chouxpastry

chouxpastry

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  1. Low iron level with normal CBC

    If CBC is normal, I would generally not pursue additional testing to prove iron deficiency or GI blood loss. However, if a correlating BMP/Chem-7 demonstrates acute on chronic renal insufficiency along with hemoconcentration, then I would attempt re-...
  2. What labs values have the opposite effects?

    Potassium does not have an opposing electrolyte to my understanding unlike Ca and P (and not necessary a definite inverse relationship either as acute kidney injury or superimposed acute imbalances can create exceptions)...kidney people please correc...
  3. What is your biggest struggle

    While I am still a newbie, my greatest struggle so far has surprisingly been establishing my "place" within a hospital that's unfamiliar to the practice of PAs and NPs. Dare I even say the culture is somewhat hostile? In it remains an unfortunate hie...
  4. Little experience as an RN

    I greatly appreciate those who have defended direct entry NPs on this thread as I am one myself. It saddens me a bit to read sweeping generalizations about direct entries and I want to offer my own POV:)...not everyone has the luxury of working as a ...
  5. Resources for primary care NP

    List of common medical issues in primary care probably varies with age group and population but it sounds like you have a lot of older adult pts...HTN, dyslipidemia, CAD, HF, COPD, URI, UTI, CKD, DM and its sequelae, dysphagia, GERD, chronic constipa...
  6. First NP Job With Little Autonomy

    I'm sorry to hear about your sitch! I totally agree with the above about sticking it out for a few more months before job searching again. First, working 50-60 hours/week is not okay...unless your salary accounts for these "unpaid" hours. Others may ...
  7. New Grad Job Offers Advice

    the cardiology position sounds so awesome! it looks like you are going to learn A LOT. if i were in your shoes, i think i would express interest in joining but meanwhile continue to interview just in case an offer does not pan out. i'm sorry to hear ...
  8. new grad job decision

    BCgradnurse: yes, that is exactly my dilemma. i always tell loved ones "at the end of the day, work is just work" but have a hard time applying this to real life! i also understand and agree with your assessment - my FNP program did not dip at all in...
  9. Texas FNP Grad wanting to go to California

    i too am a new FNP grad in CA, and my personal experiences differ from the above posts. there are abundant family practice jobs in both metropolitan areas and non. employers are also more than willing to train new grads. RN experience is of tremendo...
  10. Orthopedics

    i do not work in ortho but was recently about to go into spinal...I unfortunately only have suggestions for *free* resources as this quest was short-lived. Here is what I found... youtube: sounds questionable but there are a lot of really good videos...
  11. new grad job decision

    thank you for your concerns everyone! while the salary is a great bonus, it is not my main reason for going with one job or the other. i will be doing only hospitalist coverage until I am ready to take on more. in any case I am still weighing my choi...
  12. new grad job decision

    carachel2 and atomicwoman: family... good question about a training program. no formal program from either sides altho spinal and gi have both worked with new grads PAs/NPs and the intensivist currently works with physician residents. both sides expe...
  13. Nurse Practitioners or FNP salary in Bay Area/San Francisco Area

    Yes I did an entry level masters! Incidentally I wanted to work as a RN in the hospital first but knowing myself I would likely lose the momentum to stop work and finish school. I did do a bit of home health as it was conducive to school but once I s...
  14. new grad job decision

    hi everyone, i have a career dilemma - I'm a new grad np who was offered the option of part time GI (primarily inpatient) and part time spinal ortho (both clinic and OR) in the city versus full time intensivist in a more rural area 1.5 hrs away from ...
  15. Nurse Practitioners or FNP salary in Bay Area/San Francisco Area

    dude i'm looking to eventually work inpatient as well! except i have no RN experience... fyi, stanford is consolidating its brand and umbrellas both its university system as well as affiliated physicians/groups throughout the bay...the latter is spre...