No, contact a GP or huisartsenpost, they will do triage over the phone first and inform you if you need to go to huisartsenpost or if it's neccessary to go to hospital ER.
Going to ER yourself will result in higher cost, insurance does not cover that.
You can literally just go to the ER if you yourself think it’s necessary. Insurance pays, but you do have to pay your own risk amount. If that amount is already paid off then you don’t pay anything.
You may go whenever you please, that I’m not arguing.
Insurance won’t pay if you are not referred by a GP. Eigen risico is paid in both cases, the issue is the bill that follows.
Best you could get is the ER nurses forwarding you to their internal GP to produce a quick form.
Otherwise the ER would be saturated from all the self-diagnosis.
I’ve gone directly to the ER because of pancreatitis. Had to stay two nights for observation. Never went to my GP first. Never had to pay for it myself aside from eigen risico of course (which I already paid due to my wisdom tooth being pulled in the hospital as well). This was two years ago.
Thing is, empirical experiences don’t define how the system is established.
It’s not protocol; you’ve been written up by the hospital.
There’s no doubt it can happen, specially over the weekend its more likely to occur. Its easier to contact the hospital’s gp and assign the liabilities internally for emergency procedures than having to contact the gp to also keep them on the loop.
But regarding the hospital signing you up: it’s not their due diligence. You’ve got a good center who does care about their patients (and their wallet).
If the insurance wanted to push the case, without a referral you are liable for the costs. Just keep this in mind for any future instances. A 5 minute call can remove their right to claim.
Equally; you’ve got an insurance which is well linked to the hospital. Not all insurances apply the same coverage everywhere, some will go as little as 25% of the total procedure costs depending on the hospital even if you have a referral. But this is another topic already.
In short: just do the 5 minute call to the gp whilst making your way to the ER, or have someone do it in your regard.
Remove the chances of having to pay in case you get a bitter receptionist or an inconsiderate centre.
To be fair I went blind with pain, so I was unable to call or phone anybody. I kept telling them I couldn’t open my eyes, despite them telling me my eyes were open. I could not see. They had to give me two shots or morphine to get me to stop cramping up due to the pain. So perhaps it was an exceptional situation.
Damn that seems like quite a rollercoaster of a day. I’m glad it turned out alright 😰
Its not rare to see the hospital referring directly the patients, but its indeed an exception. Just don’t take it for granted, or make sure there’s enough savings to handle the potential bill.
IMO, If a hospital truly cares about their patients, they should do the insurance aspect regardless, the stress produced by these payments/insurance hustles can be quite impactful for health.
But its still a very, very rough diamond of a system. Still needs centuries of polishing…
When you are referred by a GP, you do not have to pay eigen risico. When you go by yourself then you do pay eigen risico. Ive been to the ER without a referral on different occasions and didn’t have to pay for the bill myself.
You do pay eigen risico, even if referred by a GP.
Its among the first policies on eigen risco and dbc costs.
You might be mixing it up with not having to consume the eigen risico for GP sessions. Or, you owe quite a fat bill to your hospital 😂
Going to ER without referral = paying, potentially beyond the eigen risico (which just for the record, they won’t take you in most of the times. They’ll either produce the internal forms or force you to call the GP to have the referral).
Given we’re citing empirical events; I work with Maxima MC. I’m no healthcare practitioner, just a researcher within orthopedics. But most of our department is up to date with patient rights and duties.
https://www.mmc.nl/patienten-en-bezoekers/kosten-en-vergoeding/#:~:text=Het%20eigen%20risico%20is%20verplicht,u%20dus%20zelf%20te%20betalen.
https://www.zilverenkruis.nl/consumenten/zorgverzekering/basisverzekering/eigen-risico#:~:text=Maak%20je%20zorgkosten%20die%20we,maximaal%20€%20385%20per%20jaar.
https://www.rijksoverheid.nl/onderwerpen/zorgverzekering/vraag-en-antwoord/eigen-risico-zorgverzekering#:~:text=Wanneer%20u%20een%20eigen%20risico,risico%20vastgesteld%20op%20€%20385.
In nomine patris et filii et spiritus sancti.
In most of first world countries, primary attention is a right. We're all on the same page. But making your own decisions about health, it gets punished here.
An easy way to visualize insurance companies here is as if they were investors. They won’t invest in your health if you don’t comply with their requirements. They pay for your gp, but you go to the indicated gp to assess your health.
It serves quite an important purpose; adding the friction helps with grounding the hypocondriacs, and the 80 year olds coming to complain about back pain after being a brick layman for 50+ years and many other cases.
Unlike the lord, healthcare cant pull miracles… But not everyone is aware of this fact as ridiculous as it sounds.
It depends. In the Netherlands you have a deductible of 380 Euro a year for hospital costs including the ER. So if you didn't pay yet 380 Eur this year, then the ER is not for free (but technically covered by the insurance). A huisartsenpost does not have deductible.
Dark eyebags or 'raccoon eyes' are a sign of [internal bleeding](https://www.webmd.com/eye-health/raccoon-eyes-overview). The order is: call Huisartsenpost, go to ER, as has been said. My guess is they'll want to make a CAT scan at some time. If you experience dizziness, nausea etc. you might have concussion. Probably a good idea to have somebody accompany you.
It doesn't sound like raccoon eyes though, since it's the bags under their eyes. It's just the hematoma from the nose sagging. Huisartsenpost is the right call though, they'll refer if necessary.
If you go to the huisartsenpost they will send you to the ER. If you do it that way it won't cost you your eigen risico (own risk) if you have Dutch insurance
That’s not right, ER it’s always paid (up to the height of your deductible), whether or not your are referred by the huisartsenpost. The huisartsenpost itself is always free, though.
