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	<title>Comments for The ACUTE CARE Blog: Non-Urban Emergency Medicine</title>
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	<link>http://acutecareinc.wordpress.com</link>
	<description>Sponsored by ACUTE CARE, INC., an Emergency Medicine practice management company, and written by Paul Hudson, ACUTE CARE's Chief Operating Officer, this blog is designed to serve as a dynamic record of issues, developments and practical strategies associated with "EM in the Heartland".</description>
	<pubDate>Sat, 19 Jul 2008 02:01:24 +0000</pubDate>
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		<title>Comment on Video Shows Woman Ignored While Dying in New York Mental Hospital by Diana Lind</title>
		<link>http://acutecareinc.wordpress.com/2008/07/01/video-shows-woman-ignored-while-dying-in-new-york-mental-hospital/#comment-321</link>
		<dc:creator>Diana Lind</dc:creator>
		<pubDate>Tue, 01 Jul 2008 21:13:24 +0000</pubDate>
		<guid isPermaLink="false">http://acutecareinc.wordpress.com/?p=1045#comment-321</guid>
		<description>If you do not have money or get caught up in one of these places you are out of luck.
I am appalled at the lack of conscience people have working in these places. It is a management problem. They have to hire whoever will take the job and not follow up that they can do the job. It seems to be rampant in the health field today.
These people seem to be stupid or so non interested that they just show up for work. 
So you do not like immigrants? I bet I could find a whole crew to take their place that would actually work. What a concept. No talking on the cell phone or walking around  acting like your at work but actually working. Again, where is the management at hese places.
You would expect this in a third world country.</description>
		<content:encoded><![CDATA[<p>If you do not have money or get caught up in one of these places you are out of luck.<br />
I am appalled at the lack of conscience people have working in these places. It is a management problem. They have to hire whoever will take the job and not follow up that they can do the job. It seems to be rampant in the health field today.<br />
These people seem to be stupid or so non interested that they just show up for work.<br />
So you do not like immigrants? I bet I could find a whole crew to take their place that would actually work. What a concept. No talking on the cell phone or walking around  acting like your at work but actually working. Again, where is the management at hese places.<br />
You would expect this in a third world country.</p>
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		<title>Comment on Video Shows Woman Ignored While Dying in New York Mental Hospital by John S. in Baltimore</title>
		<link>http://acutecareinc.wordpress.com/2008/07/01/video-shows-woman-ignored-while-dying-in-new-york-mental-hospital/#comment-320</link>
		<dc:creator>John S. in Baltimore</dc:creator>
		<pubDate>Tue, 01 Jul 2008 19:43:24 +0000</pubDate>
		<guid isPermaLink="false">http://acutecareinc.wordpress.com/?p=1045#comment-320</guid>
		<description>I should have added that the lack of response by both patients and workers is appalling. Too many of us just don't care about other people. We demand that everyone respond to our own needs, but when it comes to others it's hooray for me, to hell with you.</description>
		<content:encoded><![CDATA[<p>I should have added that the lack of response by both patients and workers is appalling. Too many of us just don&#8217;t care about other people. We demand that everyone respond to our own needs, but when it comes to others it&#8217;s hooray for me, to hell with you.</p>
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		<title>Comment on Video Shows Woman Ignored While Dying in New York Mental Hospital by John S. in Baltimore</title>
		<link>http://acutecareinc.wordpress.com/2008/07/01/video-shows-woman-ignored-while-dying-in-new-york-mental-hospital/#comment-319</link>
		<dc:creator>John S. in Baltimore</dc:creator>
		<pubDate>Tue, 01 Jul 2008 19:40:59 +0000</pubDate>
		<guid isPermaLink="false">http://acutecareinc.wordpress.com/?p=1045#comment-319</guid>
		<description>In America, unless you're wearing a dollar sign on your back, don't expect prompt treatment from the health care industry. Money first, life second. That's how it is in America. If some of you think this makes me sound like an America-hater, give me a reason not to hate it. Our health care system needs an overhaul, not little band aids around the edges.</description>
		<content:encoded><![CDATA[<p>In America, unless you&#8217;re wearing a dollar sign on your back, don&#8217;t expect prompt treatment from the health care industry. Money first, life second. That&#8217;s how it is in America. If some of you think this makes me sound like an America-hater, give me a reason not to hate it. Our health care system needs an overhaul, not little band aids around the edges.</p>
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		<title>Comment on An Open Request to Everyone Who Works in an Emergency Room by docdevil</title>
		<link>http://acutecareinc.wordpress.com/2008/04/11/an-open-request-to-everyone-who-works-in-an-emergency-room/#comment-139</link>
		<dc:creator>docdevil</dc:creator>
		<pubDate>Sat, 12 Apr 2008 12:53:53 +0000</pubDate>
		<guid isPermaLink="false">http://acutecareinc.wordpress.com/?p=893#comment-139</guid>
		<description>Well for starters ... 
