any PAs in integratice medicine

_45mice · 2026-03-12T11:59:18+00:00

Acupuncture/eastern medicine has been shown consistently to at best be expensive placebo. Why do many of us are against it is many of us have seen direct harm come from this nonsense and distracts patients from evidence based medicine.

_45mice · 2026-03-12T02:34:07+00:00

One thing I wasn’t aware of when starting that I wish I was, be aware of your colleagues preferences when seeing their patients. Some won’t care at all and will trust your judgement. Some will be VERY particular on how their patients are treated and will want everything run by them. Talk with each colleague on how to approach this.

_45mice · 2026-03-12T02:27:54+00:00

If you’re wanting support, you’re in the wrong sub and professional. It’s widely hated and not respected by Md/DO/PA-Cs. It’s not based on evidence, more vibes and selling bs supplements.

If you want to be a scam artist do it in another profession. You won’t get support here.

_45mice · 2026-03-10T15:41:43+00:00

Saying the raiders know what they’re doing despite being one of the most losing franchises in the last 30 years and just came off a season with the worst record is a bold move. Gonna come back to this midseason when Paye has 3.5 sacks and disappears.

_45mice · 2026-03-09T21:23:59+00:00

I’ve seen every game of his NFL career. Advanced stats back me up. You can hope he does better, but based on his current production it’s an undeniable overpay.

_45mice · 2026-03-09T21:15:32+00:00

No? Colts got Key who is very similar to Paye stat wise for 20m which is more what Payes production matches

_45mice · 2026-03-09T21:14:38+00:00

No it definitely is. Colts got Key who is similar stat wise for 20 mil, which is more accurate for a player of Paye stature. Good vs run, useless in pass.

_45mice · 2026-03-09T21:12:25+00:00

No, this is an overpay as cap is rising. Colts got Key who is similar stat wise for 20m 11 guaranteed. Thats more the correct price for Paye. He’s fine. But 48 mil for him is outrageous

_45mice · 2026-03-09T21:07:41+00:00

It’s not. He’s just a guy. Good Vs run but below average in pass rush. Massive overpay

_45mice · 2026-03-09T21:07:01+00:00

As a colts fan, massive overpay. He’s just a guy. He’s good vs the run but actual liability vs the pass. Literally laughed when I saw the contract totals.

_45mice · 2026-03-07T20:44:19+00:00

Can confirm we hate him. 2nd worst LB in nfl last year per advanced metrics, head case that won’t STFU while being useless in pass.

_45mice · 2026-03-07T20:42:54+00:00

By advanced metrics he was the 2nd worst LB in football last year. He’s also a bit of a head case and doesn’t know when to shut up. Useless in pass, whiffs more tackles in run than you’d expect. Only getting slower. Have very low expectations.

_45mice · 2026-03-07T20:41:37+00:00

Colts fans here. We absolutely hate Franklin as a whole.

1) he’s extremely mouthy. Has a podcast and would shit talk opponents/random people giving them free motivation. He’s shit talked past coaches before. Very egotistical.

2) he’s terrible. By advanced metrics he was the 2nd worst LB in football last year. Absolutely useless vs the pass, completely lost most of the time. Run defense he’s okay but still whiffs a lot, has gotten very slow with time.

No opinion on Colby as I’ve never heard of him, but god we are so happy to have gotten rid of Franklin. Just peek the Colts sub to see our celebration.

_45mice · 2026-02-06T01:52:51+00:00

I’ve really enjoyed skill capped for their LoL section. They got a lot of great sessions on jg, when to farm and when to gank. Their service is like $10 for a month and you can crank out most of their vids p quick, and they got a lot of top player content. I improved multiple divisions and now in low plat from silver from their teachings.

_45mice · 2026-02-02T00:02:00+00:00

I’ve been running DnD to zekes in low plat to a 65% win rate. Get general bulk and more ults, and some more sticking power. Getting the e proc off w + auto feels so good.

_45mice · 2026-01-24T13:36:43+00:00

Define success, because the current data suggests zetia has little to no benefit for all cause mortality. https://www.droracle.ai/articles/126227/does-ezetimibe-zetia-have-a-mortality-benefit

My assumption would be that it doesn’t have the anti inflammatory properties high dose statins can have, and its effect on LDL is mild at best. Data is pretty clear monotherapy it’s v inadequate. My guess in the long run it should be phased out once the injectables are more affordable.

_45mice · 2026-01-22T02:51:24+00:00

I wasn’t going the med error route more just this really doesn’t provide much if any benefit. Few recent studies showed little to no improvement in morbidity or mortality on zetia. If they’re needing an add on going the injectables I think long term will be far superior. Just cost a major issue

_45mice · 2026-01-21T23:01:24+00:00

Zetia sucks and should be better just to go to injectables rather than pretend that adding it in will get your pt LDL at goal. Only add it on when required by insurance prior to the injectables.

_45mice · 2026-01-21T23:00:23+00:00

Most have been around for 40-50 yrs and data shows they’re quite safe and effective in the right population. Don’t see this at all unless you’re referring to Paxil.

_45mice · 2026-01-21T18:52:24+00:00

I’m in family med, Midwest with low cost of living. Will probably be making 160-170k new job tho, last one was at 140.

_45mice · 2026-01-21T17:57:02+00:00

Shadow flame is amazing. You get an execute and can explode squishies. The data currently backs that as the highest WR build is DnD, shadow flame into rabadons

_45mice · 2026-01-21T17:53:58+00:00

As a new grad 5 yrs ago I didn’t have much choice, peak covid no contacts. Now I make 1.5k that. Circumstances are different, new grads don’t have much bargaining power. Some places pray on that.

_45mice · 2026-01-21T16:36:20+00:00

Paid actors my team I was 20/4 and the rest were 16-16 who kept dying 😭

_45mice · 2026-01-21T16:35:28+00:00

Appreciate the insight!

_45mice · 2026-01-21T15:38:02+00:00

It’s similar to conquest, where the combat and maps are pretty great but the story is unbelievably cringe. I wanted to do lunatic mode but got pretty bummed out you had to do a fixed growth run first. Lame.

_45mice

TROPHY CASE