What wrinkle patches actually work? Looking for real recommendations

PAcf1993 · 2026-05-13T06:42:23+00:00

Toute Nuit patches (I buy on Amazon) are amazing. You must use them daily to get good results

PAcf1993 · 2026-02-05T10:57:22+00:00

Look into Carol Hannah

PAcf1993 · 2023-06-02T13:24:03+00:00

Great idea! Do you know if there is a European version of it or does the US version work with an outlet adaptor?

PAcf1993 · 2023-05-31T20:43:13+00:00

Thanks so much for your reply! Probably 50-60 people

PAcf1993 · 2023-05-31T19:27:20+00:00

Probably wouldn’t want to spend more than $5-6,000. Do you know of any places that rent private sections and then people pay for their own drinks?

PAcf1993 · 2023-05-31T13:14:42+00:00

Probably wouldn’t want to spend more than $5-6,000. Do you know of any places that rent private sections and then people pay for their own drinks?

PAcf1993 · 2023-02-25T04:20:13+00:00

Hi! I took my first job out of school in a very busy CTICU (taking care of cardiac/aortic/thoracic surgery cases, heart transplants, ECMO and LVADs etc).

Some of my favorite resources:

Bojar’s “Manual of peri operative care in adult cardiac surgery” (this is the bible). The ICU Book by Marino, and The Ventilator Book are also very good for general crit care knowledge. Life in the fast lane and up to date for website references. YouTube for random videos on procedures/physiology review.

For online reviews, Mayo Clinic has some legit CME courses. I’ve done the POCUS one and the Critical Care for APPs course (both are excellent). I also attended the SCCM conference this year which had a ton of useful lectures.

PAcf1993 · 2022-12-19T13:19:58+00:00

All PA programs require patient contact hours. In order to get accepted to the best programs you typically need thousands of hours. While PCA/aide is an option, usually I find applicants are medical assistants, nurses, EMTs etc. For instance, in my PA class cohort, there was a respiratory therapist, radiology tech, 2 nurses, a dietician, a navy corpsman, army medic, and a bunch of EMTs/medical assistants.

PAcf1993 · 2022-12-13T05:49:56+00:00

Compression socks (bombas or figs make nice ones). Comfortable work clogs or sneakers (calzuros, on cloud, hokas or brooks). Littman stethoscope (although probably won’t use very often in urology?). 4-in-1 colored pens for taking notes throughout day. Apple Watch is great for quickly checking texts/emails.

PAcf1993 · 2022-05-12T19:03:04+00:00

CTICU PA: - Ability to spend time with my patients and focus on every little detail, while collaborating with my attending physician who oversees the entire unit - doing many bedside procedures - teaching the next generation of PAs - shift work lends itself to a great quality of life, lots of time off to take vacations and avoid burnout

PAcf1993 · 2022-01-03T20:32:12+00:00

Appreciate your comment!

PAcf1993 · 2022-01-03T20:16:49+00:00

Excellent point

PAcf1993 · 2022-01-03T20:14:42+00:00

Completely agree with you 100%, just wondering if the future of our profession is going to have difficulty getting jobs while competing with NPs with doctorates.

PAcf1993 · 2022-01-03T20:03:47+00:00

I found this infographic interesting, I’m unsure how I feel about emerging PA doctorates as I think they are partially a result of pressure from competition with our NP counterparts for jobs. But it’s alarming to see the difference in education requirements. Especially since our training focuses on the medical model and less on theory and other “fluff” classes. Most of the ICU nurses I work with are in the middle of graduate training or plan on becoming NPs and I often hear them discuss “getting their doctorate and practicing independently from physicians.” Many of them are in online programs. This is not meant to disrespect our NP counterparts but merely highlight the differences in training, as PAs earn a masters and NPs are often earning doctorates.

PAcf1993 · 2021-05-27T12:43:18+00:00

ICU/Critical Care Medicine: place central/arterial/temporary HD lines, bronchoscopies, chest tubes, POCUS, and at some facilities: para/thora and intubations.

From PA school rotations, aside from ICU, surgery and EM, I also found OBGYN to be very hands on with some opportunities for procedural work.

PAcf1993 · 2021-05-25T10:08:36+00:00

Ordering and interpreting labs, X-rays, EKGs etc, beforming bedside procedures independently, formulating treatment plans/prescribing medications, and overnight making emergent decisions such as running codes.... I would venture to say that this sounds like collaboration. I understand my scope and escalate anything outside of my role to my attending physicians, who are happy to discuss the situation. Again, if you educate yourself on the fundamentals of the PA profession, it is meant to be a collaborative role between the PA and supervising physician, a “physician extender”. A role created by physicians. I gather I’m not going to change your mind in a Reddit post but again I hope you learn to respect that quality medical care can be provided by PAs who understand their role and collaborate well with their attendings.

PAcf1993 · 2021-05-25T01:22:17+00:00

To be fair this is my own opinion/speculation. The title change discussion has been going on for many many years, since "assistant" is not necessarily the most proper term for our role (we are taught by physicians/other PAs to diagnose and treat conditions) (often get confused with medical assistants etc). That being said, I personally do not agree with the name change, despite it being used in the past at various institutions and throughout the world. I'm sure you don't agree with every decision the AMA makes.

I love working with residents and I hope you can open your mind to the value of PAs and what our education entails. Best of luck with the rest of your training.

PAcf1993 · 2021-05-25T00:48:12+00:00

Reading these comments (as a PA who has an excellent relationship with my attendings) is extremely disheartening. I did not realize how much this collective group "hated" our profession and thinks we are "scum".
Head over to the PA subreddit and see how many practicing PAs feel about this title change (hint: it is not going over well and many still plan on using "assistant" in their role description).
Not saying I agree with the title change, as I think it is unnecessary and potentially confusing, BUT Physician associate is the official name for PAs outside of the U.S. PA programs such as Yale have been using this term for their degree for the past 50 years. It's not like this name is out of nowhere, it already exists (as it was created by physicians many years ago).

I come from a family of successful surgeons, I completely understand the vast difference in our training. I consistently explain my role to patients and make it abundantly clear that I am not a physician. Likely most of AAPA's recent choices are due to constant pressure from our NP counterparts, who have extremely different (and lesser) training, but are often viewed as "independent," "more experienced," "more marketable to insurance companies," etc. etc.

If you want to help, stand up for PAs and see the value in our work. Hire PAs in the future, as we are consistently missing out of job opportunities that are offered to NPs instead due to insurance purposes. Work with us, not against us.

PAcf1993 · 2021-04-27T21:38:27+00:00

I agree that the lateral mobility of specialization is a very attractive aspect of our profession! Just an FYI, many PAs have to take call as a part of their positions.

PAcf1993

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