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Showing content with the highest reputation since 03/27/2020 in all areas

  1. 9 points
    I take this to show what we've known for decades. What most people consider medical "emergencies" aren't in fact medical emergencies, otherwise they'd still be coming in.
  2. 8 points
    That's not a personal attack. Those of you who think *we* moderate things badly... 90% of what makes this site great would never be permitted on Huddle. I'd encourage all those of you us are AAPA members to write AAPA leadership and express their displeasure. Scott, I think it's time for PAFT to start pushing for regime change at the state level when appropriate. Probably at first by offering surveys and endorsements. While we need to be sensitive to local contexts, PAs who are FOR the things that make us less attractive than NPs in hiring decisions have no place in PA society leadership in any way.
  3. 7 points
    Hey guys. I finished my interview a while ago. Just some tips/thoughts: -When waiting for them to email the essay question, I suggest logging in about 5-10 min before the time they gave you. I assumed they were going to send me my question on the dot, but they sent it 3 min earlier. It caught me off guard. -Keep track of time when writing your essay. It's easy to be too absorbed in your writing. Also keep in mind that you'll probably spend a minute or two from the 30 min you were given to 1) read their email with the essay question and 2) reply with the attached file in the format they requested. I'm not sure if they have a grace period when submitting the essay.. I was scared to be a minute late with my submission in fear of them not accepting it, so I made sure to send it in 30 min or less. -Before the skype interview, make sure you have good connection. I experienced slight technical problems (lagging, choppy audio), so be prepared for that. I had two interviewers, both were very nice. Typical PA school interview questions were asked and a few out-of-the-box questions/ice-breakers. This was actually the most I smiled and laughed at an interview. I wouldn't stress too much about it! Good luck everyone and stay safe!
  4. 7 points
    Nah...they are too busy chastising people for trying to do things the state chapters weren't doing. I'm particularly stunned by one PA (who will spend half of every post telling you all the things he has done in his 40 years) that if you don't like what the state is or isn't doing run for office. F*** you. I have lived in a state where the society remained in the warm embrace of the physicians while they screwed us again and again. The notion you should just sit quietly while your state org either screws things up or does nothing galls me to the extreme.
  5. 6 points
    Just as a positive counter point to this, I had a wonderful interaction today. For background I recently transitioned to ortho from FM, so am still doing a mixture of seeing patients myself and "shadowing" my surgeon. But, with the almost complete halt of clinic and any elective surgeries am pretty much just shadowing. But anyway, had clinic this morning and shadowed on a fracture case. After the surgeon completed his evaluation, I went back in to cast him and he innocently asked if I was an athletic trainer. Before I could answer he saw my badge and said, "Oh, you're a PA! Sorry...you guys don't get the respect you deserve!" This both showed that we have made progress in the decades that our profession has existed, but furthermore shows that we still have progress to make and I believe that progress will be made so much more easily with a QUALITY name change.
  6. 5 points
    Hey everyone! Super random but did anyone get an email about their financial aid eligibility for LIU today but havent heard back about their PA admission or not???
  7. 5 points
    Just got the acceptance call right now. So so happy and excited. Good luck everyone!!
  8. 5 points
    work half as hard I can see almost 1 pt/hr MF!
  9. 5 points
    The CEO won't care if you die a hero. Just sayin.
  10. 5 points
    I would never go on the Huddle because it didn't provide anonimity and employers read social media posts - we all need a place to be honest and share with others who really can understand. PLUS their espoused ideas of "just say nice things" and such. This forum lets us get to nitty gritty, vent, create, share and be a real group with ideas - that don't have to all be the same. They shouldn't call it Huddle - they should call if Stepford PAs. Go get em guys -
  11. 5 points
    no...no...no...you are a highly trained medical provider with a specific skill set. You are being asked to put yourself and your family at risk...no. You MUST be paid.
  12. 5 points
    yup. along the lines of couldn't hurt, might help: get enough sleep stay hydrated. with water. not booze(well, not too much...) take your vitamins every day, especially vit C as it might help( there is a study on IV vit C right now) don't smoke. smokers do poorly with this. get some exercise when you can. this is not the time to get fat and sloppy. there is plenty of pizza and donuts at work right now. don't eat all of it. moderation my friends...trying to get back to my ideal body wt. I think I function better there. if you are a dude with facial hair, shave it off for better PPE fit. I did and now look 12. When my shadow is visible there will not be 6 more weeks of covid. it's like ground hog day for viruses. be safe, but don't be overly paranoid. If any of us get this it probably won't be from the pump at the gas station. mental health is important. I am using one of those sleep sound apps to help get to sleep quickly now. some meditation sometimes too.
