Buy Cialis Pills Online! I was wearing a small size and tucked it in and also put my wallet and keys in the back butt pocket. Little did I realize that the weight of the wallet was pulling my scrub pants down and because my scrub top wasn’t outside the pants to cover it up, my whole right butt cheek was exposed for everyone to see. True story

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  • Gravity13


    March 10, 2015, 6:35 pm

    If they’re hospital or OR scrubs, tuck them in. Those things aren’t fitted and people look ridiculous with the boxy shirt look. If you’re wearing other more fitted scrubs like Figs, do whatever makes your ass look the best. I tuck mine in because people deserve to see this dumptruck.


  • Tlide


    March 11, 2015, 8:33 am

    Anytime a new surgeon comes on board, our Chief of Surgery will bring them down to the ER as part of their tour and she introduces me in the following way, "bookworm is wonderful. She's the ED mid-level director so if you have any issues, let her know. The best thing though, if she doesn't know what's going on she tells you."


  • chromacolor


    March 10, 2015, 7:19 pm

    Right now in some states, docs in solo private practice can't have PAs because they don't have another doc within the practice to be an "alternate" physician, and those states require both for PA licensure. That's kinda ridiculous. That same physician could hire an NP with an online degree and it'd be fine with the state. Again, ridiculous.


  • UnificationDotCom


    March 11, 2015, 3:51 am

    Our practice has 8 or 9 “old school” NPs that are genuinely phenomenal. Much like everyone says, “they know what they know and what they don’t know”. The really cool part too is how loved they are by the patients. The patients know that the NPs improve their access to the physicians. They know there is a cohesive team taking care of them and they appreciate that. I have seen the exact opposite scenario where NPs try to put themselves in the middle between the pt and the physician. It’s a huge hindrance to the care.


  • EmpiresCrumble


    March 10, 2015, 6:47 pm

    The trick is really knowing your exact worth, no more, no less. The midlevel creep isn’t only insulting to the art and discipline of medicine, but it is also insulting to accomplishments of mid-levels. Pretending you are something you are not cheapens who you actually are.


  • Gedrah


    March 11, 2015, 12:00 am

    I hate eyeball complaints. I know the vital signs of the eye, I know when they’re out of wack, I know what I can see on staining, I know that when I’m attempting to differentiate eye vs brain my doc is 100% involved, I know what can be sutured and what can’t, and I know every slit lamp I’ve tried to use in the ED is janky as hell.


  • marblelion


    March 10, 2015, 11:07 am

    For the radiation oncology clinic, they can play the role of seeing routine follow ups, coordinating and arranging visits for things like androgen deprivation, potentially first seeing inpatient consults, synthesizing oncologic histories for clinic consults, helping run multidisciplinary clinics, etc.


  • Snorple


    March 10, 2015, 8:13 pm

    I have a standing agreement with one of my female PA’s I work with in the ER, she sees all the drug seekers and psychs and I see all the dick, ass, balls, pilonidal abscess etc cases. Works for us.


  • megatom0


    March 10, 2015, 6:47 am

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  • mredd


    March 11, 2015, 1:58 am

    Ha. I have a similar agreement with one of my docs. I do all the toenails, I&D’s, paps, and breast exams. In return I don’t have to see the nasty penises, testicles, and anuses. It works great for us! Every now and then the nurses keep us honest by sticking a surprise in the daily schedule! In all seriousness, I value the docs I work with and just hope I can be a help to them as much as they are to me. We are a team and I’m happy to help in any way I can.


  • corby10


    March 11, 2015, 5:50 am

    Nonoperative neurosurgical management is very algorithmic. It's something you get proficient at by the end of junior residency. If you think of APPs as "career junior residents," they allow senior residents to offload tasks that are no longer educational for them.


  • backpackwayne


    March 10, 2015, 10:51 pm

    I’m a PA in outpatient ob gyn. I do all of the establish care/pregnancy, intakes, post partums, blood pressure/incision follow ups and lower risk prenatal care. If I need help or have a question then I call. It’s a waste of the physicians time to spend hours digging through a medical chart for history to do intakes and postpartum follow up. Their time is much better spent taking care of the chronic htn, uncontrolled type 2 dm, positive hepatitis b with high viral load, mono di twin pregnancy with iugr and oligo.


  • Gravity13


    March 10, 2015, 6:48 am

    Ultimately the quintessential midlevel is basically a perpetual 1st or 2nd year resident who should know enough to manage the basic bread and butter stuff, while being able to recognize when something doesn’t quite fit that mold and needs a doctor’s input.


  • sonicon


    March 11, 2015, 9:10 am

    I’ve worked Ortho spine for 5 years. This is my jam. Routine stuff is totally in my wheelhouse. Weird conus lesion? Subacute myelopathy that’s worsening weekly? Painless radiculopathy with stable weakness for 14 weeks that you finally decided to come in and be seen about? You win a trip to the surgeon, all expenses paid.


  • Chaoticmass


    March 10, 2015, 2:21 pm

    My APPs work well with us to help extend care to same day visits for minor issues. UTI's maybe bronchitis, etc. We can avoid having our pts go to the ER or urgent care and they don't hear that we are booked for 3 weeks and cant get them in.


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