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	<title>Comments for Mexico Medical Student</title>
	<atom:link href="http://www.mexicomedstudent.com/comments/feed" rel="self" type="application/rss+xml" />
	<link>http://www.mexicomedstudent.com</link>
	<description>Every journey has a pitstop.  Welcome to mine.</description>
	<pubDate>Sat, 05 Jul 2008 09:32:05 +0000</pubDate>
	<generator>http://wordpress.org/?v=2.5.1</generator>
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		<title>Comment on Happy 4th! by rlbates</title>
		<link>http://www.mexicomedstudent.com/2008/07/775#comment-102537</link>
		<dc:creator>rlbates</dc:creator>
		<pubDate>Fri, 04 Jul 2008 22:10:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.mexicomedstudent.com/?p=775#comment-102537</guid>
		<description>Nice, Enrico!</description>
		<content:encoded><![CDATA[<p>Nice, Enrico!</p>
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		<title>Comment on Hospitalia: Bowel Run by Karl</title>
		<link>http://www.mexicomedstudent.com/2008/06/763#comment-102308</link>
		<dc:creator>Karl</dc:creator>
		<pubDate>Thu, 03 Jul 2008 05:57:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.mexicomedstudent.com/2008/06/763#comment-102308</guid>
		<description>You forgot the Jevity.

Really really sucks being a patient.

My money was on their dicovering some-
thing with the Colonoscopy...now, this
is starting to get interesting.</description>
		<content:encoded><![CDATA[<p>You forgot the Jevity.</p>
<p>Really really sucks being a patient.</p>
<p>My money was on their dicovering some-<br />
thing with the Colonoscopy&#8230;now, this<br />
is starting to get interesting.</p>
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		<title>Comment on EM Blogger &#8220;Hate&#8221;: Nature or Nurture? by Karl</title>
		<link>http://www.mexicomedstudent.com/2008/06/769#comment-102306</link>
		<dc:creator>Karl</dc:creator>
		<pubDate>Thu, 03 Jul 2008 05:44:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.mexicomedstudent.com/?p=769#comment-102306</guid>
		<description>In the 400 documented 250 semi-docu-hours that I spent working in the 
ER's of two large community hospitals
as a Resident, I very very rarely saw any patient who did not belong there Medicaid or Private Third Party. 

The tired old bitter gripe from some
of the less than motivated ER Staff 
was always "why are all these Medicaid people coming in here instead of going to their blocked PCP's...that kid just
has a runny nose...blah blah blah ".
Often as not, the kid with a runny 
nose also had serious RSV Bronchio-
litis or Febrile Seizures or Rabies 
Encephalitis. I'm no psychologist
to even conjecture at what such
people may be acting out over, 
nor would I really want to know,
but, quite obviously, if someone
has a problem with treating the 
indigent or poor people, they 
really dont belong in Healthcare.</description>
		<content:encoded><![CDATA[<p>In the 400 documented 250 semi-docu-hours that I spent working in the<br />
ER&#8217;s of two large community hospitals<br />
as a Resident, I very very rarely saw any patient who did not belong there Medicaid or Private Third Party. </p>
<p>The tired old bitter gripe from some<br />
of the less than motivated ER Staff<br />
was always &#8220;why are all these Medicaid people coming in here instead of going to their blocked PCP&#8217;s&#8230;that kid just<br />
has a runny nose&#8230;blah blah blah &#8220;.<br />
Often as not, the kid with a runny<br />
nose also had serious RSV Bronchio-<br />
litis or Febrile Seizures or Rabies<br />
Encephalitis. I&#8217;m no psychologist<br />
to even conjecture at what such<br />
people may be acting out over,<br />
nor would I really want to know,<br />
but, quite obviously, if someone<br />
has a problem with treating the<br />
indigent or poor people, they<br />
really dont belong in Healthcare.</p>
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		<title>Comment on FreeMD.com&#8217;s Free Medical Horoscope by Dragonfly</title>
		<link>http://www.mexicomedstudent.com/2008/06/773#comment-102305</link>
		<dc:creator>Dragonfly</dc:creator>
		<pubDate>Thu, 03 Jul 2008 05:39:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.mexicomedstudent.com/2008/06/773#comment-102305</guid>
		<description>I certainly wouldn't want my mother being "seen" by this system.</description>
		<content:encoded><![CDATA[<p>I certainly wouldn&#8217;t want my mother being &#8220;seen&#8221; by this system.</p>
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		<title>Comment on Updates, Bags, and Social Networks by Dragonfly</title>
		<link>http://www.mexicomedstudent.com/2008/06/768#comment-102304</link>
		<dc:creator>Dragonfly</dc:creator>
		<pubDate>Thu, 03 Jul 2008 05:35:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.mexicomedstudent.com/?p=768#comment-102304</guid>
		<description>Love the new blog look. Looking forward to hearing what is happening.</description>
		<content:encoded><![CDATA[<p>Love the new blog look. Looking forward to hearing what is happening.</p>
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		<title>Comment on FreeMD.com&#8217;s Free Medical Horoscope by enrico</title>
		<link>http://www.mexicomedstudent.com/2008/06/773#comment-102177</link>
		<dc:creator>enrico</dc:creator>
		<pubDate>Wed, 02 Jul 2008 00:39:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.mexicomedstudent.com/2008/06/773#comment-102177</guid>
		<description>Kim: If he snapped a pair of gloves on, that'd be the ultimate. LOL! 

