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No, in real life, 99% of the patients in the ER are there for fairly minor things and get sent on their way without much fuss. It would be extremely rare to have so many critical life or death cases except in the event of a mass casualty like a train derailment or a mass shooting. Old time ER did the same thing; way more critical cases than you'd see in the typical day. The other thing the show does that doesn't happen in real life is that they get test results, even unusual ones, back in a short time. For example, labs do not routinely run testing for heavy metals like mercury or lead as stat and the lab isn't set up to do it. I checked with the lab where I work and they estimate a 7 day turnaround on a mercury level. So, the patient with mercury poisoning wouldn't be diagnosed and treated within a couple of hours. Instead, they probably would've consulted with a toxicologist who would've followed up with her. Once on old school ER, they diagnosed someone with Huntington's disease during the course of an episode. Huntington's is a rare genetic disorder that requires chromosomal testing and there is no such thing as a stat test for it anymore than it is very likely that an ER doc would've recognized subtle signs of a rare disease and even ordered the test. ER docs are there to diagnose the immediate problem, not to diagnose and treat chronic conditions. Same thing with surgical procedures. Doubtful that an ER doc would be able to do an effective enough digital block to allow amputation of part of a finger, let alone be able to do the actual procedure on said finger. There are plenty of orthopedic residents and attendings around to handle that stuff.
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This was a tough one for me. Almost 34 years ago, my 5 year old nephew drowned in an accident eerily similar to what we saw on the show. Kids used a bench to climb a fence and get to a swimming pool where they apparently fell in. Amber in asystole with the team working frantically to continue CPR until her core temp was high enough to be sure she wasn't salvageable just like my nephew. They worked on him for about an hour an a half, BTW. Back in those days, they didn't allow families to witness codes like they do today. But, back then, they didn't also require key codes or cards to open doors so someone who knew what to look for could easily walk into the trauma room and watch the team work. Like me. If you act like you know where you're going, you can go almost anywhere. Even the organ donation, although the walk of honor wasn't around back then. Also, the other kid with my nephew survived but had severe brain damage which placed his mental age at 2 months. I don't know the eventual outcome, but his neurologic prognosis was negative and he's probably no longer alive. There were some dumb medical points, like, if you're doing surgery requiring you to saw through bone, you might want to scrub first, wear sterile gloves (those blue vinyl ones are not sterile) and a mask to prevent infection. Same thing when they were placing the line to float the pacemaker. I realize they don't wear masks so the audience can hear the actors clearly and see their facial expressions. Still bugs, though. I have no idea what bee got up Santos' butt, nor how she somehow concluded that Langdon must be stealing meds because she couldn't remove the cap from a vial. Those caps pop off easily with the flick of a finger and, once they're off, it's almost impossible to replace them on the vial securely. So, a vial that was hard to open would be the last thing I'd expect if someone was stealing drugs. As for Santos' pill counting escapades, it apparently never occurred to her that the alcoholic guy might've trade some pills for booze or dropped some on the ground in a drunken stupor or just pocketed some; all of which are far more likely than Langdon, having stolen meds and replaced them with saline, super glued the lid back on the vial to escape detection. Loved the discussion of the origins of EMT services and how they came to be and their legacy today. Really fascinating story that needs to be told.
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I think they can, but they have to do that visit while in a medical facility. So, instead of doing it from home or work, as is the usual, they will have to travel to a doctor's office or hospital which will put a larger burden on the patient and probably significantly decrease the number of visits overall. ETA: All telehealth visits require documentation as to where the provider is as well as where the patient is located at the time of the video visit. I have to put down my location, usually my office, although I've done them from my backyard and the car. I ask the patient where they are currently located at the time of the call and document that. The documentation doesn't have to include addresses or anything; just that the patient is at home, at their workplace, in another doctor's office, etc. That's how they'll police the billing when the rules change.
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I presume the reason Congress didn't pass the extension was because Republicans didn't want to anger the incoming president. Had Trump wanted an extension of the telehealth coverage, it would've happened. Having it die a 'natural' death by letting it expire rather than extend it was motivated by the result of the last election. Same reason they refused to allow President Obama to fill a Supreme Court vacancy while rushing to confirm Trump's choice before his term expired. This is all on the Republican party.
