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sk732 last won the day on March 2

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About sk732

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  1. Medical microbiology would be pretty safe...unless you allow a specimen to escape, you're unlikely to kill anyone and you rarely have to talk to anyone.
  2. Sorry took awhile to get back - was rewriting this a bit. I worked with an ER doc that used to abuse the RN's, other docs and me...I finally had it one night. I went home and then went back to work and asked to speak to them in private and then lit them up...they tried to tell me they were teaching...I told them they were a horrible teacher and that people don't learn anything like that...and then I told them I wasn't even allowed to talk to my soldiers the way they talked to me and I also mentioned that when I was in school, when people started doing the education through embarrassment thing, I called them on it. I finished by saying I was no longer a student and had been practicing for several years. If you're gong to call someone out, do it in private if possible - keeps people from getting their backs up in public and keeps potential disciplinary action to a minimum for the same reason. Only time I actually lost it at someone in public was for actual insubordination in public and for safety issues. I was working on a longer bit of prose, but, if you don't like John Matthis" "Be polite, be professional, but always have a plan...", go with this one "Do not strike others and do not allow others to strike you. The goal is peace without incident" (Chojun Miyagi, founder of Goju Ruy Karate). All I'm saying is having a plan one way or other gives you a psychological boost going into something like this...knowing you're walking into a potential kill zone but have a counter ambush immediate action to get you out with an ultimate final conclusion is much like imagining people naked when doing public speaking - puts the audience at a disadvantage because they're naked and vulnerable. Be a hard target - bullies don't pick on them. MM
  3. If you haven't, you should read what I thought of doing with a parrot in the "What won't you do?" thread... I remember coming into the OR my first day on my ortho trauma rotation... after my attending introduced me, this 5'6'" 4th year resident who was acting team lead while the fellow was on leave, looks up his nose at me (I'm 6'2" and change) and says "You can leave - we only use PA students for scut work on the floor". Being a Senior NCO in the Army, I bent over, stuck my nose in his face and said "That's not what I'm here for, so I really don't see that happening." It was a long couple weeks of me having to fight to get on the call rota (imagine that??!!), get a beeper, get involved with fracture /dislocation reductions, etc..all the things I needed to learn, that this hospital was getting paid an awful lot of money for teaching me, but people weren't doing. The best part of the rotation was the last OR I did before leaving - we were doing a bone graft and I got tasked with the bone marrow harvest, with one of those old school apple corer BM aspiration butterflies...After coring into the pelvis, I was having trouble getting the stylette out so the surgeon freaked out and tried himself - didn't work. We pulled the thing out and it turns out I bent the thing like 90 degrees. Attending shows Dr Napoleon "Look what SK did" - dude was Indian and he turned into a Caucasian when he looked at the device and then at me...I had been a hair's width from tossing him from the top floor of the hospital for about 2 weeks and at that point I think he realized I could have snapped him in two. Be polite, be professional...but always have a plan to kill every person you meet... SK
  4. Sounds like something their head shrinker should be signing as an Rx then...As much as I think this "poor me" society thing makes me shake my head, reading this has me thinking that maybe I should get an ES parrot I could have on my shoulder at work and train it to squawk things like "Manager X is a phuquetard" when they walk by, since that would be insubordinate of me to do it to them in a public place and they frankly make me angry all the time. I could just blame it on the parrot hearing someone mentioning repeatedly... You might have me onto something ;-). SK
  5. I won't give sick notes retroactively - they get what I think is necessary based on what I see at that point. I'm trying to figure out how you all would have to certify someone's service dog/pet - those animals have to be certified as service animals from a service animal school do they not? Don't the handlers/owners also have to attend to ensure they're a good fit? We can certify that the person is a nutter/whiner/too emotionally immature to cope with life/has an actual mental health diagnosis requiring the animal, but how are we non-veterinary/animal training folks supposed to certify the animal? I'd have to say that's a big scope of practice issue that I don't recall learning about in PA school. Parking permits - I used to actually watch people wandering in from the parking lot and back out, then compare from the waiting room to the office (I had my receptionist do it too) and casually mention it to them if I felt there was a discrepancy. Disability for welfare - not without a prior chart from folks and if red flags like "referred to physio for chronic knee pain, continues to be no show at same and only shows up here to have disability reconfirmed/renewed", they were confronted and usually didn't return. SK
  6. Been in EM 5 years fulltime, dabbled previously, primary care prior as well as some admin stuff...rarely get sick doing clinical stuff, though did get influenza last flu season - got my shot late and a patient gave it to me . I got sick mostly when I was doing admin stuff, since you're not thinking of washing your hands every thirty microseconds. SK
  7. When worked in a small town, since I wasn't paid to be on call and such, I chose to live away from the place - people often didn't understand boundaries well where I worked. Some got bent right out of shape when they asked me for my phone number and I'd give them the office number - "but what if I need to talk to you after hours?"..."Call the office for an appointment, call 911 or drive to Town X's hospital". SK
  8. CAPA has an active lobby in Nova Scotia...however, things are pretty slow to change there. Frig, other than the military PA's there, I can't think of any that are actually practicing there that live there - most are in off shore stuff or in mining/construction/drilling sites...usually out of province. Talk to New Brunswick, as PA's are at least regulated there. Pitch something and see if someone swings.
  9. I was stuck in the minor treatment area a few weeks ago, saw someone with recurrent ear infections and increasing hearing loss - TM looked weird, so I ordered a CT an low and behold, there was the cholesteatoma I thought I was looking at...
  10. I have a pretty high level of disdain for a lot of military nurses, having been under their fingernails for years as a medic prior to PA school...one of the reasons is many of them don't understand their arcs of fire and how to stay out of everyone else's. It's fun to point it out in a public setting...even if it means being hauled up on the carpet. I was a corporal for many years because I have an issue with my verbal safety catch going from "S" to "A" rather easily. It's happening more again as I deal with civilian RN's turned admin's that should have stayed as floor nurses where they may well have been useful - like some military counterparts, they've been promoted several ranks beyond than their highest levels of incompetence. Nice to see things are no different either side of the border. SK
  11. "I don't like taking pills..." "How many vitamin tablets do you take a day?" "XYZ" "They're pills." SK
  12. I had a few people that would always show up really early hoping I would see them sooner - only did if someone cancelled...had some that actually waited a couple hours to be seen on time. Small victories.
  13. They are pricey...they do work if used properly, however they are a PITA if people don't use them appropriately.
  14. I use my "DND" button a lot f I'm busy with something - a message is left. I'll answer if I'm expecting a call back from a page or something, otherwise, unless it's a code, I hit the button or "Just Say No" to the call. SK
  15. We use a Vocera system...call the person you want to talk to, can leave a message if they can't immediately answer. I call it my Star Trek Communicator" to patients, my "Portable "Pain in the Arse" to management...
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