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You know that the pendulum has swung FULLY in the opposite direction when, at a time that the dominant variant is one that is said to be much more contagious than preview ones, asymptomatic transmission is a bigger concern than ever, and ICU's are once again at capacity in some areas, it is now...

I think folks are a lot less polarized in reality than they appear on the surface. Media outlets intentionally focus on problems rather than the many major advancements that have occurred over the decades; this is done for both political reasons and as an attempt to remain relevant. Social media...

But at the HEMS level, by the time you are in a position to have a regular partner, your experience and skills have been vetted by numerous people in several different ways. Even once you are in that permanent position, any decent place has frequent education, testing, chart review, etc that...

"Get vaccinated for the fourth time in a year even though you'll still need to wear a mask and get tested whenever you aren't feeling well, because even being 'fully' vaccinated you'll still be able to contract and spread the virus". And we keep wondering where the confusion and skepticism...

Negative troponin doesn't "cancel out" EKG criteria, but if ST elevation resolves, then that combined with the negative enzymes is where you get the dx of unstable angina vs. AMI. My guess is that's what happened, and she'll be referred to cardiology for a cardiac workup.

Not sure what you are even talking about here. I didn't bring up polio or make the comparison. In fact, I indicated that it probably wasn't a good comparison. The whole point was that vaccine skepticism isn't a new phenomenon. Again, putting words in my mouth and missing (or more likely...

My guess is that the vast majority of people who get vaccinated do so to protect themselves, not others. These newer variants are being contracted and transmitted by fully vaccinated people like crazy, so I don't think there's even much of an argument to be made right now that getting getting...

The COVID vaccines have been widely available to the general public for less than a year, and in that time well over 60% of the population has become fully vaccinated and 75% has received at least one dose. Are you confident that there was not comparable skepticism when the polio vaccine was...

And they'll tell us that it isn't a problem with the interventions or just the nature of a highly potent virus in the age of globalization, but its all the fault of the drooling, uneducated masses for being too stubborn and uncooperative to do exactly what they are told by "the officials"...

I mean, if he was having snoring respirations the whole time, then he never arrested. Could have been on the verge of arresting though, for sure. Occam's razor would suggest that they just failed to palpate an existing pulse, which of course may have been weak from hypotension.

I am not amortizing anything. The impact of the COVID pandemic on society over a short period of time is huge. The impact of the diseases caused by obesity, etc over a long period of time is even more huge. Why force accountability for one but not the other?

No man is an island when it comes to lots of things.....not just communicable diseases. That's the whole point here. It appears as though you didn't get that I was actually agreeing with the idea. I just took it a bit further and said that if we are going to be fair and logically consistent...

Speaking strictly on principle (practically is another thing, of course), I agree 100%. People should be held responsible for the consequences of their choices. But why limit it to those who won't be vaccinated? Why not apply it to everyone with a BMI over 30? Who smokes cigarettes or drinks...

Isn't that the truth. Nothing keeps me at work late or gets me being called back in more often than a damn lap chole.

I mean, you aren't wrong about that. Big difference between this type of thing being done locally vs. federally.

“A republic, ma’am……if you can keep it”. One of the many problems with government by fiat is that the only limiting principle is whatever the executives can get away with. Something is broadly accepted as a reasonable idea now, and then when the other team is in charge they not only use the...

And no one ever suggested that they were. This whole line of discussion was a response to the idea that hospitals somehow want their EDs to be overcrowded because they somehow profit from long wait times.

But isn’t that kind of the point of our system of government? If legislation can’t be passed, there is a reason for that.

The jab matters a lot because even though you can still get the virus once you’ve had it, you are way less likely to develop a viral load sufficient to cause severe illness.

Look, the point here is that it isn't any financial incentive to having an overcrowded ER with long wait times. ED care is expensive to provide, a large proportion of those patients are uninsured, the all important Press-Ganey scores suffer, and no one wants to work there. There is no secret...