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Started By
Message
re: My kid at LSU actually evacuated to our house in NO. What are other LSU students doing?
Posted on 8/28/21 at 9:09 am to OweO
Posted on 8/28/21 at 9:09 am to OweO
quote:
Wait.. You are in New Orleans.. And you think Baton Rouge will get it worse? Do you know how hurricanes work?
All hurricanes are different of course, but Gustav was much worse for BR than Nola.
0
Posted on 8/28/21 at 9:11 am to Scruffy
quote:
Ok.
what's up with this current "business model" of primary care physicians converting their practices into high volume assembly line type operations staffed with PAs? never see the doc anymore, I know the PAs are trained medical professionals but what are the odds of them mis-diagnosing? mis-reading labs, or maybe just missing more things in general than the doc? does the doc ever check their work?
Posted on 8/28/21 at 9:12 am to Joshjrn
quote:
Baton Rouge getting Cat 1 winds instead of our normal TS force winds will cause some damage. New Orleans might be under water. People spend way too much time looking at the stupid "cone" maps.
Yep
Posted on 8/28/21 at 9:23 am to 777Tiger
quote:A lot of the primary care practices are doing their best to maximize returns, especially if they take Medicare or Medicaid, and the easiest way to do that is to increase patient numbers and hire less expensive staff.
what's up with this current "business model" of primary care physicians converting their practices into high volume assembly line type operations staffed with PAs?
quote:I don’t ever work with PAs and we have none in our hospital.
I know the PAs are trained medical professionals but what are the odds of them mis-diagnosing? mis-reading labs, or maybe just missing more things in general than the doc?
I don’t want to talk bad about any medical worker, but I put them at the bottom of the totem pole when it comes to prescribers.
quote:As far as I am aware, they have oversight, but it isn’t at that exact point in time.
does the doc ever check their work?
Really, the reason behind it all is to try and maximize what they can bring in by increasing pt numbers. I have always attributed this to abhorrent insurance payment rates, but everyone has their own reasons.
Hope that gives an idea. Just my opinion. Again, we do not have PAs in our hospital, and I work solely in the ER.
Posted on 8/28/21 at 9:24 am to Scruffy
quote:
Hope that gives an idea.
thanks
quote:
I work solely in the ER.
didn't realize that, thought you'd thrown up a shingle
Posted on 8/28/21 at 9:26 am to 777Tiger
quote:
didn't realize that, thought you'd thrown up a shingle
I hated straight clinic work.
Then again, that is 80% of ER patients.
To give you an idea of my thoughts on PAs, one recently told my sister that you couldn’t diagnose a pneumonia on x-ray and prescribed her clarithromycin, an antibiotic I can’t recall ever prescribing.
This post was edited on 8/28/21 at 9:28 am
Posted on 8/28/21 at 9:37 am to Slippy
Mine is bringing is grandparents with him to S'port...
Nb4...tell them to pack their flak jackets
Nb4...tell them to pack their flak jackets
Posted on 8/28/21 at 9:42 am to Slippy
quote:We know. You’ve made more threads about your generator than strannix has about invermectin.
I have a generator
Posted on 8/28/21 at 9:42 am to Scruffy
quote:
, one recently told my sister that you couldn’t diagnose a pneumonia on x-ray and prescribed her clarithromycin, an antibiotic I can’t recall ever prescribing.
funny you should mention that, I went to see my doc(PA,) recently due to a post procedure pain that I didn't think was related to the procedure but was a pretty severe pain, he takes a very brief look at the results of the procedure and says "how about a couple of antibiotics?" and I said "for...?" you've got xxx, you've always had it and you will have it periodically for the rest of your life, I told him I'd never had those symptoms before and he assured me I had but just didn't recognize them
Posted on 8/28/21 at 9:43 am to Slippy
quote:
My kid at LSU actually evacuated to our house in NO. What are other LSU students doing?
If they live on campus they should stay. The dorms are damn near bomb shelters, LSU has its own power grid, and all electricity lines are underground. If off campus, leaving is best.
