Doctors of VN

Yeah, pretty similar to a bad meth trip per se. Haven’t seen any interventional reactions yet tho luckily.

On another note, there was a woman who left the ER AMA twice today.. she was sitting in the lobby again when I just left.

If you walked out of the ER once with no treatment you weren't sick enough to be there to begin with, let alone two times! GTFO!

Seriously, there should be a door charge. Hell, make it $2 dollars.

Regulars come to the ER at Physicians Regional because "they have the best turkey sandwich", I kid you not.
 
If you walked out of the ER once with no treatment you weren't sick enough to be there to begin with, let alone two times! GTFO!

Seriously, there should be a door charge. Hell, make it $2 dollars.

Regulars come to the ER at Physicians Regional because "they have the best turkey sandwich", I kid you not.

I’ve said the same thing about the small Payment up front. It would keep a lot of the stupid **** and those that come 5-10 times a month away.

Another guy and myself have a pot set up for whichever of us starts a 16 in the finger of this one regular. She came in 3 times in a 24 hour period a few weeks ago, and was being a royal **** before EMS report had even wrapped up.
 
I’ve said the same thing about the small Payment up front. It would keep a lot of the stupid **** and those that come 5-10 times a month away.

Another guy and myself have a pot set up for whichever of us starts a 16 in the finger of this one regular. She came in 3 times in a 24 hour period a few weeks ago, and was being a royal **** before EMS report had even wrapped up.

This is the type of person that would call 911 from the hospital parking lot if they were in the waiting room and it was "taking too long" so we could theoretically take them straight back since their on a stretcher.


It doesn't work that way.
 
This is the type of person that would call 911 from the hospital parking lot if they were in the waiting room and it was "taking too long" so we could theoretically take them straight back since their on a stretcher.


It doesn't work that way.

The one that I said had left AMA twice actually came to us after leaving AMA from the Spring Hill Freestanding ED. We are both HCA facilities so the records are accessible. Apparently she left Maury Regional, went to SH, caught an ambulance to us, left AMA twice, tried walking across the street and demanding an ambulance to take her somewhere that would treat her (give her pain medicine), got denied, and was still sitting in the lobby when I left that night.


Giant. Steaming. 💩💩💩
 
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The one that I said had left AMA twice actually came to us after leaving AMA from the Spring Hill Freestanding ED. We are both HCA facilities so the records are accessible. Apparently she left Maury Regional, went to SH, caught an ambulance to us, left AMA twice, tried walking across the street and demanding an ambulance to take her somewhere that would treat her (give her pain medicine), got denied, and was still sitting in the lobby when I left that night.


Giant. Steaming. 💩💩💩

Good grief...my sister and her husband were both paramedics before they got good paying jobs...paramedics are waaay underpaid at 12 to 14 dollars an hour last I heard...she would always fuss about certain groups of people i won't name that used ambulances as a taxi service to take their kids, self, baby momma, baby daddy, etc to the ER...because they had a head cold, a fever, a tooth ache, a stubbed toe...a doctor's appointment near the hospital...etc etc...these people should be put in a database and only get an ambulance ride if there are life threatening circumstances, as determined by the paramedics...not them. Huge, HUGE drain on tax dollars and manpower to taxi these leeches around. Meanwhile, millions of hard working families like mine have no health insurance because it costs so much...due to people like them abusing the system. I have free medical through my job, but to add my wife and 2 kids is almost 1400 dollars a month. We can't afford that, ever. My son is 17 and daughter 10...they have never had medical insurance. Ever.

I cannot imagine what y'all deal with every day in the ER...deadbeats everywhere. Plus the opioid crisis...
 
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Good grief...my sister and her husband were both paramedics before they got good paying jobs...paramedics are waaay underpaid at 12 to 14 dollars an hour last I heard...she would always fuss about certain groups of people i won't name that used ambulances as a taxi service to take their kids, self, baby momma, baby daddy, etc to the ER...because they had a head cold, a fever, a tooth ache, a stubbed toe...a doctor's appointment near the hospital...etc etc...these people should be put in a database and only get an ambulance ride if there are life threatening circumstances, as determined by the paramedics...not them. Huge, HUGE drain on tax dollars and manpower to taxi these leeches around. Meanwhile, millions of hard working families like mine have no health insurance because it costs so much...due to people like them abusing the system. I have free medical through my job, but to add my wife and 2 kids is almost 1400 dollars a month. We can't afford that, ever. My son is 17 and daughter 10...they have never had medical insurance. Ever.

I cannot imagine what y'all deal with every day in the ER...deadbeats everywhere. Plus the opioid crisis...



It definitely is, and people expect to be taken home if an ambulance brings them. I absolutely refuse to contribute to that. I will discharge you to the lobby and let you find a way home every time. It’s amazing how you can suddenly find someone to get you after sitting there for a few hours when you supposedly don’t have anyone that can come get you.
 
Good grief...my sister and her husband were both paramedics before they got good paying jobs...paramedics are waaay underpaid at 12 to 14 dollars an hour last I heard...she would always fuss about certain groups of people i won't name that used ambulances as a taxi service to take their kids, self, baby momma, baby daddy, etc to the ER...because they had a head cold, a fever, a tooth ache, a stubbed toe...a doctor's appointment near the hospital...etc etc...these people should be put in a database and only get an ambulance ride if there are life threatening circumstances, as determined by the paramedics...not them. Huge, HUGE drain on tax dollars and manpower to taxi these leeches around. Meanwhile, millions of hard working families like mine have no health insurance because it costs so much...due to people like them abusing the system. I have free medical through my job, but to add my wife and 2 kids is almost 1400 dollars a month. We can't afford that, ever. My son is 17 and daughter 10...they have never had medical insurance. Ever.

