A quiet guy?
"Are you a quiet guy?", a white guy ask me while chatting on the bus. He's passionate, talkative and had TBI (traumatic brain injury) before. Lots of people changed their personality after the trauma, I was thinking.
"You look so young!", he said what they always think about me after knowing my real age.
"You gotta talk to people, it's good for you!" I don't know. Americans are always talking. Am I too quiet?
"I'm not a native English speaker". I can only answer him back now with this way.
Research Retreat
It's not my day
Don't know what to say to me. Maybe only God can solute my problem.
Same scenario will happen again and again.
That's God want you to know what kind or sin you have or inherit?
Why am I always trapped like this? Two tough things happened today to make me sad.
First of all, it’s the manager of the dealer. I went to the mechanic first. I told him I care about the "Blinking D4" light which accompanied with trembling gearing. He said, "This could be a big problem", which claimed no big deal 3 days ago. He checked my car with small handheld computer or something. Then he communicates with the secretary or someone with the monitor of that. She just claimed doesn't know what wrong with the car and said the manager with contact me. She wanted me to go home first.
Or course I won't leave like that. I went to the manager directly instead. After he's busying angry with his secretary, he told me that's an electricity problem, which is not warranted owing to I didn't purchase that. I just cannot believe this 'cuz previous interaction between the mechanic and secretary. As you may know, I argued with the manager for a while. He's pretty angry and wanted me leave the office immediately because I think he's a liar.
What can I do? Maybe just go to other mechanic who will tell me the truth? If that's really electricity problem, maybe I just leave that alone for a while 'cuz it doesn't matter right now. I want to "Pretend" angry at least to fight for my right. Although it ended up useless and made me guilty about my angry again. I'm not angry with them after leaving the house immediately. God tells us you can angry but can't commit crime. But I still feel like committing crime after this angry.
Second one is just as you may know, my lack of patience. I want to start and finish the experiment so that miss an important comparing control group. It's still big mistake for me and just because of the hurry. If I can stop for second and really think about that, not just doing thing quickly as an Emergency Physician, maybe I can really start some experiment.
Too bad, man. It's not my day again. But I learnt something
又忙又亂…
讓我feel peaceful的實驗…
費城之旅
充滿挑戰的生活…
被我搞砸的實驗…
學而不思則惘
淡淡的憂愁湧出
忙碌的第二週
1. You do have EMTALA, Emergency medical treatment and active labor act. And do you have other law or act mainly regular EMT, paramedics and EMS?
Answer about laws, there are several websites and papers: www.medlaw.com, www.pwwemslaw.com, colwell CB, Pons PT, et al: Claims against a paramedic ambulance service: A-ten-year experience. J Emerg Med 1999; 17:999-1002
這題就沒啥要講解的了…有興趣的連上去看一下…
2. We have private ambulance in Taiwan, too. But the quality is poor there. There's a news about patient died on the ambulance while transferring to nursing home. Some people say it's even better here than the public ambulance of EMS. One of my friends even has been charged for 200$ only transporting to the hospital. Do you have some data for me?
這題就要講一下了，PL小姐要我提供美國人坐救護車的價錢，先給不懂的看倌了解一下，
台灣的救護車以往也是像現在部份民間救護車一樣，會到目的地後或前亂喊價，
所以我想也是要感謝政府的德政，不知道那年後就完全不用收錢，
會在救護車上貼"本車服務完全免費"…
不過大家看看下面美國人坐的價錢就知道為什麼人家可以做得起來了…
Answer
EMT-advanced 500
初級救護車 10000台票中級救護車 16000台票高級救護車 25000台票(這是民間救護車價喔)
太閒的人…
又是weekend!!
介紹一下我知道的Hopkins好了…
http://www.hopkins-cepar.org/index.html
這個CEPAR, Critical Event Preparedness And Response，也是NIH給的大計畫，
從911後，Hopkins的ED做很多Homeland security的東西，
連原本做ACS的幾個Faculty都做BT, BioTerrorism去了…
今天奉部長命問他們的triage，才聊到所謂的EIS…
有興趣的可以Download他們95頁的manual來看看…
http://www.cgmher.org.tw/phpnuke/modules.php?name=Forums&file=viewtopic&p=822#822
新車到手…
第二週心得報告
Reading the "laws"
I'll be in the lab next week, think that will be more interesting than sit in front of monitor reading these laws.
Enjoy your life
Struggling
HIPAA? Hippo?
PHI, Protected Health Information, Here's what the patient have (summary only)
See! There's still lots of hospital won't release the record of patient in Taiwan. That's wrong in the states!!
And they even have to change what's written on the chart if p't feels wrong about that!! (only "request")
Example 1: Visitors in a clinic do not need information about patients being seen in the clinic. To protect patient privacy, patient charts should be covered so that patient information is not viewable by other patients or by visitors.
We just show a list in front of OPD, right?
Here are situations which the PHI can be disclosed by law here.
- Under Maryland law, the original medical record may not be altered in any way
WOW, It's too bad for us if anyone wants to do that! But you can add something afterward.
Bla, bla, bla...
It's not so easy to do study here. A little bit complicated.
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