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Old 10-10-2015, 01:29 AM
 
1,002 posts, read 1,959,765 times
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In every state I've lived a PA has to have a bachelors degree (3.0 out of 4.0 GPA) and minimum 1000 hours of experience in a medical field to get into the program. Then they take 2-3 more years, essentially a masters degree. Once they finish and decide what specialty they are going to work in, they take additional training to become proficient in that area.
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Old 10-10-2015, 01:32 AM
 
Location: Purgatory
6,367 posts, read 6,244,607 times
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Quote:
Originally Posted by ognend View Post
You also need exposure/experience which is only obtained by practising the subject matter
PAs only have 2 week rotations in about 8-10 areas before they start seeing patients and prescribing.

And what do you call the guy who graduated last in med school?

Doctor.


Quote:
Originally Posted by ognend View Post
Agreed. This is where being your own advocate comes in. The medical "system" is not perfect, far from it. However, there are real things you can do and that happen to you in this "system" and then there is unjustified crap that gets spread around. I am pretty sure 99.9% of basic GPs see a patient in the United States who is obese or overweight and doesn't exercise and I am sure that 99.9% of those physicians tell their patient to loose weight, start exercising and watch what they eat. I am also pretty sure that most patients ignore the advice and then end up at a specialist 5 years down the road who doesn't have the appropriate meds to treat what is a lifestyle disease. Then the stories of "I can't get a diagnosis" and the "meds don't work" start. After that the same people start seeing holistic doctors, quacks etc. and start claiming how this stuff is more effective. Yeah, right. Should have listened to the GP to being with.
No doubt a lot of "illness" is caused by an inflammatory diet, lack of exercise, malnutrition, etc. However i think sometimes in the US we think we can control everything when we cannot.

I am not overweight, eat "ok" (rarely eat meat), probably exercise less than i should, but i do exercise. Upon my last physical, i just happened to have cholesterol over 220. I was floored!

I knew some older people in my family had this condition, but i didn't know until after i got that # that even my then teenaged cousin who ran track, was svelte, and ate well, had even higher numbers!

Honestly, i think docs may see too many people with "lifestyle problems" that when they see a real disorder, they rarely remember what to do. Of course it does not help that they get money from the pharmaceutical companies for prescribing meds, but that is what most people want anyways.


Quote:
Originally Posted by ognend View Post
I went through 3 ENT specialists, two allergists and one immunology PhD/allergist, food sensitivity testing (not FDA approved but pushed for by the immunology PhD) to figure out what was wrong with me. I was my own advocate by reading, doing and insisting. I even ended up communicating over Facebook with a leading ENT specialist in New York (half-way across the country from where we live). He ended up pointing me to his student in San Antonio, TX where I ended up finding a portion of the solution and getting referred to the immunology guy who led me down the path of the second portion of the solution. Should all this just have worked from scratch without my minimal involvement? Sure, in theory . In practice, I ended up taking care of a problem that I caused by fixing my lifestyle/diet without any meds (believe me, they were proscribed a plenty). Everyone has a story like this, I am pretty sure. However, prior to even getting the "condition" my diet was horrible, I was 10 pounds overweight, did not exercise, my diet was high in sugar etc. I was warned year after year by my GP about it but I ignored it thinking "it can't happen to me". Well, it did and it was a wake-up call. These days I grow most of my veggies as a result and have bees in the backyard etc. I exercise every day. All in all, I took control over my own health as much as I can.
That sounds extremely frustrating. Glad it paid off.


Quote:
Originally Posted by ognend View Post
Maybe I am a snob. I always had insurance that had very low copays and allowed me to pick a specialist at will. Usually there is always one or two in your network that will be top-notch.
You just don't know how lucky you have it. You must have a PPO or an indemnity plan. AKA "Cadillac Plans." They are disappearing every year and i suspect will be gone for good someday.


Quote:
Originally Posted by ognend View Post
You should take your antibiotics for the full course or risk bacteria becoming resistant
Tis true! I only have leftovers from the last 2 times i needed them! Both times i didn't think i needed them and was told i was given them only as a "precautionary measure." I guess i'm a risk taker.

Quote:
Originally Posted by ognend View Post
Ouch. I never do this because I never know what is in the drug - what is the quality controls etc....
People always say this but it is certainly better than fish food!! Because if not for human consumption, they can add any fillers to it that may be proven harmful to humans.

Either it's the placebo effect or i always get what i ordered.

In a lot of Latin American countries you can walk in without a prescription and buy almost anything over the counter except narcotics. It's a very empowering feeling.
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Old 10-10-2015, 01:44 AM
 
Location: Purgatory
6,367 posts, read 6,244,607 times
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Quote:
Originally Posted by utsci View Post
In every state I've lived a PA has to have a bachelors degree (3.0 out of 4.0 GPA) and minimum 1000 hours of experience in a medical field to get into the program. Then they take 2-3 more years, essentially a masters degree. Once they finish and decide what specialty they are going to work in, they take additional training to become proficient in that area.

