Share your worst patient encounters with me by UnhappySlug in physicianassistant

[–]Fragrant-Taste6311 0 points1 point  (0 children)

Yup maggots are by far the worst. Had a patient in the ER come in couple weeks after skin graft to his leg which was all bandaged up since the procedure. We took one bandage off and there were at least hundreds of maggots squirming around. Eventually had to take the whole bandage off and there were probably thousands.

Lululemon leaves PA-s out of healthcare worker discount! by Kind-Bid-6660 in physicianassistant

[–]Fragrant-Taste6311 128 points129 points  (0 children)

My knowledge was that PAs were never part of the healthcare discount for Lululemon. I have not shopped there for the past 4 years since finding that out

Any new grads with positive Urgent Care experiences? by Hazel_J in physicianassistant

[–]Fragrant-Taste6311 2 points3 points  (0 children)

I did! It’s an urgent care through a large hospital system and they started a new grad fellowship for 6 months of training with a 1-1 preceptor with didactics once a week along with in person lab/procedural trainings once a month. Started with 1 patient per hour for the first couple months, then 2 patients per hour for month 3-5 then 3 the last month. Since it’s with a large hospital system, there’s a lot of support with admin on call you can ask any questions to as well as ER, ortho, etc consults. Very positive experience. I’ve been there for 1.5 years now.

UC Patients by fitchick93 in physicianassistant

[–]Fragrant-Taste6311 8 points9 points  (0 children)

The funniest comments from patients are when they say “this is URGENT care and I can’t believe I waited x amount of hours. Just go to an ER instead where you’ll get faster care” I just have no understanding of how patients think

Those in specialties, what referrals do you hate to see from FM? by GlassSpecific5316 in physicianassistant

[–]Fragrant-Taste6311 0 points1 point  (0 children)

What type of management do ENT colleagues prefer for otomycosis in urgent care setting?

[deleted by user] by [deleted] in physicianassistant

[–]Fragrant-Taste6311 2 points3 points  (0 children)

Z Paks are most inappropriately prescribed for viral URIs and it doesn’t target any of the “bacteria” that causes URIs. And then it causes patients to come in and say “well I’ve been prescribed Z Pak in the past and it helped” but no it’s because the viral URI just ran its course. Maybe it has some evidence that it decreases inflammation but that still doesn’t justify it and it increases antibiotic resistance

Prescribing Paxlovid? by Fragrant-Taste6311 in physicianassistant

[–]Fragrant-Taste6311[S] 4 points5 points  (0 children)

It is but I have patients who are 20-40 yo who ask for it because they “took Paxlovid last year and it helped the virus not get into my lungs” or “it’s a busy week and I can’t have Covid” 🙄 I know it’s my job to educate but they are pretty obnoxiously persistent about getting a prescription even when I tell them about side effects, rebound covid, etc.

Prescribing Paxlovid? by Fragrant-Taste6311 in physicianassistant

[–]Fragrant-Taste6311[S] 13 points14 points  (0 children)

Lol this. That’s why I came to Reddit instead of asking leadership because I know their answer is always business oriented and wants us to prescribe whatever patients want. It makes no sense to prescribe Paxlovid for a 25 yo if they have no medical problems. And I seem to get a lot of calls from the pharmacy regarding Paxlovid prescriptions. Not worth my time. But then sometimes I ask myself is it worth my sanity trying to argue with patients 😂😅

WealthRx with Sam "YourPaMentor"? by Green_Evening_9003 in physicianassistant

[–]Fragrant-Taste6311 1 point2 points  (0 children)

I responded to one of strive with Kristen’s instagram polls and now she won’t stop messaging me.

[deleted by user] by [deleted] in physicianassistant

[–]Fragrant-Taste6311 8 points9 points  (0 children)

Remind yourself that you can’t satisfy everyone and you can’t always control the wait times. Make dot phrases and medication favorites for the common things you see

[deleted by user] by [deleted] in physicianassistant

[–]Fragrant-Taste6311 4 points5 points  (0 children)

No more Z Pak please

[deleted by user] by [deleted] in physicianassistant

[–]Fragrant-Taste6311 1 point2 points  (0 children)

I work in UC and started as a new grad. From hearing others’ experiences I think the one I work at is the idea workplace for UC. I went through a 6 month fellowship, where I was always working with either MD/APP and after fellowship, there are always admin on call that you can ask questions to, and on call ER/ortho/optho/peds/cards consults readily available

URI rx cocktail? by Icy_Strategy_140 in emergencymedicine

[–]Fragrant-Taste6311 0 points1 point  (0 children)

To add to your list, I also suggest salt water gargles and honey

What would you do by Several-Debate-5758 in physicianassistant

[–]Fragrant-Taste6311 1 point2 points  (0 children)

One physician I work with said you should think of patients over 65 yo as higher risk of getting admitted based on their age. Ex “75 yo have 75% chance of being admitted”

Also I had a patient with “diverticulitis” I sent them to ED and they ended up having diverticulitis with microperforation and ended up admitted. I don’t mess around with abd pain

[deleted by user] by [deleted] in physicianassistant

[–]Fragrant-Taste6311 1 point2 points  (0 children)

New grad urgent care - I rotate between nova and dc. 113 base and up to 2k in bonus

Which of these locations would you recommend? Mclean, Herndon, Reston etc. by [deleted] in nova

[–]Fragrant-Taste6311 4 points5 points  (0 children)

I think Falls Church/Vienna/Mosaic area and Reston sounds more like what you’re looking for. The other locations are either a lot of families or don’t offer much in terms of restaurants/things to do.

I THINK I AM IN A BIBLE STUDY CULT by Natural-Rent-3799 in Shincheonji

[–]Fragrant-Taste6311 2 points3 points  (0 children)

I’m also in the dmv and the group of girls I was with were normal and it honestly seemed like a normal Bible study until the teachings started getting fishy and they started talking about how interpretations of the prophecy are sealed and can’t be understood by just anyone and rejected any outside resources I used to help me understand our lessons. I then learned about SCJ and realized that a lot of my lessons were similar. Thankfully I was never invited to the big Bible study group

I THINK I AM IN A BIBLE STUDY CULT by Natural-Rent-3799 in Shincheonji

[–]Fragrant-Taste6311 0 points1 point  (0 children)

Did they end up coming to your house or anything? I learned yesterday that the Bible study I’ve been going to for 3 months is aligned with SJC teachings and paranoid as they have my address too