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narcan last won the day on February 17

narcan had the most liked content!

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About narcan

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    Physician Assistant

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  1. Marino: ICU Book Owens: Ventilator Book Farkas: Internet Book of Critical Care (www.pulmcrit.org)
  2. Wow...definitely didn't read that closely. My mistake. Deleting out of shame. Then I say go for it. You'll learn plenty on the job. EM:RAP is a good podcast. Bouncebacks is a great book. Know what you don't know.
  3. Can you be more specific? Changing your pay and/or responsibilities is a lot different than not paying for parking or changing access to the physician lounge. Like others have said, would definitely talk to an attorney regarding your obligations and if this truly was breach of contract. You don't burn bridges by supporting your immediate supervisor and co-workers. That means not leaving them out to dry generally, so working for 3 months past giving notice if that's the standard. You're going to want/need references from these people.
  4. Is your end goal to be a physician or to be a physician in the military? In either case, not sure why'd you try to go to PA school first.
  5. I view a "good" raise as 10-15% and a great raise as 15-25%, so somewhere in there would be an off-the-cuff answer. But if you have friends in the same organization who are also in an adminstrative role, consider asking them how their compensation changed. You can also ask for comp-time to be built-in, so additional hours you work covering providers who are sick or doing extra admin work outside of 40 hours generates PTO for you somehow.
  6. The larger the organization, the less strongly I would feel about it, i.e. an academic center probably is complying with all regulations and they're not likely to adjust the contract anyway. Small groups or private practices definitely need to be looked at by an attorney.
  7. The advantage to low volume is that the docs actually have time to teach. If you're constantly just trying to keep your heads above water seeing everyone coming through the door, you'll inevitably end up seeing what you're comfortable seeing, i.e. the low acuity patients, and the docs won't have time to help you learn procedures, talk through cases, etc.
  8. Clarify if you don't have access to the 401K as in you can't contribute your own money, or it simply means they won't contribute or match until a year in. Most places contribute from the jump, but you often aren't vested (meaning their money is theirs) until 1-5 years.
  9. Sounds like it would fall under "several liability", and yes, it should be a thing. If it hasn't been tried by a plantiff's attorney, I'd be curious if it just hasn't been considered or if the juice isn't worth the squeeze, i.e. it's a lot easier to win a judgment or settlement from an individual practitioner than from a large corporation with large corporate resources. https://www.alllaw.com/articles/nolo/medical-malpractice/multiple-parties-liable.html
  10. Do you guys recommend having your own policy if provided by your employer? I ask for those of us who have switched jobs over time.
  11. I definitely agree there is a space for this. Check out Dr. Peter Attia for a lot of interesting, nerdy information on body optimization. I would assume find an MD who's in the same community, e.g. crossfit, triathalons, etc. My friends who practice independently pay their SP a flat annual fee for services but depending on the requirements of Washington, if they have to review a certain number of charts or see certain patients, then you could have a sliding scale somehow. Keep us informed. Feel free to message me.
  12. Had another tPA gone bad case this week. 82 yof, relatively healthy, with NIHSS of 5 and given tPA. 3 hours later when she gets to my ICU, she acutely developed right hemiplegia. Massive left hemispheric ICH. Discussed with the neurointensivist at our referral hospital who recommended against TXA, so we just gave a 10-pack of cryo. I did find this review by EMRA that at least talks about all of the options while admitting there is no data for any of it: https://www.emra.org/emresident/article/management-of-post-tpa-intracerebral-hemorrhage/
  13. It took me about 8 weeks if I recall. More frustrating than other states I've dealt with. Make sure to call and follow up with them. My initial application was missing something, and no one told me until I called a week later to check on it.
  14. Does anyone else not object to the name "physician extender"?
  15. I just followed up. Family transitioned to comfort care given fairly devastating neuro prognosis and underlying comorbidities.
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