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If I'm not mistaken civilian accessions come in as Captains. If not then they are O2's pending O3 on the very next board. Army IPAP grads complete the program and are then promoted to O2. It's a glorious and well respected rank lol. I had a PFC try to chump me in my own damn office yesterday afternoon. Too bad my brigade surgeon's office was right next to my exam room. He was astonished at my resurrection of the NCO in me. The earth's axis shall now be in perfect alignment.

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If I'm not mistaken civilian accessions come in as Captains. If not then they are O2's pending O3 on the very next board. Army IPAP grads complete the program and are then promoted to O2. It's a glorious and well respected rank lol. I had a PFC try to chump me in my own damn office yesterday afternoon. Too bad my brigade surgeon's office was right next to my exam room. He was astonished at my resurrection of the NCO in me. The earth's axis shall now be in perfect alignment.

 

The only question is- air burst or ground? (lol). Never awaken the sleeping NCO beast in a mustang. It's never a pretty sight!

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The only question is- air burst or ground? (lol). Never awaken the sleeping NCO beast in a mustang. It's never a pretty sight!

 

Some of my civilian patients and a few RNs back in my "Inner City ER" days discovered the hidden ugly treasure of those years of wearing stripes. I try to chill but as you know there are times that some people just demand a dose of verbal Whoopa**! I would have loved to be there Nate!!! We now have another reason for a round of cool ones in Anchorage.

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If Jim is available for one this weekend or even during the week we may get started a little early. This kid comes in with an attitude but as long as he's not disrespectful or pushy I can handle a guy being direct with me regardless of his rank. He's got 2 months of "8-10/10" atraumatic back pain no red flags no radiculopathy. He's seen the guy I'm replacing and a Physical Therapist (who by the way had the same PE results as I did). He's not taking the up-coming two weeks of block leave because he wants an MRI of his back done. Nevermind the fact that it's backed up 45 days, he has normal plain films and with his history I want to see how conservative therapy is working. I asked him what my predecessor did for him, he tells me motrin and flexeril. I asked how that was working. "I take the motrin every now and again but I've seen too many of my buddies cracked out on pain pills plus it hurts my stomach". I reply, "Are you taking it with food like the bottle says?" "no". I try to explain how the anti-inflammatory aspect of motrin works and how flexeril could work to his benefit. He over-talks me. I get mildly tuned up and tell him, "I just want you to know that oral medications are in the treatment regimen for almost all back pain and no one is going to force you to take medication but you're tying everyone's hands in treating you". He seems pissed and attempts a retort but I return the favor and over-talk him "Moving on to your physical therapy what home exercises have you been doing?" He tells me she gave him a book. I ask him to demonstrate. He wants to know if I'm questioning his integrity. I tell him if the BDE commander was sitting there I'd have him reproduce the exercises for me. I asked him again to do the exercises. He says his back hurts to bad. I ask if his back always feels this way like he told me he probably doesn't do the exercises at home either. Then he says, "Are you calling me a F-ing liar?".

 

The room turned red. He didn't want to get his sorry a$$ up at attention because "his back hurt too bad" I commenced to swarming him he picks up the phone and tells me he doesn't have to take it and he's calling his NCO. I opened the door yelled for my medic to get his 1SG on the line. I return to swarming him reminding him of each violation of the UCMJ he has already violated. His team leader, squad leader, and platoon sgt show up. I walk out with them. Ask for a definition of what f-ing army I stepped back into. Told the E-5 he was a dead-beat since his PFC has the impression that he has both the lack of NCO grit and the amazing pull necessary to patch up his Soldier's disrespecting a commissioned officer. For this the entire NCO Corps should be ashamed, the Infantry should be ashamed, and the Army is cracking at its foundation. Told the E-6 that his PFC should be so damn scared of HIM that he would never mouth off to an officer even if he was in the right. Told the E-7 that this was the last time a platoon sergeant will ever take custody of an unruly Soldier from me and that if the 1SG doesn't want to come get his own guys then the CSM is notoriously eager to deal with the problem instead. Told them the PFC will be back Tuesday after the weekend with an NCO escort to have his back worked up or he can be "strong ranger" instead of "smart ranger" for all I care.

 

Asked them why they thought there was a 45 day wait on MRIs? They didn't know. I told them, "Because dumba$$ doctors, NP's and PA's aren't doing their job and instead letting pushy PFC's and the like demand studies they don't meet the criteria to receive. You should be honored your BN PA isn't one of them". My BDE Surgeon was jaw dropped LOL.

