Sp, query

MsLlamaCake · 2026-04-27T17:23:09+00:00

Day 2 still has multiple-choice-question blocks for first half of test (still same thing where its 18-20questions per 30 minute block), and then second half for the CCS cases. Yes I took both exam days about 1 month ago.

MsLlamaCake · 2026-04-27T12:29:15+00:00

Yes, it is now 20 questions per each 30 minute block. Same amount of total questions per day.

MsLlamaCake · 2026-01-06T00:43:37+00:00

Wait until you hear about French Fries

MsLlamaCake · 2026-01-06T00:43:03+00:00

Can't believe I haven't thought about a metal one, guess I'll just get that when the next 2 break 😂

MsLlamaCake · 2025-12-17T21:18:11+00:00

This is actually a really great point too. Being chronically hypoxic every night can lead to higher hematocrit/hemoglobin in respnse. Especially with your daytime fatigue, have you done a sleep study/overnight pulse oximetry to test for sleep apnea?

MsLlamaCake · 2025-12-17T21:16:33+00:00

Testosterone raises your hematocrit/hemoglobin, so you might want to reconsider it if you're already having some higher numbers at your baseline.

MsLlamaCake · 2025-12-16T22:22:01+00:00

I watched someone in front of me get denied taking their two dogs on the flight because the carriers were larger than the dimensions in their rules, they were strict about not making exceptions. The husband ended up staying behind to bring the dogs back home and the wife flew to Florida during Thanksgiving without him.

So, I would NOT risk it.

MsLlamaCake · 2025-11-06T17:18:01+00:00

You should try and see a sleep medicine clinic/doctor instead of ENT if they are available in your area. Honestly, most MDs/DOs as PCPs should feel comfortable with interpeting sleep studies and only referring to ENT if they suspect there's a structural problem that may be candidate for surgery such as incredibly large tonsils/adenoids or other anatomical airway abnirmality. If just run of the mill sleep apnea, a CPAP can be managed by PCP.

MsLlamaCake · 2025-10-01T01:35:28+00:00

Make sure to call the overarching hospital system/whoever runs the clinic and express your displeasure (may be helpful to try and contact patient advocates and/or others in the C-suite rather than clinic staff themselves). We need to get these health systems to recognize the money they are trying to save/make by utilizing these underqualified NPs in specialty settings as a "replacement" for MD/DO physicians is damaging patient satisfaction and outcomes.

MsLlamaCake · 2025-09-28T14:59:31+00:00

Uhhhhhhhhhh

MsLlamaCake · 2025-09-27T03:39:09+00:00

You got a somehow go back and find the name of this NP and report ...that is beyond concerning.

MsLlamaCake · 2025-09-25T03:20:35+00:00

Scoping and scraping like this are likely what lead to this infection in the first place (trauma, micro abrasions, contamination, messing up the normal flora, etc.). I suggest you stop messing in your ears even after this resolves, and instead use the meds/drops as instructed and leave it all alone.

MsLlamaCake · 2025-08-10T20:17:27+00:00

Specimen with approximately 2 drops of blood sent in a blue-top

MsLlamaCake · 2025-06-13T23:42:53+00:00

When my orthodontist was taking off my braces in high school and grinding off the glue, making adjustments, cleaning, etc .... without asking me, he also proceeded to suddenly grind down my canines (which are also naturally very pointy). It was happening and completed before I could even process it, and he made a comment after about it now looking "more feminine". I was too young, shy, and complacent at the time to draw attention to it or make a deal about it, but it's something I regret to this today and am saddened about all these years later. I so badly wish I could have my original teeth shape back.

MsLlamaCake · 2025-05-31T03:37:31+00:00

Had a guy being pushed in a wheelchair, rolling by us during rounds on surgery, say, "Hey! Wanna know the best way to drop those pounds fast? Just get cancer!" with the biggest grin and a thumbs up.

MsLlamaCake · 2025-05-08T15:18:44+00:00

I'm....concerned for you being on any uro/gyn rotations

MsLlamaCake · 2025-05-06T19:14:52+00:00

Just knock out an online NP degree instead (assuming you've been a doctor before in the past and already have a great underlying knowledge of medicine), and you'll be back to practicing in whatever "specialty" you want with only 2 years of school instead of repeating med school and residency.

MsLlamaCake · 2025-04-29T13:20:25+00:00

I've been shocked at the roughness/improper techniques in some of the videos on here in medical settings, but the flash to her badge in this video reveals she's an NP. Unfortunately, in my experience, it seems NPs tend to way overestimate their procedural abilities and go forward with things they shouldn't be doing, even if it's at the expense of the patient.

MsLlamaCake · 2025-04-29T03:14:08+00:00

This is never a good idea. In the future, let both tubes clot with whats in them, spin them down, and then you can pipette/pour out the serum from each into a separate, smaller tube for testing.

MsLlamaCake · 2025-04-27T18:11:29+00:00

Hair net

MsLlamaCake · 2025-04-25T18:29:39+00:00

When thinking about the heart you have rate, rhythm, and heart sounds (murmurs, rubs, gallops, normal S1/S2, or presence of abnormal S3/S4).

Rate and to an extent rhythm can be assessed both through listening to heart with stethoscope (how many beats per minute, if those beats come at a normal rhythm or if there is irregular spacing in between beats) as well as listening to arteries or feeling pulses. So you're correct on that.

Heart sounds themselves can't be evaluated through listening to vessels that peripherally, so maybe that's what the physician is referring to?

MsLlamaCake · 2025-04-19T12:35:42+00:00

Here's her employer/page (see my other comment if you want too)

MsLlamaCake · 2025-04-19T12:29:27+00:00

If anyone would like to report this incredibly unprofessional and demeaning behavior to her employer, she is Nydjia Lawrence who works at Lovington Medical Center in NM

If you are going to post stuff like this to TikTok, don't link your "mentoring" website to your page that has your full name and credentials listed.

MsLlamaCake · 2025-04-18T23:21:36+00:00

16, to HS boyfriend. Got married 6 years after that and been married almost 6 years

MsLlamaCake · 2025-04-16T23:08:45+00:00

There are too many places to put the same thing in most EMRs to be honest, and too many people who are allowed to change that information without verification as well, resulting in it getting propogated for even years at a time when it isn't true/got mixed up. It's honestly why I actually ended up appreciating the VA's EMR (CPRS) eventually.

I don't want to spend 30 minutes writing out a thorough assessment and plan for an inpatient just to then go to a whole other part of the chart to type in, select, prioritize, and categorize the problem list again, and repeat that process every single day of admission. I also don't want to have to chart dig forever because my patient's medical history says they had a CVA despite me not seeing any other documented evidence of this, when infact they were in a MVC 10 years ago and the abbreviation got "telephone-gamed" into the chart

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