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swooshie1

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About swooshie1

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    Physician Assistant

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  1. Thanks for clarifying that it was an "opinion piece" - good to know.
  2. Calories burned according to macronutrient type depends largely on intensity of exercise. Higher intensity exercise, while using a higher PERCENTAGE of carbohydrate stores, also results in a higher total caloric expenditure. One's body becomes more adept at using fat as an energy source at all intensities as one develops endurance and becomes more aerobically trained. And actually, the studies do not bear out the belief that exercise is the key to weight loss, for reasons stated above: it's too easy to over-consume. It's much too easy to overestimate calories expended and underestimate calories consumed.
  3. Have you thought about doing locums work ? Seems like that would allow you options to check out locations / sites etc that are of interest to you without making a significant upheaval / commitment right off the bat. Plus, I think that a lot of locums jobs can turn into permanent if the chemistry works. ?? just a thought !
  4. Hell no to 70K. Truly rural gigs tend to require management of complex co-morbid patients who, in a higher population location, would be co-managed by "specialty" care. Remember that in rural medicine there is often: a) no specialist access within reasonable travel distance for your patients, or, b): the specialists within reasonable distance are so far and few between that the wait to be seen is 3+ months. You may be largely responsible for managing all of this. e.g, think: psychiatry, nephro, cards, neuro, GI, etc etc. It can be incredibly stressful. If you are going to have to significantly manage patients in these areas that alone should bump your pay up significantly, easily over 100K. Find out from this practice how this type of thing is handled. Good luck!
  5. At our clinic (rural California) all mid-levels have delegation agreements with EVERY doc in our clinic. works very well for cross-coverage needs, or when a doc decides to leave the clinic, etc. might be a solution for you, I agree, talk to practice owner or whoever is at the top of the ladder.
  6. by "your own office" do you really mean "your own work space?" if not, i respectfully disagree with your claim. I work rural primary care; nobody has their own office, not even the medical director. we do each have our own desk space crammed into offices 3-4 providers per room. it has nothing to do with respect, but everything to do with trying to manage costs and provide affordable care over a cushy environment. we are a rapidly growing clinic but funding for building and land space is not available. we all manage to get our work done and do a good job, which is our priority. I might feel spoiled (when I did my 4 month FM rotation as a student I was given a chair .... :-) )
  7. Because employers are required to run random drug testing on their drivers; at least that is my understanding. If one is self-employed, this is impossible. So, where does the onus lie (lay?) ? PMP isn't going to cover street drugs.
  8. For drivers coming in for CDL cert, and are self-employed, do any of you run a drug / alcohol screen at time of exam ?
  9. Start the process, paperwork, fingerprints, etc. You should be able to submit all of your paperwork completed (and licensing fees paid) before you take PANCE; then when you get your PANCE results you can request that the result (e.g., "pass") be forwarded to the state licensing board. This is what I did, and I was licensed in about a week after I got my PANCE results. Take your schedule II course as soon as possible too.
  10. Timon, agreed. I live in rural California, in the eastern sierras, and actually, the location definitely is why I'm here. I make a great living in Family Practice, house is paid off, student loan is paid off. California is not all beach, people.
  11. earthquakes vs tornado alley. at least the latter has a warning system !
  12. Patient anti-coagulated on Xarelto (DVT x 2, being worked up for Protein C, S, etc): I don't see anything in the FMCSA Med Examiner handbook / guidelines regarding Xarelto specifically and guidance on timelines, etc. My thought is to confirm compliance with med with prescribing provider, one year cert with cardiology f/u ?? How are the rest of you approaching this? thanks!
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