Febrifuge

lt really was. Capaldi is probably as good an actor as he is because he's also a writer and director. The offering of candy in a cigarette case, mid-dialogue, is:

• genteel and civiilized
• surprising, when we realize those are Jelly Babies and not cigarettes at all
• silly and whimsical, which makes it even funnier to play completely straight
• a justification for the Professor to continue the conversation with this odd, intense stranger
• a way for the actor to appear thoughtful as he chews his candy as he recites facts about his area of study

That one small thing probably added considerably to the scene, and made it something totally different (and likely, way better) than it would have been without it.

While you're right according to the letter of the law, it also depends on how small a town you're in, and other contextual issues. If there's only been one person with a severed arm in a 100-mile radius in the past year, then no, you are not being HIPAA-compliant to talk the way you do in your example. This is the same reason you're not supposed to talk in hospital elevators: the odds of someone at least thinking they know who you're talking about are way higher. And from a pragmatic, practical point of view, the shitstorm doesn't happen from people actually violating HIPAA, the shitstorm happens from people thinking it may have been violated.

Source: I also was an EMT (and ER Tech) before PA school, and I feel you. I also actually read the text of HIPAA when it was enacted; that was a fun couple of days.

Ugh. Director Tann. Never has being a fan of a cool actor been such an impediment to properly relating to a character. I can't even hate him properly.

That guy is such a tool. But it's not his fault. But he took it on himself to be a leader, so he's responsible. But he's inept. Ultimately, he's salarian, he'll be dead in 40 years, don't worry about it. That's where I landed, ultimately.

A chance to cut is a chance to cure, yo.

Yeah, the NPs have a powerful lobby, a history of being excellent at organizing and advancing their profession, and honestly we could learn a thing or twelve from them.

I do solo evenings and weekends in an Urgent Care. Sometimes I miss the ED, and when I send people over there it's with at least a sense of what testing or intervention the patient needs, that I can't provide in my dinky little clinic.

But when I was an ER tech in a big-city academic Level One center, it was PAs who were right there hanging with the residents, and the NPs who were in the fast track/ urgent care. And honestly, there's probably a reason for that. It sounds harsh, but nursing and medicine are different, as the nurses will remind you, until they're not different at all, which they will also be happy to let you know.

Knowing nothing about the specifics of your hospital or even what state you're in, I still predict that the NPs are against it for reasons involving about 60% "we don't want the PAs getting something we don't have" and 40% "...but we don't want to be responsible for measurable outcomes or compared directly to MDs, in the actual ED." I could be wrong, but I've seen that before, for sure. It's much less true once people get a few years of experience, and get further from the culture of their training programs.

I've known some amazing EM NPs. One guy was a trauma/ ER nurse for decades and then went back to pick up Nurse Midwife so he could get a license and the wider scope that came with it. I don't think he ever delivered babies, he just worked in the ED.

But PAs speak the same medical language as MDs from the jump, and the good ones basically blossom into senior residents that never have to leave.