Summary: Rav Sha'ul suffers from the trifecta of High Blood Pressure, Type 1 Diabetes, and Stage 4 Chronic Kidney Disease.

On Saturday, December 6th, Sha'ul went into a diabetic coma. His wife, Stephanie, called 911, and Sha'ul was taken via EMT to the rural UT Health Hospital in Pittsburg, TX.

Acuity of Illness: Paul was in renal failure, incoherent, suffering from dangerous blood pressure levels, and delusional upon entry to the emergency room. Sha'ul had blockage in both kidneys from kidney stones, which caused his kidneys to fail, resulting in dangerous High Blood Pressure and sever delusion. Sha'ul required immediate emergency medical care.

ER Costs $3,000. Facility fees, blood tests, X-rays on Kidneys, labs, doctor fees, and medication

Transport: Sha'ul was transferred from the rural hospital in Pittsburg, TX via emergency ambulance.

Ambulance Costs $6,000: (2-hour)

**********************Daily Costs **********************

Base ICU Day $28,000: at $4,000 per day for 7 days

4 sessions of Dialysis $8,000: $2,000 for 4 sessions

Initial 4 Days $12,000: Surgery on both kidneys to install titanium ureteral stents - OR, anesthesia, and physician fees

Medications & Supplies $1,200: pain medication, diabetes treatment, high blood pressure meds, labs, and consumables.

CAT Scans $3,500

Surgery to remove kidney stones $20,000: Sha'ul still requires surgery to remove the kidney stones in both kidneys. The stents are a temporary solution.

Insurance: Sha'ul has basic insurance under the Affordable Care Act. Insurance pays $30,000.

Total Costs $78,700 - $30,000 = $48,700 out of pocket.