dissent

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 be completely right. Now I don't know what he/she...

I think the OP is asking why someone would prescribe flovent and flonase to the same patient

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 prescribing.

It would probably be similar to the PA to MD bridge- a 3 year program followed by residency.

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 online version or not b/c it is obviously free on the ...

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 standard drip dose 8mg per hour. It is the doctor's ...

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 RCTs. L-albuterol is WORSE than racemic albutero...

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 or ortho surgery are likely to come.

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 health care system related- they are population/lifesty...

It's not.

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 it?

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 australian schools), those that are accepted but with hurdl...

I mean how bad of an error are we talking about? Was this HCTZ 50mg instead of 25 (ie no big deal)?

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- 2 years for post-bac, 4 years for medical school, ...

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. Otherwise why have a doctorate? Milk it's students fo...

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 care system is set up instead of actually how to tr...

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 rather than actually being able to take care of pati...

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 dysfunction is caused by hypertension (among other ...

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 favors.

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 stenosis Pulmonic stenosis ASD VSD PDA Tricuspid Regurg ...

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 around 10%. Most adults will clear it while childr...

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 coming out. Demand for NPs probably will increase.

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 med school is fierce, taking your pre-recs at a co...

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 years. So in areas where residents are picking up th...

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 gone to more NP/PA help with the work. Since the work...