wildcard451

Where is skybytch's sig line when you need it?

IBTL - non skydiving spaaaaaaaaaaaaaaaaaaaaaaaaaaam

I hate to tell you this, but your reaction is a little irrational, but that's to be expected because it is your loved one, and we always see their care with blinders on. Lots of times the NPs are just as capable as the MDs, and I know a few that I would rather have see me than the ER doc...there is however one PA from the other day that I am going to bitch smack if I see him again. Side story, sorry. The care your describing here sounds like a heart attack rule out protocol. A set of cardiac enzymes were checked on presentation, and likely some oxygen/morphine/nitro given....if you weren't seen by a cardio immediately then I'm going to assume that those tests were negative. If she was still having the pain, she went into the rule out process, to see if there is going to be an elevation in those cardiac markers....they next set of which are drawn 8 hours later. If she didn't have many other comorbidities, and your hospital has a chest pain center, you likely went there... As far as remaining without food? Yeah, it happens due to some of the scheduling difficulties for getting the tests done. Your case doesn't seem like an emergent MI from what I am hearing, otherwise stress/cardiac cath would have been much sooner treatment options. I do hope that she is ok, and I'm not trying to be cold. Just trying to help you understand the other side of the process.

Would seeing a NP satisfy EMTALA requirements requiring a medical screening? To be honest, I think it is a licensed medical provider. I have not reviewed the actual wording of the legislation. I think I may go do that now. Now that I think about it, if it would, why aren't we doing it? /sigh

QFT. Freeflying may give you a better understanding of how to fly if you flip the formation over on exit and want to start doing inverted 4-way , which by the way, is very fun. Will sit flying help you turn 4way points faster or develop your big way skills? I doubt it. Do I believe that a "freeflyer" should be able to do belly flying? Yup. You'll hear a lot of us jokingly refer to it as the pull position, but if you want to consider yourself a true freeflyer, then you should be able to fly in ALL axis and orientations. I'm still wishing I was that good, but I'm trying. Otherwise, how can you complete this dive? 3point HD to 3 point sit to three point belly to three point tracking? Very cool dive. If you don't have belly skills....then well, sorry charlie. Basically I took 500 words to say what kitty said in 1 line. Rock on Kitty.

Good stuff. YOu got a bed fast. Remember people, ER's are designed to handle emergencies. Not office visit shit. Those people are bogging the system down. Unfortunately, EMTALA requires that everyone be seen by a licensed provider, regardless of complaint. We need to start having an NP out in triage to deny emergent evaluation after a cursory eval. That would cut a LOAD of people out of the process. Also, the abusers of the system know that if they call an EMS unit they will get brought right back.. We have started taking these people off the stretcher and placing them back in the waiting room after a quick eval. As far as quality of service goes.....it's hit or miss. I know our ER has approx 70K patient visits a year. Sometimes you just get overwhlemed. As far as the tumor thing ACME, that's inexcusable, but I'm not surprised. Recently, our entire radiology dept basically told the system to fuck off and walked out over a salary dispute, and now a lot of our reads are tele-medicined to AUS and other locations.. The reaeds we get back sometimes don't even look like the same patient. I'm appalled by the whole thing really. We do have a broken health care system in this country, I won't contest that point with you. However, I think you'll find that those people who work in it will disagree with the general population as to exactly where the break is. It's going to take some serious social engineering to change the way we do this business in this country.

now now Doc....show some heart. Some folks have tender feelings. Those people need to toughen up.

She left? Who knew.

Supposedly they're coming to america. Yay.

Yes, but regular douche isn't extreme to the max. /if you aren't using gasoline you aren't trying.

I hope not, for your sake.

Girl, if I have one, you're in it!

I never thought that it was in question?

3 hours a night? Lucky fucker.

Fine. You can call him what he really is. A little bitch.

It does, but what I'm saying is... does your friend know she's posting a virus? Is it just a randomly generated bulletin that was posted from her account? I'm just trying to figure out why she posted it. She wouldn't know. Have fun reloading your page for being siilly enough to click on junk.

Holy shit. I actuallydon'thavewords.

For all the overhyped people out there......my "Mom?" comment was meant to be a joke, making no reference to the presence or absence of a parental figure. It was more of a "Is that my mom"? joke. Nm, you fuckers are too uptight to understand.

Mom?

are there still spots open for that canopy course? If so drop me a PM.

Enjoy Ohio, now hurry up and get your ass to DC.

Wow, something that has never been posted before. Amazing. Let me look to see if I have ever done any of those...

Yes, freeflir29 has been banned permanently. So what you are really saying is.... Time for Bill to take #1?

You know, honestly, some times I think it would be easier if I could work 90-100 a week. I mean I could get a lot more done and not have to sign shit out cause there just isn't time to do all your work in that 80 hours. /did I just really fucking say that? //SMACK ME.

No one ever said you had to listen to me. No one else does. Now fuck off. /does that need a smiley?