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If Jim is available for one this weekend or even during the week we may get started a little early. This kid comes in with an attitude but as long as he's not disrespectful or pushy I can handle a guy being direct with me regardless of his rank. He's got 2 months of "8-10/10" atraumatic back pain no red flags no radiculopathy. He's seen the guy I'm replacing and a Physical Therapist (who by the way had the same PE results as I did). He's not taking the up-coming two weeks of block leave because he wants an MRI of his back done. Nevermind the fact that it's backed up 45 days, he has normal plain films and with his history I want to see how conservative therapy is working. I asked him what my predecessor did for him, he tells me motrin and flexeril. I asked how that was working. "I take the motrin every now and again but I've seen too many of my buddies cracked out on pain pills plus it hurts my stomach". I reply, "Are you taking it with food like the bottle says?" "no". I try to explain how the anti-inflammatory aspect of motrin works and how flexeril could work to his benefit. He over-talks me. I get mildly tuned up and tell him, "I just want you to know that oral medications are in the treatment regimen for almost all back pain and no one is going to force you to take medication but you're tying everyone's hands in treating you". He seems pissed and attempts a retort but I return the favor and over-talk him "Moving on to your physical therapy what home exercises have you been doing?" He tells me she gave him a book. I ask him to demonstrate. He wants to know if I'm questioning his integrity. I tell him if the BDE commander was sitting there I'd have him reproduce the exercises for me. I asked him again to do the exercises. He says his back hurts to bad. I ask if his back always feels this way like he told me he probably doesn't do the exercises at home either. Then he says, "Are you calling me a F-ing liar?".

 

The room turned red. He didn't want to get his sorry a$$ up at attention because "his back hurt too bad" I commenced to swarming him he picks up the phone and tells me he doesn't have to take it and he's calling his NCO. I opened the door yelled for my medic to get his 1SG on the line. I return to swarming him reminding him of each violation of the UCMJ he has already violated. His team leader, squad leader, and platoon sgt show up. I walk out with them. Ask for a definition of what f-ing army I stepped back into. Told the E-5 he was a dead-beat since his PFC has the impression that he has both the lack of NCO grit and the amazing pull necessary to patch up his Soldier's disrespecting a commissioned officer. For this the entire NCO Corps should be ashamed, the Infantry should be ashamed, and the Army is cracking at its foundation. Told the E-6 that his PFC should be so damn scared of HIM that he would never mouth off to an officer even if he was in the right. Told the E-7 that this was the last time a platoon sergeant will ever take custody of an unruly Soldier from me and that if the 1SG doesn't want to come get his own guys then the CSM is notoriously eager to deal with the problem instead. Told them the PFC will be back Tuesday after the weekend with an NCO escort to have his back worked up or he can be "strong ranger" instead of "smart ranger" for all I care.

 

Asked them why they thought there was a 45 day wait on MRIs? They didn't know. I told them, "Because dumba$$ doctors, NP's and PA's aren't doing their job and instead letting pushy PFC's and the like demand studies they don't meet the criteria to receive. You should be honored your BN PA isn't one of them". My BDE Surgeon was jaw dropped LOL.

 

Hey Nate. I'm doing clinic till the 5th. So I on the wagon (just for a bit.)

 

I would have probably stroked out on Mr. I'm not going to do anything to help myself and give you a ration of **** over it. But not until I made I phone call. "CSM, have you got a minute for a problem?" Either that or locked his heels. And when he refused called the MP's. But only because you can't go old school. (out back stripes/bars off). Oppps I'm talking like an NCO again.

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Hey Nate. I'm doing clinic till the 5th. So I on the wagon (just for a bit.)

 

I would have probably stroked out on Mr. I'm not going to do anything to help myself and give you a ration of **** over it. But not until I made I phone call. "CSM, have you got a minute for a problem?" Either that or locked his heels. And when he refused called the MP's. But only because you can't go old school. (out back stripes/bars off). Oppps I'm talking like an NCO again.

 

You down at the main TMC?

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If Jim is available for one this weekend or even during the week we may get started a little early. This kid comes in with an attitude but as long as he's not disrespectful or pushy I can handle a guy being direct with me regardless of his rank. He's got 2 months of "8-10/10" atraumatic back pain no red flags no radiculopathy. He's seen the guy I'm replacing and a Physical Therapist (who by the way had the same PE results as I did). He's not taking the up-coming two weeks of block leave because he wants an MRI of his back done. Nevermind the fact that it's backed up 45 days, he has normal plain films and with his history I want to see how conservative therapy is working. I asked him what my predecessor did for him, he tells me motrin and flexeril. I asked how that was working. "I take the motrin every now and again but I've seen too many of my buddies cracked out on pain pills plus it hurts my stomach". I reply, "Are you taking it with food like the bottle says?" "no". I try to explain how the anti-inflammatory aspect of motrin works and how flexeril could work to his benefit. He over-talks me. I get mildly tuned up and tell him, "I just want you to know that oral medications are in the treatment regimen for almost all back pain and no one is going to force you to take medication but you're tying everyone's hands in treating you". He seems pissed and attempts a retort but I return the favor and over-talk him "Moving on to your physical therapy what home exercises have you been doing?" He tells me she gave him a book. I ask him to demonstrate. He wants to know if I'm questioning his integrity. I tell him if the BDE commander was sitting there I'd have him reproduce the exercises for me. I asked him again to do the exercises. He says his back hurts to bad. I ask if his back always feels this way like he told me he probably doesn't do the exercises at home either. Then he says, "Are you calling me a F-ing liar?".