This post was edited on 8/28/21 at 9:44 am
Posted on 8/28/21 at 9:47 am to Scruffy
quote:Yeah, that’s beyond bad. Wet lungs are one of the easiest reads of a CXR.
To give you an idea of my thoughts on PAs, one recently told my sister that you couldn’t diagnose a pneumonia on x-ray and prescribed her clarithromycin, an antibiotic I can’t recall ever prescribing.
Of course not all Dr.’s know what they are doing in ER too. Like the one that ended my Dad’s life. He presented with 3 months history of chasing respiratory infection upper to lower and back and forth, along with years long history of COPD, a-fib, congestive heart failure. She prescribed antibiotics without any CXR nor CT. He died within 24 hours when the lungs filled with fluids from the dying bacteria.
Kinda like NFL 1st round picks. Only every so often is one a Hall of Famer. Many more are closer to Ryan Leaf than Peyton Manning.
Posted on 8/28/21 at 9:47 am to 777Tiger
quote:The issue is, and this is seen in urgent cares largely, these places want people to leave feeling as if the clinic “did something”, so they throw antibiotics at everything.
funny you should mention that, I went to see my doc(PA,) recently due to a post procedure pain that I didn't think was related to the procedure but was a pretty severe pain, he takes a very brief look at the results of the procedure and says "how about a couple of antibiotics?" and I said "for...?" you've got xxx, you've always had it and you will have it periodically for the rest of your life, I told him I'd never had those symptoms before and he assured me I had but just didn't recognize them
It is a problem.
People believe that, if you didn’t get any medications, then the medical professional didn’t do anything for you.
Posted on 8/28/21 at 9:48 am to Sidicous
quote:I do not disagree.
Yeah, that’s beyond bad. Wet lungs are one of the easiest reads of a CXR.
Of course not all Dr.’s know what they are doing in ER too. Like the one that ended my Dad’s life. He presented with 3 months history of chasing respiratory infection upper to lower and back and forth, along with years long history of COPD, a-fib, congestive heart failure. She prescribed antibiotics without any CXR nor CT. He died within 24 hours when the lungs filled with fluids from the dying bacteria.
Kinda like NFL 1st round picks. Only every so often is one a Hall of Famer. Many more are closer to Ryan Leaf than Peyton Manning.
Posted on 8/28/21 at 9:49 am to SportsGuyNOLA
quote:
The winds will be worse in Baton Rouge.
Rain will probably be equally bad.
Power will be out everywhere.
If I was a student at LSU and my folks lived in New Orleans, I’d go home for this one.
Wtf
Posted on 8/28/21 at 9:49 am to KamaCausey_LSU
I live near campus; shite hits the fan I'm walking to PMAC
Posted on 8/28/21 at 9:51 am to Slippy
He should have stayed. It’ll be way more fun getting drunk and riding it out with friends at LSU
Posted on 8/28/21 at 9:51 am to cajuntiger1010
I don’t think you’ll be too safe standing outside a locked PMAC.
Posted on 8/28/21 at 9:51 am to Slippy
quote:
My kid at LSU actually evacuated to our house in NO.
Not sure. My kid is at LSU but lives at home here in BR. I’m no help …we are staying in BR though
Posted on 8/28/21 at 9:53 am to Scruffy
quote:
The issue is, and this is seen in urgent cares largely, these places want people to leave feeling as if the clinic “did something”, so they throw antibiotics at everything.
It is a problem.
People believe that, if you didn’t get any medications, then the medical professional didn’t do anything for you.
sad state of the profession, at least at that level, I recently switched to this clinic because my previous pcp had gone this route with his practice, I really liked him and he tried to see me if he knew I was in, even gave me his cell number, his staff just ran too much interference for him to keep everything moving I guess, I've got one more round of labs coming up in a few weeks and I intend to address this with them and start shopping around if I have to
Posted on 8/28/21 at 10:18 am to 777Tiger
quote:
hope he's not a meteorology major
No shite
Not very bright
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