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GetMeOuttaThisMess

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GetMeOuttaThisMess last won the day on September 7

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About GetMeOuttaThisMess

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    Physician Assistant

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  1. You'll miss the clinical exposure of the medical complex. To this day I can remember individual incidents of my time at UTMB. Fem stick w/i first day or two of EM rotation, which was my first rotation, snake bites from the dunes on the beach, burns at Shriners while on Surgery, CPR cases out the wazoo on IM along with the most jaundiced patient that I ever saw (single parent of young child/ren that later died), baby deliveries every time the ferry arrived, sick kids out the ying-yang with sickle cell and IDDM on Peds, all types of viral infections that you need to see on FM rotation. Off campus rotations, not so much. I'd prefer that you not see a patient bail out their John Sealy window like one did.
  2. Now that I'm out of the game, I'd like to comment on a matter having to do with people applying to all these programs. Give me someone any day of the week with a lower GPA but who has actually been in life/death situations and responded appropriately under the stress of it by being able to think on their feet. An average student who can function under stress beats a bookworm that doesn't know their left hand from their right hand because they haven't been there, or in other words, they're an unknown commodity. It's easier to learn/pick up things than learn how to think on your feet and deal with stress IMO.
  3. In elderly, where you suspect a pulmonary process such as pneumonia in a febrile elderly patient, don't trust a negative chest x-ray. A lot are dehydrated, you hydrate them, and there's your pneumonia on the CXR.
  4. I think that I may have mentioned this here in the past, in my first ED job we had a radiologist who had picked up on the fact that appendicitis cases on an upright KUB did not have stool in the ileocecal/RLQ since the inflammation either moved it past out of the way, or else wouldn't allow it into the area due to inflammation. Your mileage may vary. Last rule of thumb for appy cases was to sono and if appendix was visualized and appeared normal then look elsewhere. If not visualized, or abnormal in appearance, then CT.
  5. Bedside sono if available, and if not get a sono. You’ll at least cut down on the glow factor for the possible appendicitis cases/pelvic abscesses. Same for kidneys. Looking back, I profoundly underutilized this option, because you couldn’t usually get one in a timely manner. Old man syndrome here but this is where development of clinical skills comes into play. Appy? Can they drop hard onto heels, or if a kid, can they hop on a leg? Even if you miss it initially they’ll be back. It’s always fun to send home an appy telling them that they have a hot appy, and to come back later when it worsens because the surgeon won’t cut on them at that point.
  6. “What is your occupation?” Retiree is now my comfortable answer. If someone were to ask what I retired from I’d just say that I was a medical provider and hope that they leave it at that. Initially back in the 70’s/early 80’s, physician assistant was an accurate description. Things are different now obviously (we weren’t licensed by the state, didn’t have prescriptive privileges, and couldn’t even write an order for APAP without the nursing staff having to reach my SP for authorization). Forget about seeing a patient by yourself if not already established. All those years I never took pride in calling myself a physician assistant, in spite of clinical acumen or training. I didn’t mind “PA” as long as no one asked what it stood for. I DID take pride in giving solid medical care (IMO), especially once I could start utilizing my training from decades before. I always felt like we were the bastard step-child in the healthcare game.
  7. He just misses his daily noontime diaper changes that I gave him. If he knew that I had eaten my last Smucker's crustable PB&J I'd hate to think of where he'd be.
  8. Thanks. I'll be looking for something after the first of the year on a part-time basis only I suspect and it WON'T involve my providing care to patients. Those days are done. The elderly parent, hand grenade waiting to go off, will limit choices I suspect.
  9. For myself, I don’t even remember the last time I was an AAPA member (decades?). I have reluctantly remained a member of TAPA throughout my career hoping that at some point they’d quit sitting on their hands, but till the end of my career I will have wondered did I get my money’s worth out of them? Bottom line, I stayed employed, obtained licensure, was able to obtain prescriptive privileges (probably the biggest change that impacted my time as a PA) so I guess the answer would be yes. It’ll be interesting to see where the profession goes now that I no longer have a vested interest.
  10. Well, aside from myself. No billing, insurance carriers, refills, patient phone calls, though it all ends tomorrow. 2.5 mos. notice and they haven't interviewed yet to replace me. Sorry to the cucumber for leaving him solo. One clarifier, it is GOV'T, and not private CORP.
  11. Misread question. Thought you were asking about how to get into system to be seen, which as I understand can also be a problem.
  12. You are either an employee or an independent contractor. What other employment status can there be?
  13. If you do not have absolute and total control over your days worked, time worked, and days off, you do NOT meet the IRS criteria for IC status. It is that simple. Go to IRS.gov and do a search for independent contractor and check for yourself.
  14. If I’m an employer looking for a clinical PA, what would your other degrees gain ME? Unfortunately, not much. You would be in the same boat as all other applicants.
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