Comments on: Emergency room specialist call http://www.kevinmd.com/blog/2007/12/emergency-room-specialist-call.html Tue, 14 Feb 2012 23:00:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2007/12/emergency-room-specialist-call.html#comment-82124 Anonymous Tue, 11 Dec 2007 20:22:00 +0000 http://clients.emmense.com/kevinmd/2007/12/emergency-room-specialist-call.html#comment-82124 ".....the specialists - they already make on average in excess of $150,000 and that's not enough to get them to do a little more?"<br/><br/>That night's sleep, one out of three nights. The time with your children. The risk of a bankrupting lawsuit.<br/><br/>Remember the clown who thinks that's just "a little more". “…..the specialists – they already make on average in excess of $150,000 and that’s not enough to get them to do a little more?”

That night’s sleep, one out of three nights. The time with your children. The risk of a bankrupting lawsuit.

Remember the clown who thinks that’s just “a little more”.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/12/emergency-room-specialist-call.html#comment-82123 Anonymous Tue, 11 Dec 2007 15:48:00 +0000 http://clients.emmense.com/kevinmd/2007/12/emergency-room-specialist-call.html#comment-82123 You don't have to feel sorry for the specialist. Just don't expect that specialist to be available for you at night. You don’t have to feel sorry for the specialist. Just don’t expect that specialist to be available for you at night.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/12/emergency-room-specialist-call.html#comment-82122 Anonymous Tue, 11 Dec 2007 13:00:00 +0000 http://clients.emmense.com/kevinmd/2007/12/emergency-room-specialist-call.html#comment-82122 $800/day might not be enough if you have to spend most of that day (or day and night, perhaps) for that money. Oh, it goes to your practice income, not home, so you can reduce that by 60% for the general overhead.<br/><br/>But what if instead of $800 the figure was somewhere around, uh, zero? That is what it is at my hospital. Nothing. Get up in the middle of the night for nothing. Leave the office in the middle of the day (and waiting patients) to work for nothing. Take someone to the OR, for nothing. Accept the inconvenience and the liability, for nothing.<br/><br/>I don't care whether you make 1,000,000.00 a year, which I surely don't, but I don'r owe it to anyone, person or hospital, to have to work for them for nothing.<br/><br/>That is what this issue is about. If you can't understand that, it is probably because you don't work, or if you do, nobody expects much from you anyway. $800/day might not be enough if you have to spend most of that day (or day and night, perhaps) for that money. Oh, it goes to your practice income, not home, so you can reduce that by 60% for the general overhead.

But what if instead of $800 the figure was somewhere around, uh, zero? That is what it is at my hospital. Nothing. Get up in the middle of the night for nothing. Leave the office in the middle of the day (and waiting patients) to work for nothing. Take someone to the OR, for nothing. Accept the inconvenience and the liability, for nothing.

I don’t care whether you make 1,000,000.00 a year, which I surely don’t, but I don’r owe it to anyone, person or hospital, to have to work for them for nothing.

That is what this issue is about. If you can’t understand that, it is probably because you don’t work, or if you do, nobody expects much from you anyway.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/12/emergency-room-specialist-call.html#comment-82116 Anonymous Tue, 11 Dec 2007 04:35:00 +0000 http://clients.emmense.com/kevinmd/2007/12/emergency-room-specialist-call.html#comment-82116 The people working at JC Penny make almost exactly the same as those at Wal-Mart so that point is silly. Also, it is real hard to feel sorry for someone who ONLY makes $800.00 per day for being on call. The people working at JC Penny make almost exactly the same as those at Wal-Mart so that point is silly. Also, it is real hard to feel sorry for someone who ONLY makes $800.00 per day for being on call.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/12/emergency-room-specialist-call.html#comment-82112 Anonymous Tue, 11 Dec 2007 02:17:00 +0000 http://clients.emmense.com/kevinmd/2007/12/emergency-room-specialist-call.html#comment-82112 So how much do I have to pay you to:<br/><br/>*wake up at any hour, come to ER and evaluate a complete stranger<br/><br/>*leave your own, paying patients waiting for you in the office (or the OR) to see a person who will not pay you for doing the same thing you were about to earn $1000 for doing<br/><br/>*increase liability with LESS income <br/><br/>*and not have the equiptment, backup or other specialists you want availible?<br/><br/>I get $800 a day for ER call - 24 hours of God only knows what and 1 in 3 patients I'm treating for free. If someone else has better people skills (or is a better doctor) and has a full clinic waiting for his services, why should she be required to see complete strangers for less than she could make elsewhere?<br/><br/>Do you know any other job like that??!! Well, you earn $12 per hour at JC Penny, but we are going to force you to miss that work to earn $7.50 per hour at Wal Mart because we need people there. See how long that would last.<br/><br/>Make it worth the abuse, and people will do the job. It's called capitalism. So how much do I have to pay you to:

