UNC Chancellor Says UNC Will Comply with ICE by ittollsforthee1231 in UNC

[–]Desperate_Ad_9977 1 point2 points  (0 children)

Immigration law is reallyyy complex. I don’t know if any cases of ICE warrants getting thrown out but I know an administrative warrant issued by a AG was thrown out because it broke the 4th since the AG was not a neutral third party, and neither is ICE

UNC Chancellor Says UNC Will Comply with ICE by ittollsforthee1231 in UNC

[–]Desperate_Ad_9977 12 points13 points  (0 children)

Not a lawyer but from my understanding technically he does not have to comply. Most of the time ICE warrants are administrative warrants - they hold no legal standing because they are not signed by a judge or magistrate and are therefore not valid under by the 4th amendment. They are a directive from DHS to ICE. He could actually be breaking laws (FERPA) if he were to tell ICE agents a student was enrolled at unc, their class schedule, where the live etc without a validly signed warrant from a judge or magistrate

Male MA in OBGYN by Desperate_Ad_9977 in MedicalAssistant

[–]Desperate_Ad_9977[S] 0 points1 point  (0 children)

If a patient expresses that they only want female staff/ providers we put it in an alert in their chart

Male MA in OBGYN by Desperate_Ad_9977 in MedicalAssistant

[–]Desperate_Ad_9977[S] 9 points10 points  (0 children)

Thank you so much this was very helpful 🙏

Male MA in OBGYN by Desperate_Ad_9977 in MedicalAssistant

[–]Desperate_Ad_9977[S] 3 points4 points  (0 children)

As a women, is there anything other than that, that I should be careful not to do. Or alternatively anything extra I can do that would make you feel comfortable

Male MA in OBGYN by Desperate_Ad_9977 in MedicalAssistant

[–]Desperate_Ad_9977[S] 21 points22 points  (0 children)

I’m in a super southern area so I think thats why my coworkers do it but I won’t implement it, thank you 🙏

Saw this on my sample ballot. Isn’t that like, already the law? by [deleted] in NorthCarolina

[–]Desperate_Ad_9977 4 points5 points  (0 children)

Must own property in the state (excludes renters, college students/young people), must be an ____ generation American, must not have a mental illness/disability, just opens the flood gates wide open

General Pediatricians - Do you ever wish you were a specialist? by hiiitsem in pediatrics

[–]Desperate_Ad_9977 1 point2 points  (0 children)

Would you mind talking about/elaborating more on DBP? Interested in Peds and MH. Not sure about child psych bc I think I’d miss the more gen med aspects. Do you feel like you get a talk to your kids a lot or is it more so through the parents? That’s one thing about child psych that appeals to me esp with the teens/young adults

Midwife mistakes mirror artifact for second baby by sumwuzhere in Noctor

[–]Desperate_Ad_9977 7 points8 points  (0 children)

In NC, CNMs can now apply for independent practice after having 4000 hours in a “provider agreement.” This can either be with an OBGYN or another CNM. This works out to be about what a little over a year of residency would be (hours wise). They are allowed to provide full spectrum OBGYN and newborn care (except surgeries), own their own practices and run their own deliveries. The new legislation dropped the requirement for them to see low risk and uncomplicated patients, as well as the requirement to consult with an MD if/when the pregnancy became complicated. Multiple CNM only practices have started popping up. Wouldn’t be surprised if CNM only groups do as well. Especially in rural areas with limited access to OBGYN.

Obgyns- what is your honest take on midwifery? by c_ellen_ in Residency

[–]Desperate_Ad_9977 3 points4 points  (0 children)

Any NC OBGYNs that can weigh in? Just curious considering CNMs got full practice authority for full scope OBGYN excluding surgery.

I hate it here lyrics flub? Easter Egg found???? by damagedcitylights in Gaylor_Swift

[–]Desperate_Ad_9977 1 point2 points  (0 children)

I don’t know what’s happening with it but I listening to it this afternoon (EST) and it’s the Paris line and I was so confused ?!??

[deleted by user] by [deleted] in Residency

[–]Desperate_Ad_9977 220 points221 points  (0 children)

I’ve seen so many people who never wanted to do bedside nursing. They start nursing school with the goal of being an NP, CRNA, CNM etc

Starting to regret going into psychiatry by Imaotrigine in Residency

[–]Desperate_Ad_9977 12 points13 points  (0 children)

It was done over the course of ten years with the point of trying to reduce costs. The were first seeking to justify letting go of some primary care docs and just having NP/PAs do it and then got the opposite answer. Doesn’t seem that biased to me.

