GoodNP

Many great points in this thread. I definitely agree that physician education and training is superior to NPs'. It always astounds (read: embarrasses) me when NPs or PAs compare themselves on equal footing as physicians. Then again, I'm not pursuing ...

They look clean and neat, to me that looks professional. Only thing is when you're bending down for example, it seems your hair would fall into the workspace and/or other people's personal space. But that would be the case for anyone with long hair r...

This article on CNN caught my attention this morning and really got me fired up. Why women in Arizona are sending a state representative pads and tampons - CNN Are you kidding me? What kind of uncivilized country do we live in? As a generally conserv...

Any tips? In family practice. I will be taking an NP student from an accredited and respected school. She is already an ACNP. We've had some bad experiences with NP students in the past, but those were students the doctors agreed to accept, then push...

Thank you!

Salt water gargles are great for pharyngitis - as I was taught the hypertonic solution helps improve tonsillar and pharyngeal edema, thereby relieving some pain. Also the saline and the agitation of gargling rinse away that thick tenacious mucus from...

An extremely generous policy. One wonders how this is financially sustainable.

Way more often than not I've gone to work sick. Illness is just not black and white. Most commonly when we refer to work absences due to illness we are refering to URIs - overwhelmingly viral, and most contagious before symptom onset and while febri...

Some a-hole people will treat you the way you allow them to. This may not be good advice, I'm just telling how I might handle it: Have a very low tolerance. If you ask her to do something, see that she does it even if she doesn't want to. You may exp...

Yes. If you're billing a preventive care visit Z00.00 or Z00.01, it is to include a full head to toe, including cranial nerves, pulses, thyroid, reflexes, etc. In my experience, the PE is least time consuming part of a wellness visit. It is much mor...

You say "it's a cultural thing" rather than drug seeking. Would you mind elaborating on what "it" is. I'm genuinely curious as to how Bangladeshi culture affects pain tolerance and pain expression. Thanks!

I'm just being candid, and I mean this constructively. Referring patients to the ED is at times absolutely necessary, but as I'm sure you already know, it is undesirable when it is not necessary. You have described yourself as a new NP, so I gather y...

It is a very tiny part of the equation. Fast food and crappy stores only survive in places like Detroit (which btw is hardly representative of the nation at large) because the demand is there. Even in rural areas where people have to drive out of th...

I wish people would stop perpetuating the myth that people don't eat healthy because they either can't afford it or don't have access to it. There are numerous studies that demonstrate otherwise. A few of them are referenced in this article. There ar...

Honestly, I fear it is too late to help a whole generation of people. I am shifting my focus to the kids. Let's teach them from a young to love fresh, whole foods so that when they're older eating healthy and exercising will not feel like "a life not...

Bottom line: personal choices. I too have seen addiction ruin lives and relationships in my own family, enough to know that the addict has to be the one to make a change. Nobody can do it for him. Yes, there are a multitude of societal and likely gen...

Powerful stuff. There are studies to support this statement. Which Foods May Be Addictive? The Roles of Processing, Fat Content, and Glycemic Load I may find some way to incorporate this finding into my practice.

After practicing as an FNP for 4+ yrs in one of the top 5 fattest cities in the country, I am losing my motivation to help these people. It makes me sad because there was a time I enthusiastically and naively thought that if I just impart them with k...

Including productivity and holiday bonuses, I made >$120k in 2017 in family practice, but they worked me ragged.

Been reading this thread and hoping somebody was going to say this (wish it had been an NP) In your husband's case, one potential benefit to seeing hem/onc is maybe they can give some insight into how safe it would be to hold xarelto a bit so he can ...

I totally understand your reasoning, but imho even "long shorts" are not ok for work.

in 2014

You know how you go through phases where everyone coming through your door has the same problem? Lately for me that has been people asking for FMLA and/or some letter stating the need for an emotional support animal. So, I'm just curious about how t...

Wow, this thread is a case study is nurses eating their own, even at this level. smh

20 pts/day would be a dream. My max is 30, although I've pushed to 33 once or twice, and my average is probably around 27. Maybe 26. ...and a simple pap smear would be awesome. In family practice, what happens is a pt schedules an appt for something...