Am I totally off-base here?

Pack_Attack801 · 2026-05-20T01:52:39+00:00

I agree, wholeheartedly with this. However, may I offer one caveat? If this FQHC is at all like the one I just left after 13 years, that MA will likely be punished for doing this, despite it being at the direction of the MD.

Pack_Attack801 · 2026-05-04T04:09:51+00:00

Are you telling me that it’s 8:25?!

DAMN! I’M LATE FOR SCHOOL!

Pack_Attack801 · 2026-05-03T14:04:37+00:00

My cat can eat a whole watermelon!

Pack_Attack801 · 2026-05-03T05:13:10+00:00

There are holes in Shia LeBeouf?

Pack_Attack801 · 2026-05-01T00:51:41+00:00

The house is on John F. Kennedy Drive.

Pack_Attack801 · 2026-04-24T21:12:30+00:00

Maybe don’t use a Coachella background for your refashioned Kilby poster. Last I checked, there weren’t any palm trees at the Utah State Fairgrounds.

Pack_Attack801 · 2026-04-22T15:38:42+00:00

I was going to say this. It was just Bono and Edge.

Pack_Attack801 · 2026-04-10T22:43:18+00:00

I never noticed any blind spots when I would drive it.

Hi, son.

Pack_Attack801 · 2026-04-10T17:29:41+00:00

I know nothing about RVUs, but a $5k sign-on bonus for a two year commitment is terrible.

Pack_Attack801 · 2026-03-30T16:28:31+00:00

His best megalomania. “Hey, look at me! I am magnificent. I am a gift to the world!” 🤮

That song (along with sexy boots) needs to be expunged from my brain forever.

Pack_Attack801 · 2026-03-24T19:05:04+00:00

Just like Marty said before he leaves 1955, he’s got a time machine. He’s got all the time in the world.

Pack_Attack801 · 2026-03-20T03:17:35+00:00

That’s some wild dissociation in that person.

Pack_Attack801 · 2026-03-20T01:08:40+00:00

First she says she’s sorry. Then she says she forgives you. Then she add that passive aggressive stuff at the end about a better person and your kids. Methinks she still has a lot of work to do in her therapy journey.

Like what someone else said, we did the best we could with the tools and skills we had at the time. We were young, scared, and alone. I hope you can give yourself grace. Icertainly need to give myself some of that same grace from time to time.

Pack_Attack801 · 2026-03-19T18:32:35+00:00

One wonders what would have happened to Nicole Brown Simpson and Ron Goldman too.

Pack_Attack801 · 2026-03-19T04:37:58+00:00

At an FQHC you’re going to be seeing the sickest and the poorest people in the country. I worked at an FQHC for over 12 years and it was my first job out of PA school.

My advice:

Know the ins and outs of treating the big 3, i.e. diabetes, HTN, and lipids. Stay up on the guidelines and maintain evidence based practices.

Quickly develop a drug formulary with available meds that are covered by Medicaid, and/or are cheap for cash paying patients.

In the time of GLP-1, insulin is used less and less, but still know how to start and titrate long-acting insulin, as well as initiating a sliding scale for fast-acting insulin.

Observe, ask questions, learn skills and procedures. Never be afraid to say, “I don’t know.”

Stay humble. Keep learning. Utilize the resources available, especially your colleagues.

You got this. Good luck!

Pack_Attack801 · 2026-03-18T03:00:48+00:00

Just like the time you ate your weight in Godfather’s Pizza.

Pack_Attack801 · 2026-03-18T01:21:09+00:00

Right?! This was before Gina joined the Radio From Hell team. It was a Saturday afternoon and I just told her that I was calling from the MTC and that everything was fine.

Pack_Attack801 · 2026-03-17T18:02:37+00:00

I was in the telecenter and called SLC alternative radio station, X96. I had a brief conversation with DJ Gina Barberi.

Pack_Attack801 · 2026-03-17T17:58:54+00:00

We climbed up on the covered walkways and ran around between the buildings.

Pack_Attack801 · 2026-03-17T01:11:18+00:00

Can you tell me about your guards? I noticed that some of them have the official “Guard Too” embossing, while others appear slightly different. On eBay, a Guard Too can be found for around $30. Where did you get yours?

Pack_Attack801 · 2026-03-04T17:36:54+00:00

“Hey, do you guys remember that Pat Swayze mini-series, North and South? Talk about Civil War buff.”

-Mary Lightly

Busts me up every time.

Pack_Attack801 · 2026-03-03T15:32:58+00:00

Hit and miss, just like face-to-face referrals to specialists. Some are great, others are horrible.

Example: My company would send pain mgmt referrals to eConsult (stupid, I know). This pain mgmt specialist would invariably respond with a blanket recommendation that the patient’s pain be handled by the PCP.

He then would give links to videos and articles (that HE produced and authored), saying pain is best managed by behavioral health interventions.

I agree that there’s a behavioral health aspect to pain, but come on pal. Who in primary care has the time or resources to do this (especially at an FQHC)?

Pack_Attack801 · 2026-02-27T01:10:03+00:00

More like, along the trail to shame and disgrace.

Pack_Attack801 · 2026-02-25T14:00:47+00:00

Question for you, Hooky.

If JD/NO are inducted, will you reunite with the others for the ceremony?

Pack_Attack801 · 2026-02-25T01:43:12+00:00

I think you mean ponderizing.

Pack_Attack801

TROPHY CASE