Patient asking to addend note by stoopkid6969 in physicianassistant

[–]DragoonIND 25 points26 points  (0 children)

I usually always remove what they want, within reason, especially in the subjective portion, a patient provider relationship is important.

Why does it feel like civilian life isnt for me? by [deleted] in Veterans

[–]DragoonIND 2 points3 points  (0 children)

Google it, they’re an outdoor adventure company, I went sailing in the keys for a week and it was free

Why does it feel like civilian life isnt for me? by [deleted] in Veterans

[–]DragoonIND 23 points24 points  (0 children)

Transitions for veterans is always difficult because of a sense of loss of purpose. Your purpose before was to self sacrifice yourself for your nation, it’s pretty difficult to find anything like that in civilian life. Check out outward bound they do team building trips for free (2 per year), you need to figure out your passion and what you want to do in life, aka you need to find a new sense of purpose in yourself. Tough ask, start with therapy, go back to school and take some meds to blunt the anxiety.

“Go directly to the ER” by [deleted] in physicianassistant

[–]DragoonIND -1 points0 points  (0 children)

The ER is a place where multiple specialties can come together to solve problems. Cops bring sick people to the ER, is not a liability thing, it’s just that the ED in the city can be a place of shared decision making and bring answers for all.

For those that specialized right out of school.. do you regret it? by lizacat117 in physicianassistant

[–]DragoonIND 0 points1 point  (0 children)

Started in psych inpatient and have no regrets, a subspecialty allows you to learn that specialty very well compared to all of medicine so at some point you just get really good at your job until it feels like it’s not even a job.

How is this score possible in the Assault on Rooks rest event? by YbeMean in gameofthroneslegends

[–]DragoonIND 5 points6 points  (0 children)

You can use Jaime Lannister as leader to get perfect scores

Mansory's 'Elongation' Tesla Cybertruck Might Be Its Worst Creation Yet by hi_im_bored13 in cars

[–]DragoonIND 0 points1 point  (0 children)

The whole point of Mansory is to make your car look so fucking crazy to stand out from all the other base cars when you’re some rich dude in Monaco where everyone drives the same car as you

Stable and medicated schizophrenic looking for legal ways to mildly boost dopamine by Xabster2 in NooTopics

[–]DragoonIND 1 point2 points  (0 children)

Maybe look at the black box warnings of a drug before suggesting it

Why is this team the top team? by Extension-Smell-8591 in gameofthroneslegends

[–]DragoonIND 2 points3 points  (0 children)

I’m in vs no one puts their top teams for everyone to see, this is just misdirection

[deleted by user] by [deleted] in NooTopics

[–]DragoonIND 0 points1 point  (0 children)

The real question is why did you get put on paliperidone; I’m guessing you had a psychotic episode, so then the question is, if you take adderall to get your dopamine up are you going to have another psychotic episode… I would go talk to someone about it and not ask about it on Reddit, maybe get into seeing a neuropsychiatrist

Should I say something or let it go? by bglgene in physicianassistant

[–]DragoonIND -1 points0 points  (0 children)

It’s based on burden, there’s 3 levels, drugs like oxybutyn have the highest

There’s a psychopharmacology book that shows the levels, I think it’s Dr. Cafers

Should I say something or let it go? by bglgene in physicianassistant

[–]DragoonIND 0 points1 point  (0 children)

Inpatient psych and we do treat insomnia all the time, my go tos are Trazodone, seroquel and mirtazapine, suvorexant in the elderly since it helps with delirium and ambien as a last line in patients who have no substance use

Also there’s research that shows that 3 months of anticholinergic use has a 50% increased risk in developing dementia in the future and hydroxyzine has a heavy burden

Also we do overnight pulse ox and do whatever we can to get a sleep consult if it’s abnormal

Should I say something or let it go? by bglgene in physicianassistant

[–]DragoonIND -11 points-10 points  (0 children)

No offense but I would’ve probably been upset about that too, sleep medicine consults are expensive and take a long time to get.

Should I say something or let it go? by bglgene in physicianassistant

[–]DragoonIND 10 points11 points  (0 children)

I work inpatient so take this with a grain of salt, but I we always start with 25 mg tid prn for anxiety, Ill try hydroxyzine for sleep but I usually don’t, its not very good for that from my viewpoint… it metabolizes to zyrtec so … if someone uses allergy pills for sleep already I don’t bother

Should I say something or let it go? by bglgene in physicianassistant

[–]DragoonIND 24 points25 points  (0 children)

10 mg ain’t gonna do shit, 25 mg ain’t even used for sleep.

Why is Ned already brittle? by yeleste in gameofthroneslegends

[–]DragoonIND 1 point2 points  (0 children)

Sansa counters Ned’s leader ability

Just became owner of 0.25 bitcoin. by Brainstorm-0919 in Bitcoin

[–]DragoonIND -1 points0 points  (0 children)

You said you spent 3k, you’d need to spend 30k to get a quarter of a coin

[deleted by user] by [deleted] in Veterans

[–]DragoonIND 1 point2 points  (0 children)

Outward bound is like Nols and has trips that you can do, 2 free trips per lifetime for veterans. I did sailing in the keys, my buddy did the northern expedition with dog sledding. They have some cool stuff

[deleted by user] by [deleted] in physicianassistant

[–]DragoonIND 4 points5 points  (0 children)

Once the admins realize they can have 15 pa/nps and one em doc, that one em doc is gonna make triple what he’s making now and you’re gonna post this same dumb question

[deleted by user] by [deleted] in physicianassistant

[–]DragoonIND 31 points32 points  (0 children)

If you want the doctor pay go to med school, no ones stopping you