wowza

Esme, I probably should have qualified my statement. RV infarcts can cause hypotension but are much easier to correct and usually much more benign than LV infarcts*So hypotension in an anterior MI means the pump failed. Hypotension in an RV infarct i...

It depends on the type of heart attack (ie what part of the heart it affects). In most cases, the heart rate will increase. This is attenuated by the fact that most people who have an MI will also be on a beta blocker already. In terms of blood press...

OP, I had people in my class who started medical school at age 44. We had multiple people in their 40s and tons in their 30s. You will probably always wonder "what if" if you don't pull the trigger and go to medical school. From your post, it sounds...

Minocycline treatment results in... [Allergy Asthma Proc. 2008 May-Jun] - PubMed - NCBI

Yeah, no there't not. This guy you posted is a chemist who has an appointment doing research for the medicine dept. Specifically he has a PhD in biochemistry (ie not in medicine).

Are you trying to say that 510 clinical hours is a lot? I think that is what some people are saying- the hours are insufficient especially when compared to what the DNP is trying to mimic.Let me give you an example: in a medical residency you would g...

First, wow, that was a very long post. Thank you for taking so much time to post your views. The difference here is that osteopathic education changed so that it now is IDENTICAL to allopathic education. They both have 2 years of basic science educat...

Actually I bet almost all of them would pass. Of course, we'll never have data to show one way or the other but for us, Step 3 of the USMLE is a really easy exam- by far the easiest of the 3 steps. Most interns don't even study for it much at all bec...

Ummm... the people who write those guidelines are clinicians AND the leaders in research who are CHOSEN to be part of the panels that write the guidelines. Almost none of them are from DC. Evidence based medicine is used because it is what has been P...

Since a nurse is part of the healthcare team, I am not sure it would be a HIPAA violation, but I could be wrong.I think most physicians are realistic about how much a given patient will be able to control their cardiovascular risk factors just by die...

How bad is her asthma- how bad are her PFTs ? There is literature in COPD that daily Azithro decreased hospitalizations so if the FEV1 showed true obstruction you could make a bit of a logical leap to maybe suppor this.

No one works through medical school. There is no time. Almost every student takes out the full amount of loans to go to medical school. Very few people in my class had their parents paying for everything. So it makes no difference if you come from m...

Well this is just ridiculous. First, no one is forced to work through undergraduate education. Second, I know plenty of doctors who did work through undergrad.Finally, put your money where your mouth is if it is so easy to get into medical school. Ge...

The distinction here is the difference in education. MD and DO education is equivalent and very standardized. It involves 2 years of classwork and roughly 4000 clinical hours during school and roughly 12-20K more clincal hours during residency. The ...

Yeah it was never about filling the void in primary care. It has always been about money and power. The DNP movement was 100% political

Seriously, why don't you all complain. That is really the only way you all are going to change anything in NP education. Lord knows the administrators aren't going to do it.

The negativity is directed at the NP lobby who is continually pushing for expanded practice rights despite doing nothing to improve the clinical education of NPs and the NPs who really think that they have the same knowledge base and preparation as a...

The physiology of adding ipratropium is the same in COPD and astham; it adds extra bronchodilation. I agree though that a steroid burst should have been added for a flare.

I'll bite: Anticoagulants/antiplatelets: Heparin Lovenox Coumadin (warfarin) Bivalrudin Aspirin plavix (clopidogrel) Blood pressure: ACEi's- captopril, lisinopril, enalapril ARB's- losartan, valsartan Other heart meds Beta-blockers (olol)- labetolol...

While I agree that antibiotics shouldn't be used in cases when there is not bacterial involvement, I think both cost and efficacy make it reasonable after topical treatments have failed. Think about how much do those lasers treatments cost (and if th...

I agree. You should immediately talk to your employee health. I (in a non-medical advice kind of way) would recommend considering prophylaxis if you think the body fluids may have actually gotten in your eye.

I'll give it a read. Again, this doesn't negate any of the other arguments put forth in this thread- a nice diversion but I'd love a response from some of the other arguments put forth.

1) You can label it whatever you want- whether nursing or medicine, but diagnosing and treating whether a nurse practitioner or an MD is the same job. You can call it "nursing practice" if you want to but it is the same job. Thus, the fact that I don...

Again, just because a politician gave you permission to have independent practice does not mean you have the skills or knowledge to do so. You are confusing the two. Whenever I bring up the chasm in knowledge between a real doctor and a nurse practi...

ironic you allude to doctors as being the ones who are arrogant. now which group is it that is taking a short cut around tens of thousands of hours of clinical training, scores of hours of hard sciences and years of residency and then calls themselve...