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surgblumm

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surgblumm last won the day on August 18 2019

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  1. Practicing Within A Storm Robert M. Blumm, PA, PA-C Emeritus, DFAAPA My wife and I have just completed a move from our home in New York to a new chapter in our lives in Charlotte, NC. After thirty-five years in the same village, we moved to an oasis in the south. We are experiencing a new manner of living as we enjoy the beauty of this “Queen City” and its many parks, sights, the gentility of the citizens and the slower lifestyle. I feel that I am finally at peace, with my old home sold, my bills paid, my retirement from forty-six years of practice and a new chapter of life. The serenity that is Charlotte is frequently of late interrupted at about 5:30 PM by clouds moving in: sudden and powerful heavy rain and hail, strong winds, thunder and lightning. Yes, my new city is very subject to sudden storms - which causes me to think of my fellow PAs and the storms that they are currently facing. The big issues in this country at present relate to Covid-19 and back-to-school timing. Teachers are describing this dilemma as terrifying, with plenty of them petrified and panicked. Many are talking about a return to the classroom as if it were a wartime draft: forced to serve in a pandemic situation where their very lives are on the line, their families are left vulnerable and their futures potentially threatened by death, long debilitation and/or severe sickness. These teachers find themselves in a very real personal and professional storm that could devastate their lives and those of their loved ones. In a recent article in Explore Health, the author Hilary Stenfeld writes of teachers fixated with doomscrolling, planning end of life decisions, writing their wills and goodbye letters to their loved ones prior to going to work. This causes me to reflect on the front line of health care in our nation, of PAs, NPs, physicians, nurses and technicians as well as all of those who have heard the call to duty and report to health care facilities every day. Are you as diligent as the teachers’ unions in safeguarding your future? Are you also writing your wills, enacting end of life plans, securing additional health insurance as well as disability insurance? Have you too, started doomscrolling every day before you start your shift or go to your office? Are you beyond concerned and becoming fearful? It’s a natural reaction living on the front lines of patient care. Just as I served in the capacity of combat medic in Vietnam with the responsibility of caring for my fellow soldiers wounded under fire: you too, are now combat health care professionals. As you expose yourself every day to the possibility of viral transmission and personal risk, you are to remember that not every fever or cough or shortness of breath is Covid-19. We have been trained to consider a differential diagnosis that could be a life-threatening case of CHF or pneumonia or myocardial infarction or a CVA. The list is endless but, in times of great stress and an overload of patient encounters, it becomes possible for an expert healthcare provider to make a snap decision that starts them on a diagnostic quest which can become an explosive nightmare with a patient’s life on the line. In times like these, it’s unthinkable to not have adequate insurance for your health, your life and your medical practice. Family protections starts with these three - and a solid, secure malpractice policy should be an essential part of your plan. As veteran clinician with an excellent practice record, I have on occasion required the support of my professional liability counselors and I was assisted quickly and efficiently with superior legal advice and direction. I never felt alone in my personal storm because I had the ****************************************************
  2. Regardless of Father's status as Step Father, if he is a PA, a real PA, then he circumvented a cardinal rule of treating one's own family. We may have all done this but not with an experimental protocol that has had so many side effects when used in combination. It's sad when he could have brought her to an ER or UCC.
  3. For some, a few years for others 5-10 years. We are all learning after every patient encounter and after every error . I will go back to an old cliche that my mentor from Johns Hopkins told me and I have repeated a hundred tmes. When asked of Dr. Loch when he did his last perfect case the reply was that he has never done a perfect case and when he does, it's time to retire.
  4. It's like boarding a plane. the expectation is you will land at your destination but the reality is that there is no guarentee. "Faith is the substance of things hoped for the evidence which is not seen." What is your intuition telling you as no job is a forever job.
  5. I echo many of the sentiments of the original post as well as many of the other comments that followed. I have always subscribed to PA Forum and then PhysicianAssistant.com as I had the freedom to be myself and speak my mind. I have received an easy twenty warnings and refusals to post on Huddle and it is not a place for friendly dialogue. I will post to it occasionally but they could have had a valued member had they not been so restrictive. This is the place to nest.
  6. https://www.linkedin.com/pulse/decisions-time-war-robert-blumm
  7. From my experience and knowledge base, a felony is an encumbrance for a medical professional such as a PA, physician and even an attorney.
