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Paula last won the day on January 6 2017

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  1. These stories reminded me of a patient who really needed to be seen because she was getting her usual sinus infection. Age 70. Looked healthy. Told me she was sick for two days with a runny nose and sore throat with a bit of a cough. I did the exam and told her: Good news, you have a cold and don't need an antibiotic. She said: I get this every year and my doctor always gives me an antibiotic for my sinus infections. I get these about 6 times a year. I said: NO, you have what is called the common cold and is probably the rhinovirus. She said: I've never had a cold in my life....what is a cold anyway? I explained to her signs and symptoms of a cold and told her the 6 sinus infections she gets every year are probably colds. I told her to wait it out for 10 days and gave her tessalon pearls. Don't know what happened to her, don' really care. BUT Really???? 70 years old and you've never had a COLD? Give me a BREAK!!!! This is a perfect example of Pavlov's dog.
  2. I'm at 13. Still in the toddler stage!!! But retirement looms!
  3. Please send me a PM for those CO who will help sponsor a resolution. We have debated the title since the inception of the profession and I think we all have a handle on what is the next step. I was hoping my post wouldn't re-hash the discussion again. I have a long list of titles and the pros and cons. Send me PM's please if your state or CO is ready to step up. You will then get a formal letter of invitation to participate with instructions and next steps, plus probably a doodle poll on when a phone conference can be arranged. Thanks all.
  4. State and CO leaders: Please PM me if your group is interested in sponsoring a resolution for title modernization. Wisconsin is planning on submitting in May 2018 and want as many co-sponsors as possible. This is all related to Optimal Team Practice.
  5. Why would a drug company put a benzo into a polypill of a statin, beta blocker and an aspirin? Answer: To reduce the anxiety induced by statinitis.
  6. Mom and Pop? Husband and Wife? Maybe just offer to buy the practice and hire the physician to be your employee so you can call the shots. Not the mom and pop calling the shots.
  7. I'm pretty sure they think you are a medical assistant.
  8. @Nucmed2PA: On Wisconsin indeed! I was the first graduate of the Wisconsin Distance Education Program in 2004. I'm still going strong, passed PANCE first time , and PANRE twice. It's not a bad thing. I live and work near my home community serving the underserved, rural and disenfranchised patients where there is a lack of qualified practitioners. I'm saving lives and performing miracles while I'm at it. Chuckle. LOL. Yale will produce a good quality PA.
  9. I'm going to take a stab at why there are different titles for the MPAS (which by the way is the worst title other than the title Physician Assistant). I think it is related to the Universities and schools of medicine that house PA Programs. They are full of red and blue tape, very political, and some have a masters degree in medicine which is offered to pre-med students who needs an extra year of school so they get the MMSC (Master of Medical Science). I read that somewhere...... ARC-PA and PAEA need to knock their heads together and come up with an appropriate title for the masters program and it should not have the words physician assistant in it. I like Masters in Medicine or MMSc of Master of Science in Medicine. I believe Western Mich Univ originally was a Bachelor of Science in Medicine when it was BS degree.....right??
  10. There is no point to the PANRE. PANCE should be permanent certification that allows us to get a permanent license, just like physicians never have to retake their USMLE. If you are in a specialty and take the CAQ then take it for your job protection and if you go to a specialty and need to take a CAQ, then do it. CAQ does not necessarily need to be through NCCPA. For example: Certified Diabetes Educator for endocrinology practice where the PA focuses on diabetes suffices for a CAQ. Headache specialty allows a test for PAs....voila...a CAQ. Family practice and general internal med doesn't need the PANRE, just CME in the area of FP/IM. Let's work towards full OTP in each state and put in our rules that there is no requirement for recertification for licensure and the the initial PANCE is sufficient to qualify us as permanent certification. Each state PA board determines the amount of CME required for license renewal. The NCCPA eventually becomes only a body that provides the PANCE and CAQs, but become obsolete for PANRE, as it is not their function anymore. Let's squeeze them out of PANRE business.
  11. I'm breathing another sigh of relief. I took PANRE in 2016 and am on the 10 year cycle. Will be retired by 2026. No More PANRE for me!!!!! I dodged the bullet.
  12. I had a patient like this today. labs are pending and I did not think of GERD. Hmmm.....will see her back in 2 weeks.
  13. sas: After OTP passes in the first several states you could develop a company that goes to every health care institution and consults with them on how to fill their open slots with PAs.
  14. Call Michael Power at AAPA. His number is at the end of the article. It is so frustrating that CMS takes so long to make any changes. It is an example of a behemoth government gone awry with power, IMO.