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  1. http://www.inlander.com/spokane/a-new-approach/Content?oid=2260498 What's interesting is how they make sure to note how NP autonomous clinics have no connection with Medical Doctors, but PA run clinics do. Very good point.
  2. Well, our organization has a satellite clinic with a NP Office Director and I found her in a few mistakes on my first day filling in there for a few gaps, which she did not take well at all. She nastily berated me on patho and diagnostics until I opened Current and showed her what correct procedure was. She huffily said, "what book is this", I looked down at her, said "it's yours" and put it back on her shelf. I don't think she's ever opened it in her life while mine is tearing apart due to so much use. Here, let me help you take your foot out of your mouth. She even had the nerve to refer to me as 'her PA." I just stared at her in disbelief, thinking, 'sorry, did I miss something somewhere, have you gone to Medical School somewhere?' I'm a Physician Associate/Assistant, not a NP Associate/Assistant. I brought all these points up to the CEO and guess who they turned around and hired to work there ... a longtime PA with loads of hospital experience, her resume shreds mine to pieces. That's gonna be sommmme fireworks! All in the best interests of patients and life is learning for everyone so as long as patient care remains the top priority then we'll be fine. Not sure about her but whatever. Hopefully the female thing will be good between the two of them and they'll become a strong team. Pretty sure who the Office Manager is going to be tho and that's probably going to be such an ego pop that they'll end up having to hire a second provider. Who knows, we'll see. As to that job ad, it might be due to the PA going on the MD/DOs malpractice while the NP might have to pay for their own, just a thought.
  3. i've taken both psych stats 1 and 2 and biostats. apa-style shredder here.
  4. yup, knocked out acls and pals this weekend, have a rutgers pance/panre review course to finish up then i'll grab that em boot camp course (THANK YOU kbarro, that is so perfect for me) and fill in with some freebies. gonna be a busy few weeks. here goes! thanks everybody.
  5. I've got less than a thousand dollars left of my fifteen hundred allowance and trust me that I'm just thankful to finally have landed with an employer who is decent and covering the fees. That being said ... 4 weeks. Needs to be Category I and by all graces of God, online. Any tips?
  6. just started a clinic which is about an hour from town and it turns out that wow ... this is rural medicine lol. i worked solo last Friday and took a bolt out of a leg and rearticulated a shoulder. it's a very small community where ive been placed, about two to 400 people spread out over a very large region. many are 'off the grid', it's all loggers and growers. went to the hunting raffle last night (you shoot your dinner here) and church this morning where all 25 attendees insisted on hugging me. signed a 5 year contract. town is a burger trailer and a post office with 200 PO boxes. and a meat shop connected with a small bar. all local grass fed meat. hunting, fishing, pulling rods out of people ... i'm home. time to brush on some atls, it seems, altho half the clinic is ems.
  7. Migraineurs who visit the ER for headache are often given opiates simply due to time constraints as well as issues of laziness. Basically, the headaches get them hooked to the point where they end up returning either for the headache or craving/pain from withdrawal. I remember on my ER rotation, the PA gave Dilaudid to a patient who was swinging her legs in my testing of her "bad back" and smiling and laughing while she talked. The PA gave her Dilaudid. I asked her why she did that. "Oh, it's the holidays" (with a lighthearted laugh). Providers like that simply. Do. Not. Get. It. They have no idea of the potency of these medications or their dependency and abuse issues. I personally was given Dilaudid once in the ER for severe pain related to kidney stones (BP was 220/140, diaphoretic, vomiting, could barely make it into the rig) and so I know first-hand of the relief that is available from that drug. But for headache or smiling and laughing "back pain"? HELL. NO.
  8. Hello and thank you for sharing your story, I know that took a lot energy and thought to put together and I commend you for your candidacy and honesty. I'm also glad that you've found a natural medication that works for you, especially in place of substances which can have much higher potential for dependency issues as well as damage to the body with long term use. Public attitude towards marijuana is changing such as can be seen with full legalization now in WA and CO, with AK putting it on their upcoming ballot. That's all fine and dandy but my main concern is there being a pervasive forgetfulness regarding the medicinal properties of the cannabis herb. Sure, we all recommend it to people who have loss of appetite from cancer but now they are finding huge results as remedy for other pathologies. http://www.physicianassistantforum.com/forums/showthread.php/38773-medical-marijuana-for-Dravet-s-syndrome?highlight=marijuana http://www.physicianassistantforum.com/forums/showthread.php/39849-Marijuana-users-have-better-blood-sugar-control?highlight=marijuana http://www.physicianassistantforum.com/forums/showthread.php/38310-Family-uses-pot-to-mange-kid-s-autism?highlight=marijuana A good friend of mine is a MD/ND, he would understand and is one of the Docs who will justifiably write a recommendation for medical marijuana based on symptoms. Many Doctors who are up to date and free from dogma will do the same. However, your average Doc or PA Program Faculty may not be as understanding. Most important to remember is that a PA or other provider has their DEA from just that ... the DEA. The DEA still classifies the plant as Schedule I and until that changes, my advice to you would be thus. Remember that you could be tested at any time ... in your healthcare experience leading up to PA school application, during your PA Clinical Rotations (I was tested on only one, Ob/Gyn) and in employment after that. And that's the final point, the 'after that' ... you would have to find an employer that understands or that simply does not test. I for a while worked in a region where marijuana was widely accepted and so I assume that's the reason why they state on their application that they do not do drug testing lol. That being said, it's going to be up to you to find a position that works for you, if and when you graduate, but until then it will be in your interests to abstain and make it through without once you reach the point where it could potentially start becoming an issue. Best of luck and welcome.
  9. Wow, remind me never to ever send a patient to you. Your lack of compassion is staggering. Society has created lepers of certain groups and I would say that same society has an obligation to help repair that effect. It's your choice to disagree, but again, I would not send patients to you, no matter who or what they were. Speaking of want, you have a lot to learn about nicotine addiction, apparently, as nicotine is the most addictive chemical known to our species along with morphine, only surpassed by heroin. Do you speak to all smokers this way, or just the ones with different sexual orientation? You have a lot to learn about addiction issues, apparently. Further, your blatant disregard for ANYone with self-worth or self-esteem issues needs a serious second look, imo. What a sadly cruel post from someone I up until now had respected as a colleague. I definitely would not want you seeing a single Psych patient. Environmental factors can have a profound impact on development of depression. Orientation. Is. Not. A. Choice. http://www.sciencedaily.com/releases/2008/06/080617151845.htm But guess what, how we treat people is.
  10. isn't that the truth? most people think of SF as being the gateway to OR lol
  11. Santa Cruz/San Francisco is actually more like Northern Central, to tell you the truth, as it's a 6 hour drive from SF to Humboldt.
  12. fresno is definitely the headcheese of ca, worst air quality too, i believe. but i hear they have a great mall. i never saw it, only a strip of hwy running by countless shacks of homeless individuals and i do mean countless. ah well, life exists in its forms as it does. maybe someone can go there and help clean things up a bit.
  13. lol We had a pt swab positive for e. coli in her nostril yesterday ... I said what, does she pick her butt and then pick her nose? laughter. seriously tho, it can reside there, always good to be mindful of these things in the surgical environment.
  14. Yup, but access to the subscriber list would be impossible so we'd have to somehow start a survey asking the general public that subscribed to the magazine. It could be started on Facebook. For that matter, they may already have a public Fb page where we could inquire of subscribers. It might give a statistically significant number, if enough were willing to answer a brief survey. Oh look: https://www.facebook.com/parentsmagazine
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