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Since graduation, I've had plenty of reminders - good and bad - that I am no longer a student. There is the ''PA-C'' behind my name and my shiny new state license. A paycheck arrives every two weeks like an airplane dropping supplies on a desert island. And, of course, I now hold myself to an even higher professional standard.
While these ...
I had a student ask me
recently if I had a dermatoscope and if I could show her how to use it. The
answer was simple enough. No, I don't need one. This of course led to the
logical question...Why? This blog post was inspired by this exchange.
The simplest answer to
this question is that if I see something that looks abnormal, I biopsy it. ...
could give any future medical student advice about the ER, my three most
important words would be: Vicks Vapor Rub. When I first entered the ER, I was
prepared to be jaded, but I was not prepared for the smells: abscesses, STDs,
rotten teeth, body odor, mildewed t-shirts, alcoholics, chain smokers,
drug-addicts, and diarrhea diapers, to ...
I recently attended an aesthetics conference in south
Florida. There were many great speakers- seasoned cosmetic surgeons and
dermatologists, successful CEOs, and highly-acclaimed skin care
specialists. Aside from learning about new and improved aesthetic
technologies and techniques, a specific speaker enlightened me before he ...
Over the past month I have had some very challenging
patients. I will often question, why and how did someone end up here at the
correctional facility? I believe it is better I do not know. Actually, it is
none of my business; it keeps the care unbiased and pure and it does not impact
how I treat them. If one of the inmates upsets the ...
''Jim'' is a 66-year-old male with
traumatic brain injury (TBI) with personality, cognitive, and behavioral
deficits secondary to this injury. He had become a familiar face at our
psychiatric unit because of his numerous previous admissions for the inability
to take care of himself. He was found covered in his own waste in an apartment
There was a disturbing incident
that occurred a few weeks ago. I also look at this experience as an eye-opener
for me. I have long come to this realization, but it was never more evident
than when the incident happened. First, let me start off by stating, prior to my
opportunity to work in corrections, I was judgmental and biased and I ...
My contact with pain patients was extensive during my
residency in Aurora, North Carolina, a coastal town of about 400, with a
patient population compromising of retirees, commercial fisherman and
above-ground miners from a phosphate mine. I knew from that experience that
even if I never found a job as an NP, I would not choose to do pain ...
Costs for healthcare are rising. There is not a revelation in
this statement, but as providers, we have to be mindful of the dollars we use
because it affects raises. My former mentor would drive that home for me. When
I would order a test, she would ask, ''Will that test change your treatment
plan?'' And if I responded with ''no'' then she ...
There are six different physicians in my practice and thus,
six different philosophical approaches to disease treatment and management. As
a new NP, this can be somewhat frustrating. Some days I wish medicine and
nursing were a bit more algorithmic. But alas, it ain't like baking a cake, so
here's to finding the silver lining.