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Gear Grinding 8: I Got A Lot Of Problems With You People!
- Thread starter Spartanforlife4
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This.
Re: Gear Grinding 8: I Got A Lot Of Problems With You People!
It was actually kind of funny. I offered my "services" for a fee to be agreed upon to stop by periodically for future classes, but was sadly turned down.
My trachea has a slight "offset" to it, something that's never caused me any problems but was discovered quite by accident once when I was down at the Mayo Clinic in Rochester, MN. Apparently it's something that you can feel by pressing on my throat in the right location, and my doctor's eyes positively lit up when she discovered it. She asked me if I would mind if she showed it to some medical students and let them feel my throat. It's something they want to teach students to look for, but is apparently somewhat rare. I had no objection, but the next thing I knew I had about 20 medical students lined up in my room, all feeling the side of my throat and then "aahing" in appreciation.
It was actually kind of funny. I offered my "services" for a fee to be agreed upon to stop by periodically for future classes, but was sadly turned down.
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Deutsche Gopher Fan
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See i think that's a great example- id fully allow students in for something like that when the doc asked
They don't play it in Europe unless it's a national team match.
Kepler
Si certus es dubita
Re: Gear Grinding 8: I Got A Lot Of Problems With You People!
They probably do in Eastern Europe. They have the same dick size issues as the South.
They probably do in Eastern Europe. They have the same dick size issues as the South.
I believe in the Land of Vlad, they play the Anthem before every KHL game.
Re: Gear Grinding 8: I Got A Lot Of Problems With You People!
Because in our society, it demonstrates that sports events are so much more important
than events at which it’s not played, like the State of the Union Address, the convening of Congress, and most governmental functions.
What would they get out of it? The folks who agree with omitting it would either *not notice or would say something like, “I can’t see why it was ever there in the first place,” and be on their way. The folks who are offended would use it as a rallying cry to boycott the league and/or to elect a psychopath as POTUS.
*I wonder how many people have noticed that frequently the playing of the National Anthem is timed so that it’s played BEFORE the beginning of the TV broadcast so that it doesn’t cut into broadcast time. Probably not many, because if it is played during the broadcast, most folks are taking a pizz or grabbing a beer.
Because in our society, it demonstrates that sports events are so much more important
than events at which it’s not played, like the State of the Union Address, the convening of Congress, and most governmental functions.What would they get out of it? The folks who agree with omitting it would either *not notice or would say something like, “I can’t see why it was ever there in the first place,” and be on their way. The folks who are offended would use it as a rallying cry to boycott the league and/or to elect a psychopath as POTUS.
*I wonder how many people have noticed that frequently the playing of the National Anthem is timed so that it’s played BEFORE the beginning of the TV broadcast so that it doesn’t cut into broadcast time. Probably not many, because if it is played during the broadcast, most folks are taking a pizz or grabbing a beer.
aparch
Acetaminamerican
Yep, exactly. For say a 7:10 game start when the anthem would be sung within the 10 minutes the broadcast is on TV, TV and Radio producers will routinely "Bury the Anthem" with advertisement time. A great spot to get your last two minutes of advertising in just before puck drop/tip-off/first pitch.
leswp1
Well-known member
Re: Gear Grinding 8: I Got A Lot Of Problems With You People!
As far as the NP seeing the pt- if the NP has been seeing the pt all along then it is actually better for the NP to be seeing them than the Cardiologist who may have done the actual procedure but hasn't seen the pt before then. I would much rather have the continuity than a guy who doesn't know all the nuances of the case but different letters after his name. It is not, however, OK for them to lie. That is bad medicine. I had people who never saw the Doc in 28 yrs until I retired. They didn't need to. Anything I needed the Doc for I would consult. That said, there were some people that insisted on the MD even tho I could provide equivalent care. No problem- see you later. No room on my schedule to begin with so that slot could go to someone else. Many of them came back. The protocol is NP is OK. IF they are not sure then consult MD. If that plan doesn't work either refer to MD or have them step into the room to give a consult. SOme practices alternate so if the Doc needs to see the pt they know each other. My Doc never wanted to do that so there were people who never saw her
Anyone directly on the team to care for the pt can communicate. I am an NP. If I referred pt X to the Cardiologist then I communicate with them, they communicate with me. If the person also has a nephrologist and there is something significant we are supposed to communicate with them too.