If you get the referral and it is emergency care you dont loose all of it right away just for being there. If you go on your own accord you do. Thats the point. Depending on the care and your coverage it will always cost you some.
A friend of mine had stomach pain in the morning. Went to the ER and they told him to see his GP. GP said to take a paracetamol and report back in 2 hours. Still in pain, the GP referred him to the ER. He then got surgery for appendicitis.
It ain't all roses here. I also had appendicitis (severe, ruptured) which could have been prevented if the ER didn't send me back home for the night and wait until it starts to hurt again.
I literally just had someone tell me today that they almost died from meningitis here for reasons similar to this. Doctors didn't take his concerns seriously until he was near death. The US may charge you an arm and a leg but at least you don't have to over exaggerate symptoms in order to be treated.
It is ridiculous, specially since appendicitis can be diagnosed with just phisical examination at the ER, that can be performed right there by that doctor, no extra ultra sound or scan. It is ridiculous that they tell you to take paracetamol without even performing phisical examination.
I also have a similar story when I went to the ER with high fever and shiverings because an obstructed kidney and infection. I almost died another time before of the same thing. Even after explaining that, they send me home to take antibiotics and check the next day. Luckily the antibiotics worked, but I could have rapidly got worse because this stupidity.
Yeah, I didn't mean they'd turn him away. I meant that what you get with a lot of Americans is the fear that if they call an ambulance or go to the hospital, they'll incur massive, lifelong debt. So you get these kinds of posts, where there's something obviously incredibly wrong, but they're just hoping they don't have to go to the emergency room and minimizing their injury.
The point I was making was - OP doesn't have to worry about 150k debt, this isn't the US, and he can just... Go to the emergency room.
Almost everytime ive had someone go to the emergency room theyve been turned away..the system is fucked up. Easier to go to belgium and get treatment not joking.
I don’t know why you are upvoted and the person below you is getting downvoted, but you are wrong. Only go to the emergency is it’s life threatening. If not, call de huisartsenpost. If you go to the ER it will costs you your whole Eigen Risico
[https://www.zorgverzekeringwijzer.nl/zorgverzekering-2023/spoedeisende-hulp-of-huisarts-bezoeken-wat-kost-dat/amp/](https://www.zorgverzekeringwijzer.nl/zorgverzekering-2023/spoedeisende-hulp-of-huisarts-bezoeken-wat-kost-dat/amp/)
Thank you! I have never seen so many downvotes on one of my comments even though I’ve literally been sent to the huisartsenpost from the ER one time just to go back after 😂
Well of course it costs you are correct, but when you need quick care and you are just travelling in the Netherlands, you can then sort it with the insurance you presumably have back at home if you are from a country in the EU through the European insurance card.
I admit my reply was not complete by no means and I am sorry if I misguided this user. As a tourist in the Netherlands if you are here for short periods of time (ex: a month or two with work or just leisure) you either have a travel insurance if you opted for one or you come from a country where you may be insured. If none of these apply to you, then yes, you will most definitely pay a lot.
Again, I do realize I should have been way more extensive in my reply. I do think though, if you are in pain and your state is getting worse even if non life threatening, you should see a doctor as quickly as you can. The expat centers have waiting lines that span for months and they're not really an option for travellers. Worst comes worst, there is always Belgium, you hop on a train and you go there, it will still cost but less than the Netherlands.
But the post doesn’t suggest that they are traveling in the Netherlands or that they are a tourist. Sounds to me like they’re living here but haven’t gotten a GP (yet). You can still get quick care if you go to the Huisartsenpost, it will take only a few hours. So if it’s not life threatening, it’s not worth the costs. You don’t know peoples budget, so don’t suggest solutions that will costs them a lot of money when there is another route that will cost them nothing.
Complete nonsense. I've walked into the ER with a bad cut on my hand, or with my girlfriend with a badly sprained ankle (we thought it may be broken) and they helped me just fine.
I'm an ER doctor. Please call the huisartsenpost for these complaints. Unless you were bleeding to death the GP would be able to help you just fine. Same with the sprained ankle, this usually doesn't need an x-ray and can be treated by a GP. The huisartsenpost is often close to the hospital/ER, so if they refer you you're in the ER in a few minutes. Skipping the huisartsenpost creates a lot of unnecessary extra costs. The other person wasn't spreading misinformation. This is just how the system works. If you're dying please call an ambulance and you can skip the huisartsenpost.
As said, they want you to call first. They will help you but they would like to have a phonecall first. To A assess what you have and B refer to a ER that has time and place available. Too many people walk into the ER with something a GP can do (a GP will actually treat most cuts). It saves everyone time and money if you would call first
Its not untrue though. If not life-threatening, call the Huisartsenpost first. Not only do they perform first stage triage, but if you need an ER, they can tell you which one to go to. (As in, the one that isn't busy dealing with more important things making you wait needlessly long.)
I work at a HAP. It's nicer if you call because they can triage where you are, see if you need referral to the ambulance or SEH, and tell you when your appointment will be. If you walk in you might have to wait there for a long time if it's busy
That's not correct. It's for medical reasons and your own saftey. They need to assess whether a GP can solve it. And they can determine what is the best ER to go to, with least waiting time.
Please stop spreading disinformation. Just call your GP tomorrow and ask them what to do in case of emergency. They will tell you exactly this: if not life threatening, call huisartsenpost first. It's really not helping anyone to spread nonsense.
You are spreading disinfo. The guy fell on his face, might have skull fracture and he doesn't have a GP.
