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  1. #61
    Player
    VelKallor's Avatar
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    Jan 2021
    Location
    Limsa Lominsa
    Posts
    2,590
    Character
    Vel Kallor
    World
    Kujata
    Main Class
    Red Mage Lv 100
    Oh, yeah not that is not how it works.
    Oh....Ill just file that along with my years in hospital experience, ,my late wifes years as a nurse and my own knowledge that says otherwise. I am yet to meet a single doctor who hasnt already gone over a file IN DEPTH long before they hit the ward. I have met many doctors over the years who do just that. Watched them pull files and read all of it...I know because one resident pulled me aside over my own nurses notes on a patient, went over my comments in detail..so no, wrong.

    Also, dont ever assume they dont read nurses notes they DO. All of it.

    I can tell you from experience that doctors scan the patients files just before seeing the patient it is rare when a doctor takes the time to read every note.
    No..you cant because that isnt true. At all.

    I had to go into surgery myself, and I KNOW firsthand that my surgeon had read my entire file, including the anaesthetists notes beforehand who had written detailed notes on a previous episode..the woman was an encyclopaedia.

    The sad truth is most doctors have to work per volume that is why they double and triple book appointments. Need to quick to be efficient cause you will have major delays people waiting hours in the waiting the room.
    In what country? Not here, mate.

    Heres a small addendum

    A patient of mine was due for surgery, the anaesthetist came to see them, she said "Oh you're the one who is going to put me to sleep tomorrow", the anaesthetist, with the files in her hand, looked sharply at her and said " No, Im the one thats going to make sure you wake up tomorrow after a successful procedure".
    (3)
    Last edited by VelKallor; 07-14-2022 at 12:31 PM.

  2. #62
    Player
    Bunnycake's Avatar
    Join Date
    Nov 2017
    Location
    Shaaloani
    Posts
    836
    Character
    Yuki Yagami
    World
    Hyperion
    Main Class
    Black Mage Lv 100
    Quote Originally Posted by MilkieTea View Post


    So according to this the others are doing MPK to the tank
    And then bringing me all the mobs like a wounded dog in too deep. I almost always let those people die to make a point. Not my fault you weren't patient enough and can't tank it.
    (2)

    Quote Originally Posted by Allegor View Post
    Hrothgar so done with being second class that they summon their own primal to give them hair.
    Quote Originally Posted by Oizen View Post
    Matsya is an elephant. I cant blame them for not casting the voice to a talking elephant.

  3. #63
    Player
    Izar_Chillen's Avatar
    Join Date
    Nov 2019
    Posts
    427
    Character
    Jhuno Whatt
    World
    Spriggan
    Main Class
    Scholar Lv 90
    Nothing satisfies me more than when i run roulettes on a warrior and are in 56+ level content so i can self heal and have 2 bad ass dps as wingmen and a healer than isn't afraid to dps and let me get low so my RawInt/Whetting can get a full use and I go full unga bunga pulling as many groups as the dungeon allows ( a lot have wall blocks so you can over do it anyways)

    If under 56 where I cant self heal in a roulette ill assess the situation eg: as soon as i grab a pack or two is my WHM spamming holy first? good il hold cds till the stun wears off , excellent - in sync


    Is my WHM standing way back thinking that dps is optional? then ill see how much damage I take from a regular 2 pack and if the healer is struggling to heal because they are oblivious to there instant healing and use hard casts ill keep any eye.


    Then you get weird dungeons that hurt a lot in certain areas , take the first "undead" ishgardians in Dusk Vigil you meet. The 3 mobs hurt like hell especially the archer and the sprite thing. If any of the above is in play ill run past until the others rise from the floor around the next corridor, if its the latter ill not because a non holy cure1/2 spammer wont be able to manage the massive spike damage the first 3 i ran past do on top of the extra mobs that rise from the floor in the side rooms.
    (0)

  4. #64
    Player
    Atelier-Bagur's Avatar
    Join Date
    Jan 2022
    Posts
    3,980
    Character
    Cordelia Emery
    World
    Coeurl
    Main Class
    Marauder Lv 82
    Quote Originally Posted by Bobby66 View Post
    Oh, yeah not that is not how it works. I can tell you from experience that doctors scan the patients files just before seeing the patient it is rare when a doctor takes the time to read every note. The sad truth is most doctors have to work per volume that is why they double and triple book appointments. Need to quick to be efficient cause you will have major delays people waiting hours in the waiting the room. When it comes reading the results of the scan you generally get to a point where you simply scan through it and get the general idea. I mean sure it is different for specialists or private pay doctors but general practice that is a pure volume game. Thus speed is important, as I said remember it is about doing it FAST AND RIGHT, so why would any company rather have someone that does it SLOW AND RIGHT when they can find someone that will do FAST AND RIGHT. A lot of fish in the sea so to speak, taking your time with things is going the way of the dodo. People want stuff done fast as possible while also being done correctly.

