Відео

In my experience the va destroyed my life they caused me to go blind and and scream in pain 24/7 loose any sense of sleep

I have ben providing these services for my family and my in-laws for years for free. Great concept and probably something people could start savings accounts for if they don't have medical family members to cover these services when needed. These services are life saving and a much better investment than a kitchen remodel. So much backlash for the fees, but nobody judges how much people spend on eating out and drinking alcohol. I am considering doing this on the days I don't have clinic. Great video!

I can speak from a tele-neurological standpoint, PAs and NPs are not preferred over each other. Sorry for the mistype.

Thank you for the information. Started test in 2024. I have reviewed my questions and Have 5 that have been replaced from the 1st quarter and 1 from the second quarter. That being said, my score did not shift at all. Is that updated after the second quarter is finished or is the score I received after I finished the second quarter (about a month ago) my score. I am passing but would like a little extra cushion. Do you know when scores are updated with replaced/removed items? Thank you.

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Donald Trump is the Catalyst for what started the opioid denying of people who medically needed the medication not getting it because a medical condition demanded it because of medical tests that verify they needed medication because of a health condition most doctors will not write your prescription and Medicaid and Medicare may not cover it because if you're in most States as I'm in the south it goes through a bunch of legislative stuff controlled by politicians and the company will deny the medication these are alive sustaining medications like anything else as blood pressure medication or insulin because you needed to stay alive most doctors are afraid of losing their medical license that's why they go through a song and dance of a documentation and a piss test every time you come into the goddamn office I'm God damn sure set the elites that are not getting Medical Care through Medicare Medicaid don't have to go through what these people on these medical policies go through to get their pain medicine Donald Trump has somebody get his pain medicine if he needs it I just have to get on his knees to some doctor godmother fucker to get his goddamn medication people need to see what a devil this guy is and his wake he's left a lot of people still in pain and people have died from lack of medication either through suicide or natural death because they could not get the medication I pray to God that the people who are denying decent American citizens medicine it would be great if one of these high and mighty doctors or politicians would have to wind up a Medicaid or Medicare and have to get on their knees for pain medicine

😂. Should be a comedian.

I'm not a medical professional of any type however, I've always been deeply interested in all of the medical disciplines including ARNPS,PA and specialist PAs and ARNPs . I've been care for by both LPNs,Rn's and arnps of all skill levels and levels of sonority.

A lot of great things her I didn’t know, especially on how to look back at prior questions… And the NCCPA list of topics! Very helpful… thank you!!

Hi Sir/Madam, This is Regimol, a physician assistant from Tamil Nadu, India. Is there any scope for us? How can we come to Germany?

In your opinion, what is the best DMS program out there currently?

Thank you for the updates!

I feel like these questions aren’t concerned with real world scenarios. Many questions are testing our medical “trivia”. The one drug side effect, the one complication we all learned but never really see. Yes it’s important to be wary of but is it a way of determining if you are capable of practice?

Excellent report. Thank you!

Did this answer any questions for you? Do you have other questions you want me to answer?

Wow. This seems interesting. I wonder if it will lower the pay and scope of paramedics.

I’m having a similar experience. One month into a NP job with Hospitalist. I’ve just been told that I’m slow and my knowledge is lacking. I spent 10 years as an ICU nurse and I’m feeling like my experience and education did not prepare me for this. Everyone says it’s awful in the beginning, but this felt worse than that. Only one month in to a 4 month orientation. It felt really unreasonable. “If you want to revel in insecurity then work in Medicine” how true.

These doctors play gate keepers n play wit u make sure take shoots dont work n they can charge medicare. Interventiol frude docs

Needle puchers

From my vivew they try to keep getting ving shoots dont work .

Ino one wants shots dont work

Thank you! I currently have the AAPA HIPPO program. It seems good for studying, but not easy for test taking- specifically, the SEARCH function is not user friendly. And, you cannot bring up one subject, i.e. Infectious Disease and have that as the sole subject to search. You have to search the entire program (i.e. drug through all the Blueprint subjects, so if you search the word fever and you're answering an ID question, you get drug through all the modules (e.g. CVS, RHEUM, etc) . In smarty PANCE, can you isolate search in each module alone, and not be drug through the entire database?

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This was an incredibly informative and educational interview. Thank you so much for doing this important work!