  13. 5 points
    The responses to this thread are certainly interesting... and run the gambit of what one would expect. It is not unreasonable to think of oneself in times like this when those who are supposed to provide for us have failed to do so, and in doing so, have made it impossible in some places to do our jobs - not without severe risk to ourselves. This is not a reasonable standard to which anyone can be legally held - you may have to fight with your medical boards but in the end, you are not obligated to expose yourself to harm without protective equipment as part of your job. The ED is our scene. The first principle is scene safety. If you are not safe, you just don't go in. Me being dead does no one any good. G
  14. 5 points
    I just serendipitously discovered this thread at what I consider to be my lowest point in PA school. Based off of all your posts, you *REALLY* remind me of my younger self. I used to be super hard on myself like you, with lofty ideals and high expectations of how people should be. It took me a long time to realize that I was wrong and that my approach to life was all wrong. However, I made the unfortunate mistake of changing careers and pursuing PA as a second career before I made this realization. I though my job in fashion sucked -- I disliked my coworkers, did not connect with the visions of the companies I worked with, and thought I was destroying the planet by producing more junk. So I quit. I graduated loan free just to take out loans for school. I left an easy (but not very well paying job) to work with patients... only to realize that nothing was different. In fact, it was worse. You had all these providers running around thinking that they are super smart and acting like they really care, but it's the complete opposite. You think you're helping sick people heal, but you're just enabling their bad habits. This realizing was crushing to me. But I found someone along the way who helped me realize that this is the reality of the world in general. The same underlying bs exists whether you're in medicine, fashion, or some field of physics. This is because the underlying factor in every profession is people -- and people are just awful. I stuck with it, got into PA school, and I plan on finishing and becoming a PA. Why? Because even though I hate working with patients and other providers, I don't hate it as much as some of the other things I have done in my life. I saw a prior post where someone stated that half his class doesn't even practice as PAs anymore. I think the biggest issue with this is that so many people commit to medicine at such a young age and they DO NOT know what they're getting themselves into. How old were you when you graduated? I'm the oldest in my class at age 30, while most of my classmates just turned 22. It's obvious that most of them will not be able to handle the challenges that they will encounter in the future just simply due to their immaturity and lack of real life experiences, and that most of them will not be PAs in 10 years simply because its not what they want to do. This is terrible since there is a shortage of providers, and so much time and money is being spent on training people who ultimately don't want to do the work because they were not right for it. To circle back to my point, even though I don't love the patient care aspect, I want to be a PA because I want to become a more useful member of society than someone who just produces disposable fashion products. I skimmed most of these replies, and I don't think anyone else has given you this exact piece of info yet: Focus on paying off your loans ASAP. I know you said you have 6 years left, but if you can find some way to do it faster, DO IT. I think your outlook on your life will change significantly when you're able to start putting money away. You can start saving for early retirement (especially if you hate being a PA so much), or have more disposable income to invest in yourself. That leads me to my next point -- find something outside of being a PA to help establish your identity. Finding something that you like to do outside of work and learn to see your job as a means to an end. You are lucky in that your license enables you to work a very stable, in demand job. No matter what happens in the economy, someone will pay you to work, even if you suck at it. In fact, people don't even care if you do actually suck (again, something I've learned through life). They just need you to work. I'm not sure if you'll find anything that I've written helpful. I'm also not going to deny that I feel as if I'm trying to talk to my younger self. But with that being said, I do feel like I've been in your shoes and understand a bit of what you're going through. I already see that you've adjusted your perceptions and that it has helped you a bit. Continue to adjust the way you see your job, and continue to grow as a person outside of being a PA. That in itself can help you become a better PA.
