What did you learn today?

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ChicagoBlue2 said:
I need to get back to therapy again. Gotta get my mind straightened out a little bit.
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Mark I think you definitely need more sleep. It's super late for me and you are in Chicago so it's even later for you. Hope whatever is bothering gets better soon.
 
Angel1989 said:
Mark I think you definitely need more sleep. It's super late for me and you are in Chicago so it's even later for you. Hope whatever is bothering gets better soon.
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I had a nap earlier. That's why I'm awake now. If I hadn't fallen asleep, I would be asleep now. However, I do need to take it easy, cause I'm doing my back no favors.

And I'll feel better once I start getting back into the routine of going to therapy every few weeks. Give it time, and you'd never know who I was. Last time I went there was what, 8 months ago? Yeah, I gotta get back.
 
Grummer said:
i learned that there is 100,000 PA's in United States ,(Physician's Assistent - they have more power than Nurses, but less then Doctors/....they tend to work in emergency departments, not sure why, maybe Mew could explain in layperson's terms)....and the NZ govt /medical boards in NZ is about to import some of them from overseas to help out with the financial strains in the health sectors....interesting...what did American people have to say of their experiences with PAs...how long as it been in the states?? for all i know , we have one Deaf PAs who's a member right here in AD....
well 100,000 is really quite a small number right?? in a country of some 300 million....
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Yes, we're right below a Doctor as far as "power" is concerned... :laugh2: I HAVE POWA!!! BUAHAHAHAHA!!! I outrank everyone in the emergency / triage department with the exception of the M.D.'s. However, the M.D. does NOT have to be on site for me to practice. He just has to "take responsibility for me" essentially. Sometimes, there will be no M.D. on staff and it will be just me or a couple of P.A.'s. In that case, we will run the ER. Nurses and all of those people all report to us always and we report to M.D.'s should there be any questions or concerns. If someone were to go into an ER setting, you wouldn't be able to tell if I were a P.A. or a M.D. we look the same. ;) White coats blah blah. The only way you could tell would be to look at my badge which is usually not something you're looking at in triage... :laugh2: Which would say Physicians Assistant ( P.A. ) or on mine at the end of this month will be A.P.A. for Advanced Physicians Assistant ( WHOO HOO! :D )

No, there's not a lot of P.A.'s or A.P.A's because most people go on to become M.D.'s or whatever. Personally it depends on what you prefer. I go back and forth on whether to become an M.D. because there are WAY more costs affiliated with it, schooling and insurance. A.P.A.'s at the hospital in triage make very good pay so I really don't have a need to become a M.D. so I'm thinking about completing my A.P.A. certification in May ( at the end of this coming month as I will ) and maybe taking some courses to advance myself to assist in some technical operations but staying an A.P.A.

As far as flying P.A.s out of the country, I was unaware of that! :shock: I definitely haven't had any offers... I wouldn't take it though, I have far too much going on here to be flown out of country for months on end! :shock:

P.A.'s and M.D.'s are virtually the same exact thing... just a couple years in medical school difference, M.D.'s have to carry malpractice insurance and they make more money. As far as skills are concerned in triage, you wouldn't be able to tell a P.A. from a M.D. in triage. ( Not ones that have been working there for a couple of years that is ) Newbies never count! :P Skill sets are the same basically. Sad, but true. P.A.s have specialty fields just like doctors. Mine is triage and ICU. I deal with horrible terrible accidents. I don't deal with people coming to me with back pain and colds. Can I? Sure, I can give you a good guess and help you out! I could do good... but my field is omgerd I cut off my toe or something terrible. :P
 
