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Joelseff

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Everything posted by Joelseff

  1. Prob means she got taken out to dinner by CNA and not CAPA [emoji2359] Sent from my SM-G975U using Tapatalk
  2. Umm... CAPA!? that's the only "PA Lobbyist Group" in California. At least that can actually do anything. There are 12k PAs in California. I think ~2800 CAPA members and of those members only less than 10% give 25 bucks to the PAC. What gets me is that some of my PA friends here get an allowance from their jobs and won't even join because they never get around to it [emoji2359] no wonder we are losing! But for our little numbers in CAPA there is a fire in the guts of the members and its leadership...i recommend going to CAPA conferences (when the plague is no longer upon us) Sent from my SM
  3. My dad had an osborne 1 (world's first "laptop" that weighed a ton!) and then we got a Commodore 128 one Christmas which was for games. We used to pretend we were David Lightman and type "Logon: Hello Joshua" and go back and forth until we played "Global Thermonuclear War" [emoji23] [emoji23] [emoji23] Ahh the 80s! Sent from my SM-G975U using Tapatalk
  4. War Games? [emoji848] Sent from my SM-G975U using Tapatalk
  5. Lol no worries. [emoji1688] My post was a wake up and post too since I just read the article last night [emoji23] . But I did edit my post to ask (seriously without trying to incite an argument) have you seen young pts with no comorbidities die from COVID? My experience is very limited. And I am genuinely asking out of curiosity. My advice and stance is still social distancing, masks, hand washing if youre at risk then stay home etc... Sent from my SM-G975U using Tapatalk
  6. Hey MediMike, I have no agenda... And will admit I may be reading the data wrong. So I'm glad you chimed in. Perhaps I need to examine the data better. I did see the excess death data but admittedly haven't thoroughly reviewed the weighted data. The influenza and pneumonia were listed in one of the articles I read citing the CDC as "top" comorbidities. Perhaps a my use of "main" is also inappropriate. http://nbc25news.com/news/local/cdc-94-of-covid-19-deaths-had-underlying-medical-conditions Again, I have no agenda just trying to make sense of the recent CDC info about the isolated COV
  7. https://www.ibtimes.com/cdc-finds-only-6-coronavirus-deaths-are-solely-covid-19-3037136 https://www.cdc.gov/nchs/nvss/vsrr/covid_weekly/index.htm While I am NOT denying the fatality of this disease (9000+ deaths are still a lot) but in typically well (no comorbidities, under 65 etc) pts recover pretty well. And this would seem that the data may have been skewed by listing COVID as cause of death though the more probable cause of death was an underlying disease. Anecdotally, a distant family member of mine died in May of lung cancer (she was already in hospice for several months) bu
  8. I actually had one octogenarian pt tell me this very same thing a few years ago! No joke! [emoji23] Sent from my SM-G975U using Tapatalk
  9. This looks interesting but besides the caveat that O'Neal brought up about certain certifying bodies over charging for certificates etc, would this not also potentially INCREASE competition for PAs in the workforce? If there are for example, as in the website states, "primary care technicians" then what will happen to us primary care PAs? (along with the other specialties) It's interesting and theoretically sounds like a good idea, I just don't know how it will play out in practice and concerned it may exacerbate some issues we already have (job competition, perceived legitimacy in the arena
  10. Strict Pain Mgmt or Physiatry? I would avoid a straight Pain Mgmt job but that's just me. My first job out of PA school was Physiatry and while I really enjoyed the non opiate based care and procedures I quit after about 6 months and then went IM (which I'm still doing going on 10 years). It was mostly because the opiate based care was so overwhelming for me. The place was no pill mill but I think that's just the nature of the beast when you are in that field. Nowadays I think there are better regulations and standards of practice in Physiatry and pain medicine. If it is a well regulated p
  11. I hear you but what about Psy. D and Podiatrists? In my old hospital they were called doctor. Sent from my SM-G975U using Tapatalk
  12. Hahaha I remember that song! [emoji3179] Sent from my SM-G975U using Tapatalk
  13. What if I legally change my first name to "Doctor"? [emoji23] [emoji23] [emoji23] Sent from my SM-G975U using Tapatalk
  14. Aw hell Naw! Sent from my SM-G975U using Tapatalk
  15. I can see that but there should be a way to "Certify" them perhaps a sign off by said supervising PA/MD/DO... And totally agree.... No NP supervisors! Sent from my SM-G975U using Tapatalk
  16. Primary Care is collaborative for us if we need it to be but you just got into a bad situation IMHO. I would suppose surgical specialties you would be more supervised. I did GI for 2 years and it was collaborative for sure. Just too narrow for me since I have been in primary care/IM most of my career. On your next interview, make sure you ask about the level of autonomy expected of you and how much collaboration/supervision you would like to have. At this point in your career do not sweat supervision, welcome it! For the benefit of your patients and for your own sanity. Sent from my SM-G975
  17. Totally agree with@Cideous... I have always thought and said that we shouldn't have independent practice as PAs (or whatever we are called in the future) right out the gate... I have taught my PA and NP students that they should treat their first job in their chosen specialty as an informal residency for 3-5 years. And they should not take a job like OP mentions where the new APP is put in a position where there is no second set of eyes or a senior medical brain to pick. Edit: I DO SUPPORT independent practice after 3-5 years of practice AND demonstrable ability to practice independently
  18. You're independent in your first year?!? [emoji15][emoji15][emoji15] Sent from my SM-G975U using Tapatalk
  19. And help pay for their BMW car allowances and expense accounts... Sent from my SM-G975U using Tapatalk
  20. Sounds like you need to learn self defense techniques... You should call this guy! Sent from my SM-G975U using Tapatalk
  21. Well 17k in 1965 is equivalent to 139k now adjusted for inflation. 55-65/hr is 104k-135k so it looks like we lost money... Sent from my SM-G975U using Tapatalk
  22. I agree with the article that had COVID hit in the days before vents and modern medicine it would have been much more catastrophic and I still think it could've been much worse. Thanks for sharing that. Sent from my SM-G975U using Tapatalk
  23. I remember at the beginning, can't recall the source CDC maybe?, but I remember someone making a distinction between viral infection and COVID 19 as "the disease that SARSCOV2 causes" which was characterized by Fever, cough, SOB, CP and then they added anosmia and dysgeusia a bit later and that impressed upon me a distinction between viral infection and actual "COVID" cases. I must admit I was actually on disability and wasn't practicing at the time so I was just getting articles and of course the ever confusing and contradictory news media sources.... I suppose you are correct in that we do
  24. I have been calculating CFR since this kicked off. There was a point in early June or late may I thought this was going to hit above 7% but since we have had an increase in CASES, there has been a steady drop in CFR. Today it's around 3.1%. That's bad but I think the glass half full view is it could have been worse (may still get worse seeing as Flu season is coming... My question though is what are we classifying as COVID cases... In HIV, HIV is the virus while AIDS is the end stage (well once end stage) disease. And we have specific criteria for the diagnosis of the disease because not eve
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