 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. I hate to worry people but the symptoms you mentioned can also be a sign of a heart attack and the longer that goes on the more damage this could be doing to your heart. Get to the hospital ASAP!

[–] Outwit1294@lemmy.today 14 points 1 day ago (1 children)
[–] starlinguk@lemmy.world 9 points 1 day ago (1 children)

Yup. Classic heart attacks symptoms for a woman, actually. But since they're ignoring medical advice I'm assuming they're a dude.

[–] Outwit1294@lemmy.today 6 points 1 day ago

That last line hits so hard

[–] user224@lemmy.sdf.org 5 points 1 day ago

So, are you still alive?

[–] Oka@sopuli.xyz 6 points 1 day ago

Sounds like heat illness. Did you sleep too hot?

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