Val: Let's just say you were &lt;em&gt;passionate&lt;/em&gt; about the issue. ;)  Excellent points raised.

Celeste: My understanding in the ER is presumably it'd be part of the total bill or free if they genuinely determined you didn't need any care (unlikely). As for PCP time outside of a group practice where one would have call/night clinic, I don't know, but if it was reporting something related to a recent office visit, I can't see really charging much if at all.  A cold call would be another story.

Happy: I hadn't even thought of that (student's POV: legal/financial incentives aren't at the forefront) and it makes a good point.  Still, I'd like to think that the prospect of losing a loved one would be more persuasive than being served with a lawsuit.</description>
		<content:encoded><![CDATA[<p>Kim: If he snapped a pair of gloves on, that&#8217;d be the ultimate. LOL! </p>
<p>Val: Let&#8217;s just say you were <em>passionate</em> about the issue. <img src='http://www.mexicomedstudent.com/wp-includes/images/smilies/icon_wink.gif' alt=';)' class='wp-smiley' />  Excellent points raised.</p>
<p>Celeste: My understanding in the ER is presumably it&#8217;d be part of the total bill or free if they genuinely determined you didn&#8217;t need any care (unlikely). As for PCP time outside of a group practice where one would have call/night clinic, I don&#8217;t know, but if it was reporting something related to a recent office visit, I can&#8217;t see really charging much if at all.  A cold call would be another story.</p>
<p>Happy: I hadn&#8217;t even thought of that (student&#8217;s POV: legal/financial incentives aren&#8217;t at the forefront) and it makes a good point.  Still, I&#8217;d like to think that the prospect of losing a loved one would be more persuasive than being served with a lawsuit.</p>
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		<title>Comment on FreeMD.com&#8217;s Free Medical Horoscope by The Happy Hospitalist</title>
		<link>http://www.mexicomedstudent.com/2008/06/773#comment-102170</link>
		<dc:creator>The Happy Hospitalist</dc:creator>
		<pubDate>Wed, 02 Jul 2008 00:00:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.mexicomedstudent.com/2008/06/773#comment-102170</guid>
		<description>The difference between putting the system into your ER lobby and trusting the system with your wife or your mother, is that your wife and mother is unlikely to sue you.</description>
		<content:encoded><![CDATA[<p>The difference between putting the system into your ER lobby and trusting the system with your wife or your mother, is that your wife and mother is unlikely to sue you.</p>
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		<title>Comment on Canada On Strike! by Dr. Val</title>
		<link>http://www.mexicomedstudent.com/2008/07/774#comment-102154</link>
		<dc:creator>Dr. Val</dc:creator>
		<pubDate>Tue, 01 Jul 2008 20:56:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.mexicomedstudent.com/?p=774#comment-102154</guid>
		<description>Very cute. Strangely, the fade out map seemed to indicate that none of the Nova Scotians were on strike... Is this a sign? :)</description>
		<content:encoded><![CDATA[<p>Very cute. Strangely, the fade out map seemed to indicate that none of the Nova Scotians were on strike&#8230; Is this a sign? <img src='http://www.mexicomedstudent.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /></p>
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		<title>Comment on FreeMD.com&#8217;s Free Medical Horoscope by Celeste</title>
		<link>http://www.mexicomedstudent.com/2008/06/773#comment-102145</link>
		<dc:creator>Celeste</dc:creator>
		<pubDate>Tue, 01 Jul 2008 18:51:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.mexicomedstudent.com/2008/06/773#comment-102145</guid>
		<description>How much does a triage cost?</description>
		<content:encoded><![CDATA[<p>How much does a triage cost?</p>
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		<title>Comment on FreeMD.com&#8217;s Free Medical Horoscope by Dr. Val</title>
		<link>http://www.mexicomedstudent.com/2008/06/773#comment-102059</link>
		<dc:creator>Dr. Val</dc:creator>
		<pubDate>Tue, 01 Jul 2008 02:15:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.mexicomedstudent.com/2008/06/773#comment-102059</guid>
		<description>Good points Enrico. I'm not sure "fire breathing" is exactly right - but I feel that the tool is misleading and irresponsible. Many "symptom checkers" abound on the Internet, and provide an educational service - but this very simplistic algorithm POSES as medical advice and over-promises what it cannot deliver. 