Mewtilation said:
Yes, we're right below a Doctor as far as "power" is concerned... :laugh2: I HAVE POWA!!! BUAHAHAHAHA!!! I outrank everyone in the emergency / triage department with the exception of the M.D.'s. However, the M.D. does NOT have to be on site for me to practice. He just has to "take responsibility for me" essentially. Sometimes, there will be no M.D. on staff and it will be just me or a couple of P.A.'s. In that case, we will run the ER. Nurses and all of those people all report to us always and we report to M.D.'s should there be any questions or concerns. If someone were to go into an ER setting, you wouldn't be able to tell if I were a P.A. or a M.D. we look the same. ;) White coats blah blah. The only way you could tell would be to look at my badge which is usually not something you're looking at in triage... :laugh2: Which would say Physicians Assistant ( P.A. ) or on mine at the end of this month will be A.P.A. for Advanced Physicians Assistant ( WHOO HOO! :D )

No, there's not a lot of P.A.'s or A.P.A's because most people go on to become M.D.'s or whatever. Personally it depends on what you prefer. I go back and forth on whether to become an M.D. because there are WAY more costs affiliated with it, schooling and insurance. A.P.A.'s at the hospital in triage make very good pay so I really don't have a need to become a M.D. so I'm thinking about completing my A.P.A. certification in May ( at the end of this coming month as I will ) and maybe taking some courses to advance myself to assist in some technical operations but staying an A.P.A.

As far as flying P.A.s out of the country, I was unaware of that! :shock: I definitely haven't had any offers... I wouldn't take it though, I have far too much going on here to be flown out of country for months on end! :shock:

P.A.'s and M.D.'s are virtually the same exact thing... just a couple years in medical school difference, M.D.'s have to carry malpractice insurance and they make more money. As far as skills are concerned in triage, you wouldn't be able to tell a P.A. from a M.D. in triage. ( Not ones that have been working there for a couple of years that is ) Newbies never count! :P Skill sets are the same basically. Sad, but true. P.A.s have specialty fields just like doctors. Mine is triage and ICU. I deal with horrible terrible accidents. I don't deal with people coming to me with back pain and colds. Can I? Sure, I can give you a good guess and help you out! I could do good... but my field is omgerd I cut off my toe or something terrible. :P
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okok
hey chill weeee bit, i know you're joking..but whoa you do make yourself seem like a PA from Hell.....but i suppose being in charge of or as a significant powers-that-be in the ER can be quite demanding, even shocking at times...(that I don't blame you, I have watched a docu and have met a nurse who works at the A&E (Accidents and Emergency department) a women told em she has to be crazy just to handle it....get weird sense of humor just to cope.....
that i do *get it*...ok

and i asked something else, a bit different, is this type of profession a rather new thing? or been around a long time in the states? and do the public, paitents/clients prefer to use MD in case a slip up?
im not doubting you, definitely not, just the perception of the public towards PAs are that respected in same or very close way? or is it like you're preceived as a more educated nurse?
 
It seems like some ADers here want to know who I Iike here. Well, I'm never gonna say.
 
ChicagoBlue2 said:
It seems like some ADers here want to know who I Iike here. Well, I'm never gonna say.
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Grummer said:
okok
hey chill weeee bit, i know you're joking..but whoa you do make yourself seem like a PA from Hell.....but i suppose being in charge of or as a significant powers-that-be in the ER can be quite demanding, even shocking at times...(that I don't blame you, I have watched a docu and have met a nurse who works at the A&E (Accidents and Emergency department) a women told em she has to be crazy just to handle it....get weird sense of humor just to cope.....
that i do *get it*...ok
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She has to be demanding ... on a high stress fast paced scene as in a trauma hospital its total chaos and the one in charge has no choice but to be demanding and fast of their feet to get things done in a hurry or someone would die.
 
Grummer said:
okok
hey chill weeee bit, i know you're joking..but whoa you do make yourself seem like a PA from Hell.....but i suppose being in charge of or as a significant powers-that-be in the ER can be quite demanding, even shocking at times...(that I don't blame you, I have watched a docu and have met a nurse who works at the A&E (Accidents and Emergency department) a women told em she has to be crazy just to handle it....get weird sense of humor just to cope.....
that i do *get it*...ok

