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rev ronin

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rev ronin last won the day on September 21

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About rev ronin

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    Physician Assistant

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  1. At 30 hours per week, yeah, that does seem steep. I know NY is screwy, but I can't see that being a real PA salary for a 0.75 FTE.
  2. Yeah, I agree "medical examinations" are iffy, but health assessments like a PHQ-9 are done by my MAs all the time. Treatment coordination can mean tracking down referrals which again is a core front office MA job duty. I'm more inclined to believe the job descriptions are wrong than the salary is.
  3. I would treat it like a "HIPAA says..." statement. That is, almost certainly some combination of intentional falsehood, accidental falsehood, and laziness on the part of the person making the statement.
  4. SOUNDS like an MA position from the first part of the description...
  5. Sorry if I missed some nuance here, but elections are related to PA professional issues... how? I'm being a bit facetious here, but I think it's a step too far to drag in EVERY SINGLE R vs. D or left vs. right issue into a discussion of Covid, so please get back to arguing about how the current administration has or has not botched the response and whether this is or is not a disaster, instead of how we vote. That work?
  6. Wow... that's even closer to home. I'm so sorry you went through that! Before doing anything else, I would have all the evidence reviewed by someone else more knowledgeable than me: is there any reasonable way this is a series of mistakes--anchoring, tunnel vision, and whatnot--rather than intentional falsehood? If there is, I'd formally inform the OB/GYN of their incorrect statements, through a letter if possible because I wouldn't trust myself to do it dispassionately enough when it's my own dead baby in focus. But if no one else can see it as an error, only possibility being an intentional falsehood... I think something needs to happen. It sounds like you have ample evidence of material medical misstatements to file a board complaint, which would likely result (in my state) in mandated CME, ethics training, and a modest fine: no one's life is going to be ruined if the complaint is made and sustained, but it would be a big black eye. You know what you're seeing. Does this OB/GYN even realize you're a PA? Think of all the people this OB/GYN has lied to... I'm sure it's possible that you're the only ones ever, but let's be realistic: liars lie. It's likely a pattern that has been going on for some time, and quite possibly in ways that have worse overall effects on the affected families than yours. Maybe no one has been seriously hurt yet and a board complaint is just the thing to provide an ethics wake-up call. Maybe someone has, and a board investigation will uncover a pattern of worse issues, that have truly harmed families. So, I guess what I'm advocating is a mix of Just Culture, and an understood or implied ethical obligation to the other patients who may have been affected by this provider, either making inexcusable mistakes or telling falsehoods. If you haven't seen this before, I'd recommend it. p. 30 is the one-page flowchart. https://slideplayer.com/slide/10484932/
  7. I have done sleep medicine via telemedicine, but not fully remote. Works at least as well as other telemedicine visits do. In my case, I helped *start* the sleep center in question, so they know I know what I'm doing--they're not likely to just hire a random PA to do telemed sleep medicine fully remotely. Just like all my other remote work, I started physical before Covid, and we flipped to Telemedicine in part or in whole when it hit.
  8. So, do you have a patient/provider relationship with this patient? If not, you might have a cause to approach the other provider and confront him/her, but I'm going to proceed on the assumption that this is your patient, because it fits the info you gave, and it gives me reason to comment further. 1) You owe your patient the truth as you see it. Lying by omission may violate beneficence, non-maleficence, or probably both: there is no way stating a diagnosis contrary to evidence is in the patient's own best interest. Now, you don't need to throw the other provider under the bus right away, but you can say. "He said you have anemia? [to continue with the fake example] That's odd, because the CBCs on dates X, Y, and Z are all normal. I'm not sure what he was thinking, but I can't see how that can be correct." Best outcome is if the lying provider corrects the lie. 2) If they can't trust this other provider to explain the truth, you owe a referral to someone unrelated to the probably dishonest provider to clarify the truth for them. 3) You may have an internal duty to report dishonesty. You may have a duty to report dishonesty to the medical board. You may have a duty to report insurance fraud. But in my mind, those are all secondary to your obligation to find the truth for your patient, and I would consider getting all the facts together and talking with YOUR boss about what your obligations are. Of course, if they say, "don't report it" and you think you need to, you need to do so regardless of consequences, so if and when it does come to light, you may need a new job and a whistleblower attorney, and/or be functionally blackballed.
  9. The challenge of working such gigs is just that: when they desparately need you, you're usually working elsewhere. I find that it's easy enough to cover for scheduled vacations, but hard to cover for sick providers. It's a lot less traumatic to quit a part time job, and a lot less ego involved in going back to one if it makes sense.
  10. I concur; I know of no PA programs, affiliated with a DO school or not, that teach OMM to PA students.
  11. I've written an LOR for a just-retired O-5 aviator who's applying to PA school this year. So yeah, doing both is possible.
  12. If this ISN'T the case, then we are well and truly screwed. I happen to agree that we're not: Covid precautions SHOULD severely impair influenza transmission.
  13. Remdesevir's cost/benefit equation renders it pointless. Convalescent plasma looks far more effective, but very difficult to scale. I think furloughing PAs was a bad idea, and I think that most places are going to want to NOT stop elective procedures, because that hits them in the pocketbook. I expect as much as possible will be virtual rather than in person, but with reimbursement parity, that's not such a bad thing. Vaccines? We'll see what the rapidly-rushed-multi-pronged-phase-3 trials show. I honestly have no idea which way this is legitimately going to go.
  14. The sidelining of CDC in Covid-19 world has been inexcusable. This is their raison d'etre.
  15. I really thought this did good job of summarizing where we are this week: https://zdoggmd.com/jay-bhattacharya/
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