NON EMERGENCY Form

Oh, we read them. We base the start of your plan of care on them. As the nurse doing that, I go over everything. The doctor I work for uses it to be sure he covered everything. It's very common to forget something when you have the doctor in front of you. This is my profession and even I do it. We expect you to forget something.Then it gets scanned into your chart, there, forever. I refer back to those forms if, for example, your labs turn up something life threatening and I can't signNow you. Who was that you listed as an emergency contact? Hope it's legible. Heck, I hope it's filled out! ( If it was entered before my time, it might not be. Now, you can't see the doctor without it filled out.)It's so important my practice asks you to re do them every year. Patients hate it, complain about it, loud! But if I had a dollar for every time I couldn't signNow someone in this day and age of fluid phone numbers, why, I'd have several more dogs and we'd all be living somewhere warmer!And…oh, you have another doctor? We didn't know that. And they prescribed what? Did what tests? We don't know if you don't tell us 99.9% of the time. You would be amazed how many patients don't bother to tell their primary care physician such important things like…they went to the ER, had an MRI, see a cardiologist, and..etc and so on. We don't automatically know. We should, but that's another story.Feel that paperwork is beneath you? Are you too busy to fill it out? I see that every day too. You know what that tells us? That you don't value this very much. That you are so much more likely to be non compliant, not take meds, no show for appointments, maybe fib a little….a lot… your lifestyle choices….how, if you take your meds. I mean, come on, you can't even follow directions to fill out paperwork! How do you expect us to take you seriously, when from the very start, you don't offer us the same courtesy.If there are any doctors out there, not reading these things, shame on you. But in 30+ years, I have not seen it. As for the doctor asking you about it, well, mine works very hard to get it right. And even the most earnest patients forget something.

I used to write software to help hospitals keep track of their efficiency, and wait times was one of the things measured. (So were unnecessary tests, length of stay in Hospital, re-admission rates and much more)If you are interested in wait times and getting reports, the Canadian Institute for Health Information CIHI is a valuable resource.There are some things to consider.Triage: Some thing are important (Breathing before Bleeding before Broken) than others, so wait times should be sorted by diagnosis before making claims.Past results show that when Canada sets a target, the system responds to meet it, but you can't optimize everything. Triage as a concept is about setting priorities.Also, consider that workload on the health system is not uniformly spread out. I once broke a bone on Dec 23. I was out of the hospital with everything done, after having an X-ray, (including a copy of my x-rays on CD because they knew I was going to travel after Christmas), my physician talking to a specialist about the results deciding not to do surgery. All done in 3 hours from the time I got *injured*. Yes, that includes getting up, going home, finding a babysitter for my kid, waiting for my wife to come home and bring me to the hospital, limping across the parking lot, going home afterwards, etc. Everything. Apparently Canadians aren't getting sick or injured the Thursday before Christmas Eve. There are other days of the week or year where the emergency rooms are overwhelmed, and wait times skyrocket for a short period. Disease or cultural patterns can make some days have a sudden surge in need for health service.One important indicator that we track is the time from arrival to triage. If we can quickly sort out whom is going to die and whom can apply ice while waiting for the critical cases to go first, we get a preferable trade of higher wait times for non-emergency care and low overall mortality.Some Doctor's practices are better at managing appointments than others. So beware making conclusions about overall performance from a few samples, a classic logical fallacy. With my family Doctor, if you are sick or injured, you see him that day. If you just want an allergy shot or to follow up on a chronic condition, then it is next day or day after scheduled appointment. My wife's doctor (different practice) is nowhere near such schedule control and punctuality. [Any statements about why given the data I have would be purely speculative.]Population Density and Size. It is easier to achieve economies of scale and the efficiencies of specialization with high population and density. It is also easier to reallocate patients to another hospital with available capacity if it is nearby. Those whom compare Canada to France or the UK have to remember those countries have double Canada's population stuffed into less space than Manitoba, just 1 province. If those countries can't run a more efficient health care system, there is something very wrong with them.Pay by Taxes? Well that is a 2 sided coin.Canadian political parties both left and right claim to have plans to have balanced budgets. (This should be taken to mean that the Canadian voters expect the parties to at least claim they have a plan to eventually do so, and is not a partisan endorsement or prescription of how that is to be achieved.)This may come as a surprise to some readers, but a sizable number of Canadians want to keep their taxes low, and sometimes vote in governments with Tax Cuts as their agenda. This often does result in cuts to health care service, such as the Ontario Liberals removing annual eye exams from coverage (around 2004) . So while we do have taxpayer funded health care, it should not be read as unlimited money. We are trying to get value for money. Moving to a public system and away from a private one is sustained by being better value for money. Even those wanting to expand the public health care system are expected to bargain hard to control costs.Here is a hypothetical to make a point: Suppose you have to buy expensive diagnostic equipment, do to 48 "tests" a day. One unit can do one test an hour. As the purchasing manager, do you buy 2 of them, and run 24 hours a day, or 4 and let the techs sleep at night? If you buy 4, you have spent twice the money to achieve the same speed of service. If you can't line up the people needing the test to fill that queue 24 hours a day, you can't get away with buying only 2. Idle capacity costs money. If there is always 1 new person in line to get service as a test begins, you can maximize throughput and eliminate down-time. To a certain extent, wait times are about minimizing idle capacity.Next time you are in a hospital ward and there is no nurse at the station, remember that admins want their nurses doing patient care over 80% of the time. So 80% of the time they are out doing rounds and actively taking care of people instead of being available at the station. One will eventually return to the station, and one will definitely respond to the emergency button.Cuts that remove idle capacity are often called 'trimming the fat' and don't impact wait times. Other cuts do eliminate capacity or fail to provide service, so there are other issues. In some ways, this is dumping costs off the taxpayer and onto the sick, privatization by stealth.This is to illustrate that there is a tension between financial efficiency and speed of service. Sometimes we make good choices to achieve both. There are also cases where improving patient throughput at a lower cost per patient raises total costs because more people can get service faster. In the spirit of a non-partisan forum, I'll leave it to the Canadian readers to decide which politicians at a particular moment are cutting services to achieve budget targets and which ones are finding efficiencies and yielding real savings.Then there is something to consider: How much surplus capacity is needed in case of emergency, seasonal variance, or a crisis that can quarantine hospitals, such as SARS?In part America is paying for surplus capacity, UN-required tests, profit margins, massive administration, advertising, billing collection and bad debts, and other business overheads. Unlike America, other countries try to do bulk purchasing to negotiate better deals for drugs. This is part of how other countries can spend a lot less per citizen on health and get comparable or better results.In general Canada does quite well at giving priority to doing things to save lives faster rather than elective procedures. Remember when comparing health care systems you have to use %of GDP as a measure, since a government dumping a cost off the Taxpayer and onto the taxpayers whom happen to need care helps the Government's bottom line and reduces taxes, but does not make the national system more financially efficient.

