dissent

dissent

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All Content by dissent

  1. New NP needing encouragement

    I agree, you should defer to the cardiologist especially if he/she is the one who started the med. I think calling someone who is an expert in the field a cowboy when they do off-label stuff may not...
  2. fluticasone aerosol + nasal spray

    I think the OP is asking why someone would prescribe flovent and flonase to the same
  3. New NP needing encouragement

    Everyone makes mistakes. Live and learn. In the end I think you learned a valuable lesson without having any harm come to anyone: don't prescribe a medicine you are not comfortable
  4. NP to MD

    It would probably be similar to the PA to MD bridge- a 3 year program followed by
  5. Antibiotic help, please!

    At least in the past, the hopkins guide was free if you used it online. You just had to sign up for it. The PDA/smartphone version always cost money. I don't know if they started charging for the...
  6. Silly to have this clarified?

    Yup. For most drips you need to bolus to get to steady state prior to initiation of a drip (ie SL NTG or 400mcg prior to a nitro drip). For a GI bleed it is a standard initial dose (80 mg IV) and a...
  7. Albuterol vs. Xopenex....

    So actually the data aren't exactly a slam dunk and they definitely aren't strongly in favor. I would say they are overall, weakly in favor. Unfortunately there aren't any meta-analyses. Here are the...
  8. % Canadians coming to US for treatment

    Oh and to answer the original question, you are probably not going to find a large percentage of the Canadian population that come to the US. Only those who are wealthy and are waiting for cancer tx...
  9. % Canadians coming to US for treatment

    Controlling for lifestyle choices (obesity, smoking) and heterogeneity of the US population (ie with infant mortality) you do not see the same difference in life expectancy. These things are not...
  10. 2015 DNP

    Belittling or truthful? Quite frankly, anyone who pushes the DNP as much as you do without realizing its massive flaws has ulterior motives or a conflict of interest. So which is
  11. NP to MD

    I would highly recommend not going to this school. Foreign schools have a lot of problems compared to their US counterparts. There are those that are highly regarded (the UK, german and most...
  12. I mean how bad of an error are we talking about? Was this HCTZ 50mg instead of 25 (ie no big
  13. NP vs MD Scope of practice

    How long will it take you to finish the BSN and then the DNP? In terms of time to degree and practice I expect the DNP is going to be much much quicker: Medical school route: Peds: total of 9 years-...
  14. 2015 DNP

    I think of it as expecting more from an extra year or so of loans. If it is supposed to be a clinical doctorate, it should have more clinical courses and vastly more clinical hours than a masters....
  15. 2015 DNP

    Your right, i'm sorry. What I meant was clinically useless courses. When you are spending half of your time learning about how to read a research paper or set up research or learning how the health...
  16. 2015 DNP

    Many use the term fluff because soft sciences add nothing clinically, especially compared to hard science like pathophysiology or pharmacology. When most of a DNP is about learning to read research...
  17. Cardio questions...

    ACEi are vasoDILATORS. They reduce afterload. Especially in systolic heart failure they improve mortality. The data on efficacious treatments for diastolic dysfunction are lacking. Much of diastolic...
  18. 2015 DNP

    I'd say similar clinical hours and similar education in path, pharm and physiology Sure but having 12 hours of useless research fluff and only 4 hours of pathophysiology isn't doing your patient any...
  19. If you are talking about a systolic murmur then going anatomically from where the murmur is heard: Benign flow murmur Proximal aortic dissection Aortic sclerosis w/o physiologic stenosis Aortic...
  20. Which childhood disease covered by vaccines should exist? Hep B- acquiring Hep B early in childhood makes the likelihood of getting chronic hep B almost 90% while getting it in adulthood it is only...
  21. To be blunt, why on earth would someone pay extra money to see someone with less training than a physician? I think with more doctors doing concierge medicine you will see more of a 2 tiered system...
  22. NP to MD

    Watch out about doing your pre-recs in a community college... many med schools will outright not accept them and most view them as inferior to 4 year programs. Since the competition for acceptance to...
  23. NP's working at teaching hospitals

    The new work hours could really be an asset to NPs/PAs. The demand is going to go up. The ACGME (the people who run all the residencies) is planning on trimming the hours even further in the coming...
  24. NP's working at teaching hospitals

    Sorry to be technical but they are 16 hours (and were 30 hours). These hours are currently only for interns. Residents still do 28 hour shifts. I agree though, with the new hours, my hospital has...