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This is a great discussion and I am very happy to be invited to participate in it.  First of all, please let me say that the best way to get in touch with me without going through all the bureaucracy is to call my direct number.  It is 823-3001.  Another good way is through e-mail.  My e-mail address is ceo@tvhd.org  I would like to make a few comments about some of the observations in this thread.  First, as was said earlier, Tehachapi Hospital has 1 MD in the building at all times (24/7).  Most community hospitals have 2 types of physicians present in the facility full time.  That would be ER MDS and hospitalists.  Most other specialists, cardiologists included, have offices close to the hospital and are available to be called in, when needed.  Only University teaching hospitals are likely to have full time specialists inhouse 24/7.  But Tehachapi Hospital would like to get to the standard of most community hospitals and have specialists available on-call.  By the way,...
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