  8. You are two thirds over the hump. If your grades are excellent, the didactic year is fun, interesting and a great opportunity to discover what you would like to do the rest of your life. 140,000 other PAs were where you were and they did it. Hang in there.
  9. I had it, never needed it and never regretted it. I would make it as specifically distinct as possible as a general PA can always get some type of job.
  10. Go for it. Good surgical PA jobs are difficult to get and the experience is invaluable for a new PA.
  11. And IMHO deserves it. A passion for helping and leading: Nurse leads Air Force Medical Service Lt. Gen. Dorothy Hogg, Air Force Surgeon General, pauses during a tour through the Heart, Lung & Vascular Center, David Grant USAF Medical Center at Travis Air Force Base, California, Feb. 10, 2020. Hogg visited with 60th Medical Group Airmen and recognized the positive impact they have on their community through their innovative medical practices. (U.S. Air Force photo by Heide Couch) 5/11/2020 By: Air Force Staff Sgt. Jeremy L. Mosier, Secretary of the Air Force Public Affairs Share this page Social Media Links Share on Facebook Share on Twitter Email this page Other Social Media Recommended Content: Coronavirus | National Nurses Week WASHINGTON (AFNS) — A profession that faces disease and trauma and requires long hours on their feet may deter some, but for nurses, this profession was chosen to serve and ensure the health of those who live in their communities. “I have always had an affinity for helping people and come from a family that has a lot of nurses,” said Lt. Gen. Dorothy Hogg, Air Force surgeon general. “It was just something that was part of my nature – I love helping others. From a young age, I knew I was going to be a nurse.” In 1984, Hogg would commission in the Air Force as a nurse, making her childhood dream a reality. “Every day I take care of patients is a proud day for me, because I look at it as doing the very best I can to help somebody else out with a struggle they might be dealing with,” she explained. “If I can just give them a little bit of comfort or a little bit of peace, it is all that I can ask for.” During her 36-year career in the Air Force, Hogg has climbed through the ranks and became the first nurse, as well as the first woman, to hold the position of Air Force surgeon general. “Never in my wildest dreams did I think I would be sitting here as the Air Force’s surgeon general,” she said. “I have always looked at every opportunity that either the Air Force or nursing has given me to make not only myself better, but to make the environment I am in better.” With these words echoing in her head, she reminds her fellow nurses and Airmen to never close any doors. The position didn’t come easy. Early in her career, nurses were not seen as leaders within the medical system. Overcoming this barrier helped Hogg develop her leadership acumen. Today, the medical system is much more team-based where every medical professional brings their knowledge and skills to the bedside. Hogg’s formula for success is three-fold: One is too small a number to achieve success, teamwork and attitude. All great leaders had people in front of, behind and beside them. Hogg said, “No one does this by themselves, and it’s important to grow all members on the team. And last, attitude is everything. As the old saying goes, is your glass half full or half empty?" As surgeon general, Hogg is leading the largest Military Health System transformation with her other surgeon generals and the Defense Health Agency Director. She restructured the Air Force Medical Service into a more agile, lethal force by developing the Air Force Medical Readiness Agency and installation operational medical readiness squadrons. She’s led research on pilot cancer rates, water contamination and improving human performance across the broad spectrum of operational, humanitarian and disaster response missions. “If someone says I need you to do this job, you might not think you can do it, but that person sees something in you, so go for it,” she said. “Take advantage of every opportunity the Air Force gives you, because you will learn more about yourself and become a better nurse, a better leader, a better officer and a better individual.” As the country faces a pandemic, Hogg recognized the contributions the nurse corps has made during this time of need. She has one message for all first responders. “Thank you; I thank you from the bottom of my heart for stepping in during very challenging times to take care of our service members and our nation as a whole,” she said. “Your selfless service to the profession of nursing and arms goes without saying. The human touch you provide to your patients can’t be substituted by a machine. And it’s that touch your patients will remember. I am proud to represent all our nurses both home and abroad, military and civilian.”
  12. Good subject matter. Interstate reciprosity Emergency powers after Covid-19 for all catastrophes Increased Telemedicine CME
  13. I would add, the nurses would never permit it.
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