The way you’ve asked the question, “why doesn’t Google index the dark web/deep web,” indicates some confusion. The deep web and dark web are not the same thing.The deep web is primarily made up of personal information that you need a username and password to access.Your Gmail inbox is deep web. Your bank account balance is deep web. Your Netflix queue is deep web. Your private Facebook posts are deep web.Google doesn’t index the deep web because they don’t have every username and password of every person on earth.And they wouldn’t if they could. Your bank account balance should not be able to be accessed by anyone who uses a search engine. Your Amazon account should not be able to be accessed by everyone on earth. Your inbox should not be public to everyone. I hope the reasons are obvious.The dark web requires special software to access. Google has no reason to index it. The number of Tor hidden service servers is really quite small, which is why manual indices like the Hidden Wiki are practical, but it’s hard to think up a business case for Google to invest in writing software to index it.

There are a lot of responses a therapist can have when a client cancels or doesn’t show up for an appointment.In private practice, if the client doesn’t show, we don’t get paid. It can be very frustrating when we don’t get at least 24 hour notice so that we can fill the spot. No show no pay. No one wants clients like that. That means an uncomfortable conversation has to arise even though it was discussed during the first session and during the hippa-forms- signing process. Some therapist are comfortable with it but I’m still a little uncomfortable with it. I recognize how sensitive clients can be and how easily they can be triggered by money talks. Some clients would like to believe that we are willing to behave like a friend and pretend money is not exchanged. And that not showing up is just one friend understanding another friends’ priorities. I just keep practicing how to have the talk. Sometimes it goes OK. Got to do what you gotta do.We get on the phone and send text messages to clients on our waiting list and wait. We wait to see if we can fill that slot of time. Because at the end of the day, we have bills to pay.We might over analyze the situation wondering whether the absence is about ambivalence, fear or resistance towards growth.We might make a note in the chart to ensure that we bring up the previous bullet point in session to confirm and explore or disregard our wondering.We might get concerned: was it something we did or said that scared off or offended the client? Is the client bored with our sessions? Did the client spontaneously heal? Did they decide to try out a new therapist? Did they simply forget? Get hurt or die in an accident? Commit suicide?With time and experience, and with therapists certain personality types, sometimes we spend merely seconds thinking about it. Experience tells us, we will find out eventually or we won’t. We normally make a note in the chart of an absence and any questions we might want to bring up in the next session.We’ll use that time to catch up on paperwork! Do a little research for the next client, or do some personal readings. Sometimes when a client short-notice-last minute, skips a session, it’s a relief. It’s a mini-spontaneous-non-negotiatiable vacation. It’s not that we don’t want to see the client, because a lot of us enjoy our clients. We enjoy our clients journey, strength, courage and faith that our work together it’s going to help them live a better life.I think most of us, therapist and client alike, simply get it. Just because you’re in therapy doesn’t mean life doesn’t still keep happening. Sometimes we just need a day off. And sometimes we just don’t feel like it. Sometimes there’s an emergency. Sometimes we just don’t wanna leave the house because it’s nasty outside.Two minutes later: I just had a client cancel. This client would be the first of my day. Normally, I would try to fill it. It actually did give me two hours to fill it. Sometimes, I can do it. But instead, I’m going to have another cup of Coffee.I’m healing up from house repairs. It can be mentaly and physically draining. It was. So, I’m going to take a spontaneous-non-negotiatiable-mini-vacation right now. I’m going to sip my coffee and do some more reading on quora.

