A Mess in Minneapolis, Again

 

Rioting in Minneapolis, again, after a police shooting.  I have no idea of the details (other than it was during a traffic stop) but look at this statement from the governor:

Minnesota Gov. Tim Walz tweeted he was “closely monitoring the situation” and “praying for Daunte Wright’s family as our state mourns another life of a Black man taken by law enforcement.”

Holy moly.  Let’s encourage a race war, governor. Are these people insane?

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  1. kedavis Coolidge
    kedavis
    @kedavis

    DrewInEastHillAutonomousZone (View Comment):

    And they will give him the Trayvon Martin treatment, with the media only using pictures of the kid as a smiling 12 year old boy.

    Like the “unarmed black teen” who was 6′ 4″, 290 lbs, 18-year-old adult Michael Brown.

    • #91
  2. JustmeinAZ Member
    JustmeinAZ
    @JustmeinAZ

    kedavis (View Comment):

    DrewInEastHillAutonomousZone (View Comment):

    And they will give him the Trayvon Martin treatment, with the media only using pictures of the kid as a smiling 12 year old boy.

    Like the “unarmed black teen” who was 6′ 4″, 290 lbs, 18-year-old adult Michael Brown.

    Last night our local news was reporting on the wrap up of the Chauvin prosecution. I wasn’t really listening but I heard them talking about how  George Floyd’s brother testified how much he loved his mama. Made him sound like a teddy bear. Gag me.

    • #92
  3. kedavis Coolidge
    kedavis
    @kedavis

    JustmeinAZ (View Comment):

    kedavis (View Comment):

    DrewInEastHillAutonomousZone (View Comment):

    And they will give him the Trayvon Martin treatment, with the media only using pictures of the kid as a smiling 12 year old boy.

    Like the “unarmed black teen” who was 6′ 4″, 290 lbs, 18-year-old adult Michael Brown.

    Last night our local news was reporting on the wrap up of the Chauvin prosecution. I wasn’t really listening but I heard them talking about how George Floyd’s brother testified how much he loved his mama. Made him sound like a teddy bear. Gag me.

    I would make another point about that, but I guess we’re not supposed to speak ill of the dead.

    • #93
  4. Sisyphus Member
    Sisyphus
    @Sisyphus

    The officer’s name is Kimberly Potter, and she has resigned. And the police chief as well.

    • #94
  5. Flicker Coolidge
    Flicker
    @Flicker

    Instugator (View Comment):

    DrewInEastHillAutonomousZone (View Comment):

    And we still don’t know who killed Ashli Babbitt.

    Say her name!

    And don’t forget Miraim Carey.

    • #95
  6. Kozak Member
    Kozak
    @Kozak

    MiMac (View Comment):
    By and large most ER docs aren’t emergency docs-unfortunately in the american medical system ERs are mostly walk in clinics and are overwhelmed by the mundane. They have an important function in mundane care for the indigent but it actually hurts the “system” in terms of its preparedness to handle REAL emergencies for most ERs in the USA. It is a longstanding problem for emergency medicine. But without serious changes there is no way for the ERs to avoid the problem-unless you are Shock Trauma in Maryland.

    You have no idea what you are talking about.

    • #96
  7. MiMac Thatcher
    MiMac
    @MiMac

    Kozak (View Comment):

    MiMac (View Comment):
    By and large most ER docs aren’t emergency docs-unfortunately in the american medical system ERs are mostly walk in clinics and are overwhelmed by the mundane. They have an important function in mundane care for the indigent but it actually hurts the “system” in terms of its preparedness to handle REAL emergencies for most ERs in the USA. It is a longstanding problem for emergency medicine. But without serious changes there is no way for the ERs to avoid the problem-unless you are Shock Trauma in Maryland.

    You have no idea what you are talking about.

    Actually, I do over 30 years working in the trauma system. The vast majority of patients seen in the ER aren’t “emergencies”. They can & should be treated in less acute settings. The problem is longstanding and not the ERs fault. As I said, it actually impairs the care of real emergencies.

    addendum- an amusing case in point. At a major medical center a few years ago, a young lady shows up in the ER on a quiet Saturday AM. After a brief history & physical,  it is clear even to the intern that the lady has an STD (clap). Seems she found the stripper at the bachelorette party too attractive and had sex with him. The problem is she is going to be married in a few hours. She is smart- question #1- can you give me a drug to cure me that works in ~8hrs. Answer #1- no. Question #2: Can you give me extra antibiotic pills that will treat my bridegroom, so I can slip them into his breakfast tomorrow morning ? Answer #2-No. The moral is, I guess, that by her criteria that visit was an emergency but not by anybody else’s.

