Fogbow

Right cheer in deep ignorant country, I was shocked, I tell ya! My local bank and village offices are closed for Juneteenth!

I remember the time I met a former co-worker for lunch. As we were leaving the restaurant I told her to stop and looked closely at the jumper she was wearing. I think she had a sweater on over it, but looking at the lower part I could see that she had it on inside out. No one at work had noticed. Or, at least, had commented to her.

It sounds like Louisiana is grooming rapists.

bill_g wrote: ↑Wed Jun 15, 2022 9:52 am It sounds like Louisiana---.

You probably could have stopped right there.

Volkonski wrote: ↑Wed Jun 15, 2022 10:31 am https:// twitter.com/TexomasHomepage/status/1537078736046243841?t=rhNFOHIDL-yOMVf854AvCg

Texoma's Homepage@TexomasHomepage
The Navy did not offer details on reasoning behind the terminations.
texomashomepage.com
Navy fires 5 officers in less than a week
The Navy has announced a string of five officer firings in the span of less than a week, the most recent on Tuesday with the commanding officer of USS Preble guided missile destroyer.
4:25 PM · Jun 15, 2022

Late effect of covid anti-vaxers?

neonzx wrote: ↑Wed Jun 15, 2022 12:04 pm

bill_g wrote: ↑Wed Jun 15, 2022 9:52 am It sounds like Louisiana---.

You probably could have stopped right there.

Nah. They needed to be called out.

Be interesting if cult-y or insurrectionist sympathies were involved.

You know you done messed up when Tom Hanks has to yell profanities at you.

Well heck, let them drink coffee.

In the hierarchy of Candy Striper to Doctor, where do Nurse Practitioners and Physician's Assistants fit?

Volkonski wrote: ↑Thu Jun 16, 2022 6:15 pm

Well heck, let them drink coffee.

I thought they grew tea in Pakastan. I guess not.

So they should buy more Sri Lankan tea then instead.

Kriselda Gray wrote: ↑Thu Jun 16, 2022 11:10 pm In the hierarchy of Candy Striper to Doctor, where do Nurse Practitioners and Physician's Assistants fit?

Just south of Doctor/MD. They can diagnose and treat. Add APRN to the mix (I see a lot of those in Florida). I'm unclear as to educational differences. I thought till recently that they were all RNs with further advanced degrees, but now I'm lost again. No doubt someone will have a more succinct answer.

Kriselda Gray wrote: ↑Thu Jun 16, 2022 11:10 pm In the hierarchy of Candy Striper to Doctor, where do Nurse Practitioners and Physician's Assistants fit?

Lots of state regulations that vary, but the biggest difference you see is that NPs are autonomous whereas PAs work under the supervision of a doctor. Both are masters level or higher education.

My primary care is an NP and she's the best doctor I've ever had. Because their training follows the nursing model, she is more focused on how the diagnosis and treatment plan affect the patient. PAs follow the medical model of training so they are more focused on how diagnosis and treatment affect the illness. Slight difference, but one that matters to me. That's not to say I don't adore my oncology PA, it's just a different approach.

sugar magnolia wrote: ↑Fri Jun 17, 2022 6:23 am

Kriselda Gray wrote: ↑Thu Jun 16, 2022 11:10 pm In the hierarchy of Candy Striper to Doctor, where do Nurse Practitioners and Physician's Assistants fit?

Lots of state regulations that vary, but the biggest difference you see is that NPs are autonomous whereas PAs work under the supervision of a doctor. Both are masters level or higher education.

As some jerk would say, it depends.


https://online.simmons.edu/blog/nurse-p ... ctice-map/

I get cortisone shots in my knee and shoulder every 90 days, and all of them are done by PAs. But a PA who has worked under a specialist doctor for years is about 98% as knowledgeable as the doctor about that particular specialty. I am very comfortable asking my PAs any questions I have about when I can get my knee and shoulder replaced, which is lurking in my future.