I cannot imagine what y'all deal with every day in the ER...deadbeats everywhere. Plus the opioid crisis...

The entitlement mentality run amok. There oughtta be a law!
 
Good grief...my sister and her husband were both paramedics before they got good paying jobs...paramedics are waaay underpaid at 12 to 14 dollars an hour last I heard...she would always fuss about certain groups of people i won't name that used ambulances as a taxi service to take their kids, self, baby momma, baby daddy, etc to the ER...because they had a head cold, a fever, a tooth ache, a stubbed toe...a doctor's appointment near the hospital...etc etc...these people should be put in a database and only get an ambulance ride if there are life threatening circumstances, as determined by the paramedics...not them. Huge, HUGE drain on tax dollars and manpower to taxi these leeches around. Meanwhile, millions of hard working families like mine have no health insurance because it costs so much...due to people like them abusing the system. I have free medical through my job, but to add my wife and 2 kids is almost 1400 dollars a month. We can't afford that, ever. My son is 17 and daughter 10...they have never had medical insurance. Ever.

I cannot imagine what y'all deal with every day in the ER...deadbeats everywhere. Plus the opioid crisis...

Marcus, have you ever looked into CoverKids insurance?
 
Good grief...my sister and her husband were both paramedics before they got good paying jobs...paramedics are waaay underpaid at 12 to 14 dollars an hour last I heard...she would always fuss about certain groups of people i won't name that used ambulances as a taxi service to take their kids, self, baby momma, baby daddy, etc to the ER...because they had a head cold, a fever, a tooth ache, a stubbed toe...a doctor's appointment near the hospital...etc etc...these people should be put in a database and only get an ambulance ride if there are life threatening circumstances, as determined by the paramedics...not them. Huge, HUGE drain on tax dollars and manpower to taxi these leeches around. Meanwhile, millions of hard working families like mine have no health insurance because it costs so much...due to people like them abusing the system. I have free medical through my job, but to add my wife and 2 kids is almost 1400 dollars a month. We can't afford that, ever. My son is 17 and daughter 10...they have never had medical insurance. Ever.

I cannot imagine what y'all deal with every day in the ER...deadbeats everywhere. Plus the opioid crisis...

That 12 to 14 is very familiar...
 
No but I will..how's it work?

It is funded by the state and designed for working families that don't qualify for Medicaid but can't afford private health insurance. Preventive care is covered 100%, and sick visits and medications have nomimal co-pays, based on income.

I have a number of patients on CK, and it has been very nice coverage for them (although it could certainly pay better!).

Here's the link:

CoverKids
 
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It is funded by the state and designed for working families that don't qualify for Medicaid but can't afford private health insurance. Preventive care is covered 100%, and sick visits and medications have nomimal co-pays, based on income.

I have a number of patients on CK, and it has been very nice coverage for them (although it could certainly pay better!).

Here's the link:

CoverKids

Thanks doc. I am in NC...hope it's here, too. Displaced Tennessean...
 
A thing I know now from working in the ER:




Apparently shooting up wasp spray is now a thing. Apparently people are spraying wasp spray on a screen from a door or window, hooking battery cables to it to rapidly heat it up, scraping the residual off, and shooting it up. It’s apparently “poor mans meth”.

What. The. ****.
I believe it. I work in the engineering dept. in a rural hospital in Tennessee and we get suicidal or crazy (hurt someone else) patients that we've got to hold until they can be transported to a mental health facility, and they come in on all sorts of stuff. I will say from my experience here, heroin is some bad bad bad stuff. The meth heads we get all act a fool, and act really really bad if they are having a bad trip, but heroin.. It's honestly just sad what it does to people.
 
Starting to study for my CEN certification. FML.

I don't know anything about studying for the CEN exam except that my son is a traveling ER doc and daughter is a board certified Ortho NP. Both said it really makes a huge difference whose books and system you use. Good luck.
 
I don't know anything about studying for the CEN exam except that my son is a traveling ER doc and daughter is a board certified Ortho NP. Both said it really makes a huge difference whose books and system you use. Good luck.

Yeah, I want to get certified before I start traveling. Not that it’s necessary, but it can’t hurt to make you more attractive to prospective hospitals.
 
Yeah, I want to get certified before I start traveling. Not that it’s necessary, but it can’t hurt to make you more attractive to prospective hospitals.

I think with the shortages a lot of places, it won't make that huge of a difference, but hopefully they'll bump your pay if they do step raises. Anyways - good luck.
 
I think with the shortages a lot of places, it won't make that huge of a difference, but hopefully they'll bump your pay if they do step raises. Anyways - good luck.

Nah, definitely not necessary, I guess more of a goal I have set for myself before I head out.
 
What's up with the Fluorescein shortage?

I wonder if that was made in Puerto Rico. We had several drugs/supplies in short supply after the hurricane, and I don’t think the infrastructure has recovered too much.
 
I’m a internet doctor and when I tell doctors that they laugh. Then they tell me to stay off the internet. Lol.

So you do appointments by internet? How does that work without being able to do a "hands on" assessment. I get it if the client has a medical background, but people they don't -
how? It's a lot of what kept me from going to a "internet doctor." - And my wife and I both have a pretty decent medical knowledge base so to speak.
 
So you do appointments by internet? How does that work without being able to do a "hands on" assessment. I get it if the client has a medical background, but people they don't -
how? It's a lot of what kept me from going to a "internet doctor." - And my wife and I both have a pretty decent medical knowledge base so to speak.

I just look stuff up and diagnose myself. Which will scare the hell out of you after a while. I’m not a real doctor by any means.
 

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