I think we need a bit more detail, here. Green card holders are resident aliens, not nationals - even Wikipedia says so (ha, ha). Have anything to back up the idea that they're actually nationals? I mean,
(20) The term “lawfully admitted for permanent residence” means the status of having been lawfully accorded the privilege of residing permanently in the United States as an immigrant in accordance with the immigration laws, such status not having changed.
Seems to me that isn't the same as owing allegiance to the US. It's explicitly called a privilege, not a right, in the law.
Foreign medical degrees are generally respected by US medical licensure boards, but foreign residency training is not. You have to do a residency in the US to practice here except in extraordinary circumstances. And it's very hard for a foreign medical graduate to get a residency in a highly competitive specialty.
You made a wise choice. Every once in a while, we will have a father who wants to watch the C section. "Have you ever seen surgery before?" is the immediate question. If the answer is "no", we advise them to stay seated, lest they pass out.
There are always several med students who pass out during their first surgical rotation, even though they've all been through the process of carving up an entire human during gross anatomy.
Never seen that, but I guess you could. Not really much to see from that angle, though. Our OB's hang the baby over the top of the drape before handing them off for the initial checkout.
Trust me, you would know. Imagine that ten Mafia thugs have been hired to beat you into submission. Then give yourself a horrible cold and the worst fever and chills you've ever had. Finally, subtract fifty IQ points. That's what the flu feels like.
My hospital requires flu vaccine for all staff. If you don't get the vaccine (whether personal preference or documented medical exemption), you are required to wear a mask at all times from November through March.
It's more that the surgeries that can be done under local only are much smaller, much less invasive, and generally the sort of thing that is done on healthy people. Much different from the 85-year-old with complete kidney failure and a bad heart who has a ruptured bowel.
I don't often do it, but I have on occasion told people that there was a substantial risk of death during surgery. They went ahead because, well, the risk of death without surgery was even bigger.
Anesthesia isn't really about calculation - it's about preparation and quick reaction. Everyone is different, and you have to be ready to jump on whatever is wrong with them. Also, surgeons sometimes throw us under the bus.
You can't really watch them work - surgeons want a sterile field, and anesthesiologists prefer not to run the risk of getting splattered with bodily fluids. So we put up drapes to isolate the sterile field, and that's about all you can see as a patient. I can stand up and look over them to see how the operation is going, but you can't.
My wife broke her arm four or five years ago after tripping over the cat (cats are Satan's minions, I tell you), and she watched me do her nerve block under ultrasound. She (neurologist) thought that was pretty cool. But that was for post-op pain relief, not for the surgery - she was under general anesthesia during the case. Side note: if offered a nerve block, take it. A former partner in my group broke his ankle some years back and used to call one of his friends to come do a nerve block every afternoon so that he could sleep all night without pain. If I had been able to get one of the ultrasound machines home when my wife broke her arm, I'd have done the same.
Opioids aren't really sedatives in that sense. That was almost certainly a benzodiazepine, probably midazolam if done in the past twenty to thirty years, or diazepam before that. There was probably a bit of morphine in the spinal anesthetic, though, because it's good for about 24 hours of pain relief if given spinally.
I forgot to mention that I do, from time to time, perform medical procedures against the will of the patient under the aegis of a court. I do some part-time work at a state mental hospital. For a select few patients, electroconvulsive therapy is a major component of treating their mental illness. They have been involuntarily committed to the care of the state by a court, which appoints a guardian. The guardian agrees or disagrees with the suggested course of treatment (generally, they agree) based on the best interest of the patient, but disregarding the patient's own wishes in cases where the patient's illness precludes them from making decisions that are in their own interest.
An example: one is a murderer who has never been (and never will be) declared competent to stand trial, because he's so floridly schizophrenic. He gets ECT twice a week, every week, because if he doesn't, he becomes so violently psychotic that he would have to have Hannibal Lecter levels of physical restraint. I put him under anesthesia for it, but he frequently insists that he does not want or need ECT. Doesn't matter; the court's appointed guardian has consented. And it does mean that he's able to live in a regular building, moving around mostly at will, instead in of the forensic ward, where he would necessarily be locked up almost all the time.
It's pretty low-risk, here, but yes: a court can compel a medical procedure. A cavity search. Sterilization (no longer so, but was an option for quite a while). X-ray (to search for packets swallowed by drug mules).
No, it's the court's job. If it's a jury trial in the US, the jury serves as the trier of fact, and the judge serves as the trier of law. If it's a bench trial in the US, the judge serves as trier of fact and law. Both judge and jury are part of the court.
