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TDIowa last won the day on February 14

TDIowa had the most liked content!

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About TDIowa

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    Physician Assistant

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  1. So I volunteer at our local fire department in a First Responder role. Got called and responded to a call of a lady who dislocated her hip. This was the 2 - 3 time we had been there in the last year for this complaint. We made her as comfortable as we could and awaited the paramedics to arrive to transport. Anytime we tired moving her she would scream bloody murder. So we just let her lay. The paramedics arrived and told her they were going to give her some Fentanyl to control the pain before we moved her. She replied that Fentanyl doesn't work and she needed Ketamine. Unanimous hmmm co
  2. 1. Schedule a new patient as the last patient of the day. My experience is that the day never ends well. They always need x-rays or blood work. Then come in the next day and get b****** at for overtime for myself and the staff that I make stay. 2. Schedule a "new" patient without records.
  3. I agree with CJ, Confront her. Ask her about the comments made behind your back. Then shame her with this is not the way a professional medical provider acts. Tell her you have too much respect for her profession and expect better. Tell her you want to learn from her. Isn't medicine a learning profession? Ask what can be done to improve the interaction between yourself and her. Put her on notice that you will not tolerate this type of behavior. If nothing changes then Human resources. Your case will be much stronger if you have at least mad a effort. Oh and of course document.
  4. I work part time for the VA doing Compensation and Pension Exams. I see these contract exams all the time. Unfortunately more often then not its quantity over quality. I can not begin to describe some of the sub standard exams that I have seen. Absolutely no quality control. It is really a embarrassment when you compare a contract exam to a VA exam. Examples: Service connect a 68 year old obese Veteran who had been out of the service for 48 years for degenerative arthritis of the knees. No X-rays or examination was done. Had xrays been done his bilateral knee replacements would have
  5. Was given another 50 doses Thursday and we were able to vaccinate 59 people yesterday. All over 70. Our oldest was 97 followed by a 95 year old!!! We told our Cedar County Public Health Department we wanted to do a 100 dose clinic this next Thursday. They said they will see what they can do to accommodate! Not bragging but... https://www.facebook.com/WestBranchTimes/photos/a.949239288846774/1144916299279071/?type=3&theater
  6. Go to USAJobs. They list all the government PA jobs to include civilian PA jobs on military facilities. I have a friend who took a 3 year stint as a PA at Anderson Air Force Base on Guam. Worked Primary Care at a AF clinic
  7. https://www.netce.com/ is my CME go to. Online and quick
  8. When I worked Occupational Med and was asked to review or give a deposition we always asked for payment / partial at least up front.
  9. I live in a small town in a small county in eastern Iowa. When the Covid vaccines were getting ready to be released to the County Public Health department being on the local Fire Department I had a letter forwarded to me in regards to out First Responders being the first to receive the vaccine. Down at the bottom of the letter was a blurb noting that demand was going to outstrip the vaccination sites. It also suggested that a qualified medical person could apply to set up a satellite vaccination clinic. I'm a Physician Assistant and I applied and was approved. I was able to get all of our EMT/
  10. When the Pfizer vaccine was made available the local newspaper posted a picture of the Chief Executive Officer at the University of Iowa Hospitals and his staff being first in line to get the vaccine by the head of pharmacy on the first day it was available. It then went on to say that all the pharmacists and lab personnel received theirs also that day. Their rationale was that they wanted to set the example. Really peeved me when they knowingly jumped the line over boots on the ground personnel that should have been first. I wrote a letter to the editor of the local newspaper but i
  11. Any experience I have had in Occupational Med was to get a retainer up front. Then go to per hour.
  12. After hours I volunteer in my local community to include the local volunteer Fire and Rescue Service. Two weeks ago the Fire Chief forwarded me a letter from the Iowa Department of Health about the pecking order of who would get the vaccine first. Buried in the letter was a sentence about the possibility of establishing satellite vaccination sites around Iowa if the site had a designated medical director who would assume responsibility and be accountable for receiving the Vaccine. I applied and was approved. Monday afternoon I received a phone call from the County Health nurse and asked how ma
  13. Loved this quote. Guess they teach proof reading in a residency. Thus the grammar error
  14. No I do not. I went to the Active Duty Army PA program.
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