Work Underway On Nicholas County Clinic

Kudos to SMH for putting the clinic in Richwood. I question wether it was for the community good or for profit but it was needed so I wont argue. Now that this is taken care of though what about the person that is dying at 2 in the morning? Should they wait until office hours to have a heart attack? 24 hour emergency healthcare is a must in Richwood. Our population is eldery and Summersville is about an hour away. That is time that some people cant afford to wait. There is currently a community effort to establich an ER in Richwood to provide this service with the posibility that SMH will run it. I ask that you please support this effort and do whatever you can to make this ER happen. It may be you or your family that needs it.

Help Needed wrote:

Kudos to SMH for putting the clinic in Richwood. I question wether it was for the community good or for profit but it was needed so I wont argue. Now that this is taken care of though what about the person that is dying at 2 in the morning? Should they wait until office hours to have a heart attack? 24 hour emergency healthcare is a must in Richwood. Our population is eldery and Summersville is about an hour away. That is time that some people cant afford to wait. There is currently a community effort to establich an ER in Richwood to provide this service with the posibility that SMH will run it. I ask that you please support this effort and do whatever you can to make this ER happen. It may be you or your family that needs it.

Summersville is only 25 mins away, not an hour and if the ambulance service keeps a paramedic unit with advanced life support, they could handle someone for 25 mins. Also, a paramedic can do advanced procedures while in radio contact with a doctor at the hospital.

Richwood does need an ER, but emergencies can be handled until one can be set up.

You would have to break the speeding limit to make it to Sville in 25 mins. My family member had a heart attack and believe me, it seemed liked an eternity, esp. when you don't understand what it going on. Whenever someone has a heart attack, every minute counts. I am thankful for SMH, however, how much could it cost to staff one doc and one nurse over night just to have clot busting drugs on hand?

Have you ever driven from Richwood to Summersville? You will never make it to Summersville in 25 minutes on the best roads, now consider winter conditions. Now that that is established consider the cost of at least doubling the amount of advanced life support available in Richwood. To date the ony paramedic that will work here is Jeff Bess, and that is only because he lives here and responds to emergencies even when he is not working. Now how do you propose to maintain a paramedic be available 24/7. Jeff can only do so much. When he is with another patient for a couple hours what happens to the one that waiting until he gets there. Just to be clear even by your times. 10 minutes to get to first patient and prepare for transport, 25 minutes to get to SHM, 20 minutes approximately dropping off that patient and briefing the er staff, and another 25 minutes to get back to Richwood. Under the best of circumstances that leaves Richwood without emnergency care for about an hour and a half. Do you want to wait that long for care?

Jim wrote:

You would have to break the speeding limit to make it to Sville in 25 mins. My family member had a heart attack and believe me, it seemed liked an eternity, esp. when you don't understand what it going on. Whenever someone has a heart attack, every minute counts. I am thankful for SMH, however, how much could it cost to staff one doc and one nurse over night just to have clot busting drugs on hand?

I've driven from Richwood to Summersville many times, and going by Nettie is only 22 miles, and in am ambulance, people get out of the way so you don't get held up by traffic.

If you really read what I posted, I said it can be done until they get an ER. I didn't say they don't need it.

Help Needed wrote:

Have you ever driven from Richwood to Summersville? You will never make it to Summersville in 25 minutes on the best roads, now consider winter conditions. Now that that is established consider the cost of at least doubling the amount of advanced life support available in Richwood. To date the ony paramedic that will work here is Jeff Bess, and that is only because he lives here and responds to emergencies even when he is not working. Now how do you propose to maintain a paramedic be available 24/7. Jeff can only do so much. When he is with another patient for a couple hours what happens to the one that waiting until he gets there. Just to be clear even by your times. 10 minutes to get to first patient and prepare for transport, 25 minutes to get to SHM, 20 minutes approximately dropping off that patient and briefing the er staff, and another 25 minutes to get back to Richwood. Under the best of circumstances that leaves Richwood without emnergency care for about an hour and a half. Do you want to wait that long for care?

Read my previous post to Jim. The ambulance company can expand their service and coverage area. They also always have a unit in the area for coverage. They always have because of transporting patients by ambulance to Charleston or other big cities. It's not that big of a deal to have paramedics available. Knowing there is no ER, any ambulance service should be willing to to expand their coverage.

Like I said, I've driven that route many times for over 20 years, and I did not say they don't need an ER.

Ticked wrote:

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Read my previous post to Jim. The ambulance company can expand their service and coverage area. They also always have a unit in the area for coverage. They always have because of transporting patients by ambulance to Charleston or other big cities. It's not that big of a deal to have paramedics available. Knowing there is no ER, any ambulance service should be willing to to expand their coverage.
Like I said, I've driven that route many times for over 20 years, and I did not say they don't need an ER.

