Mid Iowa Tiger

While he’s generally correct, rural hospitals face a different set of challenges. CAHa (Critical Access Hospitals) do face pretty serious financial issues. They are heavily regulated and generally have extremely low census counts. In hospitals census counts are the number of asses in beds over night.

For CAHs census counts can average less than 2 in a 50 bed location, yet there are regulations on staffing as though they are fuller. The problem is, what do you do? Close a bunch of them? That makes financial sense but then be prepared for a nightly death toll because of lack of access.

My thought is instead of CAHs make them a triage type unit where they stabilize and ship patients via air ambulances to larger cities.

I owned a medical software company (EHR) focused on CAHs for a few years until I sold it to private equity. I learned a shite ton in those few years.

JD is entering the transfer portal to Canada and Rubio to Cuba.

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Any tips?

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Go slower than you think you have the patience for and build up to her moment. Use her entire body as a canvass and your “art” is having her relax and build to a huge release.

Of course they do. Anyone with 1/2 a brain knows that Iran couldn’t sustain what they were doing. They were just hoping enough panicans could sway King Trump. They were wrong.

All Hail King Trump.

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i think that would only apply if it was just a high card wins scenario.

Pair of Ace Diamond/Spade is the same as pair of Ace Clubs/Hearts. even then, in regular hold 'em, they would just go to the second best card in each players hand I think.

Bridge and Spades are the only games I know where they suits have rankings (just spades for Spades)

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Both players had pocket aces. All the other cards would be shared. Hence, it is sort of “high card wins” in as much they both have pocket aces. The announcers said Ace of Spades is the highest ace.

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Before people fall for the rage bait, this seems to be an effort by a group

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You sound like one of those wise “they just want to get married what harm is there in that” folks from the 90s.

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I don’t think Wisconsin would have made my top 20 bets for where this happened.

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It’s everywhere they are in any number.

His autobiography is pretty good. Tim Allen is a Dick though.


His book is “Don’t stand too close to a naked man” if I recall correctly.

That’s the kind of voter Trump lost by attacking Iran.

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Zero. We don't get our oil there.

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That’s my point.

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Many people are saying the one-month "laundry room fire" repair is a cover story.

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Yet somehow the thousands of sailors on board have managed to keep the secret. Not even one of the twerker sailors leaking it.


Amazing.