    You also pick the worst example you could, at times you are racing against the clock. Our daily lives are moving quicker than ever, like it or not the slow and steady approach is a dated concept in the modern world.
    Im having a hard time believing that considering that "rushing" their medical procedures is an easy recipe to cause more screw ups in the process. You're just pulling this statement out of your ass right?
    (6)

  5. #65
    Player
    Bobby66's Avatar
    Join Date
    Jul 2019
    Posts
    947
    Character
    Paper Wait
    World
    Mateus
    Main Class
    Warrior Lv 70
    You can do things quickly while being thorough, that is the end goal. Sure it is okay to start off slow but you cannot always remain at that slow speed. Even if your results are solid, when it comes down to it which would you say is the better the doctor, the one that can do things quickly and properly or the one that takes their time and gets things done properly. I am not sure where you guys are from in terms of the state or country, but the way you are talking does seem like you have the great fortune of not receiving care in a poorer country, state or part of a state. Our healthcare system does not allow for every doctor to take their sweet time with every patient in every area. Especially when you are dealing with state ran insurance that under values your time and forces you to double or even triple up on patients to stay stay afloat.

    As I said in my first post it is about doing this FAST and RIGHT, if one cannot do that then people will find someone that can do it FAST AND RIGHT. It does not have to be either or.

    Quote Originally Posted by VelKallor View Post
    Oh....Ill just file that along with my years in hospital experience, ,my late wifes years as a nurse and my own knowledge that says otherwise. I am yet to meet a single doctor who hasnt already gone over a file IN DEPTH long before they hit the ward. I have met many doctors over the years who do just that. Watched them pull files and read all of it...I know because one resident pulled me aside over my own nurses notes on a patient, went over my comments in detail..so no, wrong.

    Also, dont ever assume they dont read nurses notes they DO. All of it.



    No..you cant because that isnt true. At all.

    I had to go into surgery myself, and I KNOW firsthand that my surgeon had read my entire file, including the anaesthetists notes beforehand who had written detailed notes on a previous episode..the woman was an encyclopaedia.



    In what country? Not here, mate.

    Heres a small addendum

    A patient of mine was due for surgery, the anaesthetist came to see them, she said "Oh you're the one who is going to put me to sleep tomorrow", the anaesthetist, with the files in her hand, looked sharply at her and said " No, Im the one thats going to make sure you wake up tomorrow after a successful procedure".
    What I am saying is you can do things quickly and right. You can catch the mistakes granted it comes with experience but to say that is not the standard that is pushed in the modern world does seem foolish maybe it is because I live in New York, and am a medical assistant for a clinic in Brownsville where it is legit a revolving door due to limited options in the area. People live busy lives they do not have time to wait especially in the area where I work.
    (0)
    Last edited by Bobby66; 07-14-2022 at 12:52 PM.

  6. #66
    Player
    ballprince's Avatar
    Join Date
    Mar 2021
    Posts
    82
    Character
    Whitemask Varre
    World
    Faerie
    Main Class
    Ninja Lv 90
    Quote Originally Posted by MilkieTea View Post
    You uh... realize this is the very definition of griefing behaviour? Like, not even joking but YPYT is absolutely reportable and if you do this to enough (or the right/wrong) people, you're liable to at the very least have a nice chat with a GM.
    Sorry, no, I'm not shoving it in their faces or being mean about it. If someone wants to pull, and tank, that's on them. No reason to be mean about it but I'm not going to allow people to disrespect me either.
    Edit* accidentally deleted, To another note, this often happens after I have asked people not to do this. Not exactly griefing to let someone die once from their own mistake.

    Also, probably not. It's why I do trust dungeons. People cannot respect what I want to do as a tank. Again, if they want to tank, they need to queue as such.