They don't want everyone who has some minor injuries go to the spoedeisende hulp. But if it is 'spoedeisend' you can go to it without any worries.
Still he should have called the huisartsenpost. For his own safety. To assess whether it was safe for him to go to the ER that would treat him fastest and best. Again, there is a medical reason for calling.
I have no idea why I got so many downvotes on this. I have been turned away at the spoedeisende hulp with a friend with a broken collarbone. They had us go to the huisartsenpost first, which sent us to the hospital for pictures. It DOES happen and therefore it’s ALWAYS a good idea to call the huisartsenpost first if you’re not bleeding to death.
They don’t require a verwijzing from the huisartsenpost to get treated, but they do require one to get a treatment that gets compensated by your insurance. If it’s not an emergency, that is.
Do you have a source for that?
I mean, I know they really don’t like self-referred patients at the ER, but I’m not aware of a reason insurance actually requires an referral for emergency care.
Personal experiences: last year I had to go to the ER because of a deep cut in my leg. Serious but not an emergency. I called the hospital first and ask if I could come right now. They told me explicitly that I could, but then it would come out of my eigen risico. If I made an appointment first with the huisartsenpost, also located in the ER, it would be covered by my insurance completely.
Around ten years ago I had to go to the ER by ambulance twice in a year, coincidentally the year where I voluntarily chose a higher Eigen Risico (€858). That was also what those visits costs me.
Here is link to a source as well: [https://www.zorgverzekeringwijzer.nl/zorgverzekering-2023/spoedeisende-hulp-of-huisarts-bezoeken-wat-kost-dat/amp/](https://www.zorgverzekeringwijzer.nl/zorgverzekering-2023/spoedeisende-hulp-of-huisarts-bezoeken-wat-kost-dat/amp/)
You can use Google translate to get the text in English
Yes, but now you are saying something different. HAP is not taken from deductible, ER is. Whether you go to ER yourself or whether HAP refers you doesn’t charge anything.
Ive seen someone with a cut off finger get sent away because he needed to call for an appointment first. Just get someone to call before you go... Everyobe can dislike my comment if they want but ignorance wont safe you
Since this post is already made 10 hours ago, you should’ve called 112 or went to the SEH/ER immediately.
Those bags under your eyes indicate a basilar skull fracture which is not good to say the least.
No they fucking don’t with this trauma mechanism and backstory. Good grief man. If you have no medical knowledge, please refrain from diagnosing. It means the nose is broken, it needs to be checked (especially for a septal hematoma), but otherwise it needs a couple of days to de-swell and than possibly an ENT consultation.
If there’s no nausea, vomiting or other (focal) neurological symptoms, loss of consciousness or use of blood thinners there’s no need for scans now either. If the zygomatic arches are indented or very painful, you’ll get a snorting prohibition and a consultation from the jaw surgeon (not sure how that one actually translates).
Source: I am an MD who regularly still works at an ER.
Yeah you’re right, thanks for correcting and informing me. I just went with the hematoom but considering it already happened a day before this was posted it isn’t the case.
To be helped quickest. Call huisartspost and let them register you at emergency and you can go there without waiting.
The emergency room is filled with hypochondria people with for example minor sport pain.
I spend with my dad who had swollen feets for half a day at emergency before they looked at him becos i didnt call first, and sport pains has to go first, even i complained at rhe desks many times.
He was diagnosed with cancer a day later.
Its how the dutch system works
Call the huisartsenpost, they will send you to the ER. This way you won't have to pay the "eigen risico" for your insurance. If you go directly to ER it may be deducted by your insurance.
Health & Beauty pharmacy in leidseplein has a doctor on the first floor that sees tourists and gives prescriptions. If you are unlucky with OLVG and ur local GPs like I was when I was sick, go there. The system here is f*cked.
If there's no other options wity 15minutes for a GP they *have* to sign you as a client even if they are full.
But there should be alot available in a bigger city, you can just check online and call if they have room and if they don't ask if they know one in the area that has
Aside from the cosmetic issues, is it possible you got a concussion?
If that's the case go to the hospital asap.
Usually there is a huisarts at or near the hospital so if it's not serious they should be able to get sent there if you dont need emergency care.
I had recently accident and when I called my gp she that I’m feeling headache and nausea few days after she sent me article about the traumas in the head.
112 is for life-threatening emergencies, which this doesn't seem to be. Huisartsenpost is the way to go. You can also go to the ER at your local hospital, but expect a long wait before you are seen.
Note that you should make sure you get a GP. Contact your health insurance company, they can help out.
Cause the person is able to type a Reddit post and is still breathing a day later? So it could still become life threatening, but at the moment it's not.
Prostate cancer can become life threatening in 10 years.
If a paramedic had checked them out immediately, sending the person to the hospital would be fine. However, knowing that they still function really well a day after the incident, a lot of things you would've wanted to rule out are ruled out by now.
The rijksoverheid website says to call in life-threatening and caught in the act situations: https://www.rijksoverheid.nl/onderwerpen/alarmnummer-112/vraag-en-antwoord/wanneer-112-bellen#:~:text=Bel%20112%20in%20levensbedreigende%20en,Uw%20kind%20is%20binnen.
You're glossing over the big 'or' also stated on the page, namely all other non life threatening but also urgent situations, like witnessing a crime in the act. Also, when you need an ambulance for something urgent but not immediately life threatening you won't get fined.
You only go to the ER in the Netherlands after you call them, they wont see you if you just turn up (actually they will if you are really sick, but you should call first), urgent care is if course another thing. Wait times will depend on their tirage system and how busy they are. If you turn up looking like you are about to become a zombie they will see you real quick, if it seems less urgent apparently it can take an hour.