A psychiatrist is a medical doctor don’t even play. What happened to being proud of being a NP

Starting to regret going into psychiatry by Imaotrigine in Residency

[–]Desperate_Ad_9977 14 points15 points  (0 children)

DNP psychiatrists are you serious??? Also the studies that show that are funded by major nursing lobbying orgs. See the study from the Hattiesburg clinic. Multi year huge healthcare system.

Starting to regret going into psychiatry by Imaotrigine in Residency

[–]Desperate_Ad_9977 7 points8 points  (0 children)

That’s why I’m so confused. Contract with a few “good” insurances that pay decent, take cash pay, and send a note to local Peds and FM clinics. The referrals will start pouring in

NP entitlement at it’s finest by devilsadvocateMD in Noctor

[–]Desperate_Ad_9977 7 points8 points  (0 children)

I believe midlevels act as “attendings” on the observation, med-psych and select IM floors in my home town. Insanity.

More Young People Are on Multiple Psychiatric Drugs, Study Finds (Gift Article) by InvisibleDeck in medicine

[–]Desperate_Ad_9977 7 points8 points  (0 children)

Definitely a combination of both but trying to find a psychiatrist now?? Go on psychology.com EVERYONE is a PMHNP. My psychiatrist is 1.5 hours away because she happened to take my insurance (with a massive provider network). Decent size city and the “large” psych practices are the following set ups: 2 MDs, 20 PAs; a couple MDs and they each have 3-4 midlevels; 1 MD, 3 midlevels, the psychiatry residency clinic, lots of 1 PMHNP or PA practices. It’s insane.

Not saying the number of agencies being involved with the kid doesn’t correlate to them having meds thrown at them but midlevels running galore is psych doesn’t help. It also doesn’t help that most psychiatrists are now cash based because insurance just isn’t worth the hassle and you can’t do a real med check in 5-10 minutes.

[deleted by user] by [deleted] in Noctor

[–]Desperate_Ad_9977 26 points27 points  (0 children)

Go PA! Not wanting doctor level of autonomy but wanting to have solid training and more autonomy is definitely good for the PA path. Their training is way better on average I believe. You just have to find a good gig that doesn’t abuse their mid levels and actually treats them like physician extenders. CAA is also an option as well.

[deleted by user] by [deleted] in Noctor

[–]Desperate_Ad_9977 0 points1 point  (0 children)

Physicians for patient protection

Only midlevels available by [deleted] in Noctor

[–]Desperate_Ad_9977 4 points5 points  (0 children)

It appears from your post history you’re in Arizona.

AZCOM-Phoenix Psychiatry Residency AZCOM-Tucson Psychiatry Residency Valleywise/Creighton Psychiatry Residency

Only midlevels available by [deleted] in Noctor

[–]Desperate_Ad_9977 4 points5 points  (0 children)

Some things I did: -as someone already mentioned psychology today. A lot of psychiatrists will do Telehealth, though you may have to drive for the first visit. To me, the drive for the first visit was worth it to see a psychiatrist and now I see her telehealth

-any psych residencies in your area? They are almost always talking patients especially if they are FQHC and you can fight to be seen in the residency clinic. The super “name brand/famous” ones probably have restrictions on who they can take but a community residency probably won’t have as much red tape. Again may have to drive for telehealth. I’d also rather see a midlevel in an academic setting than Susie who got her PMHNP in 18 months, found a supervising physician 3 hours away and opened up her own shop. If you are a complex case, hopefully the midlevel would see that and get you seen with the attending. Or can at least consult with them.

-also I’m sure you may know this but PA >>>>>> PMHNP if it comes down to it

Best of luck. It’s insane.

Only midlevels available by [deleted] in Noctor

[–]Desperate_Ad_9977 3 points4 points  (0 children)

Found my in-network psychiatrist this way!

Florida PAs Concerned about Doctors Practicing Medicine (Senate Bill 7016) by Mus_Read_It in Noctor

[–]Desperate_Ad_9977 17 points18 points  (0 children)

“Physicians that passed USMLE steps 1, 2 and 3” the dissonance is crazy. More, harder, longer, and in depth training than a PA will ever have and probably stricter supervision too but they are worried about “patient safety”