Clint Kalan
@paofftheplateau.bsky.social
Emergency Medicine PA. Admirer of well functioning teams of all kinds. Desert expat in the PNW
How about this one: repository of all your credentialing data and certs that any hospital can pull from and just do your credentialing for you.
November 6, 2025 at 10:09 PM
How about this one: repository of all your credentialing data and certs that any hospital can pull from and just do your credentialing for you.
Saddle paresthesia MRI down
October 13, 2025 at 1:23 AM
Saddle paresthesia MRI down
I'm sure the department of justice will be quick to... oh ... er... umm...
October 1, 2025 at 6:56 PM
I'm sure the department of justice will be quick to... oh ... er... umm...
I've been waiting 10 months for a primary care appointment. They changed it at the last minute and thank god it works for my schedule
September 19, 2025 at 8:13 PM
I've been waiting 10 months for a primary care appointment. They changed it at the last minute and thank god it works for my schedule
Reposted by Clint Kalan
Bottom line: 74k+ infants monitored post-market, no safety signals detected, 30-40% hospitalization reduction achieved. They're manufacturing controversy from 9 vs 4 seizures across thousands. Public health advances thru rigorous methodology, not statistical manipulation disguised as transparency.
August 24, 2025 at 2:35 AM
Bottom line: 74k+ infants monitored post-market, no safety signals detected, 30-40% hospitalization reduction achieved. They're manufacturing controversy from 9 vs 4 seizures across thousands. Public health advances thru rigorous methodology, not statistical manipulation disguised as transparency.
Best smell/time of the year
August 24, 2025 at 12:03 AM
Best smell/time of the year
Google ai is in the pockets of big hemolytic anemia
July 30, 2025 at 11:31 PM
Google ai is in the pockets of big hemolytic anemia
Find, recruit and retain APPs that care about your next class of interns success as much as your education faculty . Some of the best ways to do that is to that is to grow your own
July 15, 2025 at 4:03 AM
Find, recruit and retain APPs that care about your next class of interns success as much as your education faculty . Some of the best ways to do that is to that is to grow your own
I have personally known 3 people who had the plague (not professionally) . One was from fleas their dogs got likely eating rodents/prairie dogs. Not too uncommon in the old southwest
July 13, 2025 at 6:11 AM
I have personally known 3 people who had the plague (not professionally) . One was from fleas their dogs got likely eating rodents/prairie dogs. Not too uncommon in the old southwest
HEMS is certainly not a therapy without risk
July 10, 2025 at 3:38 AM
HEMS is certainly not a therapy without risk
7/ and what a perfect place to build a ground retrieval critical care system than Vermont with the good Drs Doug George and Ellen Stein ;)
July 9, 2025 at 3:00 PM
7/ and what a perfect place to build a ground retrieval critical care system than Vermont with the good Drs Doug George and Ellen Stein ;)
6/ And as someone who has the anniversaries of 3 helicopter crashes that have had friends/colleagues die in the surrounding 3 weeks, I wholeheartedly agree we need to reduce HEMS to only necessary transports. But we also need to change reimbursement models for ground critical care
July 9, 2025 at 2:51 PM
6/ And as someone who has the anniversaries of 3 helicopter crashes that have had friends/colleagues die in the surrounding 3 weeks, I wholeheartedly agree we need to reduce HEMS to only necessary transports. But we also need to change reimbursement models for ground critical care
5/ Also, During the pandemic, because of demand, in the suburban hospital I worked, often ground transport response times were 8-24 hours because of availability (just to get an ambulance). Often >24 hours for psych.
July 9, 2025 at 2:49 PM
5/ Also, During the pandemic, because of demand, in the suburban hospital I worked, often ground transport response times were 8-24 hours because of availability (just to get an ambulance). Often >24 hours for psych.
4/  combine this with the fact that municipality needs to provide emergency 911 coverage to their citizens, and the fact that ground transport reimbursement for a high Medicaid population is so dismal low essentially no one was transported by ground from this area for about 10 transfers per day
July 9, 2025 at 2:48 PM
4/  combine this with the fact that municipality needs to provide emergency 911 coverage to their citizens, and the fact that ground transport reimbursement for a high Medicaid population is so dismal low essentially no one was transported by ground from this area for about 10 transfers per day
3/ there was a high number of transfers from this area, but nearly none came by ground because it was literally a two hour transport each way, which an EMS speak is probably around a 6 to 7 hour transport with transfer times. So every transfer would type up a crew for 6 to 7 hours
July 9, 2025 at 2:47 PM
3/ there was a high number of transfers from this area, but nearly none came by ground because it was literally a two hour transport each way, which an EMS speak is probably around a 6 to 7 hour transport with transfer times. So every transfer would type up a crew for 6 to 7 hours
2/ I used to work in a receiving center where we would receive quite a number of patients from high acuity low resource setting about two hours away. This area had three helicopter bases in the city of 30,000 people. I believe they had 2 to 3 ambulances for the entire area as well.
July 9, 2025 at 2:46 PM
2/ I used to work in a receiving center where we would receive quite a number of patients from high acuity low resource setting about two hours away. This area had three helicopter bases in the city of 30,000 people. I believe they had 2 to 3 ambulances for the entire area as well.
 I think if you truly wanna talk about this, you have to talk about the systems based factors that play. Most specifically the reimbursement model for ground base EMS, which is dismally low. while because of the airline deregulation act, you can charge enough to be profitable as a helicopter. 1/
July 9, 2025 at 2:45 PM
 I think if you truly wanna talk about this, you have to talk about the systems based factors that play. Most specifically the reimbursement model for ground base EMS, which is dismally low. while because of the airline deregulation act, you can charge enough to be profitable as a helicopter. 1/
I'm fine with the fast track side as a break but what gets me is the pushback when you find someone actually sick and no one believes it
May 21, 2025 at 5:18 PM
I'm fine with the fast track side as a break but what gets me is the pushback when you find someone actually sick and no one believes it