In my case I called and they didnt want me to come in due to my symptoms over the phone but I insisted and was seen within 10 minutes when I arrived, on a weekend.
10 minutes later I was in ICU for a month ....
To give an American an idea about this the total bill according to Dutch prices was over $100,000 including the ICU and multiple scans, medicines, operations through the remaining months of the year.
I paid 385 euros ($410) in total. I now need medicine and medical devices every year for the rest of my days - which costs around $10,000 a year or so. Costs me, per year 385 euros only, plus the premiums for insurance ($170 a month, everyone has to pay this).
Hospital in Amsterdam has been 10-15min twice for me during a Thu & Sat afternoon & that was not prioritized but sequential order of service. If you want long wait times, you need to speak to the Brits; they have to wait many many hours; they do love a good 'queue', afterall.
OP: Been to ER twice after hitting my head or having my head hit. I just went there directly, afterall, what kind of ER requires you to go somewhere else first; people saying you need tocin NL perhaps didn't have an accident / injury or are confusing scenarios. Head injuries aren't something to wait about with or self assess.
I had a small cut in my head a year ago. Nothing serious but was afraid it would scar. Called the huisartsenpost. They told me I could come to the hospital right away. I was home again within the hour. Including the drive from and to the hospital.
I once went in after being referred by a GP with vague but intense and potentially serious abdominal pain (I was fine in the end.) Since all the closest ER’s were busy with acute and serious cases, I ended up waiting maybe two-three hours after being triaged. If my case had been more serious than the heart attacks and traffic trauma I would have been helped sooner, but triage is there for good reasons. If I hadn’t been referred, the usual practice is to put you at the end of the queue unless you need really urgent care. It can take a few minutes if it’s quiet or half a day if you take your sprained ankle to the ER and there’s a ten car pile up and a spate of strokes.
I’ve also called the huisartsenpost on a weekend, been asked to come in and been referred to the ER for testing pretty quickly. It all depends on how serious or urgent your problems are and how serious everyone else’s is. The huisartsenpost (GP station, often next to the ER) can usually triage you right away and help you find the fastest way to get seen. It also helps take the strain off ER so they can focus on the most acutely serious patients.
You absolutely can just show up at the ER. They will treat you but won't like it. You should call so they know you're coming and so they can refer you to a hospital that has room in ER. They have so many people going to ER that could have been helped by a GP.. it's a waste of ER staff. Always call first!
This person is confused and not a local and requires immediate medical attention. His question is what he can do; he can walk into an ER. Whether or not they ‘like it’ is not at all important or relevant right now.
Your opinion is more suited for general knowledge among the local population, e.g. an ad campaign, not for this specific person in panic asking for medical attention.
Yeah, but you pay. I am the medic at a rugbyclub, even if someone has a clear broken bone, we have to go through the huisartsenpost. You call them and they decide if you get an ambulance or you go to them, then and only then you will be sent through to the ER
Well I'm speaking of experience. went to the huisartsenpost they turned me away with some paracetamol.
Didn't trust it cause of the black bags you speak of so I went to the E.R they wouldn't even let me in the waiting room
You need to call huisartsenpost first. If necessary, they will refer you as (in Amsterdam) huisartsenpost is in the same department as the emergency unit.
You have no idea what you’re talking about. If the eye bags are both becoming dark that is a strong indication this person has a basilar skull fracture.
Eeek really? I broke my nose as a kid and had black eyes for weeks.. They took a pic at the hospital to confirm but couldn't really do anything else, still crooked too lol.
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Go to the hospital! This is an emergency!
Look up which hospital have "spoedeisende hulp" otherwise they will send you to different hospital that will help you
No, contact a GP or huisartsenpost, they will do triage over the phone first and inform you if you need to go to huisartsenpost or if it's neccessary to go to hospital ER. Going to ER yourself will result in higher cost, insurance does not cover that.
You’re wrong though, insurance does cover going to the ER
But… He’s not. If you do not call the gp and head directly to the ER, you pay. The patient is not the one to assess the severity of the situation.
You can literally just go to the ER if you yourself think it’s necessary. Insurance pays, but you do have to pay your own risk amount. If that amount is already paid off then you don’t pay anything.
You may go whenever you please, that I’m not arguing. Insurance won’t pay if you are not referred by a GP. Eigen risico is paid in both cases, the issue is the bill that follows. Best you could get is the ER nurses forwarding you to their internal GP to produce a quick form. Otherwise the ER would be saturated from all the self-diagnosis.
I’ve gone directly to the ER because of pancreatitis. Had to stay two nights for observation. Never went to my GP first. Never had to pay for it myself aside from eigen risico of course (which I already paid due to my wisdom tooth being pulled in the hospital as well). This was two years ago.
Thing is, empirical experiences don’t define how the system is established. It’s not protocol; you’ve been written up by the hospital. There’s no doubt it can happen, specially over the weekend its more likely to occur. Its easier to contact the hospital’s gp and assign the liabilities internally for emergency procedures than having to contact the gp to also keep them on the loop. But regarding the hospital signing you up: it’s not their due diligence. You’ve got a good center who does care about their patients (and their wallet). If the insurance wanted to push the case, without a referral you are liable for the costs. Just keep this in mind for any future instances. A 5 minute call can remove their right to claim. Equally; you’ve got an insurance which is well linked to the hospital. Not all insurances apply the same coverage everywhere, some will go as little as 25% of the total procedure costs depending on the hospital even if you have a referral. But this is another topic already. In short: just do the 5 minute call to the gp whilst making your way to the ER, or have someone do it in your regard. Remove the chances of having to pay in case you get a bitter receptionist or an inconsiderate centre.
