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True Anomaly

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Everything posted by True Anomaly

  1. The facility I work at provided large orange buttons that say “Vaccinated against COVID-19” which I just attached to my badge, and other PAs/docs/nurses/staff have also worn them as a “We walk the walk” approach to showing patients that we embrace these vaccines and would hope they do as well
  2. Locked for unauthorized advertising on the forum for commercial purposes
  3. Nothing? This truly is landmark for our profession. We finally have the largest payor allowing us to be able to control our own financial destiny by billing and being reimbursed for the care we provide. And many third-party payors take their cue from Medicare. It all begins here. This was the single biggest thing we could’ve done to advance our profession. Name change doesn’t have the same impact, because at the end of the day money talks- and if you can’t control your financials as a provider, you ultimately don’t have a path forward autonomous of everyone else
  4. FINALLY!!!!!! https://www.aapa.org/news-central/2020/12/coronavirus-relief-omnibus-agreement-authorizes-pas-to-receive-direct-payment-under-medicare/
  5. Got my first shot yesterday morning before my shift- completely fine yesterday, and then some chills this morning that resolved with motrin + tylenol Second shot in 3 weeks
  6. It’s constantly astounding to me that “whataboutism” is still considered by some people as a valid logical argument
  7. Totally agree, and this is more for younger PAs or PA students who are reading this- Once you let that genie out of the bottle, there’s no putting it back in. At the least you become the person that everyone figures out they can go to for a script and it’s harder and harder to say no. If you hold your ground and don’t do it, people eventually stop asking you. The worst one I had was an ER tech at a hospital I used to work at who asked for a percocet prescription- he did have a legit finger injury though that had already been treated. I was floored he even attempted to ask
  8. You know why we didn’t have mandatory masks and shutdowns during H1N1? Because we very very quickly had a vaccine available
  9. The PA Forum was around long before the Huddle, and will likely be here long after it as well
  10. What specific program are you referring to? UT San Antonio? UTMB in Galveston? UT Southwestern? UT RGV? All these programs have their own forums
  11. Wow Ventana you're right- the last several articles going back several months are ultimately ads for malpractice insurance
  12. I had shifts dropped in April, but much to my amazement my group actually filed for reimbursement for the CARES act and I got all my back pay that was cut. Now currently I’m working 1-2 less shifts a month due to volume, but I know I’m very grateful to have a great job and an employer who bothered to apply for federal funds for their providers
  13. Every year, the AAPA House of Delegates has resolutions that touch on social issues- in fact, the last reference committee (some years C, some years D) are all about social issues that different delegates believe should become AAPA policy. Because of this, the AAPA has several policies related to social issues that either get added to or revised every year. So to have a statement like this is far from unprecedented. Literally the only difference is making this statement broadly available right away
  14. In the interest of not having this thread further devolve, am locking it If you wish to continue discussions about topics raised on this thread, please continue it in another thread
  15. Unpopular opinion- I love EMRs There is no question that paper charting is easier to use for the provider- quick and simple to fill out, especially with templates like T sheets. However, what I was always frustrated by when I did paper charts was the inability to read someone else's handwriting. A LARGE part of medicine is the ability to communicate with other providers, whether in your own system or in other systems. It's rare to encounter a patient who hasn't been touched in some way by the medical system, and many patients have already been evaluated by someone that saw them for
  16. I do inner city level 1 trauma center exclusively. Like many of you, I’ve seen a significant downturn in volume, but that’s starting to rise back up over the past week. While hours across the board have definitely been cut- I’ve lost 3 shifts this month at least- with the rising volume, I was called yesterday and asked if I could come in for a few hours to help with volume. We do have a tent outside where all patients other than sick EMS patients are routed through initially- if they “screen in” for COVID which is basically fever/cough/dyspnea/diarrhea/abd pain/vomiting they Stay in the
  17. Other than the word “supervision”, what about this is not exactly what OTP is at the very heart of it? Team-based practice, decided at the practice site, without the need for unnecessary government red tape? Or are people upset because it’s not a complete break from doctors period, and therefore nothing was going to satisfy other than total independence? They could’ve done nothing at all and sat on their hands. Let’s at least acknowledge SOME movement in the right direction, even if it’s not exactly what you wanted ideally
  18. Volume down for us in our ER, but hours haven’t been cut yet. We’re expecting the surge to hit in about 1-2 weeks though, which is likely why we haven’t been cut yet
  19. Wow, I didn’t realize an antibody test was becoming that readily available. I think that’s amazing. Seems logical to screen with the antibody test (provided of course you have enough) before doing confirmatory PCR testing of the RNA itself. Is the antibody test looking for both IgM and IgG, or just IgM? I’m sure here in the future we’ll all pretty much have a positive IgG test
  20. Finally had my first true positive covid case yesterday Manning the tent at my place of practice- 29 y/o comes in, no med hx, states he was traveling to NYC for the past two months, and a coworker tested + for covid last week. Sx’s of cough and fever for the past week, but last two days notices that his breathing is just wrong. Guy is ambulatory, afebrile, mildly tachycardic, but also having conversational dyspnea and looks uncomfortable. Got him a room for further evaluation- checked this AM and sure enough, tested positive. Even though, like y’all, I’m reading as much as possibl
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