and i asked something else, a bit different, is this type of profession a rather new thing? or been around a long time in the states? and do the public, paitents/clients prefer to use MD in case a slip up?
im not doubting you, definitely not, just the perception of the public towards PAs are that respected in same or very close way? or is it like you're preceived as a more educated nurse?
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:laugh2: Of course I was joking. :P Yes, you have to have a weird sense of humor to get through it... It's... intense. People coming in with missing limbs and mutilated beyond recognition isn't really something most handle too well. I get through. :P It's all about helping others. :) Sometimes people don't get my sense of humor, between the sense of sarcasm and the intensity sometimes I can be a bit intense... but that's just the kind of people that it takes to work in that environment. :dunno2: Can you really say most people could deal with seeing people come in chopped in half almost or god knows what else? You have to definitely have a personality for it... lots don't make it. Suppose that's why most of my coworkers end up being friends. :dunno2: It's jaded me a bit over the years, seeing all the death, shootings and murders... I'm sure... but someone has to deal with it, don't they?

Anyway, No, it's not a new thing. P.A.'s have been around for quite a while. At least twenty years because I had a friend of my fathers who was one before stepping up to be a doctor. I remember the stories he would tell and that's what always stuck with me and what made me think about it. Nobody really knows what a P.A. is. When people ask what I do and I tell them I'm a P.A. or an A.P.A. they look at you like this... :shock: or this :hmm: They have no clue. If you say I'm a Physicians Assistant they assume you work in a pharmacy. :laugh2: So, the general public usually has no clue what it is. In the medical field yes they know. :P

Since 90% of P.A.'s and A.P.A's work in triage, most people don't care if it's a monkey saving their life let alone a P.A. versus a M.D. Like I said, triage wise we're the same skill set. If you've ever gone to the ER on a more lax visit and the nurse said "the doctor will be in to see you shortly." Chances are that was actually a P.A. We're still called "doctors" as we're a physician and licensed to practice medicine. ( Well maybe not you because you're in NZ, but here if people have been in the ER, most people have been seen by a P.A. instead of a doctor. :) ) P.A. is the stepping stone to become a doctor.

So since most people don't know what a P.A. is and we're called doctors in the ER, people still don't know what we are... :laugh2: We're just lumped in with doctors. As far as the general public is concerned, we wear white coats and we have "physician" on our badge and that's all she wrote. :laugh2: :P More educated nurse? Naaah, nursing school is a puddle compared to medical school! :laugh2: :P Like I said, we're lumped in with doctors and most people just assume we are. :P :D You're in good hands. :D
 
ncff07 said:
She has to be demanding ... on a high stress fast paced scene as in a trauma hospital its total chaos and the one in charge has no choice but to be demanding and fast of their feet to get things done in a hurry or someone would die.
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I can't help but hear the theme song for the T.V. show ER every time I walk through the doors at work... :hmm: Is that odd? :laugh2:
 
Mewtilation said:
I can't help but hear the theme song for the T.V. show ER every time I walk through the doors at work... :hmm: Is that odd? :laugh2:
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Nope I still get the one from Rescue 911 in my head sometimes or William Shatner saying the name
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Mewtilation said:
:laugh2: Of course I was joking. :P Yes, you have to have a weird sense of humor to get through it... It's... intense. People coming in with missing limbs and mutilated beyond recognition isn't really something most handle too well. I get through. :P It's all about helping others. :) Sometimes people don't get my sense of humor, between the sense of sarcasm and the intensity sometimes I can be a bit intense... but that's just the kind of people that it takes to work in that environment. :dunno2: Can you really say most people could deal with seeing people come in chopped in half almost or god knows what else? You have to definitely have a personality for it... lots don't make it. Suppose that's why most of my coworkers end up being friends. :dunno2: It's jaded me a bit over the years, seeing all the death, shootings and murders... I'm sure... but someone has to deal with it, don't they?

