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Campfire Tracker
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Campfire Tracker
Joined: Apr 2001
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Alpine is markleeville, right?
when I drove through, it looked like the rural west, could have been anywhere in the intermountain west. flatbed trucks, welding rigs, and heavy equipment in every fourth backyard. kind of like Silverton, CO Compared to Markleeville, Silverton is a booming metropolis. Kind of surprised that Sierra county doesn't have a hospital. Although thinking about it - there's not much there, there. Downieville and Loyalton and not much else. Sierra City and Sierraville are tiny - maybe a hundred or so people in each?
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Joined: Sep 2011
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Campfire 'Bwana
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Campfire 'Bwana
Joined: Sep 2011
Posts: 45,276 Likes: 22 |
Or, as in our case, we have ICU beds, but the hospital refuses to take corona cases.... Interesting. Maybe hospitals should be like most fire departments? Non-discriminatory. Stay safe friend. Map wouldn't open on the page, so I have no idea if we are one of those counties. I know most anything seriously life threatening here gets flown out, so maybe no real ICU. Geno My understanding is that community hospitals have to take any patient that shows up. For-profit hospitals do not. Community hospitals being "not for profit" I guess? But not really in the truest sense of the word? Geno
The desert is a true treasure for him who seeks refuge from men and the evil of men.
In it is contentment
In it is death and all you seek
(Quoted from "The Bleeding of the Stone" Ibrahim Al-Koni)
member of the cabal of dysfunctional squirrels?
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Joined: Sep 2011
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Campfire 'Bwana
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Campfire 'Bwana
Joined: Sep 2011
Posts: 45,276 Likes: 22 |
I live 20 miles from a village and soon there will be no travel due to break-up, if at 69 I show syptoms I will retire to the guest cabin and either emerge or not!! Stay safe up there. Hopefully, your relative isolation will work in your favor. After break up comes fishing, no? Go fishing........alone. Best wishes. Geno
The desert is a true treasure for him who seeks refuge from men and the evil of men.
In it is contentment
In it is death and all you seek
(Quoted from "The Bleeding of the Stone" Ibrahim Al-Koni)
member of the cabal of dysfunctional squirrels?
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Joined: Dec 2003
Posts: 86,296 Likes: 28
Campfire Oracle
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Campfire Oracle
Joined: Dec 2003
Posts: 86,296 Likes: 28 |
Your buds are having to go to CRNA nurse practitioners because there arent enough Drs after Zero fugged health care, dumbass.
Be a man if you can and own it.
Soon the only Dr you can see will probably be on CCTV.
Fughk your lieberal corksuckers in government. They cut Corona Care today to trash the economy.
You want to make a bet on whether Trump rolls over or puts the dick to them?
Your biltch piglosi tying an abortion bill onto a national crisis Corona care plan and yet you can find nothing wrong with it because you're a lieberal POS. What have you got against CRNAs?
If you take the time it takes, it takes less time.
--Pat Parelli
American by birth; Alaskan by choice.
--ironbender
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Joined: Jan 2016
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Campfire Oracle
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Campfire Oracle
Joined: Jan 2016
Posts: 95,790 Likes: 4 |
Nothing. They are great, unless you really need a fuggin dr. What do you have against drs?
You dont want to hear of a few things I've seen, really. Actually with some MDs too.
You really dont want to go there, whether you know it or not.
Last edited by jaguartx; 03/22/20.
Ecc 10:2
The heart of the wise inclines to the right, but that of a fool to the left.
A Nation which leaves God behind is soon left behind.
"The Lord never asked anyone to be a tax collector, lowyer, or Redskins fan".
I Dindo Nuffin
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Joined: Dec 2003
Posts: 86,296 Likes: 28
Campfire Oracle
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Campfire Oracle
Joined: Dec 2003
Posts: 86,296 Likes: 28 |
CRNA is certified registered nurse anesthesiologist, yes?
If you take the time it takes, it takes less time.
--Pat Parelli
American by birth; Alaskan by choice.
