good morning

Hello again,
There have got to be more than two of us out there doing this transport thing. I seem to remember doing a lot more trips though before all this health care reform stuff happened. Got called out in the middle of the night, now I usually just sleep when I am on-call. More trips are by ground, we have the skills and equipment and an extra hour won't make any difference for many of these patients. They are not going for surgery till the following day or are recovering from a big MI and won't be going to the OR till next week. It is easier to move around and treat a patient in an ambulance versus a helicopter. The long trips are done in a lear jet and that also gives me room to move around after we take off. The ambulance is less expensive so that is what is chosen most of the time for hospital to hospital trips here in Pittsburgh. Anyone else have anything to add? What is it like in other parts of the USA and overseas?
Deanna