Sam4LSU

I was able to send an email just now and left a voicemail. I’ve been doing this daily for 4 days. I pray it works.

Just found out about these resorts. One in Punta Cana and one in Playa del Carmen. Anyone with any experience or advice? Kids currently 5 and 3. They would absolutely love this place. The one in Mexico is twice the price of the one in Punta Cana, but with better reviews. We have been to Palya many times. We have never traveled to Punta Cana. Anyone with any guidance or have stayed here? Worth the money in Mexico? Is Punta Cana worth it? A longer flight for the littles….

We are headed to Denver in a few weeks for a conference. We have some free time and were thinking of hiking. Guided tours vs non guided tours? Restaurant recommendations welcome as well. Kid free few days so we are open to any and all suggestions and tips. Our first time in Denver. Thanks in advance.

Driving from AP to Florida on Saturday with the kids. Any good lunch eats on the way? We did stop at a BBQ place in Mississippi before. I cannot recall the name, but would like to try something different.

Baton Rouge, currently around Breaux Bridge

I’m just wondering when there will be this large of a push to control the obesity problem in America or throw millions of dollars into fixing the broken mental health system.

At this point, who really gives a shite about the data. Can we really trust ANY data right now? Anyone can skew data.

Vaccinate. Don’t vaccinate. Idgaf, but the greatest risk for hospitalization AND death is and has always been obesity and comorbids. So, where’s the push for a healthier America?

File both medical and religious exemptions. When you file religious, make sure you do not state your religion. Not only is it none of their business, but they can poke holes in your religious exemption if they know what you “practice”.

Get your PCP to write a medical exemption. In my experience, I have been successful with medical exemptions proving natural immunity with an antibody test. I have also been successful with cardiac history and/or family history and pulling the VAERS data for proof of side effects (like I said, mostly cardiac and hematologic).

I know it’s stressful. I’m sorry you’re put in this position. It may be difficult to find a provider to sign your medical exemption. I have tried to help as many people as possible by writing exemptions. It’s our right to refuse. Also remember that they cannot afford to lose you. Literally, the hospital can’t. They will likely approve all exemptions, especially if your employer has waited this long to implement something. They are ONLY implementing because of CMS and Medicaid/Medicare, that means they do not want to implement this mandate because they KNOW they cannot afford to lose nurses/hospital staff. This means, they will accept all exemptions. The institution I work for implemented the mandate first in the area and they have not refused an exemption yet. They cannot afford to. Patient care has already tanked in the hospital because of SNAP nurses. There is a reason Mississippi and Texas kicked SNAP nurses out of the entire state.

Stand up for what you believe in. You are doing the right thing. I’ll be happy to answer any questions you have. I do not know everything but I have been writing exemptions for patients for months. I have only had issues with one company and they are not medial.

No, I put in my original post that I’m a mid level provider- Nurse practitioner.

If serious… email me Sam4LSUTD at gmail dot com

I’m going to throw in my 2 cents. I am a midlevel provider that works for a large system. I work in family medicine and have autonomy. I have been in practice for 6 years. I have been using Ivermectin. In the beginning, I used HCQ. I ended up switching to ivermectin so I didn’t have to be as concerned about QT prolongation with HCQ and drug-drug interactions. I am not against using HCQ. I have found great efficacy with Ivermectin. I see approximately 20-25 patients per day. I ALSO put people on prednisone and either doxycycline or azithromycin. IF this regimen is started between days 1-4 it is effective. I have not had ONE hospitalization with this method in 18 months. Of course, I get patients that come in (yes, I allow people in my office because even covid patients NEED an actual PHYSICAL EXAM) too late in the disease process and this regimen will not work. I try like hell to keep them out of the hospitals but have had hospitalizations in high risk patients when they wait too long to call or come in with symptoms.

With all of that being said, I think it’s absolutely absurd that we do nothing for people. Hell, even with the flu, we give Tamiflu or Xofluza. WHY does this have to be different??? We did get “direction” from the powers that be…. Providers should EITHER prescribe nothing for treatment OR send for antibody infusion.

Needless to say, my collaborating physician read one of my notes and found out I was prescribing Ivermectin. I got a lashing and a warning. They do not want us prescribing it. “There are no studies”. I told him I had information I could send him to read. He said no need because he listens to our inpatient Infectious disease doctors, who are also doing next to nothing when people are admitted besides administering oxygen.

I’m still prescribing it because well, my job in family medicine is TO KEEP PEOPLE OUT of the hospital and reduce cost, right??? Well, at least you’d think so.