--ironbender
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Joined: Mar 2010
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Campfire Ranger
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Campfire Ranger
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Posts: 344
Campfire Member
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Campfire Member
Joined: Apr 2019
Posts: 344 |
Jaguartx
Ream his ass brother. They can’t stand the truth. Fools don’t realize we had healthcare crisis before the China flu. Went to ER at large hospital last summer with heart attack symptoms. Didn’t see a doctor for eight hours and didn’t get a room for sixteen hours. Repeatedly they came out to only to say no available beds. ER was full of illegals, trash, and freeloaders. They were literally laughing and snickering at the few old Americans that had old traditional values and thought they would be helped.
America First. Take care of the right people and they’ll take care of America.
Give em hell jag, ain’t many of us left. “God Bless Texas”
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Joined: Dec 2002
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Campfire 'Bwana
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Campfire 'Bwana
Joined: Dec 2002
Posts: 32,228 |
CRNA is certified registered nurse anesthesiologist, yes?
Correct. CRNAs provide care in concert with a physician anesthesiologist, they aren't allowed to practice without physician oversight, but I have known a surgeon or two who prefer to have veteran CRNAs pass gas in lieu of a rookie physician. Nurse Practitioners and Physicians' Assistants allow a physician to extend the amount of primary care that can be provided. Many rural hospitals and clinics employ NPs and PAs because they earn less than a board certified physician and can provide a wide range of routine primary care. That model runs into trouble when the mix of care in demand goes from routine to emergency. Maybe this will be the catalyst for an overhaul of the healthcare delivery and payment systems. When I was in healthcare administration, most NPs, and PAs weren't allowed to practice medicine without physician supervision, but it has been almost 25 years since I did that sort of work and it is likely that rules and regulations have changed.
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Campfire 'Bwana
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Campfire 'Bwana
Joined: Sep 2011
Posts: 45,276 Likes: 22 |
PAs and NPs in my area all have a MD "supervising".
How closely I cannot tell you.
I can tell you that in our very rural county a person is most likely to be seen by a PA/NP and never meet the MD.
Geno
The desert is a true treasure for him who seeks refuge from men and the evil of men.
In it is contentment
In it is death and all you seek
(Quoted from "The Bleeding of the Stone" Ibrahim Al-Koni)
member of the cabal of dysfunctional squirrels?
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Joined: Feb 2004
Posts: 17,140 Likes: 4
Campfire Ranger
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Campfire Ranger
Joined: Feb 2004
Posts: 17,140 Likes: 4 |
CRNA is certified registered nurse anesthesiologist, yes?
Correct. CRNAs provide care in concert with a physician anesthesiologist, they aren't allowed to practice without physician oversight, but I have known a surgeon or two who prefer to have veteran CRNAs pass gas in lieu of a rookie physician. Nurse Practitioners and Physicians' Assistants allow a physician to extend the amount of primary care that can be provided. Many rural hospitals and clinics employ NPs and PAs because they earn less than a board certified physician and can provide a wide range of routine primary care. That model runs into trouble when the mix of care in demand goes from routine to emergency. Maybe this will be the catalyst for an overhaul of the healthcare delivery and payment systems. When I was in healthcare administration, most NPs, and PAs weren't allowed to practice medicine without physician supervision, but it has been almost 25 years since I did that sort of work and it is likely that rules and regulations have changed. I’ll correct you on a few things. I’ve done close to 20k cases, of all kinds, working with all-specialty surgeons without an anesthesiologist within fifty miles. In many states like as in Iowa, we have prescriptive authority. I also had a post-graduate credential to practice pain management from what was the American Academy of a Pain Management. And, in some cases I was requested.
Last edited by George_De_Vries_3rd; 03/23/20.
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Campfire Ranger
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Campfire Ranger
Joined: Mar 2010
Posts: 24,293 Likes: 12 |
That would be great if it changed. Been happy with the NP I see. CRNA is certified registered nurse anesthesiologist, yes?