It wasn't transmitted to a third party. It was held by the pacemaker. It was literally still inside his body. He wasn't under remote monitoring.
I agree that this should qualify for a HIPAA exemption. The information was collected solely to influence his medical treatment. As a doctor, I'm very ambivalent about HIPAA, but this is pretty clearly the sort of thing it's meant to prevent. Bad cases make bad law, of course, but they should be able to make a good case against him with the other evidence. If you're relying on pacemaker data, well... they're not that reliable.
The "burned-out hovels" in those news stories look better than most of the housing stock in my home town. And I suspect that none of the inhabitants of same engaged in random gunfire. I heard eight shots last night around 9 pm.
A couple of years ago, my wife and I were on a free-roaming vacation and ended up in Vermont. On a Thursday night in late August, in a small town, we ended up at a very highly recommended restaurant - where there was an hour wait for a table. (Yes, it was that good.) Two seats open at the bar, though, so we sat there. Over the hour and a half that we were there, the bartender never stopped moving. She was handling all the drinks for the tables, plus serving twelve seats at the bar, and even then it was some of the most attentive service I've had. And we finally understood Bernie's socialism: if you have a society in which people work that hard at low-status jobs, then of course socialism makes sense. Nobody's trying to be a free rider. If someone happens to fall by the wayside, they just need a hand up to get back on their feet. They're not three generations deep in Section 8 housing and welfare, living off the public purse and contributing nothing but complaints.
... that's not exactly an obscure fact if you know anything about guns. Nothing wrong with being ignorant of a field - god knows I'm a babe in the woods about a lot of things - but seriously, those are two of the most popular pistol rounds ever, for two of the most famous pistols ever.
The "scenic route" problem is easily solved - just show the driver your destination in a map app, so they know you know where you're going and the fastest way to get there.
They can be profitable any time they wish by raising rates. I don't use Uber because it's cheaper, I use it because it's better. Cheap is just a side effect.
There's more in most vaping liquids than just nicotine and water. I wouldn't call it harmless. But if the choice is between smoking and vaping, the latter is a lot cleaner.
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That was George H. W. Bush's line after he lost the 1992 election.
Fair enough.
(20) The term “lawfully admitted for permanent residence” means the status of having been lawfully accorded the privilege of residing permanently in the United States as an immigrant in accordance with the immigration laws, such status not having changed.
Seems to me that isn't the same as owing allegiance to the US. It's explicitly called a privilege, not a right, in the law.
Foreign medical degrees are generally respected by US medical licensure boards, but foreign residency training is not. You have to do a residency in the US to practice here except in extraordinary circumstances. And it's very hard for a foreign medical graduate to get a residency in a highly competitive specialty.
You made a wise choice. Every once in a while, we will have a father who wants to watch the C section. "Have you ever seen surgery before?" is the immediate question. If the answer is "no", we advise them to stay seated, lest they pass out.
There are always several med students who pass out during their first surgical rotation, even though they've all been through the process of carving up an entire human during gross anatomy.
Never seen that, but I guess you could. Not really much to see from that angle, though. Our OB's hang the baby over the top of the drape before handing them off for the initial checkout.
Trust me, you would know. Imagine that ten Mafia thugs have been hired to beat you into submission. Then give yourself a horrible cold and the worst fever and chills you've ever had. Finally, subtract fifty IQ points. That's what the flu feels like.
My hospital requires flu vaccine for all staff. If you don't get the vaccine (whether personal preference or documented medical exemption), you are required to wear a mask at all times from November through March.
It's more that the surgeries that can be done under local only are much smaller, much less invasive, and generally the sort of thing that is done on healthy people. Much different from the 85-year-old with complete kidney failure and a bad heart who has a ruptured bowel.
I don't often do it, but I have on occasion told people that there was a substantial risk of death during surgery. They went ahead because, well, the risk of death without surgery was even bigger.
Anesthesia isn't really about calculation - it's about preparation and quick reaction. Everyone is different, and you have to be ready to jump on whatever is wrong with them. Also, surgeons sometimes throw us under the bus.
You can't really watch them work - surgeons want a sterile field, and anesthesiologists prefer not to run the risk of getting splattered with bodily fluids. So we put up drapes to isolate the sterile field, and that's about all you can see as a patient. I can stand up and look over them to see how the operation is going, but you can't.