1. A reasonable amount of data is able to be obtained with such a short open ended question.
Patients would try to justify why they came to seek non emergent / urgent ailments in the EMERGENCY dept. and doctors / paramedics can understand their problems. 

eg. 2 weeks of abdominal pain .. seen GP twice taken conservative meds, partially resolved, and currently came to emergency because the pain has progressively worsens over 1 day ...

(so you see ... those with true problems will surely have good reasons to seek the help from the emergency dept)

but ... for those who comes for viral fever for 1 day to the emergency dept, in the early morning bacause they want to take medical certificate leaves in which .... after examination has not even a temperature ... worthy enough to be sick, and blame getting better after a dose of paracetamol he bought over the counter .... well .. don't you think that he could have just waited for the morning general practitioner to open  and seek medical advice from them?

Unless you have a good reason to be upset, or you yourselves know that the reason YOU went to the emergency dept was unjustifiable...</description>
		<content:encoded><![CDATA[<p>Well for starters &#8230;<br />
1. A reasonable amount of data is able to be obtained with such a short open ended question.<br />
Patients would try to justify why they came to seek non emergent / urgent ailments in the EMERGENCY dept. and doctors / paramedics can understand their problems. </p>
<p>eg. 2 weeks of abdominal pain .. seen GP twice taken conservative meds, partially resolved, and currently came to emergency because the pain has progressively worsens over 1 day &#8230;</p>
<p>(so you see &#8230; those with true problems will surely have good reasons to seek the help from the emergency dept)</p>
<p>but &#8230; for those who comes for viral fever for 1 day to the emergency dept, in the early morning bacause they want to take medical certificate leaves in which &#8230;. after examination has not even a temperature &#8230; worthy enough to be sick, and blame getting better after a dose of paracetamol he bought over the counter &#8230;. well .. don&#8217;t you think that he could have just waited for the morning general practitioner to open  and seek medical advice from them?</p>
<p>Unless you have a good reason to be upset, or you yourselves know that the reason YOU went to the emergency dept was unjustifiable&#8230;</p>
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		<title>Comment on CNN: Five Things Not To Do In The ER by RK Werner, MD, MS</title>
		<link>http://acutecareinc.wordpress.com/2008/01/20/cnn-five-things-not-to-do-in-the-er/#comment-86</link>
		<dc:creator>RK Werner, MD, MS</dc:creator>
		<pubDate>Fri, 25 Jan 2008 02:18:39 +0000</pubDate>
		<guid isPermaLink="false">http://acutecareinc.wordpress.com/2008/01/20/cnn-five-things-not-to-do-in-the-er/#comment-86</guid>
		<description>You have got to be kidding!  I guess I was right about CNN only caring about ratings and not the truth.  You are right, you can call the administrator on call, and make everyone's life miserable.  Or...you can take a second before dialing and think about what is happening in the back area, behind the closed door.  How many people are dying? How many people are having heart attacks? How many people are fighting for their lives and the 1 or 2 doctors in the department are at their bedside?  
How important are your sniffles, cough, or year long abdominal pains now?  Just because you narcotics doesn't mean you need them (how many drug problems start this way).  Just because your kid has a fever and you want antibiotics, doesn't mean they need them (even the Amer. Acad. of Peds. has said to stop treating ear infections with antibiotics due to resistance).  Burger King is down the street, get it your way there, in the ED I am trying to do what is medically right (what you need), not what you want!
Your story did a wonderful thing, while I was taking care of a REAL emergency (doing CPR on a young accident victim) a patient came into the room and asked me when I was going to come out a discharge her cause she felt she had been there long enough (30 minutes for a runny nose).  I stopped CPR and looked at her, had a tech take over compressions, told the women that when the woman I was trying to save either died or lived, I would come out and send her home, no sooner.  10 minutes later an administrator called me, she said she was calling cause CNN told her it was ok.  Her ONLY complaint, she waited too long to be cared for.  She didn't even care I yelled at her!
