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In a message dated 9/22/2002 11:17:26 AM Eastern Standard Time,

parenting_autism writes:

> I've never applied for ssi for and really don't know a lot

> about it, can you fill me in on that? When I tried to get information

> from our local SS office, they hung up on me. >:[

>

> Tina

>

Hi Tina!!

My mom works for Social Security and I ran this by her. She said call

the 800 # (1-) THEY will set up an appointment and send you

the paperwork and the local office wiil HAVE to call you. Do it ASAP because

as long as they take to approve her, they'll pay you for those back months.

Good luck!

~Blessed Be,

Aradia RedSwan

Mother of Brittney, 5 (PDD)~

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Is SSI given regardless of income? My friend keeps telling me to

apply also but I think we're over the limit in monthly income.

jen

>In a message dated 9/22/2002 11:17:26 AM Eastern Standard Time,

>parenting_autism writes:

>

>

>> I've never applied for ssi for and really don't know a lot

>> about it, can you fill me in on that? When I tried to get information

>> from our local SS office, they hung up on me. >:[

>>

>> Tina

>>

>

>Hi Tina!!

>

> My mom works for Social Security and I ran this by her. She said call

>the 800 # (1-) THEY will set up an appointment and send you

>the paperwork and the local office wiil HAVE to call you. Do it ASAP because

>as long as they take to approve her, they'll pay you for those back months.

>Good luck!

>

>~Blessed Be,

> Aradia RedSwan

>Mother of Brittney, 5 (PDD)~

>

>

>

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> Is SSI given regardless of income? My friend keeps telling me to apply also

but I think we're over the limit in monthly income. <

no, they base the amount you get on the income you have, but the website has the

income guidelines. www.ssa.gov

" Something important to remember...we'll always be who we are. " - Mr.

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> My mom works for Social Security and I ran this by her. She

said call the 800 # (1-) THEY will set up an

appointment and send you the paperwork and the local office wiil HAVE

to call you. Do it ASAP because as long as they take to approve her,

they'll pay you for those back months.

> Good luck!

>

Thanks!

Tina

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  • 1 year later...

Jack,

hire-Pattison EMS has had protocols in place for about a year (just a

guesstimate on the time--I'm not at the office where I could check the date).

Although our numbers are not anywhere Baytown's or MCHD's, so far we have

encountered no problems or complications.

Before we added this to our protocols, we had considered the pros and the cons,

learned a lot about the research on the subject, read numerous articles and

opinions, and had thoroughly cussed and discussed the topic (both within our

department and with other people). The folks at MCHD EMS were very helpful. Our

protocol is based on theirs and, because they have had so much experience with

SSI, we had one of their instructors do our initial in-service.

So far, I've been very pleased with how well the process has worked. I know how

miserable I would be on a backboard, and I'm really glad that at least part of

our patients now do not have to be subjected to the discomfort and potential

injury that can be caused by a backboard.

Maxine Pate

RE: SSI

For what it's worth, we have been following a c-spine clearance protocol

since the summer of 1999. Since that time we have cleared more than

2,000 c-spines without a single complication. We do have a system that

requires our field paramedics to contact a supervisor to confirm the

appropriateness of the c-spine clearance. Distracting injuries do become

an issue, but if in doubt we immobilize.

In my opinion, the patients we now immobilize are better and more safely

secured because the medics see a " real " reason to immobilize rather than

just because we are supposed to.

Anyone interested in our protocol is welcome to contact me off the list.

Barton

MCHD EMS

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This isn't the first message on the subject of SSI that has implied that

laziness on the part of the medic is a factor in the choice to not backboard a

patient. On behalf of all the good medics who use the SSI criteria, I resent

the implication.

If anything, more attention is now paid to MOI, assessment, and history than

ever before. In addition to the time and attention the patient would have

received prior to SSI, he also gets the additional attention required by the SSI

criteria. Even reassessment during transport will include taking the additional

time to again review the SSI criteria.

SSI is a huge responsibility, and any halfway decent medic is aware of the

responsibility and will not be using SSI as a way to avoid work or to rush

through or avoid patient care. If anything the medic will be more aware of, and

have a better understanding of, the importance of proper assessment and care

than he/she ever had before.

Maxine

----- Original Message -----

From: Rob

Some anonymous smartass named " R.K. " who hasn't the integrity to sign

his e-mails wrote:

> Give it up!!!!

Wassamatter? Backboarding too much work for you? In a hurry to get

back to your recliner and football game?

Far be it for me to believe that something should actually be adequately

studied before it is given gospel status.

Rob

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Maxine Pate wrote:

> This isn't the first message on the subject of SSI that has implied that

> laziness on the part of the medic is a factor in the choice to not

> backboard a patient. On behalf of all the good medics who use the SSI

> criteria, I resent the implication.

It was absolutely not my intention to imply that ALL medics who utilize

the SSI protocol are lazy. I think that is a pretty big leap to think I

meant any such thing. But I do see a certain overwhelming willingness

to embrace a flawed concept. That does indeed beg the question of

motivation. It is human nature to embrace that which saves you effort a

little more quickly than that which creates work for you.

