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| Emergency room with kids
Posted: 1/16/2008 11:15:51 PM | Tonight has been my first experience in the ER with my 2 yr old daughter, and I hope I don't have to repeat it for a very long, long time. She somehow hurt her left wrist/arm and she was holding onto it for awhile. After talking to my sis about it, she's got some knowledge with medical thru the air force reserves and having 2 kids. She says perhaps it will get better, I gave her motrin, she slept for an hour or so, then woke up crying. We at least knew she didn't break her arm/wrist since it wasn't the frantic cry. So since she didn't improve, I took her to the ER, after half an hour, she was fine, no holding the wrist. YOu wouldn't think she had any issues with the way she acted. She was great though in waiting 2 hours to see the doctor, to be told that nothing was wrong. Heck, ic ould tell that with her crawling, putting pressure on the left hand. perhaps it was a shock to her to feel pain, who knows. All i can do is pray, and I got a little teary-eyed because I hate seeing her pain and wouldn't want her to be in any more pain. I had to wait in another room that was pretty full with people and some kids.
I went in there with an upset stomach and thinking that was something I so didn't need to have, but I"m pretty sure it was due to stress and anxiety. Maybe it was my prayer that helped her get better, who knows. but I"m so glad she was back to her own self, being silly and cute. I think it hurt more for me than to her to see her go thru that, perhaps it's due to feeling helpless in not controling their hurt/pain. In situations like these, I'm proud that I could be calm and collected, but there is nothing wrong with freaking out and letting others hear it. Everyone just handles it differently. It was a relief afterwards, that even though I wasted 25 bucks, it was priceless to hear that she's fine, no broken bones or anything. I'm very proud that she handled the waiting rooms in a great way, and she has more patience than I in waiting!
I didn't see any of this in the forum
So if anyone experienced the emergency room, how did you handle it? I think it's so much tougher when you have kids than not with waiting there. | |
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| Emergency room with kids
Posted: 1/16/2008 11:28:15 PM | After taking both my kids numerous times to the ER I will never do so again. I get tired of the nurses putting off what you say and acting like you are just another over protective mom who just sees something wrong, or acting like you want there to be something wrong with your kid. Like I really have nothing better to do than sit in an emergency room for no less that 2hrs with a sick child?
Ex: January 2007 I took my 3 yr old daughter to the ER on a Saturday evening. She was coughing til she gagged, gagging til she puked. She had a fever of 102 degrees C all day, was lethargic, her lips were slightly purple because I couldn't get very much liquid in her. The nurses gave her a purple Popsicle (disguised the purple lips from dehydration) gave her some Advil to lower her fever and sent us home.
Baby girl didn't get any better by Monday, in fact she was way worse...all she wanted to do was sleep on my lap all day Sunday and Monday I took her to our family doctor, she had pneumonia - he figured she had had it for a while it was that bad- he sent us immediately to the pediatric ward in the hospital to see a pediatrician who then admitted her on the spot.
Both doctors were shocked that she had been sent home from the hospital 2 days prior with how sick she was.
I won't take my kids to emerg again unless they are bleeding uncontrollably or not breathing. They just don't seem to care here, well I'm sure they do...they are just way over worked.
I have other horror stories of the ER | |
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| Emergency room with kids
Posted: 1/16/2008 11:40:16 PM | that is crazy. I think with the health care provider I have, they are efficient in getting the info, I had to go thru the ER nurse, gave him the story on what happened, got xrays done, then had to wait in teh waiting room, the nurse there just needed her weight and then waited for the doc. here, they usually go through the doctors, not thru the nurse. there was a girl there who was coughing so much and had to wear a mask, I would have given her a bottle of water but her mom didn't do anything, just let her cough. poor girl.
sorry you had to go thru bad times with the ER. | |
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| Emergency room with kids
Posted: 1/17/2008 1:23:24 AM | Have to admit, having worked on the other side of things people sometimes need to be reminded that it IS an emergency room. I'm not sure what the situation is with your family doctors and walk in clinics- but over zealous parents often do clog up the EMERGENCY ROOM with sprained wrists and common colds.
Don't get me wrong- the hospitals are backed up and emerges are no different... but the emerg is not there for your peace of mind. It is there to get critical or life threatened patients the care they need in an EMERGENCY. For this reason, many patients who are triaged are instructed not to eat or drink anything as a protocol. A parent is at the emerg with their child- it's not because they don't care. She probably wanted to give her a glass of water, too.