*wake up at any hour, come to ER and evaluate a complete stranger

*leave your own, paying patients waiting for you in the office (or the OR) to see a person who will not pay you for doing the same thing you were about to earn $1000 for doing

*increase liability with LESS income

*and not have the equiptment, backup or other specialists you want availible?

I get $800 a day for ER call – 24 hours of God only knows what and 1 in 3 patients I’m treating for free. If someone else has better people skills (or is a better doctor) and has a full clinic waiting for his services, why should she be required to see complete strangers for less than she could make elsewhere?

Do you know any other job like that??!! Well, you earn $12 per hour at JC Penny, but we are going to force you to miss that work to earn $7.50 per hour at Wal Mart because we need people there. See how long that would last.

Make it worth the abuse, and people will do the job. It’s called capitalism.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/12/emergency-room-specialist-call.html#comment-82109 Anonymous Tue, 11 Dec 2007 01:50:00 +0000 http://clients.emmense.com/kevinmd/2007/12/emergency-room-specialist-call.html#comment-82109 Ummmm... ya!!! Where do you get the idea it is not about the money. What do you think liability and lack of pay amount to... duh!!!<br/><br/>I don't see any holier than thou attitude. I see teh poster before you talking about payment cuts and insurance increases. Ummmm… ya!!! Where do you get the idea it is not about the money. What do you think liability and lack of pay amount to… duh!!!

I don’t see any holier than thou attitude. I see teh poster before you talking about payment cuts and insurance increases.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/12/emergency-room-specialist-call.html#comment-82106 Anonymous Tue, 11 Dec 2007 00:09:00 +0000 http://clients.emmense.com/kevinmd/2007/12/emergency-room-specialist-call.html#comment-82106 Why do we have to "blame" anyone? Does that accomplish anything? We can blame the specialists - they already make on average in excess of $150,000 and that's not enough to get them to do a little more?<br/><br/>That's what it really comes down to, after all. Physicians want more money. Admit it and stop blaming everyone else. There is nothing wrong with wanting to get paid. Perhaps if you stopped pretending you guys were so much holier than everyone else and you were performing this wonderful public service we could all start being honest with each other and move toward some solutions. Let it go - no one else is buying your nonsense anyway. Why do we have to “blame” anyone? Does that accomplish anything? We can blame the specialists – they already make on average in excess of $150,000 and that’s not enough to get them to do a little more?

That’s what it really comes down to, after all. Physicians want more money. Admit it and stop blaming everyone else. There is nothing wrong with wanting to get paid. Perhaps if you stopped pretending you guys were so much holier than everyone else and you were performing this wonderful public service we could all start being honest with each other and move toward some solutions. Let it go – no one else is buying your nonsense anyway.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/12/emergency-room-specialist-call.html#comment-82104 Anonymous Mon, 10 Dec 2007 19:35:00 +0000 http://clients.emmense.com/kevinmd/2007/12/emergency-room-specialist-call.html#comment-82104 Thank you, totaliatrian federal government EMTALA, for making ER stabilization "free" for illegals and other uninsured. Oh, and thanks for the perpetual fee reductions, this year 10%. And a big thanks to the John Edwards wing of the democrat party for your massive insurance increases, especially for liability target rich ER environments.<br/><br/>It is amazing any specialist ever shows up at the ER.<br/><br/>Ed Sodaro MD Thank you, totaliatrian federal government EMTALA, for making ER stabilization “free” for illegals and other uninsured. Oh, and thanks for the perpetual fee reductions, this year 10%. And a big thanks to the John Edwards wing of the democrat party for your massive insurance increases, especially for liability target rich ER environments.

It is amazing any specialist ever shows up at the ER.

Ed Sodaro MD

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