SheвЂ™s very bright and I learn things from her. I look back and see it was 2.4 last year when he had pylo, and the midlevel wrote it in her note, but didnвЂ™t address it. IвЂ™ve got a patient on Motrin with a creatinine of 1.8. This can only be true if they are given less responsibilities. IвЂ™ve always been puzzled by the claim that a midlevel has вЂњmore timeвЂќ for the touchy feely stuff. With a bit of instruction, I could probably pilot an aircraft for 80% of the flight! But you better not trust me with the take off and landing.

I love the midlevelвЂ™s comment about being able to do 80% of the things I do as well as me. I do think NPs going into that field need more clinical time. Was it due to respiratory infection when it happenedвЂ¦TLLвЂ¦migraines, or just being in Korea? Otherwise I do not care for primary care. He was positive for 3-4 episodes of olfactory hallucinations. This comment still holds and may explain what a physician may offer that I do not: вЂњThey may be thinking differently based on their education but that also holds true for me.вЂќ I do have to think вЂњprimary careвЂќ a lot as I did this morning after seeing a patient one of our psychiatrists saw last week with parasomnia. We also do peer review so we all are aware of each otherвЂ™s work. This means I see everyoneвЂ™s patients so IвЂ™m aware of who does what. IвЂ™m the only prescriber for a morning walk-in clinic and I see patients who need to be seen immediately prior to an initial intake, those returning from an inpatient stay, those who need to be seen after an ED visit, those who are having side effects from meds, etc. Now, in my specific area, I do the same job as the psychiatrists here as fully explained in previous post, except for seeing kids and running a suboxone clinic. Give me a break! Maybe instead of going through the Army as an infantryman and then medic I should have gone to Special Forces schooling and then Ranger school to be a вЂњreal Soldier.вЂќДid you see where IвЂ™m in psych, not primary care? I see where nothing was confirmed by you except inability to understand my post.

Or one intern I knew who was up all night covering peds and then had to go straight to her surgery rotation. IвЂ™m sure that was an effective way to retain informationвЂ¦maybe not as IвЂ™ve had residents ask me what IV solution to hang as they were so exhausted they couldnвЂ™t remember their name. You and some other physicians like to comment about all the suffering you went through to become a physician. I read anything related to my area like a mad man on steroids, including all the research which is hardly worth the glossy paper itвЂ™s written on. recently to ask her if she would try another med for our shared patientвЂ™s TMJ instead of Elavil as it was probably the cause of the patientвЂ™s tachycardia. I know all the medical conditions that might mimic psychiatric conditions.I know most of the medical drugs that might cause psych symptoms but would probably have to look them up to make sure as I donвЂ™t try to remember every drug that comes out for every medical condition. The вЂњI donвЂ™t know what I donвЂ™t knowвЂќ question is just downright confusing. I will acknowledge they have more training and education than I do and may still have power point slides of say, CYP450 2D6 inhibitors in their head while me as a right brained person might have to review that material every now and then. They may be looking in the microscope in a reductionist manner while IвЂ™m looking through the other end. They may be thinking differently based on their education but that also holds true for me. IвЂ™ve also mentioned before why that is true.

Luckily, IвЂ™m in psych so donвЂ™t have to do вЂњphysical stuff.вЂќ As IвЂ™ve already mentioned I do the exact same thing the physician prescribers here do, except for one physician who also runs a suboxone clinic and the ones who see children and adolescents. I donвЂ™t think most NPs are claiming superior or equivalent skills.

Doctors in training cyp450 inducer