If everyone went there every time their kid got a bruise it'd be clogged up no end- oh wait a minute... they do.
Eno | |
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| Emergency room with kids
Posted: 1/17/2008 4:57:04 AM | Ditto on eno.
People don't understand what its like to work in an ER and how stressful it can be. Sure the pt's are stressed but that only leads to stress to the staff who are already underpaid and understaffed. People think thier problem is the biggest problem there is and just don't get how much pressure ER staff feel.
It's a very thankless, dangerouse, legally troubling, and emotional job.
The OP could have gone to a clinic especially if she went through the night like that.
Also, you can't tell if there is a fracture based on how you described it, especially in a child that young. | |
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| Emergency room with kids
Posted: 1/17/2008 5:21:01 AM | I've been to emerg with my kids three times...
The first time I was loathed to do it but we lived in a small town with a hospital and no walk-in clinic...I called the hospital and they told me to come in so I did.
My eldest had a reaction to a bug bite...his entire forearm became swollen...the spot of the bite was raised, solid and emitting heat.
Had I been in a bigger area I would have just taken him to a walk-in clinic...it was hardly worth adding another person to the emergency room.
In fact, there was a mother there with a child who had burned his hand on the stove-top so I gave her my spot and let her go first.
The second time was when my youngest tripped and got a large cut on his forehead...a twig was stuck in there and I had to take it out
Because it broke the tension of the skin I was afraid it was going to need stitches so I brought him in.
Same small town...the hospital was so close it was faster to stick him in the wagon and walk him there then to get him strapped in, drive, look for a parking spot, unstrap him...
Third time was in a different town. I was living with my dad and he left a margarine tub full of used paint thinner (white paint) where my youngest could get at it.
My 3 year old carried it up to me and said "Dat yucky milk" and had a milk mustache.
Brought him to the doctor right away and she told me to bring him to the emerg. since we didn't know if he's actually ingested any. If he had they were better equiped to deal with it.
Back into the car, screamed up the highway to CHEO (Childrens Hospital of Eastern Ontario) where my doctor had called ahead so there was no waiting in the admitting line.
Turns out he didn't swallow any so it was all good...
I'm very cautious as to what I bring to the emergency room. I don't want to clog it, take up a seat somebody who really needs it might be using. Nor do I want to expose my children to the virus which is causing the person next to us to puke every 5 min for the last day and a half...
I've known people who take their 6 month old to the hospital cause she won't stop crying...only to wait 5 hours and be diagnosed with teething...
That is a waste of time and effort on all parts but mostly the doctors who could be treating a more deserving patient | |
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| Emergency room with kids
Posted: 1/17/2008 7:11:27 AM | | I have done the emergency room thing twice with both of my kids....Both times they were really good and didn't treat either one like a non issue. Though up here the waits are long due to lack of doctors and medical staff. The problem is, that the walk in clinics close at a certain time. So both times I am sure I could have taken them to a clinic, but my only other option was emergency to see a doctor. My son tripped and fell and gashed his head open, only needed 2 stitches, but we got it done up at the hospital. | |
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| Emergency room with kids
Posted: 1/17/2008 8:46:19 AM | As a mother of an asthmatic child, which was at one point not very well controlled, and as a mother of a child who ran EXTREMELY high temps/febrile seizures with ear infections, I have spent far more time in the emergancy room than I would have liked. I have also been on the other side "of the glass" so to speak.
I now realize that there are some ERs that are simply run better than others... They are there for emergancies and can be overrun with panic ridden parents, but there are also folks there that need to be seen and be seen quickly. They should be able to pick out the difference.
I have already resorted to taking my child from the waiting room, driving across the street and dialing 911. Isn't that sad? My son was turning blue with an asthma attack and I was told that they would get to him shortly and I should give him his inhaler again because they had a major trauma come in!! That was from the major trauma center and "most respected" hospital in the area. PO2 of 79 when the emts got to us... I changed his primary care doc after that visit to one that was not associated with that hospital at all.
The very worst part of any ER visit at this point is that if I HAVE to take one of my kids, I often don't have a babysitter for the other 2. I know how that is frowned upon but there isn't much that I can do but work on getting one there as soon as possible. Luckily it doesn't come up nearly as much as it used to. | |
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| Emergency room with kids
Posted: 1/17/2008 9:12:04 AM |
staff who are already underpaid
Man, I'd love to make $30 an hour and say I'm underpaid.
