Bolas 5 #301 June 23, 2009 Quote>23 times??? True. After he dies the first few times, maybe you stop messing with him; parts would be falling off and stuff. (But seriously, yes, at any ER there are frequent flyers that come in with pretty serious injuries on a fairly regular basis - and are often due to stupid shit like wandering into traffic, falling into dumpsters, almost drowning from sleeping in a culvert etc. Alcohol is usually involved.) Stabilize and then release.Stupidity if left untreated is self-correcting If ya can't be good, look good, if that fails, make 'em laugh. Quote Share this post Link to post Share on other sites
mnealtx 0 #302 June 23, 2009 QuoteQuoteQuoteOK. I'd go along with that. But what do you do the 23rd time the guy comes in to the ER? At some point are you going to deny him care? If so, how do you do that? Tell him,,,,,,,,,,,,,,No? Can't do that under federal law. I explained EMTALA earlier. My idea is to do away with EMTALA and see what that does. I'd predict savings per year in the billions - just in California. I like the *idea* behind EMTALA, but my gut feeling is that it results in abuse of EMS/ER facilities. I think a 'service fee' equivalent to a 'doc in a box' corner clinic office fee would reduce the abuses of the system by non-emergent cases. If it's the same cost as going to a 'doc in the box', people will tend to do that instead of waiting hours in the ER to be seen.Mike I love you, Shannon and Jim. POPS 9708 , SCR 14706 Quote Share this post Link to post Share on other sites
Bolas 5 #303 June 23, 2009 QuoteQuoteQuoteQuoteOK. I'd go along with that. But what do you do the 23rd time the guy comes in to the ER? At some point are you going to deny him care? If so, how do you do that? Tell him,,,,,,,,,,,,,,No? Can't do that under federal law. I explained EMTALA earlier. My idea is to do away with EMTALA and see what that does. I'd predict savings per year in the billions - just in California. I like the *idea* behind EMTALA, but my gut feeling is that it results in abuse of EMS/ER facilities. I think a 'service fee' equivalent to a 'doc in a box' corner clinic office fee would reduce the abuses of the system by non-emergent cases. If it's the same cost as going to a 'doc in the box', people will tend to do that instead of waiting hours in the ER to be seen. Why even make that fee the same? If the services in an ER are more expensive, it should be proportionate to them.Stupidity if left untreated is self-correcting If ya can't be good, look good, if that fails, make 'em laugh. Quote Share this post Link to post Share on other sites
mnealtx 0 #304 June 23, 2009 That's a good point...Mike I love you, Shannon and Jim. POPS 9708 , SCR 14706 Quote Share this post Link to post Share on other sites
billvon 3,009 #305 June 23, 2009 >Stabilize and then release. Fair enough - and is close to what I was talking about, with a minimum level of care available to all. Once he's not bleeding any more, he's conscious and is in good enough shape to walk - then he gets released (unless he has insurance, of course.) Quote Share this post Link to post Share on other sites
TomAiello 26 #306 June 23, 2009 Quote>Stabilize and then release. Fair enough - and is close to what I was talking about, with a minimum level of care available to all. Once he's not bleeding any more, he's conscious and is in good enough shape to walk - then he gets released (unless he has insurance, of course.) Honestly, I think they need a GOMER ("Get Out of My ER!"--it's what the ER docs I know call those guys) exception. Something like a 25 trip limit, and after that, just start denying care.-- Tom Aiello Tom@SnakeRiverBASE.com SnakeRiverBASE.com Quote Share this post Link to post Share on other sites
rehmwa 2 #307 June 23, 2009 Quote>23 times??? True. After he dies the first few times, maybe you stop messing with him; parts would be falling off and stuff. (But seriously, yes, at any ER there are frequent flyers that come in with pretty serious injuries on a fairly regular basis - and are often due to stupid shit like wandering into traffic, falling into dumpsters, almost drowning from sleeping in a culvert etc. Alcohol is usually involved.) perhaps they get a punch card ... Driving is a one dimensional activity - a monkey can do it - being proud of your driving abilities is like being proud of being able to put on pants Quote Share this post Link to post Share on other sites
Bolas 5 #308 June 23, 2009 Quote Quote >23 times??? True. After he dies the first few times, maybe you stop messing with him; parts would be falling off and stuff. (But seriously, yes, at any ER there are frequent flyers that come in with pretty serious injuries on a fairly regular basis - and are often due to stupid shit like wandering into traffic, falling into dumpsters, almost drowning from sleeping in a culvert etc. Alcohol is usually involved.) perhaps they get a punch card And a video crew... Stupidity if left untreated is self-correcting If ya can't be good, look good, if that fails, make 'em laugh. Quote Share this post Link to post Share on other sites
rhaig 0 #309 June 23, 2009 that's reality TV waiting to happen. I'm for it. Can't be much worse than the crap that's on already.-- Rob Quote Share this post Link to post Share on other sites