A much more robust and better developed screening tool was designed over the past decade by PKC Corp - and their questions take 20+ minutes to get to a reasonable answer. Of course, no one is willing to spend that amount of time on an online survey. So there you have it... the amount of detail necessary to get to a potentially correct answer is beyond the attention span of "Interweb users" - yet another reason why people need to see their doctors to get the truth teased out.

Oh, and Internet usage is way up in the 50-70y age group. Complicated issues will come up - if not by the patient, but the patient's family member trying to research things for him/her.</description>
		<content:encoded><![CDATA[<p>Good points Enrico. I&#8217;m not sure &#8220;fire breathing&#8221; is exactly right - but I feel that the tool is misleading and irresponsible. Many &#8220;symptom checkers&#8221; abound on the Internet, and provide an educational service - but this very simplistic algorithm POSES as medical advice and over-promises what it cannot deliver. </p>
<p>A much more robust and better developed screening tool was designed over the past decade by PKC Corp - and their questions take 20+ minutes to get to a reasonable answer. Of course, no one is willing to spend that amount of time on an online survey. So there you have it&#8230; the amount of detail necessary to get to a potentially correct answer is beyond the attention span of &#8220;Interweb users&#8221; - yet another reason why people need to see their doctors to get the truth teased out.</p>
<p>Oh, and Internet usage is way up in the 50-70y age group. Complicated issues will come up - if not by the patient, but the patient&#8217;s family member trying to research things for him/her.</p>
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		<title>Comment on FreeMD.com&#8217;s Free Medical Horoscope by Kim</title>
		<link>http://www.mexicomedstudent.com/2008/06/773#comment-102055</link>
		<dc:creator>Kim</dc:creator>
		<pubDate>Tue, 01 Jul 2008 01:44:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.mexicomedstudent.com/2008/06/773#comment-102055</guid>
		<description>I don't know about you but after the "doctor" asks you a question he gives you a weird ass look, it kinda creeps me out...</description>
		<content:encoded><![CDATA[<p>I don&#8217;t know about you but after the &#8220;doctor&#8221; asks you a question he gives you a weird ass look, it kinda creeps me out&#8230;</p>
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		<title>Comment on Mexican Community Medicine, Part 1 by Hector</title>
		<link>http://www.mexicomedstudent.com/2005/11/424#comment-101963</link>
		<dc:creator>Hector</dc:creator>
		<pubDate>Mon, 30 Jun 2008 06:44:28 +0000</pubDate>
		<guid isPermaLink="false">#comment-101963</guid>
		<description>hola me llamo Hector, y soy del estado de Chihuahua, yo estudio en el campus ensenada de la escuela de medicina de la universidad xochicalco, y la verdad es muy buena escuela, he platicado con amigos que van mas adelantados que yo en otras escuelas de medicina como UACH, UACJ y no saben nada de patologia, propedeutica, nada clinico saben, solo saben de huesos, la verdad a mi se me hace muy buena escuela, aparte... ¿creen que una universidad que imparta medicina, hara facil la carrera? para ser medico a fuerzas tiene que ser estricta la carrera aqui, en china y donde sea. yo la verdad si recomiendo la escuela, no estoy diciendo que es la mejor porque no he estado en todas las escuelas de medicina, pero SI es muuy buena.</description>
		<content:encoded><![CDATA[<p>hola me llamo Hector, y soy del estado de Chihuahua, yo estudio en el campus ensenada de la escuela de medicina de la universidad xochicalco, y la verdad es muy buena escuela, he platicado con amigos que van mas adelantados que yo en otras escuelas de medicina como UACH, UACJ y no saben nada de patologia, propedeutica, nada clinico saben, solo saben de huesos, la verdad a mi se me hace muy buena escuela, aparte&#8230; ¿creen que una universidad que imparta medicina, hara facil la carrera? para ser medico a fuerzas tiene que ser estricta la carrera aqui, en china y donde sea. yo la verdad si recomiendo la escuela, no estoy diciendo que es la mejor porque no he estado en todas las escuelas de medicina, pero SI es muuy buena.</p>
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		<title>Comment on EM Blogger &#8220;Hate&#8221;: Nature or Nurture? by Peggikaye</title>
		<link>http://www.mexicomedstudent.com/2008/06/769#comment-101600</link>
		<dc:creator>Peggikaye</dc:creator>
		<pubDate>Thu, 26 Jun 2008 18:40:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.mexicomedstudent.com/?p=769#comment-101600</guid>
		<description>try reading blogs by ambulance drivers and emts ... it will curl your toes.</description>
		<content:encoded><![CDATA[<p>try reading blogs by ambulance drivers and emts &#8230; it will curl your toes.</p>
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		<title>Comment on EM Blogger &#8220;Hate&#8221;: Nature or Nurture? by Sid Schwab</title>
		<link>http://www.mexicomedstudent.com/2008/06/769#comment-101490</link>
		<dc:creator>Sid Schwab</dc:creator>
		<pubDate>Thu, 26 Jun 2008 03:38:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.mexicomedstudent.com/?p=769#comment-101490</guid>
		<description>I guess we're all victims of our own prejudices; and god knows I've let loose with plenty of lefty screeds on my blog. But as you inferred, my main point was simply in pointing out what a consider a couple of facts: a great majority of ER bloggers seem to be very conservative, and many of those are very vitriolic. I posited a couple of possible explanations, is all. None of the commenters really tried to refute my central points, only to say, in essence, "I know you are but what am I?" And whereas I admit to my own rantings (and label them as such), that sensibility doesn't (I think and hope) suffuse the entirety of my posts, as opposed to those ER bloggers. I also said, "not all, and not always," or some such thing. 

