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GetMeOuttaThisMess

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Everything posted by GetMeOuttaThisMess

  1. Added back this morning for “3 hours/week”. No Rx privileges.
  2. I got a text from one of my old SP's from my retirement location this morning asking if I could assist for an afternoon with HER practice group performing school PE's for my former employer (ISD). May have to dust off the old stethoscope for an afternoon. As an aside, I contacted my malpractice carrier to confirm coverage for such an activity since I don't formally have an employer in this setting. Not my SP's group and not my former employer (ISD). My carrier provides an occurrence policy at the same risk level that I took out myself years ago.
  3. That's why I don't mind, "Bye, Boomer". I've got mine so best of luck to those who follow.
  4. Except for the fungi that they inhale from not cleaning out the CPAP/replacing tubing. Never a good thing when flowers are blooming out the end of the tubing.
  5. You can easily be named for having done nothing even remotely close to malpractice just because your name is on the chart. Had a patient in the 90's that came into the ED via EMS one night with an obvious tibial fracture from a soccer injury. Went into room, got hx. from EMS, did a NV exam, ordered pain med/x-ray, and handed case to ED physician. Early morning hours on floor pt. developed a compartment sx. not picked up on by floor nursing staff and even though pain med needs should've warranted some additional thought by the orthopod on call it was ignored. On rounds next morning it was picked up by ortho, pt. taken to OR for a fasciotomy (where a vascular injury was missed), and pt. was sent back to floor. Next day, foot/ankle guy picks up on issue and long story short, pt. becomes a BKA. Guess who got invited to the party and later dropped?
  6. I always told them before the present day certification requirement that the exam was not for the benefit of the driver but instead to protect the general public from a driver that didn’t meet qualifications. I would then offer a tragic example from years back here in N. Texas. I NEVER would’ve signed off on someone else’s exam, regardless of DOT, school athletic PE, camp PE, etc.
  7. I recently retired from an ISD employee clinic that has a PA and a recently hired NP. UT-Austin has had PA’s in their student health center for years in the past. Don’t know about present day.
  8. And absence of core sciences, med school quality pharmacology, etc.
  9. For some of us "Boomers", it took me 4 mos. to obtain two offers, one in FM and the other in spine. Back in the stone-age there wasn't much of a network to build on because very few people had heard of us, and even fewer knew how to utilize us. The FM gig was in association with a state med school satellite. Oh well, back to my crochet...
  10. Son of a gun if the Chinese didn't get that two story hospital, or so it appears, built. It did take two weeks instead of one I believe. Edit: I stand corrected. It was TEN days from start to completion apparently.
  11. I just want to know if I can take the plastic dry cleaning bag off of me yet? It's great for weight loss but it's hard to breath.
  12. I need to sell my traditional brick home and get myself a concrete dome structure like the company in Italy, Tx constructs. Since I'm on WW at the moment and eating like cattle, I could just graze on the property.
  13. Sent photo to wife yesterday and told her that this is the new OSHA guideline for dental hygienists (pic) and usage of PPE.
  14. We’re overreacting. I just got the NCCPA email and all is well they say.
  15. Gloria is still a nice looking lady even today. Ask Mr. Robot.
  16. Not surprised in the least.
  17. LYLE is still out there chugging away!? I worked with him in a N. Dallas 'burb ~85 or so when he was hired on in the radiology dept. at a small community hospital there, that coincidentally is a level one trauma center now (go figure). It does not surprise me in the least that he has a PhD. Very smart individual.
  18. Before my subscription to what is now EM:RAP expires in a couple of days, I just did the November 2019 CME for Emergency Medical Abstracts. As part of that month's abstracts there was a goodbye message from one of the founding physicians for Emergency Medical Abstracts (EMA), Dr. Rick Bukata. Per his statement, his ED in California was the first in the country to be fully staffed by EM residency trained physicians. Hearing his goodbye statement flashed me back to when I first became aware of the service in 1992 as I was breaking ground in Dallas as an EM PA. Each month I'd listen to he and Dr. Jerry Hoffman (UCLA) review clinical abstracts and discuss not only the topic but also the validity of the study based on whether it was prospective/retrospective; did the writers change their assessment after stating that they were initially assessing something else, were the conclusions valid, etc. I depended on these guys to help keep me current on the latest data not only in medicine, but EM specifically. They were a godsend. Not only did it keep me employed but the information that I was able to display led to other PA's being added to the facilities where I worked. One of the abstracts led to an infamous encounter with an ED doc who said explicitly that MDI's could not be used for cough-inducing bronchitis. Based on the information that I was able to provide to the ED director from one of the abstracts I was later given a private apology by the physician though the initial encounter was in front of God and country at the nursing counter for all to hear. After leaving EM for UC/PC, I transitioned over to a newer product known as Primary Care Medical Abstracts, though Drs. Bukata and Hoffman would provide the reviews for that service as well. As the years went by more and more new voices would appear each month, though still providing the same information. I later came to find out that each month the abstracts had been reviewed initially not by another physician, but by Dr. Bukata's sister who was a PA. Each month until last fall she would read each article and break down the specifics of the study into an abstract form. He announces that she lost her life from brain cancer just a couple of days prior to his goodbye message, having not known the experience of rest, relaxation, and retirement. His take home was to live in the moment and not to take these times for granted. As I heard this I reflected back on the multiple major holidays that I spent in ED's while my young family went about their celebrations without me, and me without them. For those of you still in the field, I would encourage you to take advantage of their sample abstracts, though the reviews are now provided by the next generation of EM physicians, and see if it's something that you might benefit from. EMA is a subset of EM:RAP which I'm sure many of you are familiar with.
  19. We've been whohaw'd since the get go by our own representatives. We had our chance and blew it in the 70's/80's.
  20. I would have, and have, lost interest after the first half of the page when reviewing applicants. Just speaking for myself, I want to know who, where, and in what field have you worked. Licensure and advanced skill training I want to see after work hx. Give me fluff in the cover letter.
  21. Heard on my new medical source, KTCK "The Ticket", in DFW this morning that anyone with a cough yet no risk for Coronavirus needs to be diagnosed as having "Corona Light". Ba-da-bing.
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