Ticked,
From what I understand the local ambulance service is in the process of doubling the coverage in Richwood. Your statement of it not being that big a deal to have paramedics available is large misstatement however as there is currently a shortage of paramedics/emts in WV. As i said earlier Jeff is the only paramedic in Richwood.

Help Needed wrote:

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Ticked,
From what I understand the local ambulance service is in the process of doubling the coverage in Richwood. Your statement of it not being that big a deal to have paramedics available is large misstatement however as there is currently a shortage of paramedics/emts in WV. As i said earlier Jeff is the only paramedic in Richwood.

The ambulance service could bring in more paramedics if they want. Most ambulances now run with an emt and paramedic on board anyway. There is very few left that run just an emt and a driver. Maybe General Ambulance will expand to Nicholas County and provide the coverage needed.

The whole point I was making is that until an ER can be established, having to go to Summersville is not as bad as people are making it.

Making things work with the options available can be done, but too many people don't want that. There was even statements made by certain Richwooders that they wanted a new hospital. If this country, especially the govt, would learn to work with what it has, we all would be in better shape.

One more point about the travel time to Summersville, in many areas in the US ambulances have 20 to 30 min drives or longer, even in some big cities.

It wouldn't take much to put an ER in with the new clinic, but as usual, the "suits" will make things more complicated than it needs to be.

Ticked wrote:

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The ambulance service could bring in more paramedics if they want. Most ambulances now run with an emt and paramedic on board anyway. There is very few left that run just an emt and a driver. Maybe General Ambulance will expand to Nicholas County and provide the coverage needed.
The whole point I was making is that until an ER can be established, having to go to Summersville is not as bad as people are making it.
Making things work with the options available can be done, but too many people don't want that. There was even statements made by certain Richwooders that they wanted a new hospital. If this country, especially the govt, would learn to work with what it has, we all would be in better shape.
One more point about the travel time to Summersville, in many areas in the US ambulances have 20 to 30 min drives or longer, even in some big cities.
It wouldn't take much to put an ER in with the new clinic, but as usual, the "suits" will make things more complicated than it needs to be.

First the ambulance service is trying to find GOOD paramedics already. Sure they could bring in Bob medic whoever, but is that who you would want working on you or your family. Dave is not going to hire just anyone as a medic.
Second if General expands into Nicholas couty do you really think it will help? They are only interested in Summersvile and RT 19.
Now to address the "Whole Point" of your post going to SMH may not be a big deal to you until you are having a heart attack or a stroke. What is the time constraints for treatment to be effective?

Also Ticked;

If it wouldnt take much to put in an ER with the clinic isnt SMH doing it? From what I hear the healthcare committee is trying to get funding to do exactly that. They want to create an ER wether it be SMH or another facility.

Help Needed wrote:

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First the ambulance service is trying to find GOOD paramedics already. Sure they could bring in Bob medic whoever, but is that who you would want working on you or your family. Dave is not going to hire just anyone as a medic.
Second if General expands into Nicholas couty do you really think it will help? They are only interested in Summersvile and RT 19.
Now to address the "Whole Point" of your post going to SMH may not be a big deal to you until you are having a heart attack or a stroke. What is the time constraints for treatment to be effective?

If Richwood doesn't get the ER soon and the ambulance coverage is inadequate, General or any other service might be willing to provide proper coverage for Richwood. "Bob medic" Maybe that's the problem, Dave is being too particular. If a person is qualified and is not a criminal or something, that's fine with me. I don't need to know everyone personally, and it's not normal to call 911 and request an ambulance with someone you know on it.

As for "time constraints for treatment," I covered that in my previous posts. Advanced life support and radio contact with a doctor, a properly equipped ambulance can take care of someone till they get to a hospital.

Once again, I am not suggesting this as a permanent option, just until an ER can be started.

Help Needed wrote:

Also Ticked;
If it wouldnt take much to put in an ER with the clinic isnt SMH doing it? From what I hear the healthcare committee is trying to get funding to do exactly that. They want to create an ER wether it be SMH or another facility.

The last I had read about on the clinic it did not mention an ER. I don't know why Summersville isn't doing that anyway. The article said the clinic would be open 12 hours a day, I think it said 12 hours, anyway it wouldn't take much to add the ER, but once again, the "suits" making things more complicated.

Ticked wrote:

<quoted text>
If Richwood doesn't get the ER soon and the ambulance coverage is inadequate, General or any other service might be willing to provide proper coverage for Richwood. "Bob medic" Maybe that's the problem, Dave is being too particular. If a person is qualified and is not a criminal or something, that's fine with me. I don't need to know everyone personally, and it's not normal to call 911 and request an ambulance with someone you know on it.
As for "time constraints for treatment," I covered that in my previous posts. Advanced life support and radio contact with a doctor, a properly equipped ambulance can take care of someone till they get to a hospital.
Once again, I am not suggesting this as a permanent option, just until an ER can be started.

