[QUOTE=bats;12103839]And with all due respect they are two different specialities. The NHS method of going looked after by a specialist in your condition rather than your GP makes more sense to me.


It may be set up differently with you but I doubt it. Hospitalists are not internists. If I went completely bat-sh!t crazy, I could ditch general practice and become a hospitalist without further training. Being an Internist is indeed a different specialty (not great English but you get the gist) - typically medical physicians. They helped us out when we were working in hospital if we were struggling with very sick medical patients. They also admit to ICU and CCU. Also obviously general surgeons, orthopods, gynaecologists, paediatricians, radiologists etc have their role and look after the relevant patients directly or by referral

The hospitalists act kind of similarly to junior docs but don't really as they are responsible for the patients unlike in the UK where the Consultant holds the ultimate responsibility .

As you know, say if a patient comes in to ER with abdo pain, they get assessed by the ER doc, are then referred under the care of the general surgeons,as they would be in the UK and there is no need for the hospitalists to get involved unless the patient develops a medical problem- because surgeons know absolutely nothing about medical problems

Does that make sense?

The word orthopod made me think about getting some seafood for lunch...

Top tip: When having to take your niece and nephew to Granville Island kids market, don't dink a bottle rye whiskey the night before.

You didn't go after one of those mimes again, did you?

No, but top tip number two. If you've ignored the aforementioned advice, take the small bottle of brandy that you bought to make the Christmas cake with you.

I worked for a parking company and even with paid parking they generally have staff going around checking the validity of the cars and see if they had paid and if the time had expired.

We also did some hospitals and it was the same, but the system was a pre-pay system, not like airports where you pay at the end.

You would arrive pay 2 hours, then stay 3, parking person doing rounds sees you paid for 2 and its expired and issues a citation.

Yes, that's a different method to what happens at our hospital. All kinds of methods work, some better than others.

Our hospital car parking organisers must think it's an airport.

No more free beer as part of the retirement package..

Labatt employees mourn the end of beer-for-life era - Edmonton - CBC News

No doubt there are some who will say that's a good thing to be denied Labatt's beer.

I used to drink it in The Bush pub, Totterdown which is now a nursery I believe,

I like to make the case that people will put up with an awful lot providing that they think they are being treated fairly.

It's only a small gesture, and this 'free' beer isn't free, custom and practice will have loosely associated it into the overall retirement package. Over time these gestures solidify to become the mortar that binds the building blocks of society together.

Their removal exemplifies, in a small part, why a Brexit could happen and why a man likeTrump could find himself elected.

Those shareholder perks never seem to be taken away, and those outrageous executive pay deals are rarely questioned, but for the retiree and the guy whose just been made redundant, these stories and the pettiness associated with them just grind away at the mortar leaving those social building blocks precariously placed above the Chasm of Chaos.

Shrouds of the Somme

Double digit temperatures due back this week

A couple of years ago, my wife had a heart attack, she spent a week in Western Hospital in London Ontario getting stents and other treatments.

When she was discharged, we were given a prescription which we filled at the pharmacy on the ground floor.

It was just over $800.00

Is your information first hand from personal experience or did we get ripped off?

Similar experience, drugs that were prescribed and taken (dispensed and given) during the stay in hospital were free but the medications on prescriptions given on discharge had to be paid for.

I was always chasing smokers in the stairwells, they think there are no cameras and nobody will come down. All that hiding just to avoid taking the elevator down.

Once had a guy walk in the front lobby door completely nude, turns out he locked himself out of his room, ended up in the hall, thought we would take the stairs to the lobby, but little did he know all stairs led to the street.

Oddly it is pretty common for people to end up in the hallway locked out of their room naked, haven't figured out how so many manage to do that.

Had to back in 2010 when in San Diego take a 8 week paid leave because I got in the middle of a fight in our lobby when 2 gangsters were fighting, was threatened with bodily harm, so the company forced me to take 2 months paid leave as a just in case.

Hallways were always a popular place for people to have sex.

Oh the joys of working in a hotel...