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| Topic: Phuque's Beach Inn Thread | |
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Why don't I ever have dreams???
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copious amounts of thc can do that.
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Just stopping into to say, "Aaaaaaaaargh!"
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you're welcome.
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Just stopping into to say, "Aaaaaaaaargh!" Good day? |
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Just stopping into to say, "Aaaaaaaaargh!" I've had those days too! |
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Good afternoon everyone.
Kinda quiet in here today I see. |
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Just stopping into to say, "Aaaaaaaaargh!" Good day? Commuter rail was 25 minutes late this morning And, I understand cost containment, but today's work battle floored me. An ENT surgeon with 25 YEARS of experience exams an 18 month old child. The child has enormous tonsils and adenoids. They parents have brought in a film they took on their phone of the child sleeping. In the film, the child is having obvious episodes of sleep apnea. They have taken the film, because the child could not complete a formal sleep study in the lab, or at home The insurance reviewer (his specialty is gastroenterology) denies the surgery because no formal sleep study was done. How is it cost effective to perform a test that isn't necessary for diagnosis? How is it cost effective for a physician who has never examined, or even met a patient to make a decision? For that matter, how is it cost effective to have me and ten other people employed to advocate for these poor patients? Okay, rant over. Thanks for listening. And, yes, I did get the surgery approved |
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Just stopping into to say, "Aaaaaaaaargh!" Good day? Commuter rail was 25 minutes late this morning And, I understand cost containment, but today's work battle floored me. An ENT surgeon with 25 YEARS of experience exams an 18 month old child. The child has enormous tonsils and adenoids. They parents have brought in a film they took on their phone of the child sleeping. In the film, the child is having obvious episodes of sleep apnea. They have taken the film, because the child could not complete a formal sleep study in the lab, or at home The insurance reviewer (his specialty is gastroenterology) denies the surgery because no formal sleep study was done. How is it cost effective to perform a test that isn't necessary for diagnosis? How is it cost effective for a physician who has never examined, or even met a patient to make a decision? For that matter, how is it cost effective to have me and ten other people employed to advocate for these poor patients? Okay, rant over. Thanks for listening. And, yes, I did get the surgery approved There's nothing wrong with a good rant now and then. I usually have one once a month 
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Just stopping into to say, "Aaaaaaaaargh!" Good day? Commuter rail was 25 minutes late this morning And, I understand cost containment, but today's work battle floored me. An ENT surgeon with 25 YEARS of experience exams an 18 month old child. The child has enormous tonsils and adenoids. They parents have brought in a film they took on their phone of the child sleeping. In the film, the child is having obvious episodes of sleep apnea. They have taken the film, because the child could not complete a formal sleep study in the lab, or at home The insurance reviewer (his specialty is gastroenterology) denies the surgery because no formal sleep study was done. How is it cost effective to perform a test that isn't necessary for diagnosis? How is it cost effective for a physician who has never examined, or even met a patient to make a decision? For that matter, how is it cost effective to have me and ten other people employed to advocate for these poor patients? Okay, rant over. Thanks for listening. And, yes, I did get the surgery approved Good for you for getting the approval.  |
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Didja shoplift sumpin good?  I think I was supposed to shoplift some kitchen stuff. I stole a bowl but bought something so it would not be obvious. When I got home I saw that they gypped me on change and I had the wrong item. Crime does not pay! It's supposed to rain tonight so maybe some of this pollen will be washed away. |
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Thanks everyone for the support.
Esme, I am not sure you mean to do it, but your take on things always makes me laugh 
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Good afternoon everyone. Kinda quiet in here today I see. That's cuz I haven't been on all day!  Excellent job, G! If I ever need an advocate for ANYTHING...you're my first choice! 
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Good afternoon everyone. Kinda quiet in here today I see. Q, if you ever need a tonsilectomy/adenoidectomy ( commonly known as a "T and A")....Well, ya mo be there, up and ovah! That's cuz I haven't been on all day! Excellent job, G! If I ever need an advocate for ANYTHING...you're my first choice! |
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Well, ya never know, G...I mean...I still have all my original organs...
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It's morning again. Enjoying my coffee and wondering what's for breakfast ??
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Q,
Need someone to tune them up ? I'll gladly volunteer |
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Good mornin', Stummpy...
Do these threads flip after 999 posts...I can't remember??? Wonder who the lucky winner will be?
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hi . everyone . im new member here .
and i hope . we all be friend's here :) just chat me . here . okeyy . ? |
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heLLo ?
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