Saturday, June 18, 2011
You Americans and your "Colleges".... You have college for undergraduates, a college for weight loss, a college for barbers, and even your Emergency Medicine physicians have a "college".
The very funny thing about your "ACEP" (as you call it) is what they concern themselves with. If you will permit me an analogy.... ACEP is the Captain of a ship.... in this case let us call it the USS Allopathia. Most Captains would want to bring it from destination to destination in one piece. It would seem that when threats to the ship were identified, a German submarine, a communist bomb plot, etc.... that the Captain would take evasive action, and then offensive action to eliminate the threat. But then again this is hard, and takes courage, and courage is so out of style in your country today.
And it seems absent at ACEP to be sure.... The problems of a democracy are beautifully displayed by here, for, afraid to recognize a communist bomb plot like EMTALA and Obamacare, ACEP has insisted on building a Maginot Line. And this is a seafaring analogy!
If the members of ACEP were Russian, they would be taken to the rails of the ship, shot, and tossed into the ocean (with full military honors).
Somehow, the captaincy of the USS Allopathia has been handed to, and here many of my former colleagues would applaud, the proletariat. The patients. The 'customers'. And now the overhead screams to the crew "More narcotics", "More free care!", "All ahead full", "Damn the torpedoes!" and such" (and the voice is that of a homeless schizophrenic who has just switched to drinking listerine as the vodka is too expensive).
And what is that on the horizon ACEP? Could it be? No, it's surely not an iceberg. And yet that is what it is. And as laudable and courageous as it is for you to continue to arrange the deck chairs for maximum aesthetic appearance and maximum efficiency, what about that iceberg? What's that? Oh, that sounds good, you are working on a plan to improve your door-to-bed times. Very nice. I am going to borrow one of your boats and lower it down to the waves now, can I borrow some food and water and a radio? Many thanks and really, those chairs have been lined up so nicely. Excellent work chaps.
And of course, in Russia, we do have an saying for this....
когда ничего не помогает, сосредоточиться на процессе. он не будет работать, но вы можете выглядеть занятым на генерального инспектора.
Posted by DRX at Saturday, June 18, 2011