My first true love became a PA at Johns Hopkins for her career. PAs rock.

pipistrelle wrote: ↑Fri Jun 17, 2022 6:54 am

sugar magnolia wrote: ↑Fri Jun 17, 2022 6:23 am

Kriselda Gray wrote: ↑Thu Jun 16, 2022 11:10 pm In the hierarchy of Candy Striper to Doctor, where do Nurse Practitioners and Physician's Assistants fit?

Lots of state regulations that vary, but the biggest difference you see is that NPs are autonomous whereas PAs work under the supervision of a doctor. Both are masters level or higher education.

As some jerk would say, it depends.

Yes, state regulations vary, as do individual facility rules. To my knowledge, PAs do not have the level of autonomy in their practices that NPs do. I think maybe Alaska with their remote telemedicine program is about the only state where PAs have independent practices but still work under an MD.

Thanks, everyone!

Everybody loves Jimmy Carter. Except Republicans. His name is a four letter word to them. Everybody that matters loves Jimmy Carter.

Michael Brown @45needstogo1 wrote: Jimmy Carter got on our plane and was seated in first-class. Got up before the plane left and shook every single hand on the plane and thanked everybody. The plane erupted in Applause and tears it was awesome

Foggy wrote: ↑Fri Jun 17, 2022 7:23 am I get cortisone shots in my knee and shoulder every 90 days, and all of them are done by PAs. But a PA who has worked under a specialist doctor for years is about 98% as knowledgeable as the doctor about that particular specialty. I am very comfortable asking my PAs any questions I have about when I can get my knee and shoulder replaced, which is lurking in my future.

My first true love became a PA at Johns Hopkins for her career. PAs rock.

My MrD saw a PA for his pre-op (one we both use to work with) and she refused to clear him for his hip replacement surgery next week because his BP was too high. Now he sits at the kitchen table every time he passes it and takes his BP. He has 3 different "automatic" blood pressure machines and then snags me for the human reading. Poor baby, so now he's on BP meds. PA's are great and I must say they listen better than many Docs.

I’ve been practicing biofeedback for ages. I can stop acid reflux and often can bring my bp down while I’m at the Dr’s office. I have white coat syndrome, which makes my bp shoot up in the presence of medical personnel so my doc and I have a routine. He’ll take my bp when I first come in then we have a small bet on how low I can get it before the end of the visit, and he tells jokes while I work on it.

Phoenix520 wrote: ↑Fri Jun 17, 2022 1:49 pm I’ve been practicing biofeedback for ages. I can stop acid reflux and often can bring my bp down while I’m at the Dr’s office. I have white coat syndrome, which makes my bp shoot up in the presence of medical personnel so my doc and I have a routine. He’ll take my bp when I first come in then we have a small bet on how low I can get it before the end of the visit, and he tells jokes while I work on it.

Back when my dad was alive and working, thirty-some odd years ago, he would hit the college gym in the morning first thing upon arriving from his drive to school. His blood pressure was always sky high. Later, it would be much better. Driving drove him to it. I've noticed that my latest doctor specifically requests that I not drive myself to appointments, so they can get an accurate blood pressure reading.

raison de arizona wrote: ↑Fri Jun 17, 2022 1:57 pm

Phoenix520 wrote: ↑Fri Jun 17, 2022 1:49 pm

I've noticed that my latest doctor specifically requests that I not drive myself to appointments, so they can get an accurate blood pressure reading.

On the Twitter machine, I dutifully click *like* on every post celebrating someone's sobriety. Every one. Good for them, they are to be encouraged and recognized. I rarely *like* anything else. The only posts that actually move me to *like* are sobriety celebrations, or occasional academic celebration, i.e. I got into law school, I passed my Phd defense, etc. The Twitter algorithm has picked up on this, and I swear that half my feed is people with like fifty followers posting a sobriety milestone. Another quarter is academic celebration. The remaining quarter are the things I am actually sometimes interested in reading. I know I did this to myself, and I only have myself to blame, but I can't stop doing it. Every time I look at those posts and say, good for them, and click *like*. Arg.