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DomRRTtoPA

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About DomRRTtoPA

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  1. According to this page https://www.wichita.edu/academics/health_professions/pa/program/application.php you need to fill out a grad school application and a supplemental application will be sent by email if you are qualified.
  2. Our plans fell through due to the G5 and Galileo vents proximal flow sensor. The best laid plans of mice and men sometimes go awry.
  3. I was asked to do further research by hospital management. Here are some more resources: https://epmonthly.com/article/not-heroes-wear-capes-one-las-vegas-ed-saved-hundreds-lives-worst-mass-shooting-u-s-history/ http://rc.rcjournal.com/content/57/3/399 https://www.sciencedirect.com/science/article/pii/S0300957207005825?via%3Dihub https://onlinelibrary.wiley.com/doi/abs/10.1197/j.aem.2006.05.009
  4. Desperate times call for desperate measures. There is serious talk about this topic happening at my hospital. https://onlinelibrary.wiley.com/doi/pdf/10.1197/j.aem.2006.05.009 (journal article) https://hackaday.com/2020/03/19/saving-4-patients-with-just-1-ventilator/ (good video demo) https://emcrit.org/pulmcrit/split-ventilators/ (blog article)
  5. You probably wont be able to take the GRE until late this year due to covid19. I studied using Magoosh, about an hour a day for a month. I focused on the quantitative section as I havent used geometry since 1995 and scored a 308. Everyone is different though, take a look at some study guides to try to gauge where you are so that you can make your own determination of how much you need to study. I would recommend giving yourself enough time to retake the exam in case you dont do as well as you would like on the first try.
  6. The situation we are in is dynamic, everyone needs to adjust which includes PA schools. If you signed up for an in person lab it will most likely be listed as such on your transcripts. You probably have nothing to worry about.
  7. The state is getting 50,000 rapid tests with a 3-4 hour turn around whenever they decide to make the delivery this week. At least that is the latest info that I received. Symptomatic patients are not being counted as confirmed until tested. So far we have treated the crit pts with plaquenil, remdesivir was approved but did not arrive before the pt expired and use of the ards.net protocol (proning was inappropriate due to cardiac instability). Many of the things listed in the OP are accurate and appropriate based off my limited experience. I have spent some time in the ED and things have been crazy. No visitor policy, people being turned away at the door for flu like symptoms, supply shortages, elimination of all aerosol treatments, you name it. Stay safe.
  8. It is in Indianapolis. The number of suspect patients in this hospital alone is getting close to 50, only 2 are in critical condition. I was surprised to see that the the number had not been updated as the confirmed cases were. I am sure that since it is the first death in state there will be a delay in releasing the info
  9. In Indiana we are in the initial stages of the outbreak, I was in attendance to the first patient death in the state this morning. I am recommending skipping bipap at the infection control meeting I have schedule this afternoon as mentioned in the OP. I was wondering if you all had insight as to infection control procedures being adopted due to limited resources, specifically for aerosol producing procedures. Any input, even anecdotal, would be appreciated.
  10. Congratulations, the VA HPSP is a hard nut to crack. The rules for the HPSP are pretty clear about when benefits begin. In previous years, students were only awarded the scholarship in their second year. I actually replied because I have a ton of questions for you as I plan on apply for the scholarship before I start. How long did the process take? What do you think distinguished you from other candidates? Could you share a bit about your essays? Theme, focus, Are you a veteran? If so do you think it helped? How has your program responded to the clinicals requirement? Did you get any help from your program? Thank you in advance for any insight you can give me!
  11. PCR testing is not cheap($3000), it is not fast(24hrs labor intensive), it is not accurate(A CT scan has a higher level of accuracy) and it does not change the treatment plan(symptomatic treatment). Even the new IgM/IgG rapid tests have limitations and it is recommended to validate results with PCR. China is the largest producer of chemicals in the world, they have the supply of the reagents needed for mass scale PCR testing. To say that the US and every other country was unprepared is nonsense, you simply can not prepare for a pandemic of this magnitude without wasting billions annually to stockpile chemicals with costly expiration dates or producing them yourself with high startup costs. We rely on other countries for goods because we thrive as a result, who would have thought that relying on an oppressive dictatorial regime for cheap labor costs would be bad for us during a world crisis? I thought that I was clear that I was separating the necessity for testing for medical treatment from public health by mentioning "The diagnosis does not change the treatment as the treatment in 100% of the cases at this time is symptom management." in one paragraph then "The only way we are going to beat this virus in the short term is through public health management" in the next. I guess where I erred was in saying the testing was "completely unnecessary" when I meant to say completely medically unnecessary for the treatment of patients, which is where I am trying to keep my focus. I tend to trust the government and the experts working for the CDC when it comes to knowing what is best during a crisis. They have determined the value of PCR testing for covid19 and its much less than what you all are claiming. Its not a perfect system and its easy to make mistakes but its what we have.
  12. My patient was not tested until their condition became critical and IMO it was completely unnecessary until then. It was getting to the point where we were able to R/O everything else. The diagnosis does not change the treatment as the treatment in 100% of the cases at this time is symptom management. I heard this morning that there has been some promising results with testing remdesivir on animals, hopefully we can fast track that and we can all move on. The only way we are going to beat this virus in the short term is through public health management, so you might want to trust in that when they deny you a diagnostic or be miserable until its over. I learned quite a bit about public health in my undergrad and you can only be so proactive in preparing for disaster before people start calling you crazy. So although I acknowledge a certain degree of reactivity, I can not be convinced that it is atypical under the circumstances.
  13. I treated my first covid19 patient today so my anxiety over some of the nonsense is high. Testing was readily available with a 24 hour turn around at the state health dpt. Pt has multiple comorbidities and has developed ARDS, pretty stable condition today FiO2 is at 55 PEEP 12 but trending in the right direction. Take care and stay safe.
  14. The blue Kool-Aid or the red? Give me just 1 example and you can change my mind. Unlike others I pride myself on understanding facts.
  15. Seems like a third reality check might be needed in this case. Nothing you said has any basis in fact, you are allowing your political leanings to affect your judgment. If you look at the response to covid19 compared to any other outbreak since the beginning of this country you could only objectively say that this administration has shown decisive action, been proactive, and highly effective in implementing the public health measures that are proven to combat the disease. No amount of wailing, nay saying and internet trolling can ever change the fact that no President has ever implemented measures and made the public aware as quickly as the one we have now.
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