Anyway, No, it's not a new thing. P.A.'s have been around for quite a while. At least twenty years because I had a friend of my fathers who was one before stepping up to be a doctor. I remember the stories he would tell and that's what always stuck with me and what made me think about it. Nobody really knows what a P.A. is. When people ask what I do and I tell them I'm a P.A. or an A.P.A. they look at you like this... :shock: or this :hmm: They have no clue. If you say I'm a Physicians Assistant they assume you work in a pharmacy. :laugh2: So, the general public usually has no clue what it is. In the medical field yes they know. :P

Since 90% of P.A.'s and A.P.A's work in triage, most people don't care if it's a monkey saving their life let alone a P.A. versus a M.D. Like I said, triage wise we're the same skill set. If you've ever gone to the ER on a more lax visit and the nurse said "the doctor will be in to see you shortly." Chances are that was actually a P.A. We're still called "doctors" as we're a physician and licensed to practice medicine. ( Well maybe not you because you're in NZ, but here if people have been in the ER, most people have been seen by a P.A. instead of a doctor. :) ) P.A. is the stepping stone to become a doctor.

So since most people don't know what a P.A. is and we're called doctors in the ER, people still don't know what we are... :laugh2: We're just lumped in with doctors. As far as the general public is concerned, we wear white coats and we have "physician" on our badge and that's all she wrote. :laugh2: :P More educated nurse? Naaah, nursing school is a puddle compared to medical school! :laugh2: :P Like I said, we're lumped in with doctors and most people just assume we are. :P :D You're in good hands. :D
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:wave:

ya i figured the personality aspect, I wouldn't handle it, no way....
and thanks for the enlightenment on how PAs are generally perceived as Doctors....it makes sense

I used to like watching a bit of "ER" and wrote an essay on it, in Television Studies a few years back....it was really interesting..well..the "realism" and the "angle" of why public likes to watch medical dramas...
sadly now days TV is consumed by utter bullshit like reality TV....cooking shows /contests(food porn) it just getting real dull...but get this, its really "competition" to the hyper-realness found in internet... so it's all evolving....

i like to watch old TV sci fi like time tunnel lol....its so corny its so funny...as at same time i get this fascination of how English was 'taught' in TVs , its 'early days of staged drama and screen writing and perception of reality, and class and all that...
ah never mind , im stuck in my own world...
 
No worries. :P We're weird and stuff... It's okay, it does change you... it just alters you...

I remember taking the job and they told me it would... I said no... I wouldn't let it happen... but it did... it totally did, it jaded me, it roughened me... I don't know how to put it... I'm definitely a lot more less tolerant of things than I once was... It's odd... I'm very "in your face" I guess...? Not sure, but it definitely has changed me a bit... not going to say for the worse... I am not a bad person, but I definitely don't take crap like I used to! :D :laugh2:

Hey, I find my own world is often the safest place to be. :) There's not idiots in here... they're not allowed... :D Also, the mindless droll known as "television" these days ( Drama ) is not in there either. :P I don't watch any of that crap. I get a little chuckle out of Family Guy or American Dad every now and again. I like to watch COPS because seeing idiots arrested makes my day. I suppose seeing the bad guys busted for what I'm getting in the ER gives me a little hope every day, I don't know. I can't stand to watch most of what is on T.V. though. I do like The Walking Dead though, not going to lie... :laugh2: but honestly, most of TV gives me a headache and I can't stand it. It makes me want to puke thinking that society as a whole falls into that crap and enjoys it... Ugh... Terrible... I feel my intelligence declining just speaking of it... pathetic what some people find as enjoyable entertainment. I've never seen an episode of Jersey Shore, and DAMN proud of it... I've seen clips ( commercials in between watching shows or whatever ) and it made me want to kill myself... absolutely horrendous! To think people watch that and enjoy it makes me want to actually vomit... Ech! Garbage!
 
ChicagoBlue2 said:
It seems like some ADers here want to know who I Iike here. Well, I'm never gonna say.
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OoOooOooOooooooooooooooooooooooooooh JjjjjjjjjjjjjjjeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeSsssssssss!!! :laugh2::laugh2::laugh2::laugh2: :naughty:

Jessica my lovely dear!!! Where areeeeeeeeeeeeeeeeeeeeee yoooooooooooooooooooooooooooooou?????? Jeeeeeeeeess??? :laugh2:
 
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