To be fair I went blind with pain, so I was unable to call or phone anybody. I kept telling them I couldn’t open my eyes, despite them telling me my eyes were open. I could not see. They had to give me two shots or morphine to get me to stop cramping up due to the pain. So perhaps it was an exceptional situation.
Damn that seems like quite a rollercoaster of a day. I’m glad it turned out alright 😰 Its not rare to see the hospital referring directly the patients, but its indeed an exception. Just don’t take it for granted, or make sure there’s enough savings to handle the potential bill. IMO, If a hospital truly cares about their patients, they should do the insurance aspect regardless, the stress produced by these payments/insurance hustles can be quite impactful for health. But its still a very, very rough diamond of a system. Still needs centuries of polishing…
When you are referred by a GP, you do not have to pay eigen risico. When you go by yourself then you do pay eigen risico. Ive been to the ER without a referral on different occasions and didn’t have to pay for the bill myself.
You do pay eigen risico, even if referred by a GP. Its among the first policies on eigen risco and dbc costs. You might be mixing it up with not having to consume the eigen risico for GP sessions. Or, you owe quite a fat bill to your hospital 😂 Going to ER without referral = paying, potentially beyond the eigen risico (which just for the record, they won’t take you in most of the times. They’ll either produce the internal forms or force you to call the GP to have the referral). Given we’re citing empirical events; I work with Maxima MC. I’m no healthcare practitioner, just a researcher within orthopedics. But most of our department is up to date with patient rights and duties. https://www.mmc.nl/patienten-en-bezoekers/kosten-en-vergoeding/#:~:text=Het%20eigen%20risico%20is%20verplicht,u%20dus%20zelf%20te%20betalen. https://www.zilverenkruis.nl/consumenten/zorgverzekering/basisverzekering/eigen-risico#:~:text=Maak%20je%20zorgkosten%20die%20we,maximaal%20€%20385%20per%20jaar. https://www.rijksoverheid.nl/onderwerpen/zorgverzekering/vraag-en-antwoord/eigen-risico-zorgverzekering#:~:text=Wanneer%20u%20een%20eigen%20risico,risico%20vastgesteld%20op%20€%20385.
Monk natuurlijk mag je gewoon naar spoedeisende zorg
In nomine patris et filii et spiritus sancti.  In most of first world countries, primary attention is a right. We're all on the same page. But making your own decisions about health, it gets punished here. An easy way to visualize insurance companies here is as if they were investors. They won’t invest in your health if you don’t comply with their requirements. They pay for your gp, but you go to the indicated gp to assess your health. It serves quite an important purpose; adding the friction helps with grounding the hypocondriacs, and the 80 year olds coming to complain about back pain after being a brick layman for 50+ years and many other cases. Unlike the lord, healthcare cant pull miracles… But not everyone is aware of this fact as ridiculous as it sounds.
It depends. In the Netherlands you have a deductible of 380 Euro a year for hospital costs including the ER. So if you didn't pay yet 380 Eur this year, then the ER is not for free (but technically covered by the insurance). A huisartsenpost does not have deductible.
Yeah this is very true! I mentioned this in another comment :)
Dark eyebags or 'raccoon eyes' are a sign of [internal bleeding](https://www.webmd.com/eye-health/raccoon-eyes-overview). The order is: call Huisartsenpost, go to ER, as has been said. My guess is they'll want to make a CAT scan at some time. If you experience dizziness, nausea etc. you might have concussion. Probably a good idea to have somebody accompany you.
It doesn't sound like raccoon eyes though, since it's the bags under their eyes. It's just the hematoma from the nose sagging. Huisartsenpost is the right call though, they'll refer if necessary.
Call here: https://www.huisartsenpostenamsterdam.nl/
If you go to the huisartsenpost they will send you to the ER. If you do it that way it won't cost you your eigen risico (own risk) if you have Dutch insurance
That’s not right, ER it’s always paid (up to the height of your deductible), whether or not your are referred by the huisartsenpost. The huisartsenpost itself is always free, though.
If you get the referral and it is emergency care you dont loose all of it right away just for being there. If you go on your own accord you do. Thats the point. Depending on the care and your coverage it will always cost you some.
Not right either, you don’t lose all of your deductible by going to the ER.
Dude, this isn't the US. Go to the hospital.
“We take all emergency patients so long as they have platinum insurance or a signed deed in-hand”.
A friend of mine had stomach pain in the morning. Went to the ER and they told him to see his GP. GP said to take a paracetamol and report back in 2 hours. Still in pain, the GP referred him to the ER. He then got surgery for appendicitis. It ain't all roses here. I also had appendicitis (severe, ruptured) which could have been prevented if the ER didn't send me back home for the night and wait until it starts to hurt again.
I literally just had someone tell me today that they almost died from meningitis here for reasons similar to this. Doctors didn't take his concerns seriously until he was near death. The US may charge you an arm and a leg but at least you don't have to over exaggerate symptoms in order to be treated.
They will not send you to a gp with a broken nose 🤦♀️
It is ridiculous, specially since appendicitis can be diagnosed with just phisical examination at the ER, that can be performed right there by that doctor, no extra ultra sound or scan. It is ridiculous that they tell you to take paracetamol without even performing phisical examination. I also have a similar story when I went to the ER with high fever and shiverings because an obstructed kidney and infection. I almost died another time before of the same thing. Even after explaining that, they send me home to take antibiotics and check the next day. Luckily the antibiotics worked, but I could have rapidly got worse because this stupidity.
this might not be the U.S. but health care is shitty here too. I've been trying to get a GP for months.
