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thinkertdm

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thinkertdm last won the day on February 26

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About thinkertdm

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    Physician Assistant

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  1. For profit medical groups and hospitals exist for one reason only- to make the money. Specifically, to make the shareholders money. Medical directors and management is there to maximize profit. They aren't there for you and they sure as hell aren't there for "healthcare". Why do you think they ran out of ppe? Because they had to pay rent on storage of items they felt they wouldn't need, and then relied on a "just in time" delivery system which also failed under stress. Zero of your management led from the front; they "worked from home" with their charts and graphs. Healthcare simply can't be turned into a henry ford production line.
  2. And I thought I was king of the world when I typed: 10 print “hello world” 20 goto 10 on my grandparents tandy. Hats off to you my friend.
  3. Wargames, actually. Incidentally (and I’m sure no one cares) growing up I had a Xerox computer with 8 inch floppies. It sounded like a lawn mower when it started up. Xerox 820
  4. In many states, an NP, with less linical training, could do it. An RN, even.
  5. When I was there, they sold themselves as a “small start up” founded by a guy who helped (or created, I can’t remember) epocrates. Primarily based in San Francisco. The office atmosphere was very collegial, and there was no “I’m a doc so this is what goes” attitude; you are the patients pcp. Primary patient base is young urban professionals, at least when I was there. They are looking for open minded, friendly, people who use evidence based medicine. Who are willing to learn new things.
  6. I was very excited to give my info to a recruiter, he was very optimistic about my fit and said he’d get back to me. Five years later, I’m still waiting.
  7. Yup. I get called “doc” all the time, as these guys call the people who patch them back up “doc”. Corpsman, medic, doc...all get “doc”. Better than “bones” I guess. It does get me bit when I’m called “that PA” in their correspondence, because I do have a name. But meh, don’t lose sleep about it.
  8. My predecessor at the va strolled around and made her fellow pact members call her “dr”. She was universally hated by both the staff and the patients, mostly because her skills were not “dr”.
  9. Any port in a storm. And you don’t want to lose to your cat to chew on your shoes for food.
  10. Nope. Didn’t before, and definitely not now. Too many “sore throats x 1 hour” made me realize the science comprehension of the average person is less than my Maltese dog. Im pretty much hunkered down in our house. Haven’t been to a store in months, and frankly, my life is better for it. i do get the (actually pretty rare) patient at work who whines about not getting seen in person for their “6 month”, which are pretty much “how are you? Any changes? No?”. Most people are understanding, and if they need to get seen, we’ll arrange it. Otherwise, they will get a lecture from me about putting my team and their fellow vets at risk for essentially nothing.
  11. “This is the song that never ends.Yes, it goes on and on, my friends.Some people started singing it, not knowing what it was,And they'll continue singing it forever just because... ...this is the song that never ends.Yes, it goes on and on, my friends.Some people started singing it, not knowing what it was,And they'll continue singing it forever just because...”
  12. I am also a physician assistant. The name would indicate one who “assists a physician”, much like a “door knocker” knocks on a door, or a “stop light” is a light that means stop”. In our profession, clarity in thought and speech are the tools we use. Using a label incorrectly confers confusion and a sense that we don’t really know what we are talking about, which we absolutely do. We don’t call an ekg tracing the “heart sheet”, and we shouldn’t be referred to as anyone’s “assistant “. So, it’s not about esteem issues. It’s about showing that we have the tools to treat patients appropriately, which we can’t do when we are bearing a title that is not appropriate in itself. So if the mechanic who fixes my car introduces himself as the “shop gofer”, I wouldn’t say, eh, it’s ok, it’s just esteem issues. I would say “ok, go fer the real mechanic”.
  13. I had three people yesterday ask when they were going to see the doctor. I told them that I was the only one on site, an md was starting in two weeks, they were more than welcome to wait. I have plenty of patients who are actually happy with my care, many of them followed me from another clinic. It was a bit disheartening because I feel like I’m wasting my time.
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