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LT_Oneal_PAC

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LT_Oneal_PAC last won the day on September 7

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About LT_Oneal_PAC

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    PA-C. EM PGY-1

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    Physician Associate

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  1. LT_Oneal_PAC

    question for EM u/s gurus

    Nice! Just saw using curvilinear. Could also try phase array as supposedly, not sure my eyes can detect the difference, it can provide more clarity by somehow providing better frame rate?
  2. LT_Oneal_PAC

    Lynchburg DMS

    If you have done a residency you don’t do anything during the clinica practicum except a couple pages of busy work. Still have to pay for the class however.
  3. LT_Oneal_PAC

    question for EM u/s gurus

    Agree with copious gel. If you feel you aren’t getting good views with copious gel and light touch, tweak the depth and focus. Which probe are you using? Phase array or curvilinear?
  4. LT_Oneal_PAC

    CCM fellowship after EM residency

    That's definitely something I've considered and agree, as I've seen my FM knowledge slip away in residency. I wouldn't want my EM skills to become rusty. I think I would have to establish some time to moonlight.
  5. Anecdotally, I agree there isn’t a dose response curve but find that there is diminishing response with prolonged use, thus why I personally was using high doses when I was using it often on deployment and advise patients no more than 10mg. I also agree it doesn’t help with preventing night time awakenings, but I did tell patients that it can help to go back to sleep after you wake up without the groggy feeling in the morning.
  6. Honestly, I think ED is a bad place for this person. It requires a certain personality. Maybe I’m wrong, but dare I say we have a little cowboy in us. I would recommend the family medicine residency at the university of Iowa/Carolinas, the hospitalitist residency at Missouri/regions/Carolinas/mayo/etc, there are psych residencies as well. Psych I know is at Missouri, Baylor, Iowa are good.
  7. LT_Oneal_PAC

    PA Perfusionist

    As long as you properly heparinize the patient and properly calculate the protamine dose, it’s pretty autopilot. Also gotta infuse volatile anesthestic since the patient isn’t breathing either. A lot like CRNA. 98% boredom, 2% “AAAGGGHHH”
  8. Up to 6 mg?! I pop like 20-30mg of that stuff at a time. Gotta do what you must to sleep on that 10 hour c-130 flight I usually tell people no more than 10mg.
  9. Absolutely true. I had to perform a detumescence on guy couple months ago. Awesome case. Not so much for him.
  10. LT_Oneal_PAC

    PAs Are Sexy

    Nah, military dropped off the list because ladies are tired of getting an STD from guys with a mustang bought at 35% APR and marry them to get out of the barracks
  11. Worked with lots with less HCE/career changers. Some better than others. Personally I feel the person with their individual level of dedication, motivation, and ambition. Seen lots of HCE be crap clinicians with those without be great, and vice versa.
  12. Whatever. This is all in the eye of the beholder. I’m an RN with several years of ICU, who has attended both PA and NP school, thus I have the truest view into the difference in education. She is full of crap. PA training is better and produces a better clinician at the onset. Nursing experience translates to medicine in that you can speak the language very well, you can recall prior experiences of X patient got Y treatment, but that is about as far as it goes. I could also tell you how the lead APP in our ICU is a PA that is starting a new fellowship because they have been very disappointed with new grads, including NPs who come from an ICU background. So all of this is very subjective and prone to personal bias, though I’d like to think I’m probably the least biased consider I went to RN and NP school first, then chose to leave it for PA.
  13. LT_Oneal_PAC

    PAs Are Sexy

    I’m not sure if I’m angry or glad I was dating before the invention of tinder.
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