Can a pharmacist to become an aesthetic medicine?

DO NOT WORK AT THE VA!! My wife is a provider at the VA and is being fired. I have a doctorate in business administration and wrote my dissertation on business ethics. I have rarely seen a less ethical organization. And I’m a veteran who received care from the VA. Just do yourself a favor and work elsewhere.

Cool video. Can you do all this paper work/ charting during the work hours at hospital? this kind of work Is not necessary to take home, right? Do hours spent on paper work count as part of the working hours in the employment contract? Is Your paper work more than 30% of your work hours or less? Thanks for the help!

I felt like I could relate to everything you said when I worked in the ED as a new PA. I quit 10 months later and although it's still something I think about here and there, I am more proud that I stuck it out for that long and had the courage to explore other things!

Thank you @TheMedicineCouch, another very helpful video. While it is re-assuring that not many lawsuits result in loss of licensure but it probably does affect future job prospects because its something you have to list in each and every future job application I imagine.

I had never heard of this before your video! I guess if you claim the Gift Card as income you’re probably ok legally.

Have you ever purchased Gift Card CME? Do you think it's a great deal or problematic?

I got new 1 who decided ut was smart idea to take me off something that was working now put me on something that cause me now to not be able to see , puking every 30 min and shittin blood and due to my spinal condition i can even walk and ended up having to physically crawl get absolutetly 0 sleep and end up screaming in pain for 24/7 and to be gas lit

Well, I applied again! Year #15 of trying to get in. I’m currently a GS 11 step 7 with a crappy agency. I was referred again for the VSR (Rater) and VSR position on March 23rd. Today it’s May 7th and my hopes are fading again. Why is this agency so difficult to get into?

va killed many vets screw va. even my civil war family (union) was screwed by the government

U.S. healthcare system is "problematic"....period! Hence the mass exodus of clinicians out of clinical positions. Until and unless there's a massive shift in mentality away from the RVUs, productivity, and profit-based performance metrics towards improved health outcomes, providers will continue to feel "miserable" and "stuck."

Thank you for your insights.

The tips at the end about looking at your skills.... wow. Such good advice!

I am taking quarter 2…I just was given a question that I had in quarter 1 that I got CORRECT in Quarter 1? How does that make any sense? I thought the repeated questions were to help you learn..?? Why not give me something I got wrong and see if I learned from my mistake? (And possibly improve my score)

Have you read this book? Leave your review here!

I have conflicting opinions about this. In a way, it sounds great. However, it seems like a small amount of ppl are who are benefiting. It seems a bit predatory. Our healthcare system is so incredibly confusing and broken. It is the patient who ultimately suffers, financially, emotionally. And doesn’t help the burnout issue with health care workers.

Who pays for the services provided? The patient advocacy services? Is this a private pay business? How accessible is it to those most vulnerable? The concept is great, but it seems as though only those with the funds can receive this service. I’m halfway through the video, but so far this is the top question I have.

The VA in Las Vegas is like a zoo. The hospital employees have no respect for the ill veterans. My spouse is sick all the time I am in the VA hospital a lot. The employees talk loud like they are at a party, they are very defensive when you ask a medical question. Everything in that hospital makes loud noise no respect what so ever. Some Doctors are rude as hell some Doctors honor their oath. It's a mess from A to Z I always ask the employees if they ever been in the military the answer is always no makes me wonder why they hire people who have no reason to " say' that you for your service'" and give service like they went to school to be ZOOKEEPERS.

I’m honestly extremely dejected about medicine right now. Believe this could be a good route. My upward track as a PA has been halted due to medical issues, and most jobs that are hiring in my area are not offering fair market value. I just really don’t want to go back unfortunately. I want to be a PA but working conditions are just horrible. Any thoughts about PAs transitioning to research or computers? I thought about AI for clinical research but not sure how to start off.