It is usually 1000 hours "direct patient care." Very easy to do by being an EMT, CNA, etc.

And it is usually only a 2 year program, full time (meaning no summers off) with just under one year in actual practice and one year in academics. The only "additional training" is on the job (post graduation) or sometimes another 4 week rotation in one specific area if your program allows it.

You usually do 40 weeks of clinical training, but it is just 4 weeks of "9-5" in each area, usually 10 of them.

It is obviously an intense program time-wise, but its not even nearly half of the training MDs/DOs go through.
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Old 10-10-2015, 09:19 AM
 
Location: NC
4,532 posts, read 8,854,596 times
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Quote:
Originally Posted by Navyshow View Post
It might be prudent to do some research on Cipro/Levequin and check out their side effects. Cipro has an FDA blackbox warning pertaining to Achilles tendon rupture and Neuropathy peripheral. This drug should be used only as a last resort.

Google Cipro and tendon damage. Check it out yourself. It is an eye opener.

I was just reading the comments in this section out of interest and felt lead to at least mention this when I saw the drug mentioned.
True, happened to me. Was on Levequin and ruptured a tendon by doing my usual morning stretch routine.
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Old 10-10-2015, 09:35 AM
 
Location: NC
4,532 posts, read 8,854,596 times
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Quote:
Originally Posted by yspobo View Post
Strep can cause Reye's syndrome which can be deadly. It's fortunately rare since most strep throat is treated with antibiotics.
No, this absolutely incorrect. They do not know what causes it but symptoms can occur due to aspirin consumption. It has no connection to strept.
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Old 10-10-2015, 10:56 AM
 
Location: Wisconsin
2,201 posts, read 1,869,822 times
Reputation: 1375
Have stocked Silver Sol which is a quasi anti -biotic, viral, parasitic, fugal
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Old 10-10-2015, 11:45 AM
 
10,075 posts, read 7,506,923 times
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for people stocking antibiotics... do you stock rapid test kits too? seems pointless or even harmful to take antibiotics if you dont even know if it is bacterial or not when you are sick... or even what kind of bacteria it is...

you could play doctor with a sewing kit too... put that in the prepper toolbox
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Old 10-10-2015, 09:15 PM
 
Location: Wisconsin
2,201 posts, read 1,869,822 times
Reputation: 1375
eyeb point well taken the reason we stock Silver Sol is is ppm enters the red bllod cell giving it a systemic effect without the typical harmful effects
of colloidal hunders of time more concentrated. Gordon Pedersen (Utah toxicologist) discovered via lab reseach it kills not only gram negative
bacili but gram positive pneumococci, staph including MRSA, all flu's (Sars, N1H1 seasonal ) RSV,whoping cough,Croop and after a $70k study
anthrax.. Anyone criticizing this is full of baloney so just ignore . I might add that in a missionary trip Nairobi Kenya 690 malaria victims were cured
100%!!! via oral intake for 6 days Bid. Silver Sol will decrease normal flora but not as bad as antibiotics. Topically the 15ppm gel works better than
liquid. We also use 3-in 1 ortriple ointment topically. True sickness in the absence of a physician could nt be bacterial ,but if viral Siver Sol is a wide
spctrum answer. Organic coconnut oil, olive leaf, and oil of oregano also can provide basic cures ( please research).
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Old 10-11-2015, 06:31 PM
 
Location: Mid-Atlantic
32,849 posts, read 36,161,804 times
Reputation: 43630
Quote:
Originally Posted by ognend View Post
There is a reason why the expiration date is there - you could be in the 20% that is taking a drug that has lost potency and is doing nothing for you. I agree otherwise, in a SHTF scenario it will not matter if it is expired or not. Note also that these were compounded drugs in special packaging (manufactured), not fish antibiotics purchased in a bucket or jar. You have people in this thread openly admitting self-medicating for months on end and there is no SHTF that I know of . My question is first - where do you even get the antibiotics for 72 days (that are safe for human consumption)?
Maybe they'll have a placebo effect... or maybe not.

You get the antibiotics online or the pet store.
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Old 10-11-2015, 06:58 PM
 
Location: Mid-Atlantic
32,849 posts, read 36,161,804 times
Reputation: 43630
Quote:
Originally Posted by Utopian Slums View Post
That is true that you need a foundation in those subjects to understand what you are reading. However, if you have ever looked at PA programs they are only 2 years! I think in the future, they will be the main "primary doctor" and doctors who did not specialize will be a gateway to specialists.
Interestingly, the third time I was in the ER, the "doctor" who treated me was a PA. The doctor had to do one thing to me which I guess she wasn't allowed to.
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