Grand Rounds 3.19: Consumer-Driven Healthcare Edition
Tuesday, January 30th, 2007This is an excellent review and write-up on healthcare consumerism. Thanks for including me.
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This is an excellent review and write-up on healthcare consumerism. Thanks for including me.
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Well another “jonah” call and a busy week!
Imagine this, on a quiet Sunday, I am on call. It was quiet till about 10pm, I get a call from my medical officer.
” A 60 year old man complained of left back pain around the loin. It was a sudden sharp continuous pain. He then told his son to massage his back. It helped a little. He said goodbye to his son who had to go for work. He went to toilet and thereafter asked his grand-daughter to massage him. As her massage was soft, he requested her to step on his back. This made his pain worse and he fainted and became unresponsive. He was brought in immediately and was initially confused but then collapsed and was resuscitated. Now, he is intubated with a heart rate of 100 and a blood pressure of 90/60 on two inotropes(drugs to maintain blood pressure).His abdomen is very distended, and he was very pale.”
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Yipee got mentioned in this present blogrounds for two of my articles. Yipee! Thanks Sumer.

Proceed with caution! Not for the faint hearted! A friend sent me this images.
Well we know how important helmets are for our safety. However, a friend of mine sent me these pictures, made me wonder — many things. True as ridiculous as this may appear, it is still important because what if they do survive at least their brains and skulls may be saved. Compare this with us Malaysians. We still find people going around without helmets even in the city. That is the attitude we Malaysians have difficulty changing. The third world mentality!
A diver friend sent me this:
To all Employees:
Effective January 2007
Dress Code
1. It is advised that you come to work dressed according to your salary. If we see you wearing Prada shoes and carrying a Gucci bag, we assume you are doing well financially and therefore do not need a pay raise.
2. If you dress poorly, you need to learn to manage your money better, so that you may buy nicer clothes, and therefore you do not need a pay raise.
3. If you dress just right, you are right where you need to be and therefore you do not need a pay raise.
Sick Days
We will no longer accept a doctor’s certificate as proof of sickness.
If you are able to go to the doctor, you are able to come to work.
Holiday Days
Each employee will receive 104 personal days a year. They are called Saturday & Sunday.
Compassionate Leave
This is no excuse for missing work. There is nothing you can do for dead friends, relatives or co-workers. Every effort should be made to have non-employees attend to the arrangements.
In rare cases where employee involvement is necessary, the funeral should be scheduled in the late afternoon. We will be glad to allow you to work through your lunch hour and subsequently leave one hour early.
Toilet Use
1. Entirely too much time is being spent in the toilet. There is now a strict three-minute time limit in the cubicles.
2. At the end of three minutes, an alarm will sound, the toilet paper roll will retract, the cubicle door will open, and your picture will be taken.
3. After your second offence, your picture will be posted on the company notice board under the “Chronic Offenders” category.
4. Anyone caught smiling in the picture will be sanctioned under the company’s mental health policy.
Lunch Break
1. Skinny people get 30 minutes for lunch, as they need to eat more so that they can look healthy.
2. Normal size people get 15 minutes for lunch to get a balanced meal to maintain their average figure.
3. Chubby people get 5 minutes for lunch, because that’s all the time needed to drink a Slim-Fast.
Thank you for your loyalty to our company. Remember we are an employer of choice and we are here to provide a positive employment experience.
Therefore, all questions, comments, concerns, complaints, frustrations, irritations, aggravations, insinuations, allegations, accusations, contemplations, consternation and input should be directed elsewhere.
