ccdrlsu

I am open to any suggestions without hijacking the thread. We have already placed a pump at one the low points to move the water out.

It is more of a problem for our whole road. South wind, high tide and rain make for a bad combination on the bayside of grand isle.

I am covering ICU's right now and not in clinic. Your PCP should be able to handle this. If not, I can get you in next week. I do not post or lurk often, just had some down time on call to check the OT this morning and came back to see if things were being handled. I will check back tomorrow in this thread to see if you got into the doc. If not, will send my nurses info for an appt on Wed with a CXR and PFT's. Looking at some of the other info in the thread, I would suggest in the meantime:
1. NO OTC crap for cough.
2. You do not need an immunologist at this point.
3. I do not care if you get another Zpack...yes it could be pertussis as your age group has waning immunity from the vaccine, but Zpacks are designed for a post-antibiotic effect and it should have handled it. Occasionally a longer duration is necessary.
4. Lots of other diagnoses mentioned (ALS, lung CA, etc)...very unlikely. Common things are common and as one post pointed out, the 3 most common causes of cough in a nonsmoker are asthma, GERD and post nasal drip (upper airway cough syndrome). And these are by far and away the most common.

Trying to simplify a very complex deal here.

LSU took over the old charity system years ago. The hospitals were losing tons of money. Then the state decides to privatize the LSU/Charity system in hopes of losing less money.

Two big privatization players were OLOL in BR and Children's in NOLA.

When OLOL agreed to be the teaching hospital for LSU, it did not specifically agree to be a charity hospital, but rather to be the hospital for LSU patients. That is a very specific difference. Thus, OLOL is responsible for LSU patients (provided it has capacity), but not for all "charity" patients.

As I understand the CEA for OLOL/LSU, OLOL receives 95% of medicare rates for its indigent patients (this is talked about a lot in meetings, but I am not sure exactly where the money flows, etc).

Also as I understand it, if you had 2 patients without health insurance, one goes to OLOL, the other goes to BRG, OLOL would get 95% of medicare, BRG would get whatever the patient could pay.

BRG has both Tulane and LSU residents within it. As a residency training hospital, BRG does get differential payments on medicare patients, but does not get specific payments for indigent care (until today it would seem).

Bought the compact 308 for my daughters. They have no problem with it. Ages 16, 14 and 11.

First, prayers to you and your family.

Squamous cell can originate in or spread to the "bronchial tubes". The proximity in the bronchial tubes and the lymph node stage determine whether he is an operative candidate, a neoadjuvant chemo candidate (i.e. give chemo to shrink and then resect) or a chemo/xrt candidate.

As a general rule, stage II is treated surgically with a reasonable chance of cure. Most are now treated with adjuvant (after resection) chemo. Newer chemo is tailored to the patient based on certain tumor markers and is much less toxic. Unfortunately, some of these agents are not very active against squamous cell.

If you know the true stage (TMN), prognostic information is available all over the web. Remember when you read this data that this is statistical analyses and that there are people who are on the far good side and far bad side.

The upside, we are way better at this today than we were 10 years ago. Keep the faith and good luck.

Do not stop the prednisone too early (prior to 14 days or so) or it can bite you in the arse later.

Fished Elmer's sunday morning, only a few here and there. Stopped by the rocks in front of the water towers on the way in. Caught some nice specks on the gulf side of the rocks with croakers on a carolina rig. Blue fish ruled the beach side of the rocks.

Just looked at Hilton's. Using the chlorophyll (the true color images are poor):

From cocodrie it looks like SS 300 to SS 283.

From Fourchon, it is 7 miles south of the circle rigs and then heads north as you move east. The images from the east have some cloud cover, so I cannot tell.

Of course none of this will be useful by Saturday.

I have a buddy who is selling one if interested. No problems with it, he just has access to a huge cat now.

My first boat that I bought was the 16. We abused that thing in med school and never had an issue.

I have never been out on the 31.

What is your current sounder and what have you bought? Unlikely that the new lowrance will have two cables from a transom mount transducer. Their units are usually one cable with multiple wires and a link that fits a bus in the center console, then a cable to your screen. Make sure if it is a new lowrance that you have the correct adapters for the bus as they changed their cable links to the bus a couple of years ago.