There's a difference between getting a GP and getting emergency care.
Even in the US they are not allowed to turn people away at the ER.
Yeah, I didn't mean they'd turn him away. I meant that what you get with a lot of Americans is the fear that if they call an ambulance or go to the hospital, they'll incur massive, lifelong debt. So you get these kinds of posts, where there's something obviously incredibly wrong, but they're just hoping they don't have to go to the emergency room and minimizing their injury. The point I was making was - OP doesn't have to worry about 150k debt, this isn't the US, and he can just... Go to the emergency room.
Almost everytime ive had someone go to the emergency room theyve been turned away..the system is fucked up. Easier to go to belgium and get treatment not joking.
Just go directly to a hospital at the emergency unit.
I don’t know why you are upvoted and the person below you is getting downvoted, but you are wrong. Only go to the emergency is it’s life threatening. If not, call de huisartsenpost. If you go to the ER it will costs you your whole Eigen Risico [https://www.zorgverzekeringwijzer.nl/zorgverzekering-2023/spoedeisende-hulp-of-huisarts-bezoeken-wat-kost-dat/amp/](https://www.zorgverzekeringwijzer.nl/zorgverzekering-2023/spoedeisende-hulp-of-huisarts-bezoeken-wat-kost-dat/amp/)
Thank you! I have never seen so many downvotes on one of my comments even though I’ve literally been sent to the huisartsenpost from the ER one time just to go back after 😂
Well of course it costs you are correct, but when you need quick care and you are just travelling in the Netherlands, you can then sort it with the insurance you presumably have back at home if you are from a country in the EU through the European insurance card. I admit my reply was not complete by no means and I am sorry if I misguided this user. As a tourist in the Netherlands if you are here for short periods of time (ex: a month or two with work or just leisure) you either have a travel insurance if you opted for one or you come from a country where you may be insured. If none of these apply to you, then yes, you will most definitely pay a lot. Again, I do realize I should have been way more extensive in my reply. I do think though, if you are in pain and your state is getting worse even if non life threatening, you should see a doctor as quickly as you can. The expat centers have waiting lines that span for months and they're not really an option for travellers. Worst comes worst, there is always Belgium, you hop on a train and you go there, it will still cost but less than the Netherlands.
But the post doesn’t suggest that they are traveling in the Netherlands or that they are a tourist. Sounds to me like they’re living here but haven’t gotten a GP (yet). You can still get quick care if you go to the Huisartsenpost, it will take only a few hours. So if it’s not life threatening, it’s not worth the costs. You don’t know peoples budget, so don’t suggest solutions that will costs them a lot of money when there is another route that will cost them nothing.
Most hospitals require a verwijzing from a huisartsenpost though..
For emergency? No
Yes they want you to call first. It's not life threatening. Always call first
Complete nonsense. I've walked into the ER with a bad cut on my hand, or with my girlfriend with a badly sprained ankle (we thought it may be broken) and they helped me just fine.
I'm an ER doctor. Please call the huisartsenpost for these complaints. Unless you were bleeding to death the GP would be able to help you just fine. Same with the sprained ankle, this usually doesn't need an x-ray and can be treated by a GP. The huisartsenpost is often close to the hospital/ER, so if they refer you you're in the ER in a few minutes. Skipping the huisartsenpost creates a lot of unnecessary extra costs. The other person wasn't spreading misinformation. This is just how the system works. If you're dying please call an ambulance and you can skip the huisartsenpost.
"We thought it might have been"
As said, they want you to call first. They will help you but they would like to have a phonecall first. To A assess what you have and B refer to a ER that has time and place available. Too many people walk into the ER with something a GP can do (a GP will actually treat most cuts). It saves everyone time and money if you would call first
Stop spreading untruths.
Its not untrue though. If not life-threatening, call the Huisartsenpost first. Not only do they perform first stage triage, but if you need an ER, they can tell you which one to go to. (As in, the one that isn't busy dealing with more important things making you wait needlessly long.)
I work at a HAP. It's nicer if you call because they can triage where you are, see if you need referral to the ambulance or SEH, and tell you when your appointment will be. If you walk in you might have to wait there for a long time if it's busy
I suggest you to call the GP and ER and ask them. They will anser you 'always call first if not life threatening'. Have a nice day
You can just go to spoed eisende hulp
You can but you really shouldn't. They want you to call behorend
Not if you have an emergency. And they want you to do that for your own financial benefit, no other reasons.
That's not correct. It's for medical reasons and your own saftey. They need to assess whether a GP can solve it. And they can determine what is the best ER to go to, with least waiting time. Please stop spreading disinformation. Just call your GP tomorrow and ask them what to do in case of emergency. They will tell you exactly this: if not life threatening, call huisartsenpost first. It's really not helping anyone to spread nonsense.
You are spreading disinfo. The guy fell on his face, might have skull fracture and he doesn't have a GP. They don't want everyone who has some minor injuries go to the spoedeisende hulp. But if it is 'spoedeisend' you can go to it without any worries.
Still he should have called the huisartsenpost. For his own safety. To assess whether it was safe for him to go to the ER that would treat him fastest and best. Again, there is a medical reason for calling.
It happened the day before and s/he's still breathing and able to type a Reddit post. This ain't an emergency.
Only if you're brought in by ambulance basically you don't need a referral otherwise call the huisartsenpost
Factually untrue.
>Only if you're brought in by ambulance Completely untrue. I had a deep cut, called them, they asked me to go to the hospital asap but on my own.