  15. 4 points
    So, this has come up a bit here and there, and I wanted to address it in a systematic way: Businesses and government organizations are not incentivized to plan for 'black swan' events--that is, those that occur very infrequently and are devastating in impact. I learned this in IT security, working in a Fortune 100 company, that was both quite profitable and had quite a lot of money to address concerns. For the most part, it did not, because numbers didn't add up. 1) Most threats don't materialize within the planning horizon. While a 1% chance of a $4 billion impact might justify a $40 million mitigation plan on paper, there's a 99% chance that won't happen. 2) Your competition is not saving for a rainy day. Whether they can or not, the competitor who wants your job or customers has decided to cut corners, to deliver more goods, or services, or reduce taxes, or whatever. That money that might go for an IT hot site, or a rainy day fund, or extra N95s can instead be used for more marketing, or to reduce hold times, or to migrate to LED lighting. There's always something better to do with money than park it in a "break glass in case of emergency" case. 3) Disaster recovery plans don't work. It's simply too time consuming to keep them up to date as business processes change. By the time you NEED the disaster recovery plan, it's outdated. Or you missed some big contingency that you didn't know about because no one thought to tell the IT DR guys that critical system B depends on system F which was deemed non-mission-critical, because no one knows the ways in which complex systems will actually fail. That's almost the definition of "complex system". 4) There are too many black swan events to plan for. This time, it's an airborne coronavirus. What if it were a meteor? A terrorist attack? A digital Pearl Harbor? Which ones do you fund, and which ones do you not fund? If you fund all of them, there goes your dividends or fiscal reserves or earnings per share... And, again, the vast majority will not happen during the planning horizon. 5) The supply chain is not your friend in a time of disruptive change. All that stuff you WERE counting on being able to get? All your cheaper vendors, driven to that by the bid process, have outsourced everything to China or other low-cost geographies, so even if you specify American-made stuff, you're at most going to get it assembled or finally packaged here. When the world all needs X at once... you're not going to be able to get X, because the suppliers of X have optimized their supply chains, manufacturing processes, and delivery methods to be most efficient and the usual demand for X. So yeah, we're screwed. We were never NOT going to be screwed. It doesn't matter who was fired or not, or who spent money or not, because deep down underneath the finger pointing, our efficiency-driven system has engineered out the capacity to respond to unpredictable events. We have a Formula 1 race car, and we need to go 4x4ing.
  16. 4 points
    Worrying about killing someone, missing something or getting sued.
  17. 4 points
    My solution is to be a slightly to moderately overweight graying guy. I don't LOOK like a nurse. I have no idea how our younger female PAs put up with it.
  18. 4 points
    Look, regardless of your or my personal political beliefs, we need everyone from every part of the spectrum on our side if we want to win this...
  19. 4 points
    I was accidentally invited o a Zoom meeting of "leadership" Friday. It was to discuss our PPE shortage and how to make it last and training on proper removal of PPE. I heard multiple references to making sure this training got documented....over and over. Not once did anyone say anything about making sure we were safe or healthy or anything similar. Their focus was on making sure it got documented....you know in case there was an inspection or something. I now have a great understanding of our corporate mentality.
  20. 4 points
    It's not my mortality I worry about...it's bringing it home and killing off my family. That I could not live with.
  21. 4 points
    I believe I’ve answered your same question on reddit. as possibly the only person who has attended nurse anesthesia (that I left because I didn’t want to only do anesthesia any more) and a PA program, I think I can provide a lot of insight on this. first, absolutely you could take a PA straight out of school and put them in a 18 month program to create a good anesthesia clinician. I think this would make a pretty awesome clinician. i think there would be great interest. I would certainly be interested, so I could do the OR and ER at my CAH, both very low volume and hard to attract good clinicians. I mean, this would be way better than going back to school and spend even more tuition money, instead getting paid a stipend. I mean, who wouldn’t be interested. there are many problems to this. First, many states specifically prohibit PAs from performing anesthesia. This would have to be overturned and CRNAs would fight tooth and nail. You probably would have AAs fighting this too. I also worry about the intention behind this. Could you explain the reasoning? Is this a way to undermine CRNAs and have an “assistant” that you aren’t competing with? Would you allow these anesthesia trained PAs to work at CAH that don’t have anesthesiologists? Otherwise we won’t be able to compete with CRNAs and admin won’t hire us. I’m fine with competing against CRNAs, I’m not okay with being a political tool. lastly, you probably know this, you’re going to find a lot of physician pushback. Anesthesiologists in particular feel pretty burnt on CRNAs. I think you would find it difficult to have them on board
  22. 4 points
    We should start a running memorial for our people. Actually, AAPA should. Someone want to propose that on Huddle?
