TuxnadoDO

TuxnadoDO

Emergency medicine

BA, MS, DO, BC-EM

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All Content by TuxnadoDO

  1. NP Hates from Physicians?

    TuxnadoDO replied to Myec's topic in Nurse Practitioners, NP

    There are nurses that hate doctors and there are doctors that hate NPs, that’s a tiny minority that more serious people don’t care about or listen to. But being concerned with the current...

  2. HELP needed... Health Assessment

    TuxnadoDO replied to NP Student 101's topic in Student Nurse Practitioner

    Is this about learning to perform a physical exam? If so, do they not teach you, just give you notes? I’d like to provide some advice, I’m just trying to understand because this is...

  3. NP Hates from Physicians?

    TuxnadoDO replied to Myec's topic in Nurse Practitioners, NP

    I was going to comment here with a thoughtful response about the current climate and physician groups who oppose independent practice. I read your post about “hate on NPs,” and then read a whole...

  4. Delaying of abx

    TuxnadoDO replied to Janie10188's topic in Emergency

    I’m an ER doc. They are right. Stop worrying about it. This isn't a big deal. The fact that you worry so much over every little thing isn’t a bad sign necessarily. That’s what I did, when I...

  5. PMHNP Vs. Psychiatry MD

    TuxnadoDO replied to ICantthinkofagooddisplayname's topic in Advanced Practice

    If you want the most thorough education and the best possible preparation before independence for this very important job, go MD/DO. If that route seems too lengthy, or too difficult (in terms of...

  6. PMHNP Vs. Psychiatry MD

    TuxnadoDO replied to ICantthinkofagooddisplayname's topic in Advanced Practice

    HAHAHAHAHAHAHAHAHAHAHAHAHAHAHAHA

  7. Any ex Premeds?

    TuxnadoDO replied to Premed2hard's topic in General Students

    Those stats are good to keep in mind, once you have an acceptance to multiple schools and can then choose where you want to go. What’s the match rate for people who don’t go to medical school?...

  8. Any ex Premeds?

    TuxnadoDO replied to Premed2hard's topic in General Students

    my horrific DO program managed to prepare me well enough to score in the 99th percentile on USMLE step 1 and 2 (yes, I took them), ace my clinical years and practically have my pick of EM residencies...

  9. Any ex Premeds?

    TuxnadoDO replied to Premed2hard's topic in General Students

    You have a shot at DO but will need substantial extra-curriculars, volunteerism, etc. I had a similar GPA, above average MCAT, MS in bio, health related work/volunteer activities, leadership roles,...

  10. Training for new NP's

    TuxnadoDO replied to Nichole's topic in Nurse Practitioners, NP

    I’m curious - since your education is in primary care and not a subspecialty of internal medicine, how would working in a subspecialty be easier or less overwhelming? Wouldn’t it be less...

  11. Rude doctors

    TuxnadoDO replied to SnickerDoodle_RN's topic in Emergency

    As a female ER physician, I would much prefer if a nurse pulled me aside when it wasn't busy and calmly/politely told me how my behavior made her feel. Communicate with her before resorting to tactics...

  12. Medical schools now adding "fluff"

    TuxnadoDO replied to FullGlass's topic in Nurse Practitioners, NP

    lol, look up 10 med school curriculums and you’ll see how much “fluff” is

  13. Medical schools now adding "fluff"

    TuxnadoDO replied to FullGlass's topic in Nurse Practitioners, NP

    med schools include education on cultural awareness, ethics, etc. It’s on our boards. As curriculums evolve with the times it would not be unusual to see “social justice,” which is really a...

  14. Return to the bedside

    TuxnadoDO replied to Missmilo's topic in Nurse Practitioners, NP

    Practicing medicine is an arduous, humbling, difficult career. As an FNP you are trained for an FNP position, not an acute care position. As others have pointed out, RN is a different job. While there...

  15. Full Practice Authority

    TuxnadoDO replied to rkealy's topic in Advanced Practice

    Agreed. So much respect for you, btw. Your experience obviously informs your perspectives and I’m glad your voice is

  16. Full Practice Authority

    TuxnadoDO replied to rkealy's topic in Advanced Practice

    I have read several of those studies. Other than study design issues, the main problem I have with them is the outcome timeline. If chronic issues are managed with more or less skill, are you really...

  17. Full Practice Authority

    TuxnadoDO replied to rkealy's topic in Advanced Practice

    Do you believe that your info on NP outcomes is based on reliable data from well-structured studies on independent NPs? And trust me, new medical school grads are not prepared to practice medicine...

  18. First NP Job

    TuxnadoDO replied to dnpfnp's topic in Advanced Practice

    I think her attitude, the way you’ve described it, is disappointing considering she knew you would be a new grad. We really just don’t know what you guys learn in your NP programs, but she should...

  19. First NP Job

    TuxnadoDO replied to dnpfnp's topic in Advanced Practice

    Couple thoughts from the physician perspective. Im sure your attending physician did not realize that she would be starting at a practice and responsible for teaching a new grad NP how to be an...

  20. Good sources for learning how to interpret CTAs

    TuxnadoDO replied to AutumnLeaves's topic in Nurse Practitioners, NP

    Jesus, you are talking in circles. I didn’t say NPs can’t or shouldn’t make decisions on a chest x-ray. You brought up the chest x-ray as an example of how other physicians, not radiologists,...

  21. Good sources for learning how to interpret CTAs

    TuxnadoDO replied to AutumnLeaves's topic in Nurse Practitioners, NP

    Yes. But I learned to read CXRs in my residency program, and I am responsible for making decisions regarding immediately life threatening conditions that could be evidenced on a CXR. It’s within my...

  22. For Primary Care, can an NP ever be as skilled as an MD?

    TuxnadoDO replied to alexamasan's topic in Nurse Practitioners, NP

    I could hug you for

  23. Elevated H/H, very low Folic Acid/B12

    TuxnadoDO replied to EsslingerNP's topic in Nurse Practitioners, NP

    Actually I was referring secondary polycythemia due to EPO-secreting tumors, like RCC. Seen a few in the ER I picked up with a CT scan after abnormal CBC. But I agree the other more common causes of...

  24. For Primary Care, can an NP ever be as skilled as an MD?

    TuxnadoDO replied to alexamasan's topic in Nurse Practitioners, NP

    I would add that there are many different attributes that make someone a skilled clinician, and the studies you mention weren't designed to detect anything less than big differences in major health...

  25. Elevated H/H, very low Folic Acid/B12

    TuxnadoDO replied to EsslingerNP's topic in Nurse Practitioners, NP

    ...or