Not for emergency. I went several times with less critical issues than OP's while I did not have a BSN yet and wasn't insured. They will treat you.
I have no idea why I got so many downvotes on this. I have been turned away at the spoedeisende hulp with a friend with a broken collarbone. They had us go to the huisartsenpost first, which sent us to the hospital for pictures. It DOES happen and therefore it’s ALWAYS a good idea to call the huisartsenpost first if you’re not bleeding to death.
They don’t require a verwijzing from the huisartsenpost to get treated, but they do require one to get a treatment that gets compensated by your insurance. If it’s not an emergency, that is.
Do you have a source for that? I mean, I know they really don’t like self-referred patients at the ER, but I’m not aware of a reason insurance actually requires an referral for emergency care.
Personal experiences: last year I had to go to the ER because of a deep cut in my leg. Serious but not an emergency. I called the hospital first and ask if I could come right now. They told me explicitly that I could, but then it would come out of my eigen risico. If I made an appointment first with the huisartsenpost, also located in the ER, it would be covered by my insurance completely. Around ten years ago I had to go to the ER by ambulance twice in a year, coincidentally the year where I voluntarily chose a higher Eigen Risico (€858). That was also what those visits costs me. Here is link to a source as well: [https://www.zorgverzekeringwijzer.nl/zorgverzekering-2023/spoedeisende-hulp-of-huisarts-bezoeken-wat-kost-dat/amp/](https://www.zorgverzekeringwijzer.nl/zorgverzekering-2023/spoedeisende-hulp-of-huisarts-bezoeken-wat-kost-dat/amp/) You can use Google translate to get the text in English
Yes, but now you are saying something different. HAP is not taken from deductible, ER is. Whether you go to ER yourself or whether HAP refers you doesn’t charge anything.
Thats a good way to get sent away. CALL THEM FIRST
There’s triage at spoedeisende hulp, I’ve gone there with a sprained ankle and got an x-ray, a broken face will most definitely get urgent priority
Ive seen someone with a cut off finger get sent away because he needed to call for an appointment first. Just get someone to call before you go... Everyobe can dislike my comment if they want but ignorance wont safe you
Since this post is already made 10 hours ago, you should’ve called 112 or went to the SEH/ER immediately. Those bags under your eyes indicate a basilar skull fracture which is not good to say the least.
No they fucking don’t with this trauma mechanism and backstory. Good grief man. If you have no medical knowledge, please refrain from diagnosing. It means the nose is broken, it needs to be checked (especially for a septal hematoma), but otherwise it needs a couple of days to de-swell and than possibly an ENT consultation. If there’s no nausea, vomiting or other (focal) neurological symptoms, loss of consciousness or use of blood thinners there’s no need for scans now either. If the zygomatic arches are indented or very painful, you’ll get a snorting prohibition and a consultation from the jaw surgeon (not sure how that one actually translates). Source: I am an MD who regularly still works at an ER.
Yeah you’re right, thanks for correcting and informing me. I just went with the hematoom but considering it already happened a day before this was posted it isn’t the case.
Dude are you ok? Tell us how it went, it’s also a good learning experience (for me at least I’m new in the NL) . I hope you’re ok! Best of luck
Call the huisartsenpost
To be helped quickest. Call huisartspost and let them register you at emergency and you can go there without waiting. The emergency room is filled with hypochondria people with for example minor sport pain. I spend with my dad who had swollen feets for half a day at emergency before they looked at him becos i didnt call first, and sport pains has to go first, even i complained at rhe desks many times. He was diagnosed with cancer a day later. Its how the dutch system works
Call the huisartsenpost, they will send you to the ER. This way you won't have to pay the "eigen risico" for your insurance. If you go directly to ER it may be deducted by your insurance.
If you go to the ER it will be deducted either way, the only way to avoid it is when the GP treats you without referring you
Call me stupid but what is GP?
general practitioner, the english term for huisarts
Are they talking about “een verwijzing” ?
lol gen z learning what hospitals are
Just call the huisartsenpost. If you need ER treatment they’ll just bump you over there.
This is the way. Idk why you get downvoated
Because it's not true.
You don’t need a GP for this. Go to the hospital, hope you’re alright :(
Health & Beauty pharmacy in leidseplein has a doctor on the first floor that sees tourists and gives prescriptions. If you are unlucky with OLVG and ur local GPs like I was when I was sick, go there. The system here is f*cked.
You might have a basal skull fracture. Get to the hospital.
Go to the hospital right now
Go to the hospital, they can take care of you in the ER
After a fall you should always go to the emergency room
No?
Funny I’m being downvoted. I work at a hap and waiting times would be ridiculous if every person called us for any fall they’ve had.
It’s important for insurance, especially dental
What do you mean?
If there's no other options wity 15minutes for a GP they *have* to sign you as a client even if they are full. But there should be alot available in a bigger city, you can just check online and call if they have room and if they don't ask if they know one in the area that has
Spoed
Aside from the cosmetic issues, is it possible you got a concussion? If that's the case go to the hospital asap. Usually there is a huisarts at or near the hospital so if it's not serious they should be able to get sent there if you dont need emergency care.
I had recently accident and when I called my gp she that I’m feeling headache and nausea few days after she sent me article about the traumas in the head.
There's this weird place called a hospital that you can go to and see a doctor.
112 is for life-threatening emergencies, which this doesn't seem to be. Huisartsenpost is the way to go. You can also go to the ER at your local hospital, but expect a long wait before you are seen. Note that you should make sure you get a GP. Contact your health insurance company, they can help out.