  23. 4 points
    I just got the your application is complete and ready for review by the program email. EVMS is amazing they let you practice on real cadavers have the sentara simulation lab which prepares you to do real procedures. They have real actors who portray real medical problems and record your interaction with them. They have an amazing ultrasound program, which some programs don’t offer, and they also offer the hope clinic which allows students to volunteer at a community health clinic. It’s an amazing program with great professors Sent from my iPhone using Tapatalk
  24. 4 points
    This might be unpopular opinion in the medical world since we are all supposed to have hearts of an angel, but I'd probably leave. If I am being asked to do something that places an unnecessary level of risk for myself and subsequently my family, then I'm out. Sorry.
  25. 3 points
    It’s easier to follow your gut, get through this tough time, and apply somewhere else than it is to jump into a bad situation. Only you know if you have enough data to call it bad. Sent from my iPad using Tapatalk
  26. 3 points
    I don't have the debt so I have the guts to set boundaries and walk away...but I want to walk away to something better so it's not a fast process.
  27. 3 points
    First few years. Maybe it's because I'm in it. But the first time you realize you have to justify why you are beneficial to the team and aren't here for scut work...it's hard. Still fighting with docs and a system that don't use me optimally or respect that I have any autonomy and feeling like the best option is leaving even if there are other good aspects.... It's one thing to be a pre-PA or on this forum hearing that these things happen, it's a completely different thing to LIVE it and it's disheartening.
  28. 3 points
    no, that is my point if we all John Wayne this and we all get sick and die then there is no one left to do our jobs sometimes times the greater good has to prevail - saying no might be the harder choice
  29. 3 points
    Part of my answer has to do with the season of the profession in general. When I graduated in the state of Kentucky, in 1982, we were treated like pieces of crap. It was a struggle getting established. Then I ran into anti-PA pockets, such as around Houghton, Michigan in the mid 1990s where life was made hell by some doctors and nurses (who hated our profession). In the past 15 years, it has been a piece of cake, mostly related to location and changing times rather than me changing into a better PA.
  30. 3 points
    What this is really showing is how HC admins and gov't officials are the ones who have dropped the ball on this, having been told for years of an impending crisis from one source or another and not "saving for a rainy day" (supplies, etc.). They drop the ball and expect HCP's to run into the traffic to go retrieve it.
  31. 3 points
    Ugh. I love being a PA but sometimes I really second guess my decision not to pursue medical school. It's not too late, although medical school would set back my early semi-retirement goals...
  32. 3 points
    It's not selfish at all. The fragility of life is very real, with or without something like this virus. We all take risks every day when we wake. Take solace in knowing that you're staying well-informed and protecting yourself and those around you. At this point, that's all we can do. And understand that you're not alone. We are all experiencing this together and we will get thru this. As for what we'll learn... I do hope it's that we no longer take life for granted and do what we can to live our best lives while we're here. Our country is very sick and we need a wake-up call. It's unfortunate that a pandemic is what will show us that what we're doing in healthcare (admin, insurance companies, infrastructure, "treat it not prevent it" mentality, etc) isn't working. I do hope to see significant change once this is all over.
  33. 3 points
    myCME.com has a lot of stuff. It even reports automatically to NCCPA if you set it to do so.
  34. 3 points
    I got pulled off the waitlist last week so there’s is still hope for people!!
  35. 3 points
    a-PA-c I think it would be infinitely easier to introduce PAprofession to anesthesia especially since they are involved in almost every surgical specialty especially Cardiac Surgery. IN some places the PAs do a lions share of the operation. SO if they can do that, (the argument) they should be able to train and deliver anesthesia. Anesthesiologist should not be the only specialty deprived of hiring PAs.
  36. 3 points
    A group of students put together a petition to open up Pearson exam centers again if you all are interested in signing! It would be greatly appreciated. They are currently opening them up for nurses to take the NCLEX in a limited capacity and we feel they should open them for PAs as well! https://petitions.whitehouse.gov/petition/open-pearson-vue-testing-centers-allow-physician-assistants-take-their-board-exams-and-help-fight-covid-19?fbclid=IwAR1Um2jWb_QXRWfhsDDd-S-TYT64Q8pbCWEqUMN9i-m6DKTy0xz07ow2UhU
  37. 3 points
    The Texas Academy petitioned the governor to allow physicians to supervise more PAs. The idea of eliminating supervision, it seems, never crossed their minds. I just want to scream some days.....
