Eco-tourists tend to be people who have more money, and time, than taste or responsibility. Contributing to the human erosion of the Great Barrier reef solely to provide 'oh, I've been there'...
Yes, usually it happens at the same time, although I have seen patients who have had weak pulses but not breathing (usually following an overdose of an opiate drug such as heroin)
Stop by, becasue you want them to come by and say hi or something but when you say "bye" it's as if they are leaving so you are saying good bye to them