Nor, contrary to the implications of some, did I in any way suggest their CARE was less than proper. I agree with your inference that the post was something of a Rorschach test, in that people saw in it, at least in part, what they chose to see rather than what I actually said. Not that the same can't be said of most of us, at one time or another. 

I figured it'd piss some people off, which is why I didn't post it for so long. I wasn't kidding when I said I finally said WTF and did it, partly because i'm intending (once again) to hang it up. Emptied out my out box...</description>
		<content:encoded><![CDATA[<p>I guess we&#8217;re all victims of our own prejudices; and god knows I&#8217;ve let loose with plenty of lefty screeds on my blog. But as you inferred, my main point was simply in pointing out what a consider a couple of facts: a great majority of ER bloggers seem to be very conservative, and many of those are very vitriolic. I posited a couple of possible explanations, is all. None of the commenters really tried to refute my central points, only to say, in essence, &#8220;I know you are but what am I?&#8221; And whereas I admit to my own rantings (and label them as such), that sensibility doesn&#8217;t (I think and hope) suffuse the entirety of my posts, as opposed to those ER bloggers. I also said, &#8220;not all, and not always,&#8221; or some such thing. </p>
<p>Nor, contrary to the implications of some, did I in any way suggest their CARE was less than proper. I agree with your inference that the post was something of a Rorschach test, in that people saw in it, at least in part, what they chose to see rather than what I actually said. Not that the same can&#8217;t be said of most of us, at one time or another. </p>
<p>I figured it&#8217;d piss some people off, which is why I didn&#8217;t post it for so long. I wasn&#8217;t kidding when I said I finally said WTF and did it, partly because i&#8217;m intending (once again) to hang it up. Emptied out my out box&#8230;</p>
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		<title>Comment on EM Blogger &#8220;Hate&#8221;: Nature or Nurture? by Agraphia: ravings of a med student &#187; Free Care</title>
		<link>http://www.mexicomedstudent.com/2008/06/769#comment-101476</link>
		<dc:creator>Agraphia: ravings of a med student &#187; Free Care</dc:creator>
		<pubDate>Thu, 26 Jun 2008 02:48:27 +0000</pubDate>
		<guid isPermaLink="false">http://www.mexicomedstudent.com/?p=769#comment-101476</guid>
		<description>[...] was reading Enrico&#8217;s latest post and figured that I&#8217;d weigh in on a patient that I saw just [...]</description>
		<content:encoded><![CDATA[<p>[...] was reading Enrico&#8217;s latest post and figured that I&#8217;d weigh in on a patient that I saw just [...]</p>
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