soeaster

If you're going to go carnivore, keep an eye on your renal function. Those with any kidney issues probably shouldn't do it. Also, gout can be an issue.

22L worth! Hehehe...

Nails are installed! Went through 2 Dewalt batteries between drilling and impact.

Made some halibut for a get-together with friends. Made a lemon butter sauce to go with it, some rice pilaf, roasted broccoli, and a French baguette. Plus some beers of course. Hell of a good meal.

Happy Thanksgiving!

Nailed it. Many patients aren't willing to tolerate any pain and expect to be catered to. Many refuse to even leave the hospital when the are ready for discharge. Staff are still being physically and sexually assaulted on a regular basis and patient satisfaction scores help drive reimbursement. What could go wrong?!

No frost in the ground yet either.

Everyone takes a piece of the pie. Cost to occupy an OR suite, supplies, surgical tech, circulator, surgeon, and then there's anesthesia who charges by the minute at our facility anyway.

That's what you get when you make everything more complicated. It's a vicious circle of created complexity. Plus, more people are acutely ill than 10 years ago. Especially with mental health issues.

Much of it stems from regulatory bodies. The staggering amount of hoops that need to be jumped through for reimbursement/accreditation/etc. needs vast numbers of non-clinical people to service those hoops. Also, vast numbers of people are needed to constantly maintain and update the electronic medical record. Coding, billing, all that shit adds up quickly and then you throw in the expansion into health systems instead of stand alone hospitals and clinics and people are needed to oversee affiliates etc to make sure everyone is in line. Expansion brings about branding and advertising and here we are, the majority of employees have nothing to do with direct patient care. It's all about the business. We've lost our way.

People have short memories unfortunately.

Barack (lol) texted my son at 5pm yesterday asking for $20!

I'd say you're spot on. MN will remain a communist state due to the metros.

No ID in the people's republic of MN