It all depends on the Dept you are wanting to ride with.The Dept I work for is a small one we only have 4 or 5 Officers on duty at a given time but we do allow ride alongs for those intrested in the field or are students at the local anniversary criminal justice program.The way our ride along works is you simply call our Dept Non-Emergency number and talk to the dispatcher who will forward your call to the boss on duty who will ask you a few questions such as Why you want to go on a ride along, Have you ever been arrested on felony charges ect.Once that part of the process is complete he will then set up a date and time for you to come in and go on your ride along on the day of your ride along you will be asked if you have a specific Officer you want to ride with or in a specific district if so the boss on duty will assign you to them or to someone at random.Another Dept that I worked for a brief period of time for with 100 + Officer do it a difference way.The way they do it is you have to go into the Station and tell them you want to go on a ride along the Officer at the front desk will then tell you where you need to go and once you get to that office you will be given a form to fill out the form will ask for your personal information such as Name, Address, DOB. Phone Number and If you’ve ever been arrested and if so what for?Once you’ve filled out the form it will then be sent upstairs to the Watch Commanders Office where your application will be reviewed and you will undergo a basic background check for any felonies and wants/warrants and to make sure you haven’t been on a ride along within the last 12 months, Once everything has cleared, They will call you and tell you that you have been approved and can come in on whatever shift you’d like within the next 30 days or you will have to reapply.Once you arrive for your ride along you will be given another paper to fill out such as an ICE form and Medical Insurance information and sign a paper that exempts the Dept from any damages in case of injury/death while on the ride along.Once all of that is done you are taken into the Roll Call room where you get to hear the daily briefing on incident from previous shift and any wanted people and BOLO’s once all that is finished the Watch Commander might just assign you to a car sometimes it’s a single rider or a double rider car others will ask you if you have a preference of Officer(s) or specific area in either case I would suggest taking some padding as the backseats can be hell on your ass over 8 hours.All Dept have their own process on how to deal with it some let you come in, do a background check and ride with an officer on the same day others require a waiting period to check your background and some like mine require an appt to ride but also remember not all Dept allow for ride alongs either.

Just ask for a welfare check in your area. Some departments have cameras, some don't. But even if they don't have them or your area isn't prioritized, they'll still swing by occasionally and check things over. Sometimes you have to fill out a form at a station, but sometimes you just have to call either a station or the non emergency number and they'll set it up. Say, for example, that a number of auto vandalisms have occurred around 6 am. You could request a welfare check around that time and dispatch will send officers out to your area when that check comes due. This can easily become a deterrent since criminals usually hit areas based upon convenience. If your neighborhood isn't available in the window they're used to working, they just might move on into the next neighborhood.

The key issue isn’t why the “other” Chinese people speak shitty English, but rather the OP believes that it reflects poorly on him:This causes bad stereotypes about Chinese people in general, do they even try to immerse themselves with local Canadian culture? They don't even know any political party in their province, nor where Newfoundland is nor the capital city of BC (it's victoria not vancouver). They don't know how to sing oh Canada, don't even bother to volunteer anywhere, etcIt’s actually a classic phenomenon – those who became acculturated or assimilated into the new culture looks at the new immigrants (or those who haven’t assimilated) with disdain, as if they’re being dragged down by those Mandarin/Cantonese-speaking FOBs. To be honest, I went through the same phase myself. In college, I wanted nothing to do with other Chinese people and hung out only with white people. So I’ll break this down in 5 simple points:It’s elitist to think blame restaurant workers for not assimilating. Many of them come from a lower socio-economic strata with little or no education, and therefore have very little social mobility. Let’s put it this way, do you think you can work a 12-hour shift at a restaurant and then go study English at the local community college?As others have mentioned, age and motivation are important factors in language acquisition. You said that it took you 5 years to become fluent, yet you’re ragging on someone who’s been there 3 years? What makes you think 5 years should be the standard? And the Chinese students who speak “shitty” English you speak of, have they all been there for 5 or more years? More importantly, do you think immigrants from other countries learn English at a faster pace? There are pockets of the Latino population in the U.S. that do not fully assimilate even after being there for decades.I’m sorry to inform you that your English isn’t that great. You may sound native because you immigrated to Canada at a relatively young age, but your writing is riddled with mistakes in grammar, punctuation, basic capitalization, not to mention the obvious run-on sentences. Am I going to start complaining that you’re making me look bad in front of white people?The sad truth is that you can sound as native as you want, but you’ll always be considered the “perpetual foreigner”. Things might be better in Canada than it is in the U.S., but the fact that you are so aggrieved about the situation suggests internalized racism.When my white friend sees another white person behaving badly in public, he certainly does not feel that it makes him “look bad”. The other person has nothing to do with him! What you are describing, which I have experienced as well, is a phenomenon exclusive to minorities. I think you’ll understand my point after you watch Chris Rock’s bit from Bring the Pain (1996):Next time you see a Chinese person who speaks shitty English, just tell yourself:“You do you, I'ma Be Me.” - Wanda Sykes.

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