As far as the NP seeing the pt- if the NP has been seeing the pt all along then it is actually better for the NP to be seeing them than the Cardiologist who may have done the actual procedure but hasn't seen the pt before then. I would much rather have the continuity than a guy who doesn't know all the nuances of the case but different letters after his name. It is not, however, OK for them to lie. That is bad medicine. I had people who never saw the Doc in 28 yrs until I retired. They didn't need to. Anything I needed the Doc for I would consult. That said, there were some people that insisted on the MD even tho I could provide equivalent care. No problem- see you later. No room on my schedule to begin with so that slot could go to someone else. Many of them came back. The protocol is NP is OK. IF they are not sure then consult MD. If that plan doesn't work either refer to MD or have them step into the room to give a consult. SOme practices alternate so if the Doc needs to see the pt they know each other. My Doc never wanted to do that so there were people who never saw her
Slap Shot
I got nothing
Re: Gear Grinding 8: I Got A Lot Of Problems With You People!
I received a similar reaction when I posed for an art class in college.
I received a similar reaction when I posed for an art class in college.
MinnesotaNorthStar
Minding the gap
Re: Gear Grinding 8: I Got A Lot Of Problems With You People!
Which was weird, because they were drawing landscapes that day....
Which was weird, because they were drawing landscapes that day....
Re: Gear Grinding 8: I Got A Lot Of Problems With You People!
Another example – last summer I had swelling in my knee. I called the orthopedist and the first person who had an available appointment was a PA. She manipulated by knee and said “You have a torn meniscus.” An MRI confirmed the diagnosis. She provided initial treatment and ultimately recommended scoping. I had complete confidence in the recommendation, not only from my overall impression of her, but I also figured that I probably had a “routine” torn meniscus (other than possibly that it was caused by wear and tear rather than an injury), and an orthopedic PA probably has seen hundreds of torn meniscuses (menisci?). But if I had reason to believe that there was something unusual, or if I were a professional athlete and my livelihood depended on proper diagnosis and treatment, then I might have felt differently.
Mild disagreement with this statement, unless you substitute “may be better” or even “is usually/often better” for the absolute “is actually better.” Continuity and familiarity are certainly advantages, but IMO they aren’t the only factors to take into consideration. Sometimes an extra set of eyes and ears might detect something in the patient that the first person (whether it's the MD or NP) hasn't seen. Also, I don’t know what you mean by “better”. Is a patient’s confidence at all a factor in whether the diagnosis or treatment is “better”?
But surely in that 28 years there were times that a patient insisted – or maybe just suggested – that they see the doctor, and you thought it was a good or at least a reasonable idea. And I’m guessing in that 28 years there were times that you yourself suggested a patient see the doctor.
I agree with the protocol. My personal preference is that the doctor occasionally see the patient (doesn’t need to alternate), but I have no problem with your system if the doctor is available at some point. The problem we were having was that she didn't seem to be available at all.
Another example – last summer I had swelling in my knee. I called the orthopedist and the first person who had an available appointment was a PA. She manipulated by knee and said “You have a torn meniscus.” An MRI confirmed the diagnosis. She provided initial treatment and ultimately recommended scoping. I had complete confidence in the recommendation, not only from my overall impression of her, but I also figured that I probably had a “routine” torn meniscus (other than possibly that it was caused by wear and tear rather than an injury), and an orthopedic PA probably has seen hundreds of torn meniscuses (menisci?). But if I had reason to believe that there was something unusual, or if I were a professional athlete and my livelihood depended on proper diagnosis and treatment, then I might have felt differently.
leswp1
Well-known member
Re: Gear Grinding 8: I Got A Lot Of Problems With You People!