My story wasn't intended to put down the treatment I got and blame it solely on the nurses or doctors. I know I got treated the way I did because of the 100's of parent's who bring their child in for teething, colds and runny noses.
My daughter and I were dumped into a stereotype and I thought that was wrong. | |
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| Emergency room with kids
Posted: 1/17/2008 9:41:58 AM | | I have taken my daughter to the Er a few times (around 4-5 times) but not for simply little things. My daughter has a bleeding problem where she bleeds for long periods of time. She has had a few accident's where it has caused blood and I have had to take her in right away. I have no problems with the ER here as there are not that many people in my area so when you go to the Er there really isnt anyone there. BUT if there is they do take her in first because of being a child. Also she is really good when we are there, she doesnt act up she sit's with me and she doesnt make a sound. And she is really good with the nurse and the dr's when we take her in as well. | |
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| Emergency room with kids
Posted: 1/17/2008 10:16:13 AM | The nurses around here would love to make 30 an hour. The highest paid nurse at the hospital I worked at was paid 24.
Consider having to be around every illness including things that will kill you, having violence happen to you or threats of such, peoples crap on you, watching people including children die on an almost daily basis, contstant testing and training, UNDERSTAFFING aka running around like a chicken with your head cut off, etc etc...
It's not easy work and it takes special people to do it and keep a sense of compassion about it rather than hardening off. Unfortunatly that is what most people do, become desensitized which makes a crappy health care provider.
I wasn't trying to stereotype so sorry if I came off that way.
This thread has an underlying current to it too which is the difference between US and other countries health care systems. Most people in the US wait until they are so freaked out to go into an ER because of the costs that this adds to everybodys problems. I've seen moms in ER's just as worried about the bill as their children, and with good reason.... | |
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| Emergency room with kids
Posted: 1/17/2008 12:07:02 PM | This thread has an underlying current to it too which is the difference between US and other countries health care systems. Most people in the US wait until they are so freaked out to go into an ER because of the costs that this adds to everybodys problems. I've seen moms in ER's just as worried about the bill as their children, and with good reason....
There is no underlying current, other than to share experiences of the ER and how you'd handle the wait with a sick/injured child.
Yes, I could have gone earlier, but we wanted to make sure that it was something minor and could work out on it's own, maybe a sleeping arm and that shocked her to feel pain? I was not worried at all about the money. So please, don't assume. Perhaps some parents do wait due to the money if the situation doesn't get better, but I think overall we just want to see if the situation improves on it's own.
The health care provider I have, has only one main emergency place in the city, my peditrician is closed. And because this is my first experience, I didn't think of other places to go to other then the ER, after all I'm paying the healthcare, so why would I go to another clinic? They are in the works of opening other emergency areas for different areas so it won't be as congested.
Every professions has cons/pros. In no way, did any of these post put the professions down in a negative way, just what we went through in our own experiences. So, please don't take it personal if you're in this profession. Fact of the matter is, when you're in the profession, you tend to see things differently than patients. Those who don't have experience in medicine, will assume the worst or fear the worst when they see their child in pain. I think more with young kids because they can't tell you what exactly hurts.
On a side note, when next I see my daughter's peditrician, I will ask if they have a booklet on when to take your child to ER versus the doctor. | |
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| Emergency room with kids
Posted: 1/17/2008 12:21:56 PM | One thing I want to address before everyone thinks it's a good idea to call an ambulance from the emergency waiting room (or across the street) is that our patients get triaged just like everyone else. It isn't going to guaranty that you see a doctor.
Don't get me wrong, in this case where an athsma attack affects / threatens one of the big three (ABCs)... I'm not saying you don't belong in an ambulance, or in the emerge for that matter. I'm just saying that under most circumstances, coming in an ambulance isn't going to guaranty that you see a doctor faster.
