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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[–] phx@lemmy.ca 3 points 46 minutes ago

This was me when I had Norovirus, though the puking was preceded by firehose-level shits until I took an Imodium, after which it switched ends before deciding on some rather unpleasant alternating events

[–] Etterra@discuss.online 2 points 1 hour ago

Yes. I personally wouldn't call a wee-woo wagon, but it's def not normal.

[–] barneypiccolo@lemm.ee 3 points 1 hour ago* (last edited 1 hour ago)

I had those issues before the doctor diagnosed GERD/Reflux, and prescribed medication. Now I take a Famotidine every day, twice if I've had something particularly spicy. I never have that problem anymore.

I finally did something about it when I aspirated in the middle of the night, like you did. It can actually give you pneumonia, which happened to me.

BTW, a banana can act as a pretty good acid treatment in a pinch., like in the middle of the night.

Also, which side you sleep on makes a difference, too. Your esophagus goes straight down the middle of your chest, until it reaches your stomach, which makes a left turn. So when you sleep on your left side, the opening to the esophagus is above the stomach, making it difficult for food to slip into it.

But if you sleep on your right side, your stomach is above the opening, and any undigested contents are up against that opening.. if it's weak, or opens, gravity draws that food into your esophagus, causing reflux.

So sleeping on your left side is preferred.

[–] MTK@lemmy.world 2 points 1 hour ago

Op, you alive?

[–] BuboScandiacus@mander.xyz 9 points 3 hours ago

You definitely want to get that checked out

Vomit, burning, heart pain etc... Are all in the "pretty alarming" category

[–] Libra@lemmy.ml 11 points 5 hours ago* (last edited 1 hour ago) (2 children)

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.

Edit: I'm gonna go ahead and add this because I've now had two people tell me how ignorant I am of the US healthcare system: I am a disabled American in my 50s who has been dealing with serious medical problems my entire life. I understand the 'system' far too well. But I'm gonna state what is apparently an unpopular opinion in this community: being dead sucks a lot worse than having medical debt.

[–] OneWomanCreamTeam@sh.itjust.works 6 points 2 hours ago (1 children)

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.

[–] Libra@lemmy.ml 3 points 1 hour ago* (last edited 1 hour ago) (1 children)

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.

[–] jerkface@lemmy.ca 3 points 1 hour ago* (last edited 1 hour ago) (1 children)

We're not talking about being dead vs being broke. We're talking about being MAYBE dead vs being homeless, hungry, and unable to clothe your children.

[–] Libra@lemmy.ml 2 points 1 hour ago

Health insurance exists for medical emergencies; vomiting and chest pains are signs of a heart attack which, I dunno where you're from, but where I'm from that sounds like a medical emergency to me.

I get that the US healthcare system is bad and exploitative and absolutely leaves people in crippling, life-altering debt. But one fucking trip to urgent care is not going to render you homeless unless something is very seriously wrong with you in which case see also: being dead also sucks pretty hard.

[–] Luffy879@lemmy.ml -3 points 3 hours ago (1 children)

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.

[–] Libra@lemmy.ml 2 points 1 hour ago* (last edited 1 hour 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. Please tell me some more of these wild-assed assumptions you've made about how little I understand about healthcare in the US.

[–] LovableSidekick@lemmy.world 8 points 5 hours ago* (last edited 5 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.

[–] HuskerNation@lemmy.zip 14 points 6 hours ago* (last edited 6 hours ago)

Get checked immediately chest pain and vomiting are signs of a heart attack

[–] some_guy@lemmy.sdf.org 10 points 8 hours ago

You have medical. Get checked out. Said the guy who hates going to doctors / hospitals. Be safe.

[–] lennybird@lemmy.world 15 points 9 hours ago* (last edited 9 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.

[–] NatakuNox@lemmy.world 27 points 11 hours ago (1 children)

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.

[–] throwawayacc0430@sh.itjust.works 6 points 7 hours ago (2 children)

Welcome to like more than 50% of the world.

This entire fucking planet is a dystopia.

[–] corsicanguppy@lemmy.ca 1 points 3 hours ago

Welcome to like more than 50% of the world

But it's the bottom 50%. And, in 100 years, it has fallen to 50%.

Trending is good.

[–] NatakuNox@lemmy.world 3 points 6 hours ago

America is probably the reason those other places don't have health care as well.

