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	<title>Comments on: ED waiting room patients offered $10 to leave</title>
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	<link>http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html</link>
	<description>Ramblings of an Emergency Physician in Texas</description>
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		<title>By: soar_loosers</title>
		<link>http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html/comment-page-1#comment-5202</link>
		<dc:creator>soar_loosers</dc:creator>
		<pubDate>Wed, 24 Jan 2007 03:08:01 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html#comment-5202</guid>
		<description>Oh for Pete&#039;s sakes, now they&#039;re gonna come in hoards wanting the $10 bucks.
</description>
		<content:encoded><![CDATA[<p>Oh for Pete&#8217;s sakes, now they&#8217;re gonna come in hoards wanting the $10 bucks.</p>
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		<title>By: TriJack</title>
		<link>http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html/comment-page-1#comment-5201</link>
		<dc:creator>TriJack</dc:creator>
		<pubDate>Fri, 19 Jan 2007 17:05:39 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html#comment-5201</guid>
		<description>The ones that will take your 10 are usually the ones that can be seen and dispo&#039;ed in only a minute or so longer than it takes to give them the $ - so, I use my triage rooms to see these people rapidly and save my money...
ps - just discovered this site - i was the on duty doc in the ed when the &quot;nurse rap&quot; video linked on your site was done...  Thanks for the link. Craig, who did the video, performs a rap of sorts each year at our resident graduation dinner -  quite an entertaining guy...</description>
		<content:encoded><![CDATA[<p>The ones that will take your 10 are usually the ones that can be seen and dispo&#8217;ed in only a minute or so longer than it takes to give them the $ &#8211; so, I use my triage rooms to see these people rapidly and save my money&#8230;<br />
ps &#8211; just discovered this site &#8211; i was the on duty doc in the ed when the &#8220;nurse rap&#8221; video linked on your site was done&#8230;  Thanks for the link. Craig, who did the video, performs a rap of sorts each year at our resident graduation dinner &#8211;  quite an entertaining guy&#8230;</p>
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		<title>By: trenchy</title>
		<link>http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html/comment-page-1#comment-5200</link>
		<dc:creator>trenchy</dc:creator>
		<pubDate>Fri, 19 Jan 2007 16:41:57 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html#comment-5200</guid>
		<description>Handing out work excuses is much less expensive and doesn&#039;t make nearly as many waves in the media.</description>
		<content:encoded><![CDATA[<p>Handing out work excuses is much less expensive and doesn&#8217;t make nearly as many waves in the media.</p>
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		<title>By: Bad Shift</title>
		<link>http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html/comment-page-1#comment-5199</link>
		<dc:creator>Bad Shift</dc:creator>
		<pubDate>Fri, 19 Jan 2007 15:42:54 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html#comment-5199</guid>
		<description>I don&#039;t understand the complaint--was the offer too low?</description>
		<content:encoded><![CDATA[<p>I don&#8217;t understand the complaint&#8211;was the offer too low?</p>
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		<title>By: ERnursey</title>
		<link>http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html/comment-page-1#comment-5198</link>
		<dc:creator>ERnursey</dc:creator>
		<pubDate>Fri, 19 Jan 2007 14:14:08 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html#comment-5198</guid>
		<description>I&#039;ve always said that if the greeter just had a pile of vicodin prescriptions to hand out we&#039;d only see about 15 patients a day!</description>
		<content:encoded><![CDATA[<p>I&#8217;ve always said that if the greeter just had a pile of vicodin prescriptions to hand out we&#8217;d only see about 15 patients a day!</p>
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		<title>By: TheNewGuy</title>
		<link>http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html/comment-page-1#comment-5197</link>
		<dc:creator>TheNewGuy</dc:creator>
		<pubDate>Fri, 19 Jan 2007 11:20:00 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html#comment-5197</guid>
		<description>I&#039;ve gone out into the waiting room myself and advised patients that they&#039;re looking at a long wait/night, and that if they&#039;ve a minor problem that can wait, that they might be better-served by seeing their family doctor.  I always advise that we&#039;re happy to see them, and that they WILL get seen eventually... but that the line is already around the building.

I&#039;ve never offered money though... that&#039;s actually pretty funny.

Apparently the complainant doesn&#039;t have a regular physician, but DOES have some kind of ongoing health problem... so she should bloody well GET a family doc.  One would think it would fit into ones schedule better than spending eight hours in the ER waiting room for a non-emergent problem.  That presumes, I suppose, that one is involved in things (job, kids, etc) that require some scheduling around... maybe she&#039;s retired.

