hundreddaysoff

8 ms·

1.
by hundreddaysoff 1y ago
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 least till (1) goes away My main source for that theory is
2.
by hundreddaysoff 2y ago
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 have in fact created a surplus of us, includi
3.
by hundreddaysoff 2y ago
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 said law. I cannot change either of these things.
4.
by hundreddaysoff 2y ago
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 me to admin, which they would a whole lot more if I only [act
5.
by hundreddaysoff 2y ago
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 other fields in addition to medicine. Ben Hunt
6.
by hundreddaysoff 2y ago
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 away any patient for any reason until I or another provider h
7.
by hundreddaysoff 2y ago
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 in the ER. I do find this fun. The cor
8.
by hundreddaysoff 2y ago
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 mention.) I just don't thin
9.
by hundreddaysoff 2y ago
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 other myths. Also, during the day both our main ER a
10.
by hundreddaysoff 2y ago
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 kit. Currently completing an online fellowship in obes
11.
by hundreddaysoff 2y ago
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 above quite carefully. I was mainly trying to
12.
by hundreddaysoff 2y ago
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 something. 3. Learn programming because I still need a job if
13.
by hundreddaysoff 2y ago
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 population and a limited set of interventions. Patients at ris
14.
by hundreddaysoff 2y ago
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 can be seen... not that hard of a concept!) Somet
15.
by hundreddaysoff 2y ago
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 secondaries and all the other required paperwork wouldn't get do
16.
by hundreddaysoff 2y ago
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 is second.) Despite this, I pla
17.
by hundreddaysoff 2y ago
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 hospital systems and get bigger. This trend applies to many
18.
by hundreddaysoff 2y ago
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 refuse to work day ER shifts because along with just a
19.
by hundreddaysoff 2y ago
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, they go for something like a rash, cough, or fat
20.
by hundreddaysoff 5y ago
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.
21.
by hundreddaysoff 5y ago
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 together. The challenge was to understand the pieces to fit
22.
by hundreddaysoff 5y ago
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.
23.
by hundreddaysoff 5y ago
Disingenuous non sequitur?
24.
by hundreddaysoff 5y ago
You're saying self-hosting is easier now than in the past?
25.
by hundreddaysoff 5y ago
I have to ask. /So, You're a Sociopath/ was a game, an educational/instructional program, or both?
26.
by hundreddaysoff 5y ago
That's what I got out of it. Small b blogging is more like the original weird Internet of the 90s. Much better IMO.
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by hundreddaysoff 5y ago
How about chicory? It's naturalized to the US. Easy to grow perennial with pretty flowers that would look great in the garden.
28.
by hundreddaysoff 5y ago
ānnus = Spanish eñus = not a word?
29.
by hundreddaysoff 5y ago
Exactly. Most academics really can't win. It's how the system is designed. This is why I sold out after my MD/PhD and became just a regular physician. Maybe in a few decades I'll have enough in savings to fulfill my drea
30.
by hundreddaysoff 5y ago
Agree. What is the point of all these laws on the books if they aren't enforced? That will just encourage people to break them when word gets out. If the counterargument is that these "crimes" shouldn't actually be crime

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