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They do not care what is happening, they have decided to cut Medicare and this is just the start. I do not do a lot of telehealth visits myself but I work for a huge hospital system with an international reputation for excellence. Many patients consult the top specialists in their respective fields via telehealth and this is going to be a huge problem for someone with a rare condition who needs an expert opinion but happen to live hundreds, if not thousands, of miles from a specialist. For example, a friend's daughter was diagnosed with an extremely rare breast cancer a couple years ago. She went to the two top centers in her town, both excellent, and got differing opinions on the next step because it was such a rare tumor. Using telehealth, she was able to speak to people who had actually treated multiple patients with her cancer at both MD Anderson in Houston and Mayo Clinic in Minnesota. Using the information she got from them, she was able to decide on a treatment plan without having to get on a plane and fly cross country twice. She wasn't on Medicare, but the principle is the same; older people will not be able to get the best care. BTW, the change in telehealth coverage has been in the pipeline for quite some time. It was initially expanded during COVID for obvious reasons, but had an expiration date of December 2024, not terribly unusual for an emergency ruling. Last year, Congress voted to extend the deadline until the end of March. However, with the change in administrations, it is pretty obvious the current Chief Executive would not sign another extension and Congress doesn't have the votes (or guts) to override a veto. And here we are. Expect more as other pieces of temporary legislation start to expire, even ones that have proven their worth. This is bad news for everyone.
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So, he and his followers actually believe that there are millions of dead people over the age of 120 who are still getting Social Security checks? Sometimes, the ignorance is beyond belief. I heard on the news that the reason these people still show up on the roster are because they were entered into the government's computers back when they were using COBOL and there is a glitch that caused them not to fall off the lists. And, since no one in their right mind would ever think someone lived to be 120, let alone collect SS at that age; it hasn't been a priority to remove them. Thank God for Elon discovering this error. Speaking of ignorance, I am a physician, I recently saw a patient who is significantly overweight whose insurance doesn't cover GLP-1's (mine doesn't either). She actually said she was so happy that Trump and RFK Jr are now in charge as she is sure that they will make the drug affordable for the average citizen because they really care about our health. I kid you not. I told her I thought it was extremely unlikely, but I don't think I changed her mind. She was otherwise a pretty normal person, a little more faith in herbal remedies than most and still smoking despite severe asthma, though. She seems prone to bad choices, there's a lot of that going around.
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Seems like the team and the sponsor of the giveaway did a poor job of connecting the toys to the Chinese New Year, it was their responsibility to make sure the message was appropriate. Expecting non-Asians to not only know when Chinese New Year is but to also be aware of what animal was that year's mascot is pretty presumptuous, IMO. Far more people would connect a monkey to the racial slur than the lunar new year.
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Clooney has said repeatedly that he has no interest in running for office. He also lives at least part of the year in Italy. He does have a farm near his parents' place in Kentucky, though.
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What is the plan for children born with ambiguous genitalia? It happens. Not often, but it happens in about 1 out of 2000 kids.
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So, the victim is penalized because the car's owner was negligent? Doesn't seem fair to me. Of course, it is quite likely that Jill and Derrick have coverage for uninsured motorists, but still seems wrong.
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They are, but they also receive a portion of their funding for staffing and maintenance from the federal government. Those staffers were the ones fired by DOGE. Kennedy's library has scrambled to find non-governmental employees to fill in the holes left by the loss of the government employees and has re-opened. So, they will either have to work with fewer staff members or cut back on programming and other services to hire more people and pay for them from the library's private funds
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That is how it usually works. The liability coverage is for the car, regardless of who is driving it and should cover to the extent of the policy. It's not Jill's fault that she was hit by an unlicensed driver. But, it is pretty likely the car's owner/kid's mom is either going to lose her insurance or get a big premium hike. She may also have a tough time getting the insurance to pay to repair her own car if she had collision coverage.
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And, Spacey, being the classy guy he is, fired back at Pearce, telling him to 'grow up'. He didn't deny the story, just needed to chastise Pearce for telling it. He also says Pearce is 'not a victim'. Because he didn't actually get into his pants? Because Pearce wasn't a minor at the time? Who knows? https://www.msn.com/en-us/movies/celebrity/kevin-spacey-says-guy-pearce-is-not-a-victim-after-pearce-says-he-was-targeted-by-spacey/ar-AA1zjIvS?ocid=BingNewsSerp
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I think that what the page is saying is that Santos was formerly an athlete and fourth year med student but is now starting her residency at Pitt; that's the only logical explanation for the rather confusing statement in the press release. I think they mean that she did a rotation at Pitt as a 4th year med student and has now returned as a first year resident, aka intern. It doesn't explain how she ever got into the residency in the first place unless her behavior as a student was very, very different from what we've seen thus far. Had she behaved as a medical student the way she does as an intern, she would never have been matched into the program.