Wow Ticked your eay to please. There is a WORLD of difference between certified and qualifeid when it comes to being a paramedic. I have know several that I wouldnt trust to treat my dog. From what you are saying just because someone can take a class and pass a test they are qualified to stick needles, stick tubes down your throat and electricute you or your family. While that may be legally true that shows the difference between Dave and others. Proper coverage in his eyes is personnel delivering treatment that he would trust himself or his family to. I realize that personal service is not the norm in larger cities, and I only mentioned Jeff in earlier post due to the small town size and his local notability, but that is the level of service that is expected and delivered in this community.
I think we do agree to a point though. Local service may suffice until something better can be established but the current situation is not adequate.

Help Needed wrote:

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Wow Ticked your eay to please. There is a WORLD of difference between certified and qualifeid when it comes to being a paramedic. I have know several that I wouldnt trust to treat my dog. From what you are saying just because someone can take a class and pass a test they are qualified to stick needles, stick tubes down your throat and electricute you or your family. While that may be legally true that shows the difference between Dave and others. Proper coverage in his eyes is personnel delivering treatment that he would trust himself or his family to. I realize that personal service is not the norm in larger cities, and I only mentioned Jeff in earlier post due to the small town size and his local notability, but that is the level of service that is expected and delivered in this community.
I think we do agree to a point though. Local service may suffice until something better can be established but the current situation is not adequate.

Also, in my post I said qualified, not certified. Sorry, I just notice that. I've had a long day.

Ticked wrote:

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Also, in my post I said qualified, not certified. Sorry, I just notice that. I've had a long day.

What you said was qualified. What your were describing was certified. If a medic is qualified I dont have an issue with them, but there are too many that are only certified and not qualified.

Help Needed wrote:

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What you said was qualified. What your were describing was certified. If a medic is qualified I dont have an issue with them, but there are too many that are only certified and not qualified.

Two of my posts aren't showing up. Where do you get I was describing as certified? This is what I tried to post, if it will work.

I've known Jeff for years and I remember when my family and I would discuss Jan-Care or Redi-Care. I meant "qualifications" in more of a broad sense. In Richwoods sitituation, a paramedic needs to be experienced and competent where as in a big city, a newly licensed paramedic would be qualified. But I still think that it's possible to be too choosy. Sometimes you have to bring in outsiders to a small town to fill a need.

Ticked wrote:

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Summersville is only 25 mins away, not an hour and if the ambulance service keeps a paramedic unit with advanced life support, they could handle someone for 25 mins. Also, a paramedic can do advanced procedures while in radio contact with a doctor at the hospital.
Richwood does need an ER, but emergencies can be handled until one can be set up.

You are wrong here on so many levels. The EMS sevice can pump on your chest and supply defibrillation to help you during a cardiac arrest, but they do not carry but few medications to sustain life in an emergency. Paramedics are very limited in what they carry medication wise and this extra time to SMH can mean the life and death of folks. I have traveled from RACH to SHM many times and the least time it took me on good road was 45 minutes. I think your wrong about the 25 minutes. IF not then I would not want to ride with you or an Ambulance at that rate of speed

Ticked wrote:

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I've driven from Richwood to Summersville many times, and going by Nettie is only 22 miles, and in am ambulance, people get out of the way so you don't get held up by traffic.
If you really read what I posted, I said it can be done until they get an ER. I didn't say they don't need it.

Dear TICKED OFF, why dont you just sign off. You obviously dont know what your talking about and the other only thing you do is stir up the s__ t!

YOUR WRONG wrote:

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You are wrong here on so many levels. The EMS sevice can pump on your chest and supply defibrillation to help you during a cardiac arrest, but they do not carry but few medications to sustain life in an emergency. Paramedics are very limited in what they carry medication wise and this extra time to SMH can mean the life and death of folks. I have traveled from RACH to SHM many times and the least time it took me on good road was 45 minutes. I think your wrong about the 25 minutes. IF not then I would not want to ride with you or an Ambulance at that rate of speed

You're the one that is wrong. "Pump on your chest" is not the only thing they can do and with Dr. support by radio contact, paramedics can do a lot more and they are trained more than you say.

Also, I've probably been behind you going to Summersville. You're one of those 35 mile an hour drivers. Driving the speed limit, 45 minutes is the longest it would take and that's if your stopped by road construction or something.

As I've stated before, until the emergency room gets set up in Richwood, it's not the end of the world. In many parts of the country, 20 to 30 minute travel times to the hospital is common.

SIGN OFF wrote:

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Dear TICKED OFF, why dont you just sign off. You obviously dont know what your talking about and the other only thing you do is stir up the s__ t!

I made a statement at the beginning of this thread and I was the one jumped on. I didn't start sh!t.

You are just an azz-hole that doesn't like to hear the truth. Go whine and cry somewhere else.