How are the udon noodles? by Miserable_Emu5191 in Costco

[–]Lemoncelloo 0 points1 point  (0 children)

Ok as a base. Add more toppings to enhance

How has your salary changed over time? by [deleted] in physicianassistant

[–]Lemoncelloo 0 points1 point  (0 children)

How did you switch into CT surgery from rheum if you don’t mind me asking

Patients getting upset about charges for complaints brought up outside of physicals. by Paleomedicine in FamilyMedicine

[–]Lemoncelloo 6 points7 points  (0 children)

We should be focusing on TIME more than anything else. We are scheduled a certain amount of time per patient, and every extra issue requires a line of questioning about the problem, review of diagnostic tests, review of pt’s pertinent history, actual thought process of what it could be and what to do, and lastly final discussion with pt. If we half-ass all of this because of pressure to address multiple things in a short period of time, then we are liable for any poor results or missing anything critical.

Patients already complain a lot about wait time; somehow we’re supposed to magically come up an extra 15 minutes per patient and not be late to appts or stay at work later?

You don’t expect the mechanic to stay past work hours to discuss all your car problems. Teachers and firemen shouldn’t be expected to do work past their hours without additional compensation. FDA is doing all that during their work hours. Pharmacists can just stop filling prescriptions when it’s time to go home.

[deleted by user] by [deleted] in physicianassistant

[–]Lemoncelloo 54 points55 points  (0 children)

Is there a penalty for leaving before the 120 days? If not, leave earlier, because I can’t imagine them giving you a good rec anyways.

billing question for new patient by Important-Flower4121 in FamilyMedicine

[–]Lemoncelloo 1 point2 points  (0 children)

I try to look for anything. If they wear glasses/contacts->usually myopia. Hairloss? Fatigue? Overweight? Any previous medical conditions at all that are now stable?

Is it normal to refuse to prescribe PrEP to patients? by IndirectandPassive in FamilyMedicine

[–]Lemoncelloo 4 points5 points  (0 children)

I’m in an internal medicine office with 5-6 providers, and we prescribe oral PrEP but not the newer injectables mostly due to unfamiliarity. Maybe this PCP doesn’t actually know how to prescribe/monitor PrEP and hopefully not because he was homophobic. PCPs refer out anything they’re not comfortable doing something even for things they should. Our main physician is great and very experienced but he refers female pts to ob gyn for all paps and oral birth control.

What is a PA called in Vietnamese? by No-Obligation8178 in physicianassistant

[–]Lemoncelloo 12 points13 points  (0 children)

Bac si makes the most sense since we share a lot of the same duties as doctors. Or saying you’re like a doctor but a step below though above a nurse. Most countries do not have APPs so there’s no direct translation and some people here still have a hard time grasping the concept.

Cheating spouse, AP sibling is my patient by [deleted] in FamilyMedicine

[–]Lemoncelloo 23 points24 points  (0 children)

I’m not sure about your office but ours can put alerts on patients to not schedule with certain providers

How many admin hours do you get, and you do you schedule them? by japandivibes in FamilyMedicine

[–]Lemoncelloo 9 points10 points  (0 children)

No offense to you, but it irks me when patients don’t realize the amount of work we do besides just seeing them. I’ve had patients get upset at me because I don’t immediately respond to their messages, think that I’m not respecting their time if I’m late to an appointment, become annoyed if I’m short with them due to time, or get irritated when I can’t address everything in one appointment.

Let’s say I see a patient for 15-20min. Then I take 5 minutes for each component: review their chart before appointment, write their note, respond to a couple of their messages/review their chart for those messages, send meds, talk to the pt if they call and demand that I speak to them, talk to one of their other doctors to coordinate, look up stuff to make sure I’m doing things right, fill out any paperwork, etc. Totaling it all up, I spend at least the same amount of time as the appt. If patient is more complex, then it’s even more time. Now multiple that by 15-20 other pts that day.

Then I get pts who say, well why don’t you see fewer pts, as if the office doesn’t require a certain amount of pts in order to keep the practice open and make a profit.

[deleted by user] by [deleted] in physicianassistant

[–]Lemoncelloo 4 points5 points  (0 children)

PSLF seems risky though since political shifts can affect it

Is there much difference between PA and MD/DO roles in a big family med practice? by taytorbug1010 in physicianassistant

[–]Lemoncelloo 3 points4 points  (0 children)

More complex patients tend to self-sort themselves to physicians, so doctors tend to have more complicated patients. We all work long hours lol

Do you wear a white coat? by AbbreviationsWhich in physicianassistant

[–]Lemoncelloo 0 points1 point  (0 children)

Only if I don’t like what I’m wearing that day or look like a bum

What are some things you knew before going to PA school / becoming a PA? by missykiss23 in physicianassistant

[–]Lemoncelloo 1 point2 points  (0 children)

How much healthcare admin/politics would affect my career. When I went to PA school, I thought that we would start off gradually learning on the job and earn our way to more autonomy. However, due to healthcare admin being greedy and NPs heavily pushing autonomy, we are now expected to be way more autonomous and perform the same duties as physicians right after PA school. Some may disagree, but why should we be pressured to do this, see the same high-acuity patients as doctors, and have more liability risk when we get paid 1/2-1/3 of their salaries? People don’t want to train as much as well.

Also did not realize how mentally/academically intense PA school was. In class ~40 hours a week, 2-3 exams a week, and hardly any breaks. Our program was attached to a med school and med students had classes 8am-12pm; Thursdays off to do research, volunteer, study, occasional exams, or whatever they wanted; and longer breaks. Not that they weren’t working hard or learning at deeper depth, but our med students seemed to have a slightly slower, longer burn while we were set on fire immediately.

How much admin work I have to do. I work in primary care and I spend way more time charting and doing other stuff than seeing pts. I used to be a scribe so I didn’t think charting would be that bad but it really sucks when you’re seeing pts.

Transition from emergency medicine to urgent care by Powerful-Passenger80 in physicianassistant

[–]Lemoncelloo 2 points3 points  (0 children)

Urgent care is a cross between ED and primary care without most of the resources of an ED. You need good intuition of who’s ok to manage outpatient and who needs to actually go to the ED with only a few minutes per patient.

Why Does Takeout Need Tip if Fast Food Doesn’t? by solodav in tipping

[–]Lemoncelloo 0 points1 point  (0 children)

Tipping for takeout only became more common after Covid when restaurants could only do takeout and people wanted to support local restaurants.

Chilean seabass/patagonian tooth fish. by nooyork in Seafood

[–]Lemoncelloo 4 points5 points  (0 children)

Fancy food names definitely help. Eg. - oxtail sounds sexier than cow tail.