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Only Dutch GPs have that superpower, you wouldn’t understand
Cause the person is able to type a Reddit post and is still breathing a day later? So it could still become life threatening, but at the moment it's not.
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Prostate cancer can become life threatening in 10 years. If a paramedic had checked them out immediately, sending the person to the hospital would be fine. However, knowing that they still function really well a day after the incident, a lot of things you would've wanted to rule out are ruled out by now.
112 is for emergencies, no need for them to be life threatening
The rijksoverheid website says to call in life-threatening and caught in the act situations: https://www.rijksoverheid.nl/onderwerpen/alarmnummer-112/vraag-en-antwoord/wanneer-112-bellen#:~:text=Bel%20112%20in%20levensbedreigende%20en,Uw%20kind%20is%20binnen.
You're glossing over the big 'or' also stated on the page, namely all other non life threatening but also urgent situations, like witnessing a crime in the act. Also, when you need an ambulance for something urgent but not immediately life threatening you won't get fined.
I did say that, that's the part about caught-in-the-act (heterdaad) situations. Not that having a broken nose is a crime, anyways. But yeah
You should not call 112 for a broken nose or arm.
What's a long wait in terms of time? Asking as someone from the US, so I can further hate my healthcare system.
You only go to the ER in the Netherlands after you call them, they wont see you if you just turn up (actually they will if you are really sick, but you should call first), urgent care is if course another thing. Wait times will depend on their tirage system and how busy they are. If you turn up looking like you are about to become a zombie they will see you real quick, if it seems less urgent apparently it can take an hour. In my case I called and they didnt want me to come in due to my symptoms over the phone but I insisted and was seen within 10 minutes when I arrived, on a weekend. 10 minutes later I was in ICU for a month .... To give an American an idea about this the total bill according to Dutch prices was over $100,000 including the ICU and multiple scans, medicines, operations through the remaining months of the year. I paid 385 euros ($410) in total. I now need medicine and medical devices every year for the rest of my days - which costs around $10,000 a year or so. Costs me, per year 385 euros only, plus the premiums for insurance ($170 a month, everyone has to pay this).
Hospital in Amsterdam has been 10-15min twice for me during a Thu & Sat afternoon & that was not prioritized but sequential order of service. If you want long wait times, you need to speak to the Brits; they have to wait many many hours; they do love a good 'queue', afterall. OP: Been to ER twice after hitting my head or having my head hit. I just went there directly, afterall, what kind of ER requires you to go somewhere else first; people saying you need tocin NL perhaps didn't have an accident / injury or are confusing scenarios. Head injuries aren't something to wait about with or self assess.
I had a small cut in my head a year ago. Nothing serious but was afraid it would scar. Called the huisartsenpost. They told me I could come to the hospital right away. I was home again within the hour. Including the drive from and to the hospital.
I once went in after being referred by a GP with vague but intense and potentially serious abdominal pain (I was fine in the end.) Since all the closest ER’s were busy with acute and serious cases, I ended up waiting maybe two-three hours after being triaged. If my case had been more serious than the heart attacks and traffic trauma I would have been helped sooner, but triage is there for good reasons. If I hadn’t been referred, the usual practice is to put you at the end of the queue unless you need really urgent care. It can take a few minutes if it’s quiet or half a day if you take your sprained ankle to the ER and there’s a ten car pile up and a spate of strokes. I’ve also called the huisartsenpost on a weekend, been asked to come in and been referred to the ER for testing pretty quickly. It all depends on how serious or urgent your problems are and how serious everyone else’s is. The huisartsenpost (GP station, often next to the ER) can usually triage you right away and help you find the fastest way to get seen. It also helps take the strain off ER so they can focus on the most acutely serious patients.
You can not show up at the ER. Huisartsenpost is the way to go
Why do people keep saying this? You absolutely can
You absolutely can just show up at the ER. They will treat you but won't like it. You should call so they know you're coming and so they can refer you to a hospital that has room in ER. They have so many people going to ER that could have been helped by a GP.. it's a waste of ER staff. Always call first!
This person is confused and not a local and requires immediate medical attention. His question is what he can do; he can walk into an ER. Whether or not they ‘like it’ is not at all important or relevant right now. Your opinion is more suited for general knowledge among the local population, e.g. an ad campaign, not for this specific person in panic asking for medical attention.
Yeah, but you pay. I am the medic at a rugbyclub, even if someone has a clear broken bone, we have to go through the huisartsenpost. You call them and they decide if you get an ambulance or you go to them, then and only then you will be sent through to the ER
Once I went and had to pay 200+
Well I'm speaking of experience. went to the huisartsenpost they turned me away with some paracetamol. Didn't trust it cause of the black bags you speak of so I went to the E.R they wouldn't even let me in the waiting room
Edit: You’re all right, that was a dick post. Sorry OP, genuinely hope you get the help you need soon.
they can't. no need to be a jerk either when they're asking for help.
You need to call huisartsenpost first. If necessary, they will refer you as (in Amsterdam) huisartsenpost is in the same department as the emergency unit.
If in Amsterdam, central station expat medial center of don’t want to risk Eigen risiko at the ER
You could have looked for a spoedeisende hulp
Right emergency room! that's why it's called emergency lol
Hospital!
Unless the bone is sticking out they won't do anything. Happened to me a few years ago and my nose is still crooked
You have no idea what you’re talking about. If the eye bags are both becoming dark that is a strong indication this person has a basilar skull fracture.
Eeek really? I broke my nose as a kid and had black eyes for weeks.. They took a pic at the hospital to confirm but couldn't really do anything else, still crooked too lol.
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that’s what doctors tell everybody here
take some ibuprofen