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Planteater last won the day on January 11 2016

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About Planteater

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    Physician Assistant

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  1. No temporary license available, but my license was processed super quick in 2015. I had everything turned in and all they were waiting for was my PANCE results. Had my license two days after PANCE results were sent in. I'm not sure what your question is about NPI and DEA- they are national and you will need to get them to practice. I can't remember if you need them prior to licensing- you should call the NCMB. I had to call them a couple times when licensing and they were very helpful. No jurisprudence exam when I got licensed.
  2. I'm not gyn onc, but I can tell you the nccn website is great for any onc field- it gives guidelines for testing, followup, staging etc.
  3. Check out this site: http://www.informationisbeautiful.net/visualizations/snake-oil-supplements/ It has links to the studies when you hover over a particular vitamin/supplement. It's fun to look at too. My pharmacology teacher in PA school shared it with us and I kept the link favorited for my own reference. You'll want to use a laptop or desktop to view. It's not properly functional on a tablet or mobile device.
  4. 4 months in outpatient private practice heme/onc: was a dangerous situation for a new grad from both a medical and a billing standpoint. Love my current (2nd) job in heme malignancy/bone marrow transplant in an academic medical center and have been here about 18 months now.
  5. Most oncology PA jobs that I've seen don't require call. This is my experience from the two I've worked in, the two I rotated in, and the five others I've interviewed at. None required call from the PAs. YMMV and it might be regional (I'm in the southeast).
  6. Thyroid cancer that was taken care of surgically, but leaves me dependent on Synthroid. Mild anxiety that progressed once I started practicing as a PA and is now managed with some low dose fluoxetine. IBS that seems to have improved on fluoxetine. Occasional migraines, but thankfully I get an aura and can stop them with Tylenol, ice cold water, and peppermint oil on the temples and neck or with Tylenol and sleep if I am at home. Ibuprofen works better but sometimes makes me nauseous, so I minimize that. Chronic back pain- probably from being overweight and getting old. No meds for that- yoga, walking, and hot baths keep it in check.
  7. YES!! Yes- not my genre either (I think that's what you meant). My friend posted this on Facebook and tagged me because we've had some good conversations about this issue. She is a recovering alocoholic, who has needed surgery and had injuries, and was appalled at how freely people wanted to prescribe her narcotics even AFTER she told them she was in recovery and would like to avoid them. I had the same experience- I've had issues with anxiety at my job that causes my BP and HR to spike. I went to an urgent care one weekend because my BP wasn't coming down at home like it normally does. The Dr immediately tried to prescribe me Ativan. I told her "I don't like benzos. I'd rather do something else." I have my own past addiction issues, but I didn't fill her in. Anyway, she proceeded to try to convince me to take an Ativan Rx. We settled on propranolol (my suggestion) that I now use PRN (only 10-20mg) and it works great for what I need. Moral of my story- if I wasn't an educated provider, I would have walked out with benzos that were not indicated. I think most of us are more helpful than harmful, but the harmful ones have a definite presence.
  8. Just watched this: https://youtu.be/fYN14UfO-Uc So powerful and a truthful look at addiction. I know a lot of prescribers aren't contributing to this problem because of the dollar as the video says, but some are. Others are just pawns of a money-making healthcare system that doesn't allow sufficient time with patients to address addiction issues properly.
  9. Heme malignancy/blood and marrow transplantation: Pros- wonderful patient population (mostly), tends to attract really caring providers and nurses, no call/nights, very complex patients to keep you on your toes Cons- some weekends and holidays, emotionally hard because many patients don't do well, very complex patients to keep you on your toes (depends on the day whether I find this to be a pro or a con lol!)
  10. Too funny- I didn't even catch it! I'm a little tired from working and then coming home to take care of a sick kid today. Back to our regularly scheduled programming (I hope)...
  11. No it's a reference to the Libertarian presidential candidate's (Gary Johnson) mistake in not knowing where Aleppo is during a TV interview. It's the worst mistake he's made on the campaign trail, so people keep harping on it like it makes him an idiot... On topic- OP don't beat yourself up. Definitely not a terrible mistake!
  12. I started in outpatient heme/once for about 4 months (with basically no mentoring), then transitioned to bone marrow transplant/heme malignancy and have been doing that for about 9 months and I can say I am just starting to feel somewhat comfortable (except for super sick patients- they still make me nervous). For me, repetition has been the key (and wonderful support from my fellow providers). I am fortunate in my setting- we see a lot of the same issues over and over because they are common transplant issues. And I see the same patient for multiple days in a row because we are a day hospital. One thing you could do at work, if there is room for them to be flexible with your schedule, is to ask to focus on certain types of patients for a block of time. For example, maybe you could see benign and malignant heme only for a few weeks, breast and gyn onc patients for a few weeks, or prostate and male gu for a few weeks. It should help your comfort level to be able to focus that way if it is a possibility. I hope you start feeling more comfortable soon- it is such a great patient population (usually )! I'm glad you have a great attending too- it makes a huge difference !
  13. Had a patient on it for trial last year- didn't tolerate it very well. Lots of increased weakness and SOB. Left the job before I found out if she actually developed pneumonitis or how long she survived.
  14. I'm fairly new to a complex field and I was pretty anxious when I first started too. Someone gave me some fantastic advice and it changed my stress level immediately. She told me that there is nothing wrong with telling a patient, "I don't know" Followed by something reasonable like I will find out, let me consult with my colleagues, etc. The person who gave me this advice has been practicing in my field for a long time and she still has to look things up or check details out sometimes. It allows you to keep your confidence if you realize that there is nothing wrong with not knowing everything. My patients don't mind at all if I need to go check on something for them as long as I am taking good care of them and get answer for them before they leave. My anxiety level is so much lower now and I am able to think more clearly when I am not constantly stressing about how much I don't know.
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