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Joelseff

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Everything posted by Joelseff

  1. Our title is "Assistant" so we can't get legislation to give us independence... We need to change our title then go after independence. Some ppl in the huddle hanging onto "Associate" and some are still saying we don't need the title change at all and just push OTP... They still don't see why we need to detach from physicians or any other profession. To the OP... Sorry this is happening to you. I've thought about this scenario many times. One of my best friend's SP died a few years ago and she was unable to work until another SP picked her up and he was terrible to her. We ar
  2. I got no shame either in saying "I don't know but let me find out." been practicing only 10 years (mostly Primary care and HIV, did 2 years in GI, moonlit in UC for a year and 6 mos in PM&R) but in that ten years my yelp and Google scores are near 5 stars (some have complained about our billing dept and knocked me down to 4.8 ) press ganeys are high 90s and at my last primary care job at a hospital based IPA setting I was ranked 5 out of 66 ambulatory care providers (Docs and APPs... only APP in the top 20) so if it's detrimental to say "I don't know" or "let me check on that" it hasn't a
  3. Agreed! Give more if you can! Question... Tardive Dyskinesia changed names? J/K... What the heck is a TD?
  4. I have heard this only through the grapevine. I would like a source as well...
  5. I was offered a job at my local VA (I'm a disabled vet also) 2 years ago in the Neuro dept. Pay kinda sucked so I declined. Payscales at the VA heavily favor NPs but recently a pay equality policy was adopted by the VA to pay both PAs and NPs the same (it's still pretty low in my opinion) but I was told by their HR that "it is up to each VA facility to adopt the policy" but by 2021 (IIRC) all facilities should have it adopted. With the news of possible FPA for us at the VA, I might look into a job there again.
  6. https://www.aapa.org/news-central/2020/11/va-establishes-path-to-adopt-full-practice-authority-for-pas/?utm_source=linkedin&utm_medium=aapa_post&utm_campaign=news_central I think it's still subject to state laws and regs but this is good news methinks.... Furthermore, they used an NP win to our advantage!
  7. 'bout damn time! We need to separate from NPs and stop being "lumped in" as you put it with them. When they started calling us APPs (WTH does advanced practice mean anyway?) it seemed to be a unifying term but only seemed to help one half of the APPs... The NPs. This has put PAs in a strategic disadvantage given their numbers and it only helped to serve the NP agenda. The NP/PA relationship (legislative speaking) is a parasitic relationship and now that the NPs have overtaken us in almost half of the country, they no longer need the relationship. They benefited, we suffered/continue to suffer.
  8. I agree. And there is "good news" if we can call it that regarding a disease that has killed 1MM lives but the CFR in America is much lower now at 2.7%, which is still very high but continues to drop, than the 6% we had in June despite reports of increased cases. The optimist in me is looking forward to a viable and effective vaccine, the pessimist is saying we all finna die and the realist in me is saying, it is really bad and we have/will have lost many people in the end, but this isn't the end of the human race... Sent from my SM-G975U using Tapatalk
  9. [emoji23] I guess so... But much better recovery (4-5x is much better than a half day faster with Tamiflu) and from a deadlier disease with longer sequelae. If my insurance covered it and I got COVID I would want it. I may still die though... [emoji17] Sent from my SM-G975U using Tapatalk
  10. There was a f/u article on remdesivir where a UCSF doc was quoted stating this conclusion was inappropriate since the study's end point was mortality reduction when the largest study was supporting remdesivir reducing hospitalization and convalescent times not mortality reduction. So remdesivir may not reduce (or will not reduce) mortality but will reduce convalescent times... I tried to find the article... I'll edit and post it when I find it. Edit found it! https://www.google.com/amp/s/www.sfchronicle.com/health/amp/Study-says-popular-COVID-drug-remdesivir-is-not-15654316.php Here's a
  11. I always use my office/practice address... U can do it by logging onto breeze.ca.gov and change your profile or calling the PA Board directly. Sent from my SM-G975U using Tapatalk
  12. Happy PA week to you all! Sent from my SM-G975U using Tapatalk
  13. Always listen to your Nana! But yeah I'm at a small private primary care practice and seeing the uptick in depression like complaints. I think a lot of ppl have cabin fever. Nothing major in my practice and my chronic MDDers are doing pretty well... Sent from my SM-G975U using Tapatalk
  14. From CAPA about AB890: "WHAT DOES AB 890 ACTUALLY DO FOR NPs? • Creates a new NP-specific Advisory Committee under the Board of Registered Nursing. • Requires that an NP verbally inform new patients that they are not a physician. • After certain additional education and experience (4,600 hours) requirements are met, allows NPs practicing alongside physicians to do so without “standardized procedures.” (“Standardized procedures” refers to specific protocols governing NP practice). • After 2023, if an NP has been issued a certification from the Board of Registered Nursing, and met education
  15. I emailed them and crickets... Not even a link to that statement! I guess they're tired of hearing from me... All California PAs NEEDS TO GIVE TO THE PAC! and JOIN FREAKING CAPA! Even then we are outnumbered! But we can be more persistent and tenacious! [emoji34] Sent from my SM-G975U using Tapatalk
  16. Nothing as of yet... https://www.google.com/amp/s/losangeles.cbslocal.com/2020/09/27/ab-890-nurse-practitioner-physician-oversight/amp/ Sent from my SM-G975U using Tapatalk
  17. Just did an ER f/u on a pt of mine. She was sent to ED by me for AMS and possible stroke. I spoke with the ED doc... I told him I was "the PA" at my office. In the note I was referred to as "The primary care NP" and "the PA" in so many sections of the report and even in the same paragraph. [emoji2359] Sent from my SM-G975U using Tapatalk
  18. I listened to that when it came out. I think (at least I hope so) we all as clinicians, when we question the status quo with a health issue, it shouldn't be met as a challenge to a political or personal more, rather a scientific objection or even curiosity about a topic or aspect of it. I think Bhattacharya represents that well and he was even villified by BOTH sides of the COVID issue. Fauci caught similar flak but mostly from the one side. I find these days people are on hair triggers when it comes to what they have made up their minds to, be it from personal anecdotal experience or from a
  19. Bet it's an MA position [emoji2359] Sent from my SM-G975U using Tapatalk
  20. Yeah I got this in my LinkedIn job SUGGESTIONS! [emoji2359] We need a name change YESTERDAY!!! Sent from my SM-G975U using Tapatalk
  21. I agree with much of what you said but I think the incentive to help us is low on the Physicians' list of concerns. I think we need to cozy up to the lawmakers. I agree with you that we don't need to water down our standards at all to keep us on the "right side" as you say because our training is and should always be our strength. Problem is, the NPs outpace us in proliferation of our profession. And I don't think application to PA school has gone down either. I think our model is attractive to those who do seek to become a Practitioner of medicine. I think the "fix" if there really is one, wo
  22. We've tried asking "big brother" (MD/DO) to fight the school yard bully before too... They held their own for the last several years but THIS YEAR... they got punched in the mowff! Who do you think has been fighting NPs In California the past few decades about their independence? It wasn't us. The docs don't want them to have independence but they don't want us to have it either. Just by the numbers in California: Physicians=60k NPs=23k PAs=12k BUT...NPs are backed by the CNA legislatively which includes 80k nurses and they have done an EXCELLENT job of selling to the public that they ar
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