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GetMeOuttaThisMess

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GetMeOuttaThisMess last won the day on December 16 2017

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About GetMeOuttaThisMess

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  1. Nor am I. How dare we not follow the status quo.
  2. There is an accepted belief that the initial dosing equation listed is appropriate.
  3. Devil's advocate again. I come back to you in 3 mos., feel no different (reality in my case, and no, it didn't make a lick of difference with my weight because we all know that I'm only overweight because of my thyroid and it has nothing to do with my diet and lack of exercise), and my TSH is now 7.5. This is one of the reasons why I subscribed to the recommendation years back of not checking asx. patient's TSH. I never did just a TSH but rather did a profile so that I could see the big picture. I guess that I was before my time since to get the T4 you probably need to get the full profile as opposed to ordering it individually with the TSH ($$ was about the same).
  4. Article that I read last week (EM:RAP?) argued that even if TSH is elevated BUT T4 is normal, there is no long-term benefit to treating sub-clinical hypothyroidism. I plan on discussing with my internist later this summer, as well as the argument once again of actual benefit of using statins to lower TC/LDL values when a significant portion of ACS patients have normal values to begin with and aren't on statin therapy. With regard to your question, I'd start using the formula BUT I would also ask the patient to bite the bullet and pay for brand name until you figure the correct dosing due to variability of generic formulations (I've seen this in myself).
  5. The Austin trifecta: retirement, Lake Travis condo, Longhorn football. Oh, Mexican food at The Oasis as I go around the bend from my as of yet not purchased condo in my imaginary pontoon boat. Giving up on the Hawaiian dream since family won’t go along with it.
  6. My sentiments are in keeping with my work associate and EMEDPA. For those of us who have been out for some time and have worked in EM (especially with a pre-PA background in EM) we believe that we would have been better off professionally and financially by just having gone to medical school. EM wasn’t a defined specialty/residency in my day as it is today. If you know that you want to end up in EM then do the most that you can to allow for your professional development as well as control of your work environment as much as possible. Even this is going by the wayside with large corporate EM groups now. Sent from my iPad using Tapatalk
  7. Because you were a student. You don't need CME until you've passed PANCE. Any medical education qualifies for some form of CME. It's just a matter of I or II.
  8. Go to med school and do EM if EM is of interest. JMO.
  9. When I audited back in the 90’s I was allowed to participate in the clinical skills portion of the course. Poor goat...
  10. What are you getting hung up on? CTS so CABG, valve replacements, lung resections/pneumonectomies. Heart transplants? Drips are alpha/beta adrenergics/agonists, and vasopressin. IABP. Vent (should be the responsibility of the pulmonologist/critical care doc). Need to know wedge pressures, etc. Having done in-patient card years ago the ICU/drips/vent could be overwhelming but back then it wasn’t my responsibility. I’m more curious as to what’s holding you up? Sent from my iPad using Tapatalk
  11. In my 36 years EVERY position (aside from current) has at some point changed the terms which surprisingly were never in my favor.
  12. I'm surprised that I never see folks note that they have taken the disaster trifecta. CDLS, BDLS, ADLS. I always found it interesting, though way too many pneumonics.
  13. IMO, re: PANCE, PANRE; either you know it or you don't. Take the ATLS if you wish to head toward the EM route. Unless things have changed, back in the stone age, you didn't get credit for the certification as a PA (you audited the course); only CME credit for having taken the course.
  14. I'd have been out of work in such a setting. In my 10+ years in the ED I never had ONE long-term survival, nor did I ever attend one on the floor during my cardiology days (late 80's through mid-00's). The only survivors were intra-cath/PTCA cases where CPR was started immediately and we'd wheel them across the hall into the CVS suite for bypass pump and subsequent CABG. Never lost a one of those.
  15. Why did you apply to begin with? Sent from my iPad using Tapatalk
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