Correct. CRNAs provide care in concert with a physician anesthesiologist, they aren't allowed to practice without physician oversight, but I have known a surgeon or two who prefer to have veteran CRNAs pass gas in lieu of a rookie physician. Nurse Practitioners and Physicians' Assistants allow a physician to extend the amount of primary care that can be provided. Many rural hospitals and clinics employ NPs and PAs because they earn less than a board certified physician and can provide a wide range of routine primary care. That model runs into trouble when the mix of care in demand goes from routine to emergency. Maybe this will be the catalyst for an overhaul of the healthcare delivery and payment systems. When I was in healthcare administration, most NPs, and PAs weren't allowed to practice medicine without physician supervision, but it has been almost 25 years since I did that sort of work and it is likely that rules and regulations have changed. I’ll correct you on a few things. I’ve done close to 20k cases, of all kinds, working with all-specialty surgeons without an anesthesiologist within fifty miles. In many states like as in Iowa, we have prescriptive authority. I also had a post-graduate credential to practice pain management from what was the American Academy of a Pain Management.
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Joined: May 2016
Posts: 60,649 Likes: 37
Campfire Kahuna
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Campfire Kahuna
Joined: May 2016
Posts: 60,649 Likes: 37 |
OMG!!!!!
I just realized that we dont have a level one trauma center or a huge hospital with numerous ICU beds in my county!!!!
You would think that with less than 7000 people in the county they would build two such gigantic hospitals.
The nerve.....
I am MAGA.
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Joined: Jan 2005
Posts: 12,359
Campfire Outfitter
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Campfire Outfitter
Joined: Jan 2005
Posts: 12,359 |
OMG!!!!!
I just realized that we dont have a level one trauma center or a huge hospital with numerous ICU beds in my county!!!!
You would think that with less than 7000 people in the county they would build two such gigantic hospitals.
The nerve..... HOW DARE THEY!!!!!!!!!!
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Joined: May 2016
Posts: 60,649 Likes: 37
Campfire Kahuna
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Campfire Kahuna
Joined: May 2016
Posts: 60,649 Likes: 37 |
I'm gonna have to move to Seattle now.
Schit.
I am MAGA.
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Joined: Sep 2011
Posts: 45,276 Likes: 22
Campfire 'Bwana
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Campfire 'Bwana
Joined: Sep 2011
Posts: 45,276 Likes: 22 |
I'm gonna have to move to Seattle now.
Schit. I think slumlord likes Billings. Why not move there instead of Seattle? Geno
The desert is a true treasure for him who seeks refuge from men and the evil of men.
In it is contentment
In it is death and all you seek
(Quoted from "The Bleeding of the Stone" Ibrahim Al-Koni)
member of the cabal of dysfunctional squirrels?
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Joined: Jan 2005
Posts: 12,359
Campfire Outfitter
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Campfire Outfitter
Joined: Jan 2005
Posts: 12,359 |
you will be a great Seachicken fan. you might even make the kickoff return squad as a walk-on, lol
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Joined: Sep 2011
Posts: 45,276 Likes: 22
Campfire 'Bwana
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Campfire 'Bwana
Joined: Sep 2011
Posts: 45,276 Likes: 22 |
you will be a great Seachicken fan. you might even make the kickoff return squad as a walk-on, lol I would watch football again if Jim could come out to return kickoffs in his union suit. With a beer in his hand maybe? Geno
Last edited by Valsdad; 03/23/20.
The desert is a true treasure for him who seeks refuge from men and the evil of men.
In it is contentment
In it is death and all you seek
(Quoted from "The Bleeding of the Stone" Ibrahim Al-Koni)
member of the cabal of dysfunctional squirrels?
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Joined: May 2016
Posts: 60,649 Likes: 37
Campfire Kahuna
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Campfire Kahuna
Joined: May 2016
Posts: 60,649 Likes: 37 |
No Level One Trauma Center in Billings.
Its either Seattle or Denver for me now.
I am MAGA.
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Joined: May 2003
Posts: 23,053 Likes: 7
Campfire Ranger
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Campfire Ranger
Joined: May 2003
Posts: 23,053 Likes: 7 |
Sycamore: Yikes - I and the VarmintWife are apparently living in a "county" with NO I.C.U. beds?
Hold into the wind
VarmintGuy
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