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quietmedic

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  1. Hey all. I used to do cardiac stress testing, and I was wondering...was that job actually safe? I was doing standard Technetium 99 stress tests all day at that practice, which of course, involves standing next to and in front of patients injected with rest and stress doses of Tc99 for large periods of time. I did my best to keep distance, but as anyone in the field knows, there's a lot of time spent right next to the patient taking pressures, keeping them from falling, running the stress machine, putting electrodes on and off, etc. I could not find any data online, anywhere, about radiation risks to us stress technicians (only articles about the nuclear techs, who arguably might be exposed to far less patient contact). Wondering if anyone had thoughts on it...I did wear a dosimeter badge most of the time, as far as I recall, and nobody ever alerted me to overexposure...however, who knows if they were even reading rhe reports. I don't think I ever saw any personally. I wonder if those are still kept on file? Any other stress PAs here have any thoughts on the matter? Any health risks in particular to watch out for in the future? Thanks all.
  2. So I've recently developed tinnitus, and I'm really concerned that I may no longer be able to work in any field with pediatric patients (UC, Family, etc). When that febrile 4 month old comes in screaming their head off, it just seems like there is no earplug in the world that will block that 120db sound. And I can't exactly come in to work wearing giant aviation earmuffs to deal with Peds. Anyone have to deal with this? A search of "pediatrics" and "tinnitus" oddly came up with no hits, neither here or on other forums. Odd. Do I have to change specialties to one without peds? Feeling pretty shaky about the future. Thanks.
  3. It's even worse! I get a letter every 3 years from an agency claiming to be the DEA, demanding a sum of $1400 or threaten to remove my two state DEA registrations! Oh wait, that's the DEA. It's legally approved.
  4. I think the best one would be: PP - Physicianlike Practitioner It also correlates well to our relationship with some doctor organizations...pronounced: Pee-Pee Or maybe PN - Physicianlike Nonnurse - pronounced Pee-On... -------- In all seriousness, though, something that includes or reassigns the P.A. initials makes the most sense from a let's-get-real, streetwisestandpoint. We have spent decades telling people that there is a thing called "PA," and now we have to try to somehow deprogram all those people...changing just the correlating "expanded" version of the initials seems the most logistically and psychologically sensible. I really like "Medical Practitioner" but telling everyone, every time, "Hi, I'm MP so and so formerly called PA so and so" seems to stretch sensibility.
  5. The best ads, which I see CONSTANTLY, are something like this:
  6. Thank you, I guess that makes sense. With there was a good guidebook on these sorts of medico-legal vagaries for PAs. (Perhaps there is?)
  7. Thanks....sorry, would you be able to explain a bit more? Sorry, just never really learned the medico-legal rules well...I'd look them up, but no clue where to find this sort of question. Isn't the fact that I am a PA set up an expectation of a certain standard of care...and if I fail to act, even at the PCP's express instruction, or a the instruction of my SP (who I assume has a full MD scope of practice regardless of being employed as an "assessment" doc) isn't that a failure to act/dereliction/negligence? Thanks, sorry for what might seem to be simple questions...if you could point to me to the correct medicolegal resource for this, I'd be grateful, if such exists...
  8. That's ultimately the question. Like if I walk in there, and it's a situation that might need more emergent assessment, or needs a full workup, the visit just went from wellness assessment to full emergency room DDX...
  9. Thanks....yeah, it's the home version, I assume they have no other departments...that's my concern, is there a risk of a malpractice suit, if you are a PA but not acting (and not permitted by the company to act) in the scope of a PA...just as an "assessor"...i.e. the patient obviously needs X prescription, but you are told to leave it to the PCP that the patient will be told to follow up with... What might that risk be, I wonder, in light of my concerns about not performing with a full PA scope of practice, and possibly abandoning a patient who needs further care...not even sure who to ask about this stuff....
  10. You made the right move. Unquestionably. A few extra bucks are not worth a career lifetime of explaining things. And that's only if there isn't another lawsuite while oyu are working there. When I first graduated, I was offered a job at some...questionable place, processing no fault cases, for what was 2x the normal starting salary for PAs. Luckily, I followed my gut and said no. If it sounds way too good to be true...there's a reason. Don't even lose a minute's sleep over it...you would have been losing a lot more sleep for a lot longer if you had given in to the allure of the green paper.
  11. Well....this is a comlex question. Complex because...we do not know you. Sometimes it's bum luck. Sometimes it's something about you, personally. Sometimes both. Sometimes neither. I struggled to find work after graduating. It took me about 6 months, and that job lasted for barely three...then I was back on the search again for about five months. Granted, this was when the economy hit bottom. It took me 5 years to get into the field I wanted. Part of it, for me, was lack of connections. I used to be shy, including in PA school, and finished rotations without as much as a business card to call. My fault, for sure. And as time went on, the sadness of not finding work surely bled through during my interviews. It's a difficult thing, to be confident in the face of no experience. That's why I say, without watching you in action, hard to give good advice. Perhaps you are too nervous. Too (understandably) pessimistic. Perhaps this shows though on interviews. Perhaps you need a better, more hip haircut. I don't know. There are a million personality traits and body language signals that send the wrong messages, and this is something you have to explore personally. On the flip side, perhaps you have to learn positivity. When you walk in the room shining, sit down and grill your own interviewer like you own the place, and act like you already have a million bucks, that shines through as well. Perhaps you need to coaching or some CBT type therapy to learn to <fake> unstoppable confidence. Nothing to be ashamed of in that, I'm sure more than a few here have needed to do the same. You have to really examine how you are coming across, and honestly address any deficiencies. You gotta be hard on yourself right now to make this work. Might take some pain, but that's the only way to own up to shortcomings and improve. As I said, none of this may apply to you. I don't know you. In terms of pure job stuff, obviously, you already mentioned...may be worth to start in your hometown to avoid those questions about location. Truth be told, if you are at places that are talking about location and lifestyle (i.e. "near fishing, great schools, outdoors"), those might be the wrong jobs. Those are looking for established providers, family types, ready to settle down. That is not you. You have to aim..lower. Apply to everything. Everything. Don't turn down a job, even if it pays crap and has no benefits. My first two jobs paid practically a bus driver's salary, and the first had no benefits. The second lasted for 3 years at that same bus driver's salary. But that's the way you start. This is not the time to hold out for better. This is the time to be humble, take whatever you can get, and understand you have to "put in your time" the way we all did, in the beginning. You might have a few experiences along the way that you didn't expect, and even change your life. Hope I don't sound too harsh, but recounting to you the precise reality check that I had to endure for years, until the pieces started falling into place.
  12. I was offered a job for home assessments (I assume Mc/Mc type assessments) in NY for geriatric patients not seen in the past year. As I understand, this is for assessment only, no specific interventions. I was trying to figure out if this sort of thing is medico-legally risky (like if there is something that needs nonemergent but urgent treatment, but I am told or required to leave it to the PCP, is that abandonment/failure to act/etc.?) Any general thoughts from those who have done similar jobs? Thanks!
  13. I have not...but still, a lot of money, objectively. And especially for, again, questionable returns.
  14. I'm still waiting for the AAPA to confront the DEA about their outrageous registration fees. Until that happens, I can't think of anything the AAPA could do to benefit my life or practice. Oh, and lower their membership fees a bit. Not all of us work full time or in cheap-lifestyle markets. $295 a year for...not much of anything seems a bit steep.
  15. NYC greater metro area: from 50-65/hour usually. 75 for per diem if you get very lucky.
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