Eno. | |
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| Emergency room with kids
Posted: 1/17/2008 12:21:59 PM | | I was just at the ER with a neighbour's child as they didn't have transport. We had to wait only 45 minutes, There was a seaparate waiting area for children so they aren't subject to all the usual darma in a busy ER. I thought it was was well run efficient and the staff were courteous and professional. Turns out the chil had a broken toe. All in all considering the circumstances a good experience of ER. Oh and treatment is free at point of contact. We pay National Insurance here for that. | |
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| Emergency room with kids
Posted: 1/17/2008 12:53:36 PM | Last year at christmas time
My then 4 year old, started complaining her foot hurt, and she had a slight fever, thinking it was just sorta a holiday thing (as we where really busy) I let it go
Christmas Eve we had a few friends and family over for drinks and appy's and my normally hyper happy go-lucky child was quiet, and lethargic she was still running a fever and complaining about her foot, I gave her some childrens advil and she asked to go to bed (NEVER HAPPENED BEFORE LOL) About 2 hours later she was crying becuase she had wet the bed (also this had never happened before), I fixed her up and then she feel asleep, I checked her every few hours till about 2 am jsut to make sure the fever was going down
Chrismas day she awoke and seemed better sorta limping but the fever was down and she wasn't as lethargic until later around 8 pm when she started whimpering, couldn't walk and the fever was back
I rushed her to the emergency room near my parent place, and spent the next 6 hours getting xrays and bloodwork done (I of course was in a panic added tot he fact I had had practiclly no sleep) to be told by the doctor there was nothing wrong with her.....and at that point she had had enough and jsut wanted to go home
so I took her home and spent the night with her watching over her the next day again she was fine for a while until later at night, I immediatly rushed her to a diffrent emergency room
I waited for THREE and half hours in the waiting room, increasingly getting upset because she was whimpering and her fever was in my opinion wayyyyy to hot, we finally get into ped's emerge at about 12:30 where we have to wait again 2-3 hours before someone even came to talk to us, I started screaming at the nurse while she was playing with her cell phone (which prolly didn't help but then again I had barely slept in three days and my child was in pain) until finally they had a doctor come over and talk to us almost 4 AM at that point they wanted to run all of the same test that where run the night before X rays blood work etc etc, I explained that all of these things where done at another hospital the night before , but they couldn't call them and get the record so that took another 3 hours to find out again all of those tests where clean,.................at this point I m hysterical..........they call in a specialist finally was able to figure out what was wrong with her......we spent 4 weeks in the hospital and two weeks after that had to have daily I.V treatments at the hospital
EDIT
I thank the wonderful hospital staff in the childrens ward, for doing a great job during our stay but honestly 13 hours of waiting time in the regualr waiting room and the peds emergency was a bit much as this is my only child, I figure if someone had just come and checked her temp and talked to me even to let me know they would be getting to me soon, would have been nice and would have had a calming effect on me but being comletely ignored while the nurse played with her new camera phone sorta set me off and in the end it turned out she had contracted a serious infection in her bone, from daycare not just a fever and runny nose but nobody bother to talk to me to find out what was going on ....just that she had a fever | |
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| Emergency room with kids
Posted: 1/17/2008 1:44:52 PM | I agree Eno, and my situation was a bit extreme...I understand that. It was simply a very sad example of a poorly managed ER. Normally with an extreme asthma attack he is taken pretty much immediately, but that particular time they didn't even take the time to triage him properly and they assumed that he could wait because I had an inhaler for him. Sometimes the "better" hospitals are simply too over run with major traumas and emergancies to take the time for "something so little" which isn't how it should be at all.
I now normally opt to take him to a much smaller hospital without nearly the same resources if there is a problem...frankly I think it is the better hospital because they haven't forgotten that they are there for their patients and they generally triage as folks walk through the door instead of sitting and waiting for even that step to be covered. | |
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| Emergency room with kids
Posted: 1/17/2008 2:03:12 PM |
Yes, I could have gone earlier, but we wanted to make sure that it was something minor and could work out on it's own, maybe a sleeping arm and that shocked her to feel pain?
Thus the point about the under current that being that some of the posters are from the US and others are from countries with universal health care (not MANDATED universal health care but the real deal). These folks tend not to wait to get treated because they aren't worried about the cost as much so they are actually healthier than we are in the US, but in no way did I assume that is what your motive for your actions were. Worry does contribute to the demise of ones health in fact. As far as a booklet I doubt there is such a thing. I would say if there is a question, especially with a child, go. Kids tank fast.