    • #97
  8. Kozak Member
    Kozak
    @Kozak

    Sisyphus (View Comment):

    The officer’s name is Kimberly Potter, and she has resigned. And the police chief as well.

    The police chief resigned because he made the unpardonable gaff of calling the riot a riot.

     

     

    Thats a riot.

    • #98
  9. Kozak Member
    Kozak
    @Kozak

    MiMac (View Comment):

    Kozak (View Comment):

    MiMac (View Comment):
    By and large most ER docs aren’t emergency docs-unfortunately in the american medical system ERs are mostly walk in clinics and are overwhelmed by the mundane. They have an important function in mundane care for the indigent but it actually hurts the “system” in terms of its preparedness to handle REAL emergencies for most ERs in the USA. It is a longstanding problem for emergency medicine. But without serious changes there is no way for the ERs to avoid the problem-unless you are Shock Trauma in Maryland.

    You have no idea what you are talking about.

    Actually, I do over 30 years working in the trauma system.

    And I have over 30 years as a board certified ED  Doc.  News flash. Not all critical patients are trauma.

    In addition to the thousands of trauma patients I’ve cared for I’ve also cared for  MI’s, CHF, strokes, acute respiratory failure, emergency deliveries  OD’s etc etc etc etc.  Yeah we see a lot of crap, but we also see a lot of critical patients.

    • #99
  10. TBA Coolidge
    TBA
    @RobtGilsdorf

    JustmeinAZ (View Comment):

    kedavis (View Comment):

    DrewInEastHillAutonomousZone (View Comment):

    And they will give him the Trayvon Martin treatment, with the media only using pictures of the kid as a smiling 12 year old boy.

    Like the “unarmed black teen” who was 6′ 4″, 290 lbs, 18-year-old adult Michael Brown.

    Last night our local news was reporting on the wrap up of the Chauvin prosecution. I wasn’t really listening but I heard them talking about how George Floyd’s brother testified how much he loved his mama. Made him sound like a teddy bear. Gag me.

    “This guy not only loves his mama but he is on record as being nice to puppies!” 

    • #100
  11. Kozak Member
    Kozak
    @Kozak

    TBA (View Comment):

    JustmeinAZ (View Comment):

    kedavis (View Comment):

    DrewInEastHillAutonomousZone (View Comment):

    And they will give him the Trayvon Martin treatment, with the media only using pictures of the kid as a smiling 12 year old boy.

    Like the “unarmed black teen” who was 6′ 4″, 290 lbs, 18-year-old adult Michael Brown.

    Last night our local news was reporting on the wrap up of the Chauvin prosecution. I wasn’t really listening but I heard them talking about how George Floyd’s brother testified how much he loved his mama. Made him sound like a teddy bear. Gag me.

    “This guy not only loves his mama but he is on record as being nice to puppies!”

    Just like Hitler.

    • #101
  12. Kozak Member
    Kozak
    @Kozak

    Kozak (View Comment):

    MiMac (View Comment):

    Kozak (View Comment):

    MiMac (View Comment):
    By and large most ER docs aren’t emergency docs-unfortunately in the american medical system ERs are mostly walk in clinics and are overwhelmed by the mundane. They have an important function in mundane care for the indigent but it actually hurts the “system” in terms of its preparedness to handle REAL emergencies for most ERs in the USA. It is a longstanding problem for emergency medicine. But without serious changes there is no way for the ERs to avoid the problem-unless you are Shock Trauma in Maryland.

    You have no idea what you are talking about.

    Actually, I do over 30 years working in the trauma system.

    And I have over 30 years as a board certified ED Doc. News flash. Not all critical patients are trauma.

    In addition to the thousands of trauma patients I’ve cared for I’ve also cared for MI’s, CHF, strokes, acute respiratory failure, emergency deliveries OD’s etc etc etc etc. Yeah we see a lot of crap, but we also see a lot of critical patients.