My wife broke her arm four or five years ago after tripping over the cat (cats are Satan's minions, I tell you), and she watched me do her nerve block under ultrasound. She (neurologist) thought that was pretty cool. But that was for post-op pain relief, not for the surgery - she was under general anesthesia during the case. Side note: if offered a nerve block, take it. A former partner in my group broke his ankle some years back and used to call one of his friends to come do a nerve block every afternoon so that he could sleep all night without pain. If I had been able to get one of the ultrasound machines home when my wife broke her arm, I'd have done the same.
Opioids aren't really sedatives in that sense. That was almost certainly a benzodiazepine, probably midazolam if done in the past twenty to thirty years, or diazepam before that. There was probably a bit of morphine in the spinal anesthetic, though, because it's good for about 24 hours of pain relief if given spinally.
I forgot to mention that I do, from time to time, perform medical procedures against the will of the patient under the aegis of a court. I do some part-time work at a state mental hospital. For a select few patients, electroconvulsive therapy is a major component of treating their mental illness. They have been involuntarily committed to the care of the state by a court, which appoints a guardian. The guardian agrees or disagrees with the suggested course of treatment (generally, they agree) based on the best interest of the patient, but disregarding the patient's own wishes in cases where the patient's illness precludes them from making decisions that are in their own interest.
An example: one is a murderer who has never been (and never will be) declared competent to stand trial, because he's so floridly schizophrenic. He gets ECT twice a week, every week, because if he doesn't, he becomes so violently psychotic that he would have to have Hannibal Lecter levels of physical restraint. I put him under anesthesia for it, but he frequently insists that he does not want or need ECT. Doesn't matter; the court's appointed guardian has consented. And it does mean that he's able to live in a regular building, moving around mostly at will, instead in of the forensic ward, where he would necessarily be locked up almost all the time.
As another AC pointed out, HIPAA says outright that a court can compel disclosure of otherwise-protected information.
I said should, not does. You are correct.
It's pretty low-risk, here, but yes: a court can compel a medical procedure. A cavity search. Sterilization (no longer so, but was an option for quite a while). X-ray (to search for packets swallowed by drug mules).
No, it's the court's job. If it's a jury trial in the US, the jury serves as the trier of fact, and the judge serves as the trier of law. If it's a bench trial in the US, the judge serves as trier of fact and law. Both judge and jury are part of the court.
It wasn't transmitted to a third party. It was held by the pacemaker. It was literally still inside his body. He wasn't under remote monitoring.
I agree that this should qualify for a HIPAA exemption. The information was collected solely to influence his medical treatment. As a doctor, I'm very ambivalent about HIPAA, but this is pretty clearly the sort of thing it's meant to prevent. Bad cases make bad law, of course, but they should be able to make a good case against him with the other evidence. If you're relying on pacemaker data, well... they're not that reliable.
Not to ruin a good rant, but ECT uses DC, not AC, and the paralytics are just to cut down on the soreness afterward.
The "burned-out hovels" in those news stories look better than most of the housing stock in my home town. And I suspect that none of the inhabitants of same engaged in random gunfire. I heard eight shots last night around 9 pm.
Anecdotal, but relevant:
A couple of years ago, my wife and I were on a free-roaming vacation and ended up in Vermont. On a Thursday night in late August, in a small town, we ended up at a very highly recommended restaurant - where there was an hour wait for a table. (Yes, it was that good.) Two seats open at the bar, though, so we sat there. Over the hour and a half that we were there, the bartender never stopped moving. She was handling all the drinks for the tables, plus serving twelve seats at the bar, and even then it was some of the most attentive service I've had. And we finally understood Bernie's socialism: if you have a society in which people work that hard at low-status jobs, then of course socialism makes sense. Nobody's trying to be a free rider. If someone happens to fall by the wayside, they just need a hand up to get back on their feet. They're not three generations deep in Section 8 housing and welfare, living off the public purse and contributing nothing but complaints.
... that's not exactly an obscure fact if you know anything about guns. Nothing wrong with being ignorant of a field - god knows I'm a babe in the woods about a lot of things - but seriously, those are two of the most popular pistol rounds ever, for two of the most famous pistols ever.
The "scenic route" problem is easily solved - just show the driver your destination in a map app, so they know you know where you're going and the fastest way to get there.
They can be profitable any time they wish by raising rates. I don't use Uber because it's cheaper, I use it because it's better. Cheap is just a side effect.
Because there are a lot of areas where older phone services are available, but straight data is iffy.
There's more in most vaping liquids than just nicotine and water. I wouldn't call it harmless. But if the choice is between smoking and vaping, the latter is a lot cleaner.