[Info-vax] Just how much is 30, 000 pounds in US dollars? Basic programmers

[seasoned_geek]

On Feb 11, 4:41 pm, c... at wvnvms.wvnet.edu (George Cook) wrote:
>
> If seasoned_geek would clarify his statements, instead of just
> repeating the same blanket statements and quoting from fictional
> TV shows, then I'd be willing to have a rational discussion.
> However, this is all way off topic for this group, so I think
> I'm going to try to not add any more off topic noise.
>

Why do I need to clarify my statements?  Right now, you are the only
one that is bluring the two distinctly different things.  Treat vs.
accept as regular patient.

> It is the head of the ER (a doctor) who declares closure
> to new patients.  In triage situations, doctors (in person) often
> refuse to treat patients who are less likely to survive even if
> there is a chance they might survive.

The head of ER refuses additional patients based upon two things,
quarantine and volume.  If they have empty beds in ER and aren't under
quarantine they have to be under some kind of emergency evacuation
plan to refuse entry.

triage is the orderly (although chaotic) sorting of emergency patients
by both medical need and survival probability.  triage is invoked once
the onslaught of critically injured patients exceed the available
number of physicians/surgeons.  While cold and calculating it is a
required rationing.

A licensed doctor is required by nature of the license to treat anyone
in front of them with immediate medical need, even if that need is not
life threatening as long as the need is medically classified as
immediate.  This need does not need to be life threatening.  It can be
as simple as appearing before them with a freshly broken leg or arm
because there is a time window for setting the bone.  In a city with a
hospital 20 minutes away via 911, yes, they can step aside, on a ski
slope, no, they have to treat.

treat != accept as a patient

Doctors working in ER treat hundreds of patients each week that they
never accept as patients in their practice, but many hospitals require
them to work some shifts in ER to maintain/obtain "privileges" at the
hospital.  A growing number of doctors don't have private practices
but are hospital employees.

FWIW, I used to be the quality of care programmer for a peer review
group which was in charge of handing out CAPs and recommending
sanction of license to OIG.  (CAPs = corrective action plans   think
of them as moving ticket violation traffic classes for doctors)

It appears that both the fictional TV show and the messages here have
failed to hit their mark of educating at least one member of the
general public about the licensing requirements for doctors.