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Subject: Re: Small Town Doctor


Author:
an addendum
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Date Posted: Sunday, March 28, 2010, 09:56: pm
In reply to: Cindi 's message, "Re: Small Town Doctor" on Sunday, March 28, 2010, 11:22: am

I am trying to be polite, but I get so frustrated with this arrogant, greedy doctor thing. Until you have walked a week in my shoes, you have no idea. I am on call
24-7-365. yeah, there are a couple of other docs who cover the hospital call and we take turns, but the nursing home patients' calls come to me - their doctor. Home health patient calls come to me - their doctor. 24-7-65. My kids go to bed some nights without having seen my all day - or the next day because I am in the hospital taking take of paitents who get online and talk about how greedy I am. I took my family to Disney recently and was called over a dozen times while I was there even though I was . on "vacation". I spend a ridiculous amount of my day thrying to figure out ways to help uninsured pts get what they need cheaply. I prescribe off the walmart $4 list which takes up more office time. I don't want a freking medal - I want a break. I want to quit hearing how I am the problem with healthcare today. No - here's the problem with healthcare today. The people who DON'T pay taxs and get their healthcare for free (including tylenol if the doc will write for it)while you and I pay health insurance premiums, have $35 copays and pay up to $50 copays for our medications. I am not the problem. The people who want something for nothing are the problem.

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[> [> [> [> [> [> [> Subject: Re: Small Town Doctor


Author:
comment
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Date Posted: Sunday, March 28, 2010, 10:45: pm

I just happened to run across this post, and have to question the validity of what I've read. Now, this supposed hospital has a helicopter to transport paitents, but it can't afford a specialist, which would avoid the need to transport the patient in the first place. Hmmmmm. The nearest hospital is close by, which has a Cardiologist, yet, there's no ambulance service, but instead, a helicopter, standing by? And, if it's within driving distance of your hospital which lacks an essential staff, then why did they even build it in the first place? The other question is the 24/7 on call schedule. The only doctors with this type of schedule are typically medical students, while doing an internship. It may be feasible for a doctor to be on call for a specific rotation, once they have received complete certification, i.e., a cosmetic surgeon who is called to the ER to repair damage to a car accident victim, etc. Nonetheless, the account is very puzzling and inconsistent, and doesn't make much sense, but who knows?

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[> [> [> [> [> [> [> [> Subject: Re: Small Town Doctor


Author:
Opinion
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Date Posted: Sunday, March 28, 2010, 10:58: pm

The healthcare issue is turning into a tug of war campaign between the haves and have nots. If our current healthcare system worked, then we wouldn't need change, but it has failed miserably. Today, because of the Republicans, many folks are without work, through no fault of their own, and many more are working for minimum wage. You can't tell me that these down on their luck people don't deserve help. If you blame them, then shame on you! Our tax dollars have paid for lavish parties, corporate ceo's mansions, mistressess, and blood for oil wars. So, the taxpayers are getting screwed. That attitude needs to change. People deserve to be taken care of. They've earned it, and paid for it. We're one of the wealthiest nations on the planet, yet one of the least concerned when it comes to people.

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[> [> [> [> [> [> [> [> Subject: Re: Small Town Doctor


Author:
To Comment
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Date Posted: Sunday, March 28, 2010, 11:23: pm

No - our hospital doesn't have a helicopter. We have a helicopter pad. The helicopter has to be brought in from a neighboring town. We do have amublance service. Sometimes a patient can be taken by ambulance, sometimes it is more urgent and they need to go by helicopter. Sometimes weather conditions do not allow for helicopter transport. From my side of it, it seems like if the wind is blowing at all, and I need someone to go quickly, I am declined for weather.
yes - doctors who take care of nursing home patients or home health patients are on call for those patients 24-7. docto As I mentioned before, doctors sometimes have call groups who cover hospital call, but for nursing homes/homehealth we don't.
Medical student call and intership/residency call is NOT 24/7. There are new laws that preclude this from happening. Residendt can not work more than an average of 80 hours/week during a 4 week period.
I honestly did not realize how uninformed the public is about the challenges faced by practitioners of rural healthcare.

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