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How many Folks here have been cared for by a Physician Assistant or Nurse Practitioner....???
Yes... I know what a PA or NP is and have been seen by one... 91%  91%  [ 21 ]
No... I don't know what a PA or NP is and have never been seen by one... 9%  9%  [ 2 ]
Total votes : 23
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PostPosted: Fri Dec 09, 2011 11:04 pm 
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You're not a medical expert at all...

The ironic thing about your trolling docNusum, is that you've invested so much energy into it! If you want to troll, you don't reply with whole theses. You gotta make other people invest all the energy, otherwise you just look like a douche.


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PostPosted: Sat Dec 10, 2011 1:01 am 
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I move that we delete that wall of red text or move it to the mod forum.

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PostPosted: Sat Dec 10, 2011 1:18 am 
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"I concur"

:lol:


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PostPosted: Sat Dec 10, 2011 2:41 pm 
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It certainly sounds like the good doctor is a little burnt out. It happens. Maybe he should consider a different area in which to practice. Oh, but since it is a family business employing him, wifey, and little girl he probably wont do the right, ethical thing. This is one of the problems with the way suboxone is managed by the dea. It allows some egomaniacs to use power and control over their victims, oh I mean patients. The hold the fact that you "need" desperatlly need suboxone to live a clean and sober life...I hope they come up with a better system. As all addicts aren't the big losers he depicts. I am a suburban middle aged mother and wife, addicted to prescription meds for pain. I am a compliant patient and pay out of pocket to see an addiciton counsleor on top of my Psychiatrist, bc I WANT TO BE CLEAN. I work at it. I am just glad he is not my dr. and I feel sympathy for people who go to his clinic. It is hard enough to get help. My biggest fear is that I was going to be judged just as he did in his post. Luckily, I found a great place where I was treated with respect and dignaty. I think his post could scare away people considering treatment. Dont be scared not everyone is like him. Just find a good doctor,,they are out there.


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PostPosted: Sat Dec 10, 2011 5:28 pm 
docnusum wrote:
The content of this post was moved to the moderator forum because it was rude and offensive.

If you really want to read it, PM me or another moderator.

docnusum,

Regardless of your level of education or your occupation, you still have to follow the forum rules if you want to participate here.

You've already stated that you are not here to help others or give advice or information. You have stated that you are not a recovering addict yourself. You have made it clear that you do not like addicts or have much compassion for us.

You have posted your clinic info, though you have stated that you're not really wanting new patients at this time.

I'm not sure why you are here, but if you are going to be here you will stop insulting the mental health and general disposition of our members and addicts in general.

This is an official warning.


So I responded to the above with a point by point calm and respectable response...
It was deleted my the moderator moments after I posted it.

So I guess I'll simply replace what was their to begin with:

Stand by...


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PostPosted: Sat Dec 10, 2011 6:31 pm 
docnusum wrote:
The content of this post was moved to the moderator forum because it was rude and offensive.

If you really want to read it, PM me or another moderator.

[Who is the moderator...???]

docnusum,

Regardless of your level of education or your occupation, you still have to follow the forum rules if you want to participate here.

[check...!!!]

You've already stated that you are not here to help others or give advice or information. You have stated that you are not a recovering addict yourself. You have made it clear that you do not like addicts or have much compassion for us.

[Nope... Incorrect..!!! You are entitled to your opinion and/or interpretation... but you ARE NOT entitled to claim that I "stated" something that I did not. As a moderator... YOU should know this.

What I stated was... I was here to exchange ideas. As it is NOT wise, prudent, advisable, professional or legal for me to give "medical advice" to anonymous internet people whom I have never met nor examined.

You are also incorrect in your interpretation that "I do not like addicts." What YOU don't know about me is that I carry a reputation in the community amoungst CDPs, the patients, their lawyers and their parole/probation officers as a bit of a patient advocate. I spend a bit of my time politely telling law enforcement to "bite-me" when it comes to them wanting me to participate or assist them in violating patient's rights. I also get my "toes right up against the line" trying to assist patients in "getting over on the man"... as long as it isn't detrimental to the wellbeing of the patient. I also spend a bit of time holding a mirror up to other providers who harbor the notions that I detailed above about patients with substance use disorders. I spend a lot of time reminding providers that WE are NOT the POOOLEEECE!!!! And to STOP with the "Inspector Gadget" nonsense many like to employ with the first hint of a possible SUD.

Hell... just last night... I stopped what I was doing to remind a DOCTOR who was starting to entrench himself in a adversarial battle over meds with a patient that the easiest way to prevent Benzo wihdrawal was to give the patient a BENZO... and refer back to CD treatment.

YOU claim that I don't have "much compassion" for addicts. You arrived there based upon what..???
The fact that I don't practice medicine by quorum...??? The fact that I don't allow my patients to dictate/direct my care away from established evidence based "standards of care"...??? The fact that I don't toss out my decades of medical training and experience to instantly buy into what anonymous internet people post on a open forum...??? What?]


You have posted your clinic info, though you have stated that you're not really wanting new patients at this time.

[Nope... Incorrect...!!! I stated I am seeing new patients and have a waiting list. Also stated that if someone needed a provider and was in the area to PM me, and stated that I am the only provider there on a limited schedule, work in other facilities in other specialties and want to control the growth of MY private practice. So don't really know where you seen that I "stated" that I "not really wanting new patients at this time." Again... You are entitled to your opinion and/or interpretation... but you ARE NOT entitled to claim that I "stated" something that I did not. As a moderator... YOU should know this.

You also posted a snide comment about how nice my clinic was and tried to make it a bad thing that I took the time to ensure that my patients could be served in a comfortable environment conducive to their success. It was kinda silly.
Thing is... I've worked in a couple places that served addicts as a "second thought." Those places were "hovels" and depressing. I also considered that every patient has to sit through a 3 hr induction and therefore should be comfortable during that time.

So I took some money I saved from my deployments in Iraq/Afghanistan and took a second job for a yr to afford and pay for nice things to provide a nice environment for the success of my practice and the success of the patients in my practice.
Somehow YOU see that as a bad thing.]


I'm not sure why you are here, but if you are going to be here you will stop insulting the mental health and general disposition of our members and addicts in general.

[I'm beginning to question why I'm here also. And its becming VERY CLEAR why there aren't more medical professionals here. Interestingly, 99% of the insults, attacks, and vitriol has been directed at me from moderators. Its mostly "top of the wood-pile" border-line stuff, but it kinda reminds me of how my mother used to like to lecture to the folks she got high