Watermelon - I'm somewhat shocked by the treatment your daughter recieved but not totally suprised. ER's can be quickly overwhelmed and blood always speaks louder than just "ouch". As Eno metioned ABC's. This is what an ER does; make sure people have viable airways, make sure they are breathing and stay breathing, and keep thier blood in thier bodies. I kid with an acheing foot will more than likely be overlooked in a scenario where you just had a couple of head on's with multiple patients. It's not right or wrong, its just triage. | |
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Joined: 10/14/2006
Msg: 18 | |
| Emergency room with kids
Posted: 1/17/2008 4:27:48 PM | well im just glad i am in Canada with universal health care.
I'd be screwed in the US if i resided their. Some 50 Million americans dont have insurance so they can go to the ER get care but then are SOL with a huge bill to pay.
ER's in Canada address the most urgent first. For instance someone with a heart condition will get served before a person with a common cold.
We are lucky in Canada. | |
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| Emergency room with kids
Posted: 1/17/2008 4:32:22 PM | I think we all have had bad moments in emergency rooms. My oldest daughter was 2 when I took her to the ER because she had been vomitting and diarrhea for 18 hours straight. Now, normally I would not have gone to the hospital, but when she started having blood show up in both of these and running a fever of 103, I went. After a 4 hour wait (which I didn't mind.... we were not a high priority case), the young doctor came and examined her and said, "She has the flu... go home." I informed him that we had been around a lot of farm animals that week and that she had been helping in the barn and that I wanted them to take a stool sample and have it tested. He got quite beligerant with me and repeated that it was "just the flu". I stood my ground, told hime it was NOT the flu and demanded they take a stool sample. "It's not like there isn't a good supply to choose from!!" I hollered at him! lol So finally, I think to appease me, they took it.
I took my daughter home, nursed her through 3 horrible days of the same symptoms, eyes rolling up in her head, high fevers, no fluids would stay in, etc....
On the 5th day after our visit, I get a call from the ER doc asking how my daughter was. Thankfully, that morning, she had finally started to come around and was taking in some fluids and not passing out anymore. To hear the relief in his voice alarmed me... especially when he asked me to sit down and get a pen and paper. Of course, by now I am on my feet demanding to know what was wrong!! "First off, ma'am (hate being called that! lol), I want to thank you for insisting we take a stool sample. Your daughter has E-Coli 0157.... the same strain that killed all those people in Walkerton."
Needless to say, this doc was very apologetic and called everyday after that to see how she was doing. After 2 weeks of being on sulphur, she was finally okay. During our last conversation, the doctor thanked me for teaching him a valuable lesson.... to always listen to parents.... we know our kids the best and KNOW when something is more than "just the flu". | |
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| Emergency room with kids
Posted: 1/17/2008 5:38:26 PM |
Consider having to be around every illness including things that will kill you, having violence happen to you or threats of such, peoples crap on you, watching people including children die on an almost daily basis, contstant testing and training, UNDERSTAFFING aka running around like a chicken with your head cut off, etc etc...
There is no HAVE to it. They chose that profession knowing full well what they were getting into. I'm not saying that it's not a shit job....but it is a job they chose. | |
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| Emergency room with kids
Posted: 1/17/2008 8:17:00 PM | Every day I wake up , I thank God I was born and live in Canada (or the US for that matter).
I have nothing but praise for health care professionals who work in very stressful situations, and manage to keep their wits about them.
I thank God people choose to go into medicine and nursing.
I thank God that we have such modern technologies like MRI's, CAT and PET and every other machine that they use.
I have three children, two special needs and I've spent my share in the ER with all of them. Of course, service sometimes sucks but I at least had access to a doctor.. and to antibiotics and to rehydration.
Although I have to admit the last time I personally went to an ER for myself, I waited hours and hours and hours and listened to the young woman and her friend in the bed next to me. Seems she decided that rather than go to a doctor, she chose to go to an ER at 10:00 at night because when she wiped her butt, she saw a speck of blood. Turns out she had a hemmoroid from having her baby three months earlier. Seriously, I wanted to choke her and her friend and their giggling and carrying on in the middle of the night while others waited to see a doc for strep pneumonia like me.
Even then I thank God that I had the option to leave that ER and go to another ER ..
If I lived in half the countries in the world, me and my kids could have died at some point.
Problem with ER's is that people use them like walk in clinics, because they "think" they will get better medical care in a hospital. Unfortunately, when you go to an ER, they can't deal with minor emergencies, cause they are too busy saving folks from dying. | |
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| Emergency room with kids
Posted: 1/17/2008 8:29:15 PM | True enough tangleme.
And thank you GEM for being appreciative that some people CHOOSE to GIVE this kind of care to people. | |
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| Emergency room with kids
Posted: 1/17/2008 10:07:37 PM | I am sitting here scratching my head..... I have only been a nurse for two years and a parent for 10 years.... In some of these cases why didn't you call your pediatrician before going to the ER??? Even after hours there is usually a physician on call...
My first child's illness was at 9 weeks old, he never even had a cold....... I call the md first, did as instructed... then she instructed us to take him to the ER... we walked into a crowded emergency room........ and they took us right back..... he had a rare form of meningitis and was transported to another hospital. He survived it after a 9 day hospital stay.. but he was close to death.
My second experience, was when my other less than one year-old figured out how to get out of his high chair and I heard a thud on the wooden floors.... it was his head. Once again I called the md...... was instructed on what to do and told to call back under what circumstances....... called back....... went to the ER as instructed.... and we were taken right in once again and admitted, thankfully for only 2 days and he is fine.
With that being said there have been other things, I called the md with followed their instructions and an ER visit was not neccessary. Why is this step missing with some of the above mentioned cases?? | |
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| Emergency room with kids
Posted: 1/17/2008 10:41:23 PM | I'm going to reiterate what the guys said.... Emergency is all about triaging.
We do understand that it kills you to have your sick child coughing and vomiting with a high fever. But everyone does need to realize that those patients (although sick) aren't nearly as sick as other patients that are in there.
A few years ago, I was running to a code (no breathing or heart rate), and a patient grabbed me in the hall and started yelling at me for not having looked at his foot yet. Quite frankly, I didn't give a sh*t about his foot... someone was quite literally dead, and if we didn't act NOW he was going to stay that way. I'm not even a doctor, for God's sake!
And sure, you may see a whole mess of doctors, nurses and other health care workers (although, we do all wear the same clothes in most facilities, so you may also be looking at a gaggle of janitors too) standing around 2 or 3 patients... but do you know how many people are needed to look after really, and I mean *REALLY* sick people? A trauma team can EASILY consist of 10 people too look after ONE car accident victim, or ONE shooting victim or ONE workplace accident victim. Same goes for patients who are having serious cardiac problems.
You will (or, at least should) NEVER get chastised for taking in a child who is having breathing problems, gets 'floppy', won't stop bleeding, or a rash that doesn't blanch.
The comment earlier about the child who coughed so much that she had to wear a mask........ Most hospitals in Canada now have policies that state that anyone with a cough MUST wear a mask in emergency, due to the fact that coughing is a great way to spread disease. Influenza, TB (yes, that is still out there, more than you think), pneumonia, and a whole host of other diseases are spread by coughing within one meter (4 feet) of another person. You can thank SARS for that protocol.
Again, ABC!!!! If you have an Airway, you are Breathing (easily) and your heart is beating (Circulation) normally.... you will be waiting for those people who do have those problems to be seen.
ok... my rant is done... for now.... | |
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| Emergency room with kids
Posted: 1/17/2008 11:31:42 PM | And you know when you call an ambulance in Canada *at least in Calgary* and it arrives at the hopsital and the patient isn't dying, you still wait. Only difference is the paramedics have to monitor you. So seriously unless you are really in trouble, don't call an ambulance cause then you tie up both an ambulance, two paramedics when they could be assisting with a car wreck or something.
My father is 82, he's been taken to the hospital a few times by ambulance .. the paramedics were great but he waited.. in the hallway with two paramedics for almost 4 hours because he wasn't critical.. he was seriously ill but not in danger of dying immediately. He was hooked up to all kinds of monitors and the paramedics monitore his vitals. Sure it sucked cause he was in a hospital hallway and on a stretcher as opposed to a bed and my mom couldn't stand with him, but he was medically well taken care of. Inconvenient perhaps, ???
But it is a hospital not a hotel.
I think we expect far too much in our society these days. I do alot of international recruitment and I hire nurses from all over and seriously what nurses get paid, and what they do for their money in other countries is alot different than here. What we pay a health care aide a week is about 6 or 8 x what a nurse gets paid a year in some of these countries.. I heard one estimate that a one hour of PCA wages in Canada is equal to a week's wages in the Phillipines. | |
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