Viewing profile — hundreddaysoff

I think the theory is like this: 1. new 30% tax 2. people stop buying so many goods due to (1) 3. due to lack of demand, our shipping industry seizes up and goods stop flowing, at …

There is no shortage of practitioners, ie ~medical middle managers such as myself and other MDs/DOs/NPs/PAs, willing to work in the ER. (In the narrative of one faction, the suits …

I happen to agree with you. I was writing not my opinion, but my experiences with the actual EMTALA law, or more accurately and importantly my healthcare administrators' perception…

Of course I view you as more than pph. My job would not be very fun if I only viewed you as pph. And another part of keeping my job involves minimizing patients complaining about m…

No doubt. I think that admins' interests not aligning with that of patients/consumers or with those of professionals/practitioners is making millions of people sad in a lot of othe…

This has been suggested many, many times in my career. The problem in the US is that such posters would violate[0] a federal law called EMTALA, which prohibits an ER from turning a…

Yes, I think many things are fun or exciting, often for diverse reasons. ER is fun because, eg, https://forums.studentdoctor.net/threads/patients-per-hour.1... I do some radiology …

Well, here's how an ideal night goes for me. https://forums.studentdoctor.net/threads/patients-per-hour.1... (Writing this in the middle of the night from that critical access ER I…

Some hospitals do this and it works OK. But patients often believe that they should go to the ER rather than the urgent care part in this situation "just to make sure" or due to ot…

Main telemedicine gig right now is diagnosing and managing HIV and other STDs. Patients love it as it's super private, and even testing can be done discreetly at home with a mailed…

There's nothing in my post that disagrees with anything that you're written. Everything you've written is correct. I was not trying to argue anything and I think I hedged my words …

1. Grow up in the 90s and play too many video games and read the Extropians list too much. 2. Decide I want to be, like, the Hagbard Celine of pharmaceuticals and cure death, or so…

The strategy I possess is to use telemedicine in novel and directed ways when it suits the purpose. Most telemedicine roles I have interest in start with a very directed patient po…

I'm sorry this happened to you. I don't know what happened, but good ER docs and nurses prioritize getting people out before they get people in . (No beds left = no new patients ca…

What is an alternate solution? In hundreddaysoff fantasyland, the solution is to fire all the bureaucrats and triage everyone immediately. But, then nursing primaries and secondari…

You're welcome! Basic answer: $250/h + benefits and 4 days/week "off". Plus, working in the ER at night is the most fun job I've ever had or probably ever will have. (Programming i…

It's very hard to make money as a small, independent hospital with all the healthcare bureaucracy and other requirements. The only way to turn a profit is to merge with other hospi…

All this is not wrong. Also, there's another huge factor: frankly, most ER triage systems are not very efficient and they don't hire enough RNs or other front-line workers. I refus…

I'm an ER doc. I work 3 nights a week and see probably 5--10 patients a week who have waited over 3 hours. The basic answer: most people don't go to the ER for emergencies. That is…

How about this edit: Instead, people are given the illusion that they have equal opportunity to incite discussion Doesn't change OP's point. It's just clearer.

No longer program for a living but even 20 years ago that kind of stuff was 80% of my daily job as a LAMP web programmer. I wrote as little code as possible, and only to glue stuff…

My understanding is that the price of food is not generally included in the most-commonly reported version of the CPI for the past few decades. So you could both be right.

Disingenuous non sequitur?