     

    • #102
  13. MiMac Thatcher
    MiMac
    @MiMac

    Kozak (View Comment):

    MiMac (View Comment):

    Kozak (View Comment):

    MiMac (View Comment):
    By and large most ER docs aren’t emergency docs-unfortunately in the american medical system ERs are mostly walk in clinics and are overwhelmed by the mundane. They have an important function in mundane care for the indigent but it actually hurts the “system” in terms of its preparedness to handle REAL emergencies for most ERs in the USA. It is a longstanding problem for emergency medicine. But without serious changes there is no way for the ERs to avoid the problem-unless you are Shock Trauma in Maryland.

    You have no idea what you are talking about.

    Actually, I do over 30 years working in the trauma system.

    And I have over 30 years as a board certified ED Doc. News flash. Not all critical patients are trauma.

    In addition to the thousands of trauma patients I’ve cared for I’ve also cared for MI’s, CHF, strokes, acute respiratory failure, emergency deliveries OD’s etc etc etc etc. Yeah we see a lot of crap, but we also see a lot of critical patients.

    Yes but the crap: critical ratio is way too one sided. Again, not the ERs fault but a problem in American medicine. And as I said, it impairs the therapy of critical patients- again not the fault of the ER MDs, but a fact. When most of your cash flow is from crap, the bean counters will place too much emphasis on the care of crap. That is why most ERs try to create a “walk-in” side- “urgent care center” etc- to direct the flow of crap away from the ER. It is also why the nurse at front doing “triage” (ie directing the crap) is so critical- if there wasn’t so much crap she would not be needed there to divert it.

    • #103
  14. Kozak Member
    Kozak
    @Kozak

    MiMac (View Comment):

    Kozak (View Comment):

    MiMac (View Comment):

    Kozak (View Comment):

    MiMac (View Comment):
    By and large most ER docs aren’t emergency docs-unfortunately in the american medical system ERs are mostly walk in clinics and are overwhelmed by the mundane. They have an important function in mundane care for the indigent but it actually hurts the “system” in terms of its preparedness to handle REAL emergencies for most ERs in the USA. It is a longstanding problem for emergency medicine. But without serious changes there is no way for the ERs to avoid the problem-unless you are Shock Trauma in Maryland.

    You have no idea what you are talking about.

    Actually, I do over 30 years working in the trauma system.

    And I have over 30 years as a board certified ED Doc. News flash. Not all critical patients are trauma.

    In addition to the thousands of trauma patients I’ve cared for I’ve also cared for MI’s, CHF, strokes, acute respiratory failure, emergency deliveries OD’s etc etc etc etc. Yeah we see a lot of crap, but we also see a lot of critical patients.

    Yes but the crap: critical ratio is way too one sided. Again, not the ERs fault but a problem in American medicine. And as I said, it impairs the therapy of critical patients- again not the fault of the ER MDs, but a fact. When most of your cash flow is from crap, the bean counters will place too much emphasis on the care of crap. That is why most ERs try to create a “walk-in” side- “urgent care center” etc- to direct the flow of crap away from the ER. It is also why the nurse at front doing “triage” (ie directing the crap) is so critical- if there wasn’t so much crap she would not be needed there to divert it.

    You mentioned 30 years in Trauma. Doing what exactly?

    I’m a residency trained, board certified ( 4 times) Emergency Medicine Physician.  Was also an EMS medical director for almost 10 years, taught at an ER residency, and have worked in EDs all across the country from Level 1 trauma centers like Duke  to small community critical access hospitals.  I think I have a pretty good grasp of what goes on in Emergency Medicine.  and your description does not coincide with the reality I’ve experienced.   

    • #104
  15. Charlotte Member
    Charlotte
    @Charlotte

    Kozak (View Comment):

    MiMac (View Comment):

    Kozak (View Comment):

    MiMac (View Comment):

    Kozak (View Comment):

    MiMac

    Hey, maybe you two could create a separate post called The ER Pissing Contest!

    • #105
  16. MiMac Thatcher
    MiMac
    @MiMac

    Kozak- even 2 seconds of google will suffice

    https://www.beckershospitalreview.com/patient-flow/study-71-of-ed-visits-unnecessary-avoidable.html

    ie the headline: 71% of ER visits unnecessary- a well known fact. Again, not the ERs fault but unfortunately ER docs spend a disproportionate amount of their time not being emergency physicians. A longstanding problem in the American healthcare system.

    • #106
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