Anyone care to make a gentleman&#039;s wager on what medicine was being refilled?</description>
		<content:encoded><![CDATA[<p>I&#8217;ve gone out into the waiting room myself and advised patients that they&#8217;re looking at a long wait/night, and that if they&#8217;ve a minor problem that can wait, that they might be better-served by seeing their family doctor.  I always advise that we&#8217;re happy to see them, and that they WILL get seen eventually&#8230; but that the line is already around the building.</p>
<p>I&#8217;ve never offered money though&#8230; that&#8217;s actually pretty funny.</p>
<p>Apparently the complainant doesn&#8217;t have a regular physician, but DOES have some kind of ongoing health problem&#8230; so she should bloody well GET a family doc.  One would think it would fit into ones schedule better than spending eight hours in the ER waiting room for a non-emergent problem.  That presumes, I suppose, that one is involved in things (job, kids, etc) that require some scheduling around&#8230; maybe she&#8217;s retired.</p>
<p>Anyone care to make a gentleman&#8217;s wager on what medicine was being refilled?</p>
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		<title>By: Family doc</title>
		<link>http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html/comment-page-1#comment-5196</link>
		<dc:creator>Family doc</dc:creator>
		<pubDate>Fri, 19 Jan 2007 04:40:36 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html#comment-5196</guid>
		<description>I work shifts in a busy Canadian ER and they come in all the time for scripts and get belligerent when they have to wait.
We have plenty of GP s in our town- this is what happens when you have no user fees!</description>
		<content:encoded><![CDATA[<p>I work shifts in a busy Canadian ER and they come in all the time for scripts and get belligerent when they have to wait.<br />
We have plenty of GP s in our town- this is what happens when you have no user fees!</p>
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		<title>By: A Bohemian Road Nurse...</title>
		<link>http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html/comment-page-1#comment-5195</link>
		<dc:creator>A Bohemian Road Nurse...</dc:creator>
		<pubDate>Thu, 18 Jan 2007 21:25:45 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html#comment-5195</guid>
		<description>As an ex-ER waiting room clown  (they&#039;re like rodeo clowns, but for ER waiting rooms), I applaud the guy for his sense of humor.  I used to periodically venture forth into the tense, crowded waiting room and offer &quot;No. 1 Patient&quot; stickers, balloons, and jokes to break the ice and get people to relax a little while they endured their wait.  One time I took out a bunch of ice paks for injuries and somebody asked me where they should put it---and I replied: &quot;The hurtin&#039;est spot&quot;...</description>
		<content:encoded><![CDATA[<p>As an ex-ER waiting room clown  (they&#8217;re like rodeo clowns, but for ER waiting rooms), I applaud the guy for his sense of humor.  I used to periodically venture forth into the tense, crowded waiting room and offer &#8220;No. 1 Patient&#8221; stickers, balloons, and jokes to break the ice and get people to relax a little while they endured their wait.  One time I took out a bunch of ice paks for injuries and somebody asked me where they should put it&#8212;and I replied: &#8220;The hurtin&#8217;est spot&#8221;&#8230;</p>
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		<title>By: CHenry</title>
		<link>http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html/comment-page-1#comment-5194</link>
		<dc:creator>CHenry</dc:creator>
		<pubDate>Thu, 18 Jan 2007 20:49:06 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html#comment-5194</guid>
		<description>When you think about it, what harm did it do? No one was told their problem didn&#039;t merit attention, or that they wouldn&#039;t be seen if they waited or even that they couldn&#039;t come back later if they wanted. If they didn&#039;t want to leave, or take the money, they didn&#039;t have to do anything at all. The public wasn&#039;tpaying, either. No one was getting rich by that offer; the offer was cab fare, if that, a token payment.

It isn&#039;t manipulative, or dishonest, or for that matter unethical. In fact it is inspired. Maybe brilliant. Certainly interesting, in the human behavior, relative valuation and free choice way of experimentation.

Of course that won&#039;t keep the jowel shakers and underpants bunchers from getting all worked up.</description>
		<content:encoded><![CDATA[<p>When you think about it, what harm did it do? No one was told their problem didn&#8217;t merit attention, or that they wouldn&#8217;t be seen if they waited or even that they couldn&#8217;t come back later if they wanted. If they didn&#8217;t want to leave, or take the money, they didn&#8217;t have to do anything at all. The public wasn&#8217;tpaying, either. No one was getting rich by that offer; the offer was cab fare, if that, a token payment.</p>
<p>It isn&#8217;t manipulative, or dishonest, or for that matter unethical. In fact it is inspired. Maybe brilliant. Certainly interesting, in the human behavior, relative valuation and free choice way of experimentation.</p>
<p>Of course that won&#8217;t keep the jowel shakers and underpants bunchers from getting all worked up.</p>
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		<title>By: canadian med student</title>
		<link>http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html/comment-page-1#comment-5193</link>
		<dc:creator>canadian med student</dc:creator>
		<pubDate>Thu, 18 Jan 2007 20:09:45 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2007/01/ed-waiting-room-patients-offered-10-to-leave.html#comment-5193</guid>
		<description>While I agree that the ER isn&#039;t a good place to go to refill prescriptions, there is a serious shortage of family docs all over Canada. So it&#039;s not quite as simple a situation as it seems, imho.</description>
		<content:encoded><![CDATA[<p>While I agree that the ER isn&#8217;t a good place to go to refill prescriptions, there is a serious shortage of family docs all over Canada. So it&#8217;s not quite as simple a situation as it seems, imho.</p>
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