 

The room turned red. He didn't want to get his sorry a$$ up at attention because "his back hurt too bad" I commenced to swarming him he picks up the phone and tells me he doesn't have to take it and he's calling his NCO. I opened the door yelled for my medic to get his 1SG on the line. I return to swarming him reminding him of each violation of the UCMJ he has already violated. His team leader, squad leader, and platoon sgt show up. I walk out with them. Ask for a definition of what f-ing army I stepped back into. Told the E-5 he was a dead-beat since his PFC has the impression that he has both the lack of NCO grit and the amazing pull necessary to patch up his Soldier's disrespecting a commissioned officer. For this the entire NCO Corps should be ashamed, the Infantry should be ashamed, and the Army is cracking at its foundation. Told the E-6 that his PFC should be so damn scared of HIM that he would never mouth off to an officer even if he was in the right. Told the E-7 that this was the last time a platoon sergeant will ever take custody of an unruly Soldier from me and that if the 1SG doesn't want to come get his own guys then the CSM is notoriously eager to deal with the problem instead. Told them the PFC will be back Tuesday after the weekend with an NCO escort to have his back worked up or he can be "strong ranger" instead of "smart ranger" for all I care.

 

Asked them why they thought there was a 45 day wait on MRIs? They didn't know. I told them, "Because dumba$$ doctors, NP's and PA's aren't doing their job and instead letting pushy PFC's and the like demand studies they don't meet the criteria to receive. You should be honored your BN PA isn't one of them". My BDE Surgeon was jaw dropped LOL.

 

 

You make wish there was room for an old broke d**k E-7 cum PA in your outfit! Keep up to the fire! The first round(s) of Alaska Pale Ale or whatever is/are on me in September!

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You make wish there was room for an old broke d**k E-7 cum PA in your outfit! Keep up to the fire! The first round(s) of Alaska Pale Ale or whatever is/are on me in September!
Cool! Alaska White Large (1.5 US Gal). I am Irish you know (lol)
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I try to explain how the anti-inflammatory aspect of motrin works and how flexeril could work to his benefit. He over-talks me. I get mildly tuned up and tell him, "I just want you to know that oral medications are in the treatment regimen for almost all back pain and no one is going to force you to take medication but you're tying everyone's hands in treating you". He seems pissed and attempts a retort but I return the favor and over-talk him "Moving on to your physical therapy what home exercises have you been doing?" He tells me she gave him a book. I ask him to demonstrate. He wants to know if I'm questioning his integrity. I tell him if the BDE commander was sitting there I'd have him reproduce the exercises for me. I asked him again to do the exercises. He says his back hurts to bad. I ask if his back always feels this way like he told me he probably doesn't do the exercises at home either. Then he says, "Are you calling me a F-ing liar?"

 

Pfc huh?

 

*shakes head*

 

 

WTF over?

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I have an army buddy who is a pa.

know what he prescribes for( bogus) back pain?

sit ups....done with the the DI....every morning "until the abdominal muscles are strong enough to support a weak back...."

dude is hard core. oldest person to ever graduate ranger school.

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I was just curious as to what rank a new grad fresh out of PA school would get after a commision in the US Army. 2nd Lieutenant (O1) or a 1st Lieutenant (O2)?

 

New PAs are 1LT (O-2). If you have experience as a PA you might get some constructive credit towards CPT. If you're a brand new PA I think you're eligible for promotion to CPT in 15 months.

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  • 3 months later...

Stumbled across this thread and new to the forum and this struck a cord with me. I was an E-7 before PA school, worked at an NCO academy, several deployments with the 10th Mountain Division and blah blah blah. When I left IPAP and went to my first battalion I made all my uniforms sterile and just acted like I was brand new to the Army. My medics treated me like I had weapons grade stupidity and I went along with it. My platoon sergeant was a ghost and the rest of the NCOs were no better. One day one of the medics and I are walking through the hospital and an old BNCOC student runs out of her office and starts gushing over how I was her favorite instructor. My medic, obvioulsy confused, was like "What the hell was that all about, LT"? and then I opened up and told him about my previous life as a SFC and word spread quickly. Next morning sick call I had the entire platoon present and eager to go to work. I put all my badges back on and that was that. After that I only had to say one thing to motivate my joes. I would caution them frequently that if they didn't perform to standard they would meet SFC and not LT and that's a side of me that you don't want to meet under these circumstances. MY entire commissioned life I only yelled at one soldier and when I did, I lost it in a way that I had never lost it before. Punk a!@ E-5 all kicked back with his PC on all jacked up, uniform looking like crap in the motor pool looking like he had CD about to drop. I stopped him to make some corrections and he blew me off like I was a n idiot. 10 minutes later he was crying and his platoon sergeant was at the position of attention while I ranted (spit flying out of my mouth) and I was demanding an answer to "what makes you think that as an E-5 you have the right to make the decision to modify your unifomr and fly in the face of the entire chain of command all the way up to the chief of staff" and would never let him answer. After that I cautioned my entire platoon to never wake up the sleeping NCO that might be within every LT they meet that is just waiting to pulverize them.

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