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[QUOTE="nephron, post: 170532, member: 23759"] Ouch!:o ER's DO suck, but the primary problem goes back to the screaming kids/families Jeff's talking about. That is, YOU AND I are paying for these jobless folks to come to the ER for every cold, sniffel, or cut. Why? They are either unwilling or cannot pay for clinic visits. Many clinics demand money up front and will refuse to allow such patients to see a doctor, including mine (typically without my knowledge). ER's cannot refuse to see ANY patient based on EMPTALA laws/guidelines. Therefore, the primary care physician becomes the ER doc. In turn, the ER staff gets overworked and sick of seeing "colds" at 11PM, thus slowing ER processing time and resulting inherently in suboptimal care for patients like Jeff. I agree also, that some Hospitals themselves are terrible, whether it be from a cleanliness, staff, food or service aspect. Ours is actually terrible. I have been bitching for 2 years, and it's gotten me nowhere. Even constructive criticism goes by the wayside. The source of those issues are the dingleberries in the management positions sitting in their offices and/or meetings with little or no practical experience, "legislating" hospital practice without accurately considering the results of their decision. These people typically think everything is "peachy keen" out there. :silly: However, I did well in Med School (4.0) and had my choice of IM training programs. As such, I was able to see some so-called "great" hospitals. It's the same everywhere, except Mayo in Rochester, where the patient comes first. (Why I didn't rank them is another story :) ) Mass General (Harvard, Boston) is an old/decrepid place and looks like a VA inside. Johns Hopkins, even with its great rep, is a literal DUNGEON. And I mean it. I was extremely depressed just walking through the place. Very small rooms, dark hallways, and the ER is UNDERGROUND in a "black" painted facility. :scream: Other places aren't even worth listing. Thank God I interviewed at UCSD (University of California at San Diego), because the hospital and grounds were bright, clean and on days off it was the ocean, palmtrees and 75 degrees. :) A little off topic, but nonetheless, this is an insider's opinion. The point of all that b.s. is that it's about the same way everywhere, and the root of the problem is management, not typically staff. Nurses have to do too many damn things (paperwork, typing ridiculous computer progress notes, "assesments", and crap you would be horrified to find out about), and they cannot spend enough time with patients. End of story. If you're wondering, I'm back here for several reasons. 1) It's home, 2) I signed a contract with this clinic halfway through residency and they supported my exhorbidant California cost of living, and 3) I'm fulfilling a KMS (Kansas Medical Society) contract. They paid my Med School tuition and gave me 1500 bones/mo. to boot. Great setup. Best wishes, all. I truely wish things were better. [/QUOTE]
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Hospital Flaming
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