pianoman511

Latest Activity

1. some cardiology questions

   pianoman511 replied to Guest219794's topic in Emergency

   There is really no way to monitor v leads with a 3 lead system. With the good old einthoven's triangle, the idea is that the three leads make a triangle which has a center point corresponding to the center of the chest. When looking at precordial lea...

2. Valproic acid for pain? Really?

   pianoman511 replied to nursetim's topic in CRNA

   Valproic acid (theoretically) increases the level of GABA in the brain. Since GABA is an inhibitory neurotransmitter it may decrease pain signals in the central nervous system. http://www.biopsychiatry.com/gaba/pain.html

3. Don't Hate Me, All....

   pianoman511 replied to TakeBack's topic in NP

   And what's the problem with practicing with physician oversight ? PAs are not advocating for independent practice rights since the degree (just as NP) was conceived with the idea that they would be mid-level practitioners with enough education and tr...

4. Don't Hate Me, All....

   pianoman511 replied to TakeBack's topic in NP

   Specialists require an internal medicine residency before their specialty training which does require the same amount (more in the case of family practice) than a PCP. No doubt NPs are doing a SIMILAR job than their PCP colleagues but it's not the SA...

5. Don't Hate Me, All....

   pianoman511 replied to TakeBack's topic in NP

   Almost all PA programs at this point (except around 3 - maybe less at this point) are masters programs (two years) which requires both a bachelors and health care experience which within itself is more clinical hours than what is in the ENTIRE DNP pr...

6. Don't Hate Me, All....

   pianoman511 replied to TakeBack's topic in NP

   I don't know the exact number of clinical hours, but the average is 80 hours a week for residents, resulting in about 4,000 clinical hours in a year (2005 numbers, but i don't think there has been much change - http://www.npr.org/templates/story/stor...

7. Don't Hate Me, All....

   pianoman511 replied to TakeBack's topic in NP

   No problem. NY State - http://www.nydoctorprofile.com/ Doc Finder - http://www.docboard.org/docfinder.html (links to other states) In the past there have been insurance companies which had direct links to doctor profiles in their provider searches, ...

8. Don't Hate Me, All....

   pianoman511 replied to TakeBack's topic in NP

   They already do, most states have doctor profiles that the public can freely access and some insurance companies link to those profiles when people go to the site to find a new pcp.

9. Don't Hate Me, All....

   pianoman511 replied to TakeBack's topic in NP

   I won't be, but the public needs to know the differences in training and realize this can provide for suboptimal care. In addition if they go see a DNP ("doctor") then they need to know that it's not the same as an MD/DO (DOCTOR).

10. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in NP

    Just because doctors make more money does not mean they have more disposable income. I am not in any way saying i am better or smarter than any other profession. Nor would I have any idea how to do an accountant's job or vice-versa. What I am saying...

11. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in NP

    Experience is NOT the most important factor. If you are practicing independently then you have no one to "train you", something that is the whole idea behind a residency and is especially important if you have very little clinical training and would ...

12. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in NP

    Ok....i thought i did - it's no different than my argument all along. If someone does not have the training and education to perform the job then people will die or get suboptimal care.

13. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in NP

    More disposable income ? How do you arrive at that conclusion ? Also, medicine IS more challenging, otherwise college would be shorter, training would be easier, and there would be no standardized testing. I am not talking about someone being smarter...

14. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in NP

    They will be the same for an NP assuming independence as a practitioner. If the NP is charging less then why would they be able to see the same number of patients in a day ? Unfortunately one year of experience is a lot different than one year of "c...

15. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in NP

    Four years of undergraduate training, four years of medical school, and 3-10 years in residency (average 3 for FP, 5-6 for IM). As for student loan debt, remember that most other professions either enter their chosen field earlier or allow for partic...