  38. 3 points
    As a retired PA who has seen a lot of action both as a combat medic in Vietnam, as a 911 provider at Ground Zero after 24 hours and in emergency rooms and trauma departments in NY. I am aware of the responsibilities of the military when sent to a war zone, many times without all of the needed supplies, medical equipment and munitions. A member of the military has no choice as they have taken an oath and there is the Code of Military Justice. You folks , mainly are civilians and I applaud your Hippocratic oath as well as you sense of responsibility but I think that there needs to be limitations when you have no protective equipment for yourself. The institution where you are employed, has a duty to their employees, their professionals and all their staff. If they fail to meet that responsibility than the system is broken. Today, many care, many are empathetic but do they rise up and DEMAND the equipment or THREATEN to close their facility. This is more than medical ethics, this is common sense. I applaud Dr. Smith in the NY times video on Elmhurst Hospital, in Queens, NY. She is telling the truth ,and she is afraid of discipline by way of removing her from her position, but she has an obligation to tell the truth so that patients may bypass Elmhurst and go to New York Hospital of Queens. She also has an obligation to her staff. We all need to support her and not buy into lies of the Directors of the NYS or NYC health system. You all have families and your children and your spouse did not take your oath and they are the unfortunate victims of the callous injustices of not having the proper equipment. Can your family litigate against the employers because of their inability to get equipment after you die from COVID 19. It's a moral ethical and common sense question and some of you will sound like heroes and some will say; :"I'm mad as hell and am not going to put up with it anymore." My best wishes yo you and my prayers for your safety.
  39. 3 points
    A little off topic but I have virtual worship today and will put all of us on the prayer list. I hope you all continue to be well and safe.
  40. 3 points
    I'd add Vitamin D3 to the list, if you're not already taking 2000 IUs or so. Everyone in the Pacific Northwest needs it anyways, and it has a really wide therapeutic range and some indication of protection vs. respiratory infections, so why not?
  41. 3 points
    My solo coverage sites have taken a hit, but percentage wise doesn’t seem to be nearly as much as big centers. The local level one has been a ghost town. My census dropped from 8-12 to about 5-8. Same stupid coming in for the same stupid stuff again and again. Can’t take a hint.
  42. 3 points
  43. 3 points
    So article on MSN about Germany where the fatality rate is 0.74% Their secret? They test everyone. The more you test, the more clear the picture becomes. We are only testing the very sick, so of course our #s look bad. https://www.msn.com/en-us/news/world/germany-has-a-remarkably-low-coronavirus-death-rate-—-thanks-largely-to-mass-testing-but-also-culture-luck-and-an-impressive-healthcare-system/ar-BB11PpiJ?li=BBnb7Kz
  44. 3 points
    Bingo! Doesn't matter what demographic group it is because I've played with them all. For those old enough to appreciate this statement, it sure isn't like the Marcus Welby, MD days. Addendum: The worst part of it is that you REALLY do want to help these folks and they won't let you. Ugh...
  45. 3 points
    I sent an email to TAPA two days ago regarding their involvement statement in the current situation and inquired as to why there was no mention in any of the media regarding utilization of PA's? Their response was that they had just sent an email out to the legislative bodies asking for specific action on privileges and specific direction. My question is why send out the email two days ago as opposed to two weeks ago? I'm retired, but I still care enough to ask. I sent an email to a Dallas Morning News reporter this morning again asking for someone in the media to inquire of the local leadership as to why there is no mention of PA's whose training exceeds any other healthcare provider aside from the physicians. No response as of yet, or of a similar inquiry to the Dallas Co. judge or governor (I never expected them to respond). Reporter responded and essentially said good question, without a promise of follow up.
  46. 3 points
    I had a beach house in south Texas reserved for July. I cancelled it. There are too many unknowns and I'm going to wait for things to settle a bit before making any plans
  47. 3 points
    I question whether cruising, as an industry, will exist after the dust settles.
  48. 3 points
    This. Until we get a Vaccine AND an effective treatment, I would not do anything like a cruise.
  49. 3 points
    Here's my first blog....." shouldn't that patient be put in a negative pressure room? her whole family tested positive for covid19 and now she's symptomatic"..... "no we just put a knee pain x6 months in the negative pressure room, its fine"
  50. 3 points
    you made some good points and I agree. And I have absolutely zero shame in saying that I am 100% not willing to die for my patients, because, quite frankly, this is not the military and I have a family that needs me. Call it cowardly, really don't care. I will go into the trenches until the end of time if I have the right protection, otherwise, I'm all set...... To simplify things, how many providers would perform a DRE on a patient who was Cdiff positive, MRSA positive from a perirectal abscess, without gloves? the answer is zero... nobody would, under any circumstances...
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