    Have a good day!
    (4)

  7. #67
    Player
    VelKallor's Avatar
    Join Date
    Jan 2021
    Location
    Limsa Lominsa
    Posts
    2,590
    Character
    Vel Kallor
    World
    Kujata
    Main Class
    Red Mage Lv 100
    When it comes reading the results of the scan you generally get to a point where you simply scan through it and get the general idea
    Um...no...the doctor orders the scan, the radiologists then read the scan, then write a report for the doctor to read. "General idea"? Wut???

    . I mean sure it is different for specialists or private pay doctors but general practice that is a pure volume game
    Dont know where you are, but we have far higher standards than THAT...............
    (2)

  8. #68
    Player
    Bobby66's Avatar
    Join Date
    Jul 2019
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    947
    Character
    Paper Wait
    World
    Mateus
    Main Class
    Warrior Lv 70
    Quote Originally Posted by VelKallor View Post
    Um...no...the doctor orders the scan, the radiologists then read the scan, then write a report for the doctor to read. "General idea"? Wut???



    Dont know where you are, but we have far higher standards than THAT...............
    Sadly not every place in the US can afford to have those higher standards where they can have a 45 min appointment with a patient. So you legit are telling me you have never had a doctor that ordered the scan and pretty much just speed read the report? At least radiologist reports are fairly concise for that reason and if the doctor has any concerns they will just load of the scan itself and take a look for themselves. For the most part our radiologist reports from say regional rad are short as hell.
    (0)
    Last edited by Bobby66; 07-14-2022 at 12:59 PM.

  9. #69
    Player
    VelKallor's Avatar
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    Jan 2021
    Location
    Limsa Lominsa
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    2,590
    Character
    Vel Kallor
    World
    Kujata
    Main Class
    Red Mage Lv 100
    which would you say is the better the doctor, the one that can do things quickly and properly or the one that takes their time and gets things done properly.
    Seeing as it may be my life on their hands...which do YOU think?

    Good grief...

    Sadly not every place in the US can afford to have those higher standards where they can have a 45 min appointment with a patient
    Never said I was an American.

    A 45 minute appt here isnt a big deal, and we have ways to make the time for those, we call them long consults. Even specialists make those for specific patients. You call, you book a time, you go.

    So you legit are telling me you have never had a doctor that ordered the scan and pretty much just speed read the report?
    Nope. They usually read it when i am there and we discuss it. . Thats what a long consult is for.

    Like I said...we have a much higher standard to meet.

    FAR higher.
    (2)
    Last edited by VelKallor; 07-14-2022 at 01:02 PM.

  10. #70
    Player
    Bobby66's Avatar
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    Jul 2019
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    947
    Character
    Paper Wait
    World
    Mateus
    Main Class
    Warrior Lv 70
    Quote Originally Posted by VelKallor View Post
    Seeing as it may be my life on their hands...which do YOU think?

    Good grief...



    Never said I was an American.

    A 45 minute appt here isnt a big deal, and we have ways to make the time for those, we call them long consults. Even specialists make those for specific patients. You call, you book a time, you go.
    Hey sadly if you want that level of care make sure you have the money to pay for it. It sucks but clinics in poorer areas are generally ran on volume where the staff needs to be quick. Yeah generally many of the patients that come to us are walk-ins or last min appointments. Sure I am sure the doctor would love to be able to spend such time with their patients but when everyone is often a new patient and often do not even a patient portal account or go to a different affiliated clinic makes getting records a PITA or the quality of records is just Zzz. For example in the reginal radiology their scabs and reports are awful the machine is listed as a T3 but we have seen better scans from a T1 stand up MRI. The reports are often flawed where they often miss things even glaring things like Multifocal cord plaques within the within the thoracic cord in a patent that has MS. The doctor thought something was off with the report was able to get the disks and saw them. He was able to do notice something was up quickly. Point is often many doctors here solely go based off the reports do not even dare to double check or validate what it states with their own eyes. Just due to the nature that many doctors simply just do not feel they have the time do take out to do such a thing.

    Point thing at least from my perspective of how things are ran around me no one has time to just take a moment to breath everyone is living pay check to pay check, one crisis away from being on the streets. Time is not a luxury we all share, and I have seen it growing where people want things done quickly and right. They are mutually exclusive.
    Y
    (0)
    Last edited by Bobby66; 07-14-2022 at 01:17 PM.

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