Myofascial pain syndrome is the MOST COMMON manifestation of chronic pain. Myofascial pain syndrome is characterized by active myofascial trigger points, Myofascial trigger are taut bands in skeletal muscle or muscle knots. Continuing to use muscles with trigger points cause both peripheral and Central sensitization ie allodynia and hyperalgesia. Dry needling is the most effective way to treat active myofascial trigger points. There is always an underlying cause why the formation of myofascial trigger points continue. But let's really get into the science. Moseley, himself wrote the excellent chapter on pain in the equally excellent 4th edition of the text Clinical Sport Medicine(2012). Here are some Moseley excerpts: “Trigger points are present in all patients with chronic pain and are thought to reflect sensitization of nociceptive processing in the central nervous system… Patients with active trigger points present with persistent regional pain… These patterns clearly reflect central convergence of peripheral inputs, which further implicates the central nervous system in their generation and contribution to a pain state.” Moseley GL. Pain: why and how does it hurt? Brukner & Kahn’s Clinical Sports Medicine. North Ryde, NSW: McGraw-Hill Australia Pty Ltd; 2012 "elimination of myofascial trigger points is an important component of the management of chronic musculoskeletal pain” and “we have found ischemic compression and dry needling to be the most effective" According to Dommerholt, all treatments fall into one of these two categories or both: a pain-control phase and a deep conditioning phase. During the pain-control phase, trigger points are deactivated, improving circulation, decreasing pathological nociceptive activity, and eliminating the abnormal biomechanical force patterns. During the deep conditioning phase, the intra- and inter- tissue mobility of the functional unit is improved, which may include specific muscle stretches, neurodynamic mobilizations, joint mobilizations, orthotics, and strengthening muscle pubmed.ncbi.nlm.nih.gov/7850884/ Myofascial pain J R Fricton. Baillieres Clin Rheumatol. 1994 Nov. MFP is a regional muscle pain disorder characterized by localized muscle tenderness and pain and is the most common cause of persistent regional pain. The affected muscles may also display an increased fatiguability, stiffness, subjective weakness, pain on movement and slightly restricted range of motion that is unrelated to joint restriction. MFP is frequently overlooked as a diagnosis because it is often accompanied by signs and symptoms in addition to pain, coincidental pathological conditions, and behavioural and psychosocial problems The difficulty in managing MFP lies in the critical need to match the level of complexity of the management programme with the complexity of the patient's situation. Failure to address the entire problem, through a team approach if needed, may lead to failure to resolve the pain and perpetuation of a chronic pain syndrome. pubmed.ncbi.nlm.nih.gov/16259310/ A review of myofascial pain and fibromyalgia--factors that promote their persistence Robert D Gerwin. Acupunct Med. 2005 Sep Chronic muscle pain (myalgia) is a common problem throughout the world. Seemingly simple, it is actually a difficult problem for the clinician interested in determining the aetiology of the pain, as well as in managing the pain. The two common muscle pain conditions are fibromyalgia and myofascial pain syndrome. The problem these syndromes pose lies not in making the diagnosis of muscle pain. Rather, it is the need to identify the underlying cause(s) of persistent or chronic muscle pain in order to develop a specific treatment plan. Chronic in myalgia may not improve until the underlying precipitating or perpetuating factor(s) are themselves managed. Precipitating or perpetuating causes of chronic myalgia include structural or mechanical causes like scoliosis, localised joint hypomobility, or generalised or local joint laxity; and metabolic factors like depleted tissue iron stores, hypothyroidism or Vitamin D deficiency. Sometimes, correction of an underlying cause of myalgia is all that is needed to resolve the condition. www.sciencedirect.com/topics/nursing-and-health-professions/myofascial-painMyofascial Pain Syndrome Andrea L. Nicol MD, MSc, ... F. Michael Ferrante MD, in Essentials of Pain Medicine (Fourth Edition), 2018 Myofascia l pain or regional musculoskeletal pain is one of the most common pain syndromes encountered in clinical practice. Myofascial pain represents the most common cause of chronic pain, including neck and shoulder pain, tension headaches, and lower back pain

hi . can we keep in touch . i want to ask opinion about my issues and maybe u can help me by giving me some idea

Why is this specific for PA-C? Can’t anyone with healthcare knowledge perform this task? Seems like an expensive degree to do non-diagnostic work that can be done by anyone who knows hospital policy and CMS. I bet the people who do this job are internally saying, “if only I had went to PA school like I wanted all those years ago….”

Can you provide any additional detail on where to go to for “essential” training mentioned in the beginning? I’ve been interested in this area awhile but would need some sort of launching pad for starting the business. Is your guest offering any of these opportunities or can point somewhere? I don’t want a college certification. Like how did she get into this? That segway into something is often the rate limiting step!

“Dont need any certification” but then we find out we should get a certification!