Medically in most cases the wisdom is it is better to have continuity with one person unless there is something happening that isn't explainable. When people come into a case they may have a propensity to order things that may not be necessary because they don't have the full context. New eyes are good if there is something that hasn't been figured out. If the patient insists on the Doc- go for it unless it is being used to split the staff or try to play them against each other. I think I said in the protocol you refer or at least get the Doc in if there is a question.
If the patient is insisting they see the Doc then- IMHO- they should. Many Docs won't do that- they feel the patient should see who ever is offered. The Doc I was with got like that right before I retired. I didn't agree with that.
As far as the meniscus goes- It would be more likely that the PA would be telling you there was something unusual and punting you than you knowing it was unusual but I get your point.
Take home- no matter whether the person treating the patient has the qualifications or is the best person for the job if the patient doesn't buy in then it is not going to work. Mr les is an athletic trainer with a few decades of experience so I got a lot of knowledge from hanging near him. When I was working as an NP I did most of the Ortho stuff in the office. If I had a question he was a great consult. There were times when a patient refused to see me because I wasn't a Doc. The Doc would get the patient on her schedule and then drag me in to consult on the pt. That always made me giggle inside a little
Medically in most cases the wisdom is it is better to have continuity with one person unless there is something happening that isn't explainable. When people come into a case they may have a propensity to order things that may not be necessary because they don't have the full context. New eyes are good if there is something that hasn't been figured out. If the patient insists on the Doc- go for it unless it is being used to split the staff or try to play them against each other. I think I said in the protocol you refer or at least get the Doc in if there is a question.
If the patient is insisting they see the Doc then- IMHO- they should. Many Docs won't do that- they feel the patient should see who ever is offered. The Doc I was with got like that right before I retired. I didn't agree with that.
As far as the meniscus goes- It would be more likely that the PA would be telling you there was something unusual and punting you than you knowing it was unusual but I get your point.
Take home- no matter whether the person treating the patient has the qualifications or is the best person for the job if the patient doesn't buy in then it is not going to work. Mr les is an athletic trainer with a few decades of experience so I got a lot of knowledge from hanging near him. When I was working as an NP I did most of the Ortho stuff in the office. If I had a question he was a great consult. There were times when a patient refused to see me because I wasn't a Doc. The Doc would get the patient on her schedule and then drag me in to consult on the pt. That always made me giggle inside a little
Slap Shot
I got nothing
Re: Gear Grinding 8: I Got A Lot Of Problems With You People!
Channeling George Carlin - you were in the plane, not on.
I have decided that "God Bless America" is another thing that can disappear from baseball games.
Yup! Smoothest landing and take off I have ever experienced. (I get anxiety during those parts) The seats were so comfy I forgot I was on a plane
I need to make more money
Channeling George Carlin - you were in the plane, not on.
I have decided that "God Bless America" is another thing that can disappear from baseball games.
Re: Gear Grinding 8: I Got A Lot Of Problems With You People!
It's a repeat of the Russian hack from a few years ago.
(seriously, that really happened)
It's a repeat of the Russian hack from a few years ago.
(seriously, that really happened)
MissThundercat
Are the cis okay?
I'm the Safety Team rep for my area at my job
In my room alone (tank washing), I've seen:
People pointing high pressure and chemical hoses at each other as a joke.
People with their safety glasses below their nose.
People with the arm of their glasses in their teeth.
People with no face shields. On purpose.
People who lose their ****. I saw one guy shove a pair of scissors in someone's face.
And I or another person says something, they'll correct themselves for a bit, then revert back to incorrect action. Our bonus depends on less than X recordable injuries, yet people still don't stop and think.
In my room alone (tank washing), I've seen:
People pointing high pressure and chemical hoses at each other as a joke.
People with their safety glasses below their nose.
People with the arm of their glasses in their teeth.
People with no face shields. On purpose.
People who lose their ****. I saw one guy shove a pair of scissors in someone's face.
And I or another person says something, they'll correct themselves for a bit, then revert back to incorrect action. Our bonus depends on less than X recordable injuries, yet people still don't stop and think.
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