So CNN, be proud of yourself and your crappy reporting, you have set back ED departments and waiting times substantially.  When medicine is socialized, you can stand proud knowing you helped get us there.  In that system maybe you can do a story on how people who can not get in to a specialist for years (because they only see the minimally required number of patients to get paidsince there will be no incentive to see more).</description>
		<content:encoded><![CDATA[<p>You have got to be kidding!  I guess I was right about CNN only caring about ratings and not the truth.  You are right, you can call the administrator on call, and make everyone&#8217;s life miserable.  Or&#8230;you can take a second before dialing and think about what is happening in the back area, behind the closed door.  How many people are dying? How many people are having heart attacks? How many people are fighting for their lives and the 1 or 2 doctors in the department are at their bedside?<br />
How important are your sniffles, cough, or year long abdominal pains now?  Just because you narcotics doesn&#8217;t mean you need them (how many drug problems start this way).  Just because your kid has a fever and you want antibiotics, doesn&#8217;t mean they need them (even the Amer. Acad. of Peds. has said to stop treating ear infections with antibiotics due to resistance).  Burger King is down the street, get it your way there, in the ED I am trying to do what is medically right (what you need), not what you want!<br />
Your story did a wonderful thing, while I was taking care of a REAL emergency (doing CPR on a young accident victim) a patient came into the room and asked me when I was going to come out a discharge her cause she felt she had been there long enough (30 minutes for a runny nose).  I stopped CPR and looked at her, had a tech take over compressions, told the women that when the woman I was trying to save either died or lived, I would come out and send her home, no sooner.  10 minutes later an administrator called me, she said she was calling cause CNN told her it was ok.  Her ONLY complaint, she waited too long to be cared for.  She didn&#8217;t even care I yelled at her!<br />
So CNN, be proud of yourself and your crappy reporting, you have set back ED departments and waiting times substantially.  When medicine is socialized, you can stand proud knowing you helped get us there.  In that system maybe you can do a story on how people who can not get in to a specialist for years (because they only see the minimally required number of patients to get paidsince there will be no incentive to see more).</p>
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		<title>Comment on Country (ER) Doc by Lisa</title>
		<link>http://acutecareinc.wordpress.com/2007/11/20/country-er-doc/#comment-84</link>
		<dc:creator>Lisa</dc:creator>
		<pubDate>Tue, 27 Nov 2007 23:51:40 +0000</pubDate>
		<guid isPermaLink="false">http://acutecareinc.wordpress.com/2007/11/20/country-er-doc/#comment-84</guid>
		<description>Now that's alarming.</description>
		<content:encoded><![CDATA[<p>Now that&#8217;s alarming.</p>
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		<title>Comment on AED&#8217;s in Schools by adam</title>
		<link>http://acutecareinc.wordpress.com/2007/08/31/aeds-in-schools/#comment-83</link>
		<dc:creator>adam</dc:creator>
		<pubDate>Sun, 02 Sep 2007 02:23:00 +0000</pubDate>
		<guid isPermaLink="false">http://acutecareinc.wordpress.com/2007/08/31/aeds-in-schools/#comment-83</guid>
		<description>Hi, this is not so related to your page, but it is the site you asked me 1 month ago about the abs diet. I tried it, worked well. &lt;a HREF="http:///www.info-revolution.info/abs-diet.php" REL="nofollow"&gt;Well here is the site&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>Hi, this is not so related to your page, but it is the site you asked me 1 month ago about the abs diet. I tried it, worked well. <a HREF="http:///www.info-revolution.info/abs-diet.php" REL="nofollow">Well here is the site</a></p>
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		<title>Comment on Fast Relief, and Simple by adam</title>
		<link>http://acutecareinc.wordpress.com/2007/08/23/fast-relief-and-simple/#comment-82</link>
		<dc:creator>adam</dc:creator>
		<pubDate>Fri, 24 Aug 2007 20:19:00 +0000</pubDate>
		<guid isPermaLink="false">http://acutecareinc.wordpress.com/2007/08/23/fast-relief-and-simple/#comment-82</guid>
		<description>Hello I just entered before I have to leave to the airport, it's been very nice to meet you, if you want here is the site I told you about where I type some stuff and make good money (I work from home): &lt;a HREF="http://www.yourtypingbiz.info/billion-dollar-market.php" REL="nofollow"&gt;here it is&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>Hello I just entered before I have to leave to the airport, it&#8217;s been very nice to meet you, if you want here is the site I told you about where I type some stuff and make good money (I work from home): <a HREF="http://www.yourtypingbiz.info/billion-dollar-market.php" REL="nofollow">here it is</a></p>
