GoodNP

Thanks I'll check it out. And I agree, the rare motivated self-accountable patient is quite rewarding.

I am actively looking to leave primary care because I am sick of obesity, obesity-related illnesses, obesity meds, fighting with patients about why their insurance won't cover, or why the pharmacy doesn't have it in stock, or why I won't prescribe co...

A few thoughts: That is the most egregious money-grubbing profit-motivated unnecessary dangerous over-utilization of healthcare I have ever heard of. There are laws to prevent exactly this type of behavior. Get out of there. Like yesterday....

Definitely not too old and it makes you happy go for it! HOWEVER, it might not make you happy. Depending on what area you plan to work, know that it can be grueling. E.g. primary care. You will become a revenue generator and, unless you are self...

Wait, so NPs may prescribe Qsymia, but not phentermine? I wonder whose pockets got lined with that one.

That's BS. Hospitals should be ashamed to treat their existing employees with such disrespect and lack of appreciation. LOLOL what am I saying??? I crack myself up. Anyway, I would not be able to stay there unless I was paid equitably. Sounds like it...

Well said. That said, nurses, aka imperfect human beings who make mistakes like the rest of the world, are taught the ethical principles of nursing. Beneficence, Non-maleficence, Autonomy, Justice, Veracity, Fidelity, and Integrity. Admittedly, we a...

Nurses and police are both in positions of power over vulnerable populations. Power corrupts. Can't count the number of times I've seen a nurse on a power trip. So yes, there are similarities between nurses and police.

Today I took and passed the ANCC FNP exam and wanted to share my experience while it is still fresh: First, although the process of submitting the online application was quite simple, it took 7 weeks to receive confirmation that I could schedule the ...

Eleven frontline employees in my clinic furloughed yesterday. Heard the hospital group I work for has laid off 15 providers in my city. But, we have surgical masks LOL.

I've seen these posts on Twitter, and I agree, you can't tell what's going on inside the hospital based on an empty parking lot. The thing is, even here on this forum, there are many nurses reporting low census, no hours, etc. My nurse friends in NY ...

? ? ? ??? People who all of a sudden NOW give a crap about their health crack me up But...she's right, she's at risk of being exposed. We all are. It's everywhere. When you say she wants "medical leave" do you mean she wants use FMLA? Because if tha...

To those whose hospitals say they are not allowed to wear masks: Wear one anyway, even if you have to furnish your own. If you are disciplined/fired/whatever, call the news. And a lawyer. Perhaps I'm naive, but I believe that very soon we will have a...

Amen to this. I'm sick of the uber-wealthy preaching at us in general, but especially right now. A few have made donations - but at such a tiny percentage of their net worth. There are billionaires out there. Why aren't they paying for masks and vent...

not to mention the number of false negatives, considering rapid flu tests have a sensitivity varying between 10%-80%

I wish I had adequate PPE. The death rate in my age group is 0.25%. If I had no mask at all, I would willingly strap on a bandana and take care of a patient who would likely otherwise die.

If you are referring to yourself, please do not come back from retirement unless you're going to work phone triage or something like that. You have done your part and we thank you eternally.

The point I was trying to make is that in the beginning, PPE shouldn't have been treated as if they were neverending breadsticks at Olive Garden.

Yes, the medical assistants are now being offered positions in drive through testing sites. Volume improved some today. We still have people with COPD exacerbations, or extremely high blood sugar, blood pressure, chest pain, abscesses, etc. And, in o...

Agreed. Who knows how comparable this is to covid19, but for influenza aerosols surgical masks not inferior to n95: https://www.sciencedaily.com/releases/2019/09/190903134732.htm Also, I've been thinking the one time use and disposal of these supplie...

Another primary care update: No patients. Went from seeing 22-25/day down to 10 (2 in person, 8 virtual visits). Hospital owned group is laying off half the clinic in the next few days.

primary care here - not sure about my colleagues, but I, too, am not initiating prescriptions for ACE's. Still giving ARBs as I haven't seen them specifically called out in the literature, and besides there's no lung conversion (same reason they don'...

Primary care: Lots of patients with cough, some shortness of breath here and there, but few with fever. Only one patient that I had a high level of suspicion due to domestic travel to an area with increasing prevalence reported. Since she's afebrile,...

It seems to me like a win-win considering most NP/PAs are employed by physicians or physician groups anyway. Whether a privately owned practice or a large corporation such as HCA, the revenue generated by NPs and PAs directly affects physicians' inco...

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