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GetMeOuttaThisMess last won the day on July 5

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About GetMeOuttaThisMess

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  1. As long as you dispense the candy, they don't care what your title is. Sent from my iPad using Tapatalk
  2. I know your pain. Don't overlook something that may be quite important. I know that in Texas you have to have worked "x hours" during the preceding two renewal cycles to maintain your license. Without knowing where you're at, you might want to check your state guidelines/requirements.
  3. Why couldn't you just have the EMS medical director supervise you thus bypassing the EMS state protocols? If you're on the box and functioning as a PA and not an EMT or paramedic what would be the problem? Decades ago when we used to BLS transport vent patients from the local VA to another hospital that actually had a CT scanner the doc didn't function as anything less than a physician even though they were in a moving vehicle.
  4. I've NEVER had a position that they don't modify something somewhere down the line and thus screw it up to where I start looking at other options. The closest to perfection that I've found is the one that I'm in. Challenging? Not really, but at my stage in the process I don't need challenging anymore. I'm just a hired gun at this point.
  5. I'm a legend in my own mind. Does that count? [emoji6]
  6. Editorial posted in the Dallas Morning News with regard to the age old argument of how Dallas County is taking it in the shorts from the surrounding counties for healthcare expenses incurred by non-Dallas County residents. The latest is complaining about how Collin County dumps their indigents there (Collin County does have an indigent program but not a county hospital). Regardless of the spewing back and forth between Parkland, Dallas, and Collin Counties (Hey, Parkland. If you didn't have the indigent care you wouldn't be receiving the federal subsidies that you are that are helping to cover the cost of that shiny new Lego building of yours). What I've always failed to fully grasp is how Collin County residents end up at Parkland in Dallas County and based upon EMTALA criteria don't get turned away? If it were a "transfer" of care then this should play out based on acceptance of transfer from facility to facility. If the following scenario were in play then the incurred costs wouldn't matter since you would be reimbursed based on the suggestion as listed. Any who, someone feel happy to shoot holes in this recommendation. Instead of county-based taxes for indigent care through respective counties, how about the state of Texas divide up the state into health regions such as it does with Texas DSHS, and prorate the total indigent care costs over the respective region with a weighting of taxation based on population census for each respective county within the region? You can determine the taxable amount to be incurred to Collin County residents based on their percentage of the region's population and add it to each respective county tax bill. Done, 'nuff said. One caveat, you have to include one major medical center within each region so for west/southwest Texas as an example you'd have to lump them into El Paso, Lubbock, Corpus Christi, and/or San Antonio. The final part of this equation that I haven't fully comprehended is why all these folks end up at Parkland when the last time I checked the tertiary facility for tertiary facilities was UTMB-Galveston? Back in the stone-age we'd have folks show up at all times of the day and night from all over the state on our doorsteps.
  7. I can see it now. They're running down the street to flee as their lips/tongue swell, they start to look like a Klingon character and the Pilsbury dough boy all rolled into one, and they're wheezing like a freight train whistle.
  8. Me personally, I wouldn't consider a position that requires taking call. Been there, done that.
  9. The HA's of EM/UC aren't worth $40/hr.. Sent from my iPad using Tapatalk
  10. This is how Texas has/continues to get around this dilemma; you are still required to have a name badge specifying name and "physician assistant" below.
  11. Similar story advocating IP in Dallas News a couple months back. Agenda being pushed in Texas apparently.
  12. Maybe time to sign up for lessons.
  13. Hope this individual is able to obtain the help needed. He'll definitely be in the PHP and I would presume have his license suspended. We need to report such concerns and not keep quiet when such findings are observed.
  14. In short, I think if one is a type A personality and feels strongly about others using what meets your criteria for common sense, then I think you're in for a big world of hurt in this profession. Yes, I am a charter member of said group myself. Maybe that's why I've traditionally looked for different situations every 5-10 years.
  15. Night night from Maui.