Rob

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Maxine Pate wrote:

> makes an excellent point here. Based on my personal observations

> and limited experience with SSI, I think the understanding and awareness

> of what we are doing and why we are doing it has actually been enhanced

> since SSI was implemented.

That is indeed a good point. That can only be a positive thing. So, at

least SSI isn't a total waste.

Rob ;)

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How far do you live from the good doctor? Maybe you should be worried about

where that red Honda Accord will be going next.

Maxine

----- Original Message -----

From: Hatfield (Home)

Doc,

You were a little stressed....perhaps a debreifing???

Mike

----- Original Message -----

> REDRUM, REDRUM, REDRUM, REDRUM

>

>

>

> Bledsoe, DO, FACEP

>

> Midlothian, TX

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And I don't mean to imply that there are no medics out there who are misusing

SSI. I do suspect, however, that a medic who is lazy and careless with SSI was

probably also lazy and careless before SSI, and is also lazy and careless with

other things.

Some other thoughts I would like to interject here:

I don't think that " overwhelming willingness " is a very good description of what

has happened. I know that my department didn't implement SSI without first

devoting a lot of time and attention to the decision. It wasn't something that

was rushed into or taken lightly.

I will agree that SSI is not a perfect concept, but I do believe that it is a

good concept. Medicine is constantly changing, usually for the better, and

growing. There is a constant flow of new knowledge, new ideas, new developments

and innovations in equipment, drugs, and patient care. If we refuse to accept a

new concept until we have the final pieces of information and knowledge about

that concept, then we will never change or grow because we will never have that

final piece of knowledge or information. We should always want to make good

decisions based on the best information available to us, but we must still have

an open mind and be willing to consider any new information that becomes

available in the future. Even after a concept has been accepted and

implemented, we will still continue to add to our knowledge about the concept.

I really don't think that " saves you effort " is a factor in SSI (except for

those chronically lazy medics discussed above). While backboarding a patient

does require a certain amount of physical effort, it is not a difficult skill

and in most cases can be done fairly quickly. Also, SSI does require a

different kind of effort and special attention. My personal experience is that,

in most cases, it does not save time because it requires additional attention be

paid to the criteria and to patient assessment.

I suspect that we still are not in complete agreement on this subject, but the

exchange of ideas is a good thing, right? ; )

Maxine

----- Original Message -----

From: Rob

It was absolutely not my intention to imply that ALL medics who utilize

the SSI protocol are lazy. I think that is a pretty big leap to think I

meant any such thing. But I do see a certain overwhelming willingness

to embrace a flawed concept. That does indeed beg the question of

motivation. It is human nature to embrace that which saves you effort a

little more quickly than that which creates work for you.

Rob

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If I am in such danger from " slick lawyers " why can I buy 5 million dollars

of per-occurrence malpractice insurance for $150 a year?

Terry Dinerman EMTP

Re: SSI

>

>>I guess this all goes back to the philosophical in that there are no

>>guarantees in life except for death, and yadda, yadda, yadda....

>>

>>, tossing in her $02.

>

> " There are only two things certain in life--death & taxes. " The difference

>between them is that death doesn't get worse every time Congress meets.

>

>Conley Harmon

>

> ----------

>

>

>---

>Outgoing mail is certified Virus Free.

>Checked by AVG anti-virus system (http://www.grisoft.com).

>Version: 6.0.542 / Virus Database: 336 - Release Date: 11/18/03

>

>

>

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Overwhelming willingness?? I don't think so! There was a LOT of time and

effort reviewing literature and involving our Medical Directors, the Medical

Management Committee, the Trauma Coordinator at our local hospital as well

as the ER physicians. Once it was determined that this would be a benefit

to the patient, reduce pain and suffering with minimal risk, our Clinical

Practice Guideline was developed and implemented.

Retrospectively reviewing EACH use of SSI for 2 years validated that the

concept has merit, and with proper training, paramedics can objectively

determine if spinal restriction is appropriate for their patients.

Jack

Re: Re: SSI

It was absolutely not my intention to imply that ALL medics who utilize

the SSI protocol are lazy. I think that is a pretty big leap to think I

meant any such thing. But I do see a certain overwhelming willingness

to embrace a flawed concept. That does indeed beg the question of

motivation. It is human nature to embrace that which saves you effort a

little more quickly than that which creates work for you.

Rob

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I am hoping that by the time he gets our of his immobilization, gets the

MAST off, and finally rips off the traction splint, I can be in

hiding....:)

Re: SSI

> How far do you live from the good doctor? Maybe you should be worried

about where that red Honda Accord will be going next.

>

> Maxine

>

> ----- Original Message -----

> From: Hatfield (Home)

>

>

> Doc,

>

> You were a little stressed....perhaps a debreifing???

>

> Mike

>

>

> ----- Original Message -----

>

>

>

> > REDRUM, REDRUM, REDRUM, REDRUM

> >

> >

> >

> > Bledsoe, DO, FACEP

> >

> > Midlothian, TX

>

>

>

>

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To: < >

Sent: Wednesday, December 03, 2003 11:23 PM

Subject: Re: SSI

> If I am in such danger from " slick lawyers " why can I buy 5 million

dollars

> of per-occurrence malpractice insurance for $150 a year?

Cause it's only a 1 in 4000 cha........oh never mind...:)

Just kidding

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