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Marinejiujitsu

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Marinejiujitsu last won the day on October 11

Marinejiujitsu had the most liked content!

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About Marinejiujitsu

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  1. And i think highly of Johncfl, sorry if i mispelled. I think its great for him to come here for advice. Sent from my SM-N975U using Tapatalk
  2. Morality in the terms I'm talking about is a sly way to do something which is not cochere legally. Not saying people don't have the ability to work independently. With NPs which the cat is out of the bag, i think the morality of it is an self integrity one which the NP has to recognize their abilities. Sent from my SM-N975U using Tapatalk
  3. Yeah I get what you mean. I just thinks it's ethically wrong in our current legal environment. I also think its wrong to bully PAs to do something less standard of care by a subpar doc but that is seen as legally right for some crazy reason. Sent from my SM-N975U using Tapatalk
  4. Ive seen multiple chest pain discharges from xc to come to my ER in full cardiac arrest. Some with diagnoses of GERD, Gastritis, blah blah blah. Thats why in the we dont diagnose that stuff and really urgent care shouldnt either if follow up is sketchy. Sent from my SM-N975U using Tapatalk
  5. I do know of surgeons that own urgent cares and hire PAs. I think its immoral though. Sent from my SM-N975U using Tapatalk
  6. That was supposed to be "some 50 year olds" lol. I would argue anyone definitely 50+ should be worked up in the ED. Sent from my SM-N975U using Tapatalk
  7. Ive seen many patients crash in their 50s and alot dont know anything about their health. The 75 yr olds tolerate MIs better than done 50 year olds. Sent from my SM-N975U using Tapatalk
  8. That is true but if they are young and healthy we pretty much only get an ecg and cxr. At least at our county hospital and stanford university hospital. Sent from my SM-N975U using Tapatalk
  9. I would put the organization on blast everytime. I would still send them and put in my chart, "I do not feel it is safe to send this patient to the urgent care and immediately go to the ER via ambulance or along with a family member or friend if refused." Then if they cause issues I would report them. Sent from my SM-N975U using Tapatalk
  10. But this maybe what 3% of the complainers of chest pain that it fits? But you also have spontaneous pneumos in young kids (17+ ive seen) ACS is not the only worry. And unless young with a low heart score, best to just send them. Sent from my SM-N975U using Tapatalk
  11. I'm assuming this is an urgent care that has a general surgeon as a collaborating physician? Sent from my SM-N975U using Tapatalk
  12. Some urgent cares have a crash cart and can do cardiac monitoring but most cant. Ive seen people crash with normal ecgs and a normal initial tropinin. Sent from my SM-N975U using Tapatalk
  13. I think being double charged is the least of their worries.... but yeah send them to the ER[emoji50] Sent from my SM-N975U using Tapatalk
  14. I think being "woke" is overblown. Its mainly white liberal middle class politicians or systemic organizations/schools. Most average people aren't woke especially all the so call poor white people, blacks, mexicans, and asians, being woke blows their minds away. Sent from my SM-N975U using Tapatalk
  15. You must have came from a middle class family. A lot of us had to join the military to get out of the ghettos and poverty. Well, i guess more of people think I'm more Mexican though so white privilege doesn't apply. Lol. Sent from my SM-N975U using Tapatalk
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