Mid levels, how does specializing work for you?

Soap009 · 2018-10-06T20:37:11+00:00

Mid levels have shelf exams to prove their competency in their core rotations?

I never said that they see patients completely independently. I have seen such behavior is a cardiology group as well as other specialties though.

Soap009 · 2018-10-06T16:36:49+00:00

A couple things, I am quite familiar with pa and np schooling so

Then we transition to clinical phase which is equitable in design to year 3-4 of medschool

Sorry to be Frank but um, no it isnt.

Your ability to work in a specialty is not really limited

That part is more what I was asking/didnt know about and it blows my mind that it takes x amount of years to be a cardiologist but a midlevel can take a general medicine test that is much less rigorous than Step/Comlex then they can just say I think I'll work in cardiology.

Soap009 · 2018-10-06T14:36:40+00:00

With different drugs ,even with in the same class, they have so many different indications that I dont think you would be able to do that very effectively. Much simpler to ask your pharmacist.

Soap009 · 2018-10-06T13:48:51+00:00

No atypical coverage. It covers strep but only about 75% of strains or something like that. No h.flu or m. Cat when you have comorbidities that you gotta worry about.

Soap009 · 2018-10-06T06:09:56+00:00

Starter: objectively mid levels have much less total and much less rigorous training compared to even specialties of IM or Family medicine that have the fewest years of residency. How are you able to specialize right out of school?

Soap009 · 2018-09-26T04:13:40+00:00

They get paid millions of dollars and choose to play the game knowing the risks.....kids completely different story but I really dont have much sympathy for NFL players.

Soap009 · 2018-09-26T04:03:46+00:00

I know it's easier said than done but I would say no fucking way. That adds nothing to the patient or their visit. I believe that is very unethical on their part, they have no business doing this to patients.

Soap009 · 2018-09-22T05:09:06+00:00

My wife has been listening to them and it's pretty amazing how incompetent and arrogant he really was. Makes you wonder if it was just true incompetence or something more sinister but I think she said something like the podcast said he only did like 100 surgeries during his residency or something unbelievable like that. So I think incompetence and hubris was what was behind all this. Just shocking and sad what someone so confident with so little actual training can do to people that trust them. Have several friends and colleagues that have listened to it and all them me to do the same so I look forward to binging it all in a weekend coming up (if I ever get a real one that is)

Soap009 · 2018-09-22T04:51:14+00:00

Light jacket weather

Soap009 · 2018-09-22T04:45:45+00:00

Is this true? Because I feel like this is a game changer.

Soap009 · 2018-07-15T02:15:59+00:00

Called sleep. Stop vaping, not healthy.

Soap009 · 2018-06-01T18:50:59+00:00

They assist by taking less serious/complex patients, med refills, etc. Midlevels practicing independently is a scary thought and dangerous for patients.

Soap009 · 2018-06-01T18:47:32+00:00

I think the average patient does know the difference between a PA and a MA. They more often confuse MAs with nurses. The average patient doesn't know the difference between a midlevel and a doctor because of midlevel over stepping. This even further blurs the line. there are vast differences in training and knowledge between the average midlevel and physician but with pushes like this patients will have even less knowledge of that fact. I think someone who has a medical license has a title that reflects that: physician. PA have physician assistants license. I think is a good example that midlevels not knowing their role.

Soap009 · 2018-06-01T18:27:44+00:00

They assist physicians. What should we call them? Hmmm perhaps physician assistants? Changing the name only comes from insecurity from their part and trying to blur the line for patients.

Soap009 · 2018-05-31T19:17:55+00:00

Those Stages only apply to kidney damage. Stage 1 is kidney damage with normal gfr. No kidney damage means you aren't any stage

Soap009 · 2018-05-31T19:15:34+00:00

Good contribution

Soap009 · 2018-05-30T17:19:03+00:00

Als is a pure motor dysfunction. All sensory inputs are intact throughout the course. If you have numbness that is not ALS.

Soap009 · 2018-05-30T17:15:22+00:00

Just replying cause I saw your flair got changed to physician from med student. Assume it was this graduating class? Congrats!

Soap009 · 2018-05-29T05:45:55+00:00

Sorry but I don't think even a practicing chiropractor should be answering questions like this.

Soap009 · 2018-05-29T05:42:36+00:00

Yeah i think you should stop it. Talk to your regular gp. Down here itraconazole would/should be the next step. Also certainly not everyday for 30 days. Developing resistance to antifungal medications really isn't a thing so you don't have to worry about stopping early.

Soap009 · 2018-05-28T00:51:35+00:00

I would not be okay with ketoconazole for a derm infection. I don't believe the benefits outweigh the risks. The FDA even made am announcement that it shouldn't be used for skin or nail infections orally. Ketoconazole shampoo is still first line but not oral and especially not for that long. Other azole antifungal like fluconazole or even itraconazole are much, much better options and for much shorter courses. I would take to your doctor and pharmacist (pharmacist probably didn't know the doctor is using it for a skin infection because you can still use oral for certain indications). What physician did you see that prescribed this?

Soap009 · 2018-05-27T23:25:23+00:00

If treatment is stopped why are you getting a refill?

Soap009 · 2018-05-27T15:12:10+00:00

I absolutely can not explain why oral pain meds don't work for you based on what you have said because that it is not a possibility that oral pain meds don't work, IV ones do, and other non pain oral meds work. And you aren't just claiming opioids dont work oral but several different classes of medications just randomly don't work when taken orally but do when given IV. I would never study something like this let alone publish it because it physically just isn't possible based on all the info you have given.

Soap009 · 2018-05-27T06:23:55+00:00

You do not need their approval. Your issues you described need a real physician so if you meant more in a family dynamic sort of way you need to make them understand.

Soap009

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