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		<title>Comment on Crocs Cause Medical Machinery Malfunctions? by alex</title>
		<link>http://acutecareinc.wordpress.com/2007/04/20/crocs-cause-medical-machinery-malfunctions/#comment-81</link>
		<dc:creator>alex</dc:creator>
		<pubDate>Sun, 22 Apr 2007 02:31:00 +0000</pubDate>
		<guid isPermaLink="false">http://acutecareinc.wordpress.com/2007/04/20/crocs-cause-medical-machinery-malfunctions/#comment-81</guid>
		<description>.. .. .. .. .. .. .. .. .. .. .. .. .. .. ...</description>
		<content:encoded><![CDATA[<p>.. .. .. .. .. .. .. .. .. .. .. .. .. .. &#8230;</p>
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		<title>Comment on Crocs Cause Medical Machinery Malfunctions? by alex</title>
		<link>http://acutecareinc.wordpress.com/2007/04/20/crocs-cause-medical-machinery-malfunctions/#comment-80</link>
		<dc:creator>alex</dc:creator>
		<pubDate>Sat, 21 Apr 2007 02:24:00 +0000</pubDate>
		<guid isPermaLink="false">http://acutecareinc.wordpress.com/2007/04/20/crocs-cause-medical-machinery-malfunctions/#comment-80</guid>
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		<content:encoded><![CDATA[<p>Huh-uh! I <a HREF="http://www.valium.triecroe.info/cheap-membership-no-valium.html" REL="nofollow">valium</a> want &#8216;that easy air which presupposes familiarity with  society&#8217;&#8211;that&#8217;s what it says in my book, objected Abner.. &#8216;  &#8216;Oh, let it wait,&#8217; says he. <a HREF="http://www.thyroid.triecroe.info/thyroid-doctor.html" REL="nofollow">thyroid</a>. Howdy, boys; how are you? she said, rocking  peacefully. <a HREF="http://www.magnesium.triecroe.info/aluminum-magnesium-silicate.html" REL="nofollow">magnesium</a>. The  misery which had hung darkly <a HREF="http://www.diazepam.triecroe.info/diazepam-philippine-valium.html" REL="nofollow">diazepam</a> on his horizon for weeks engulfed him  without warning.. The Colonel <a HREF="http://www.compazine.triecroe.info/compazine.html" REL="nofollow">compazine</a> bit his lip.. Nameless specters peered at him from every shadow,  ingenerate familiars of his <a HREF="http://www.lithium.triecroe.info/download-evanescence-lithium-video.html" REL="nofollow">lithium</a> wild, forgotten blood.. This vehicle was a road wagon, without <a HREF="http://www.prozac.triecroe.info/long-term-prozac-use.html" REL="nofollow">prozac</a> a top, and the joints of its  box-body were tight enough to prevent the water from immediately  entering it; so, somewhat deeply sunken, it rested upon the water.. Well, I hope he won&#8217;t be out looking <a HREF="http://www.xanax.triecroe.info/online-q2mg-xanax.html" REL="nofollow">xanax</a> for you today, with me in your  sleigh, said the widow, almost apprehensively, because, you know,  deacon, I have always wanted you to beat Squire Hopkins.. With her, all was lost;  without her, all <a HREF="http://www.cialis.triecroe.info/beldun-cheap-cialis-main4.htm-planetnana.co.il.html" REL="nofollow">cialis</a> was won, and the deacon&#8217;s greatest ambition was to  win.. If it should seem surprising that so high-bred a visitor should be  sojourning in the wild woods, it must be <a HREF="http://www.lyrica.triecroe.info/lyrica-abuse.html" REL="nofollow">lyrica</a> remembered that more than one  celebrated Englishman and not a few distinguished Americans have  farmer brothers in the western country, no whit less rustic in their  exterior and manner of life than the plainest of their neighbors.. As demonstrated by familiar  examples from the sleep of wet <a HREF="http://www.wellbutrin.triecroe.info/effects-lexapro-side-wellbutrin.html" REL="nofollow">wellbutrin</a> nurses, &#038;c.. The  boats generally start about <a HREF="http://www.valtrex.triecroe.info/valtrex-cost.html" REL="nofollow">valtrex</a> this time in the morning, and I will go  and see about it.. To the dream work has been  transferred that bewilderment which <a HREF="http://www.thyroid.triecroe.info/effects-medicine-side-thyroid.html" REL="nofollow">thyroid</a> its product, the dream, has aroused  in us.. He lifted up his honest voice and cried <a HREF="http://www.albuterol.triecroe.info/side-effects-of-albuterol-in-child.html" REL="nofollow">albuterol</a> aloud for joy.. Buller at all, and he did <a HREF="http://www.viagra.triecroe.info/pink-viagra.html" REL="nofollow">viagra</a> not hesitate to show his annoyance&#8230;</p>
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