[–] AllNewTypeFace@leminal.space 83 points 14 hours ago (1 children)

Frame 1: “Hey USA, how’s it going?”

Frame 3: this post

Frame 4: “Jesus Christ…”

[–] slaneesh_is_right@lemmy.org 12 points 10 hours ago (1 children)

"i hope i don't have to sell my gun collection to survive"

[–] Moose@moose.best 4 points 8 hours ago

No, just frame 2.

[–] MagicShel@lemmy.zip 60 points 14 hours ago* (last edited 13 hours ago) (4 children)

Alright. Way too many socialists in this post who don't know how 'Murica works, god dammit. Here's real advice:

You woke up, so you aren't dead yet. In most cases, that's a good sign. Give it 30 minutes. If you feel better, great! This is where I preposterously tell you to follow up with your family doctor and we both have a good chuckle.

(Edit to explain: we have no idea who our family doctor is and we haven't been there in so long we would be considered a new patient.)

If you don't feel better, might well give it another hour. Most of the damage from a heart attack or stroke is done in the first 30 minutes, so you're probably not going to get any worse.

If you're still not dead after that, you're probably clear to make it through the weekend.

Next question is do you have sick leave? If not, congratulations, you're fine! If you do have sick leave, go ahead and make an appointment first thing Monday. They won't do anything, just send you for labs, maybe or just leave that part to the specialist they will refer you to.

So now it's 6 weeks later and the specialist is calling to confirm the appointment you're forgotten about. Do you feel better or are you out of sick leave? Congratulations, you're fine.

Next, is your deductible over 10% of your annual income? (5% if it's after Nov.15. You're gonna wind up paying that whole thing for diagnostic tests this year and the actual treatment will hit you after Jan 1 and you're double fucked.) If it is, congratulations, you're fine!

If you reach this point, you probably are in need of medical attention and can afford it. Congratulations on getting the help you need.

Bask in the superiority of the best healthcare in the world, you European nancies!

Obviously the tone is meant to be humorous, but this is basically the reality. The only thing I've omitted is that you can just go to the hospital and get the treatment you need and then avoid answering unknown numbers for 7 years. I have yet to see anyone sued over medical debt.

[–] Postmortal_Pop@lemmy.world 3 points 8 hours ago

I have yet to see anyone sued over medical debt.

If you're in my area they sue you without telling you and it goes straight to garnish out of your paycheck. I had to spend a better part of a decade committing fraud just to keep enough money to pay for rent and food.

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[–] Nindelofocho@lemmy.world 8 points 10 hours ago (2 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

[–] throwawayacc0430@sh.itjust.works 7 points 7 hours ago* (last edited 7 hours ago) (2 children)

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.

[–] Nindelofocho@lemmy.world 3 points 5 hours ago

Regardless im glad you are ok :) i have anxiety too and it can be scary

[–] MutilationWave@lemmy.dbzer0.com 3 points 6 hours ago (1 children)

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 2 points 6 hours ago* (last edited 6 hours ago) (1 children)

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... 🤷‍♂️

[–] MutilationWave@lemmy.dbzer0.com 3 points 6 hours ago

Yeah I caught that. I'm just saying I'm glad you went even though it was "nothing". I do not go to the doctor when I should.

[–] toynbee@lemmy.world 7 points 10 hours 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 10 hours ago

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

[–] zkfcfbzr@lemmy.world 97 points 16 hours ago (5 children)

> Makes thread asking if you should go to the ER

> Literally everyone says to go to the ER

> Doesn't go to the ER

ok

[–] umbrella@lemmy.ml 1 points 3 hours ago

he did say hes from the us.

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[–] Gerudo@lemm.ee 11 points 11 hours ago (1 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.

[–] gAlienLifeform@lemmy.world 20 points 11 hours ago (1 children)

or any impact on credit

Unfortunately I think the regulation that would have made that the case was stopped by the Trump administration

https://www.npr.org/2025/05/26/nx-s1-5406799/cfpbs-medical-debt-credit-report-lawsuit (arc)

[–] Gerudo@lemm.ee 5 points 6 hours ago

Doesn't look likes it's passed yet, but that isn't good news.

[–] underline960@sh.itjust.works 6 points 10 hours ago (1 children)

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

Urgent Care vs. ER

[–] Drusas@fedia.io 3 points 4 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.

[–] TinyLittlePuni@lemmy.world 6 points 10 hours ago* (last edited 10 hours 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!

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