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lov2xlr8

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About lov2xlr8

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  1. Late reply... agree with most of above, never benzo's with the one exception of if there agitation is from benzo withdrawal (happens quite often, not always apparent, ask family if there 90 year old friend Sally is lending them some Ambien or Xanax). Haldol is good, I often go to Zyprexa first (similar, 2nd gen antipsychotic), cleaner just check a QTc (goes for most of these), rare but you don't want to be the Torsades case report. Oral/IM preferred, IV ugh, never with benzo (cardiac collapse per box warnings). Trazodone is great if given early, buspirone has no QTc prolonging effects and I've given it a few times with mixed results. Never benadryl. As mentioned above be careful with LBD, Parkinons patients and dopamine blockade. Remember to not always chalk it up to dementia, due diligence and rule out organic etiologies, your day team will give you a gold star.
  2. Hi, since no takers... this is not at all comprehensive - if it's a teaching hospital get a copy of there Resident Handbook and read it, attend Grand Rounds if you can (not high yield stuff usually but will get you thinking - most of the big teaching hospitals might have a summer series for interns that is high yield) - fluid status learn it early, important for heart, kidney, lungs everything, not just heart failure, bonus if you can get some ultrasound/POCUS training - anticoagulation, when to use what - opioids and pain med adjuncts (sadly, more and more what Hospital Medicine is becoming) - try and schedule weekly, bi-weekly whatever talks with Hospitalists and pick a topic to go over, present to them and let them fill in the blanks, give you real world cases - ask to be critiqued hard, it will make you better, especially on the H&P/exam and presenting a case - Stanford antibiotic guide https://errolozdalga.com/medicine/pages/OtherPages/AntibioticReview.ChanuRhee.html Again, just me rattling off my day to day, I do mostly Stepdown now and this goes for that too. Cheers!
  3. Hi, welcome, first job out of school I presume? The 6 month fellowship should be good, you'll learn a ton, steep learning curve, you should be getting full salary. Ultimately, 6 months is not long enough to be covering autonomously though. Rural hospital? What's your backup like? Phone? In-hospital? Who backs you up for emergent procedures (some can't wait until the morning and I'd be surprised if you're proficient in 6 months in paras/thoras/LP's/lines). Is there an intensivist in the ICU who will help? Responsible for just floor coverage or also admitting from ED?
  4. This... I'm at a major academic center working on a PA-run Hospitalist service, after 7 years I've established a great working relationship and trust with the attendings; do my own admits and will usually run them by the Hospitalist the next day unless they're sick in which case sooner (but usually over the phone, not necessarily needing them to see the Pt). Attendings do need to approve discharges and have to see the Pt at least once before DC'ing. Do most of my own procedures (and teach the new Hospitalists), thora's/para's/LP's/lines. Most I know are in similar positions, but as stated above more rural locations allow for greater autonomy/solo coverage, etc...
  5. didactic year we were business casual only if we had an event or sim model; if just lectures none which I thought was great, it's PA school, an extra 5 minutes in the morning meant a lot to me, I was often decked out in basketball shorts and a tee. I lecture now and could care less when I walk in and students look they just rolled OOB, brings back good (and awful memories).
  6. Lots of jobs both in NYC and out on the island, you'll make connections in school (I assume you're going to school in NY?) and oftentimes find your first job that way. Search the forums and you'll find lots of NY specific threads. Ultimately, lots of jobs, pay is above average (despite what you'll read here, the pay is good, when you factor in cost of living is when you realize it's not so great) and it's a great place to learn before moving to the burbs (or for me, hopefully back home to FL in the next few years :-)).
  7. Yup, all above, "my name is Lov2xlr8, one of the Internal Medicine PAs, I'll be working with the Orthopedics team to manage your existing medical problems (I cover sick Ortho stepdown Pt's that Ortho doesnt want to manage). Additionally, I sat in an ER with a buddy last week and confirmed another big one I've always thought (and always try to do). Sit down with the Pt! Eye level. This isn't always possible but sure enough, my friend commented the provider he most trusted was the PA who took a chair and sat down with us.
  8. Location, location, location... where is this offer? Does seem low just about anywhere though, I started as a Hospitalist PA, 3 12's a week, paid hourly (so if I stayed over I got paid) with great benefits @ 78k, this was 8 years ago. This in NYC.
  9. On a Hospitalist service where business casual is the code, but the last 3 years I've been on random pilots (currently in the ER starting up a transition unit) and my one requirement is scrubs (took that over a small raise even), hate the thought of going back to real world dress. I have a white coat collecting dust in my locker that I'll wear once a year to a department meeting (my chief and Attendings aren't fooled... but don't really care either).
  10. Will your loans be federal? I graduated with about $150k in debt, mostly federal which means I qualified for income based repayment saying I only need repay 15% of my salary a year back to loans (now it's 10% IIRC for new grads). On top of that, I work at a not for profit so those loans are all forgiven after 10 years (and not looked at as income when they are so I won't be taxed on it). In 5 years, I'll be debt free. Kinda limits you to only not-for-profits, but I'm fine with that. Since graduating, I've lived a good life, still travel a ton and this with living in the highest cost of living area in the country (I think, maybe 2nd), disclaimer however, not married and no kids.
  11. Your stats look good, with some more HCE hours and PA shadowing, you should be good. Also, plenty of good schools don't require GRE (unless this has changed) so unless you're set on a school in particular, you might be OK not taking it.
  12. 6-12.5's/2 weeks... as in I can do 4 one week and 2 the next, 3 and 3, etc... great for vacation time as sometimes I can frontload one pay period and back load the next essentially getting 10 or 11 off in a row without taking a vacation day... grass is always greener though, 13h shifts wear on you after a while
  13. Love, all you need is love (except from the chief of OB at your massive teaching hospital,they will never love you... nor will the RN's)
  14. When I'm covering Gen Med: chest pain (ranging from x2 hours to x2 years) and "I ran out of Dilaudid... and am visiting from out of town so can't see my PMD back home who's name I forget (this is usually followed by the reason they're here, often taking care of sick family member)" And covering stepdown: respiratory failure (usually hypoxic and 2/2 a number of things) And guess which one I like more!?
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