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TWR last won the day on January 18 2017

TWR had the most liked content!

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About TWR

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    Physician Assistant

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  1. TWR

    Narcotics Maximus

    Weezianna, Look in a mirror and picture prison scrubs!! A lot of the above responses are excellent . Start your paper trail today and get the hell out of that job. You might even want to speak to an attorney. How long have you been practicing?
  2. Richard died on Monday August 6

  3. Joel, 401 match of up to 7%??? You must be young and don't realize how much money that could be when you retire not to mention 4 day work week. Put crazy glue on your but and stay there!!
  4. After a rocky start, the Trump administration has gotten on board with addiction medications, which also include methadone and naltrexone. The nation’s top health official, the Health and Human Services secretary, Alex Azar, said recently that trying to recover without them is “like trying to treat an infection without antibiotics.” Last year, Congress temporarily began allowing nurse practitioners and physician assistants to prescribe buprenorphine if they go through extra training, and more than 7,000 have gotten licensed; a bill that passed the House on Friday would let them prescribe it permanently. Still, half the counties in the United States don’t have a single buprenorphine prescriber. You have 4 free articles remaining. Subscribe to The Times [The Trump appointee overseeing addiction treatment says “we have a lot of work to do” to get more doctors comfortable with prescribing addiction medication. Read an interview with her.]
  5. I read an article about opiod addiction and Bupenorphine that helps patients with opiod addiction. PA's are being allowed to do these injections. How can we qualify?
  6. TWR

    Patient education

    American Family Physician I subscribe and get CME every 2 weeks. They have a great list of patient handouts for various FP topics.
  7. TWR

    Coping with Anxiety

    I think some form of therapy is a good idea several mentioned in above posts most I never heard of. After 32 years of practice in Family Medicine MOST evenings/nights I review in my head what I did during the day. That is normal (I hope). No one prepares us for the fact that people put their lives in our hands, same for docs. I think the anxiety thing is more common in the young PA's. Need life experience in everything to take the edge off the anxiety. It should get better as time goes on. ED medicine is stressful just by the nature of the first word "Emergency". All the above is my personal opinion.
  8. I agree that physical contact is appropriate in certain circumstances but I also think a "hug" should be initiated by the patient.
  9. I think that you should look for another practice. You are new "ish" and are likely being sold something that could come back and bite you in the butt. If you like ortho that is fine but the practice you are in may be more interested in the money. Sooner or later, there will be a knock on the door and YOU don't want to open it. RC 2 made good points (as usual). Your CP is probably not interested. IMHO!
  10. I think it depends on the circumstance. As an FYI probably not on an initial visit. "hugging" should not be construed as inappropriate as long as your hands are placed appropriately. Of course the double standard comes in to play because I am a male. If a female PA hugged a patient would you think of it the same way as a male PA hugging a patient. You are right we are in a crazy world. I have practiced for 32 year family medicine and have never hugged a patient. I have put a hand on a shoulder.
  11. I wonder how much money does the AAPA earmark annually for telling the people who we are and what we do. Do they target Pharma or MD organizations to educate them? How much money??
  12. TWR

    Aloe for GERD?

    I agree with most of the above but the key word in the article for me was "safe" Ever have a patient that did not get relief from various GERD meds? I would try it off label with explanation to the patient. I am sure it isn't expensive. PS: works really good on burns and sunburns. Why not GERD?? IMHO
  13. Anyone know if a PA can supervise Nuclear testing in a Interventional Cardiology office in Texas?
  14. As A practicing PA for 31 years and now retired for the last 1.5 years I lost my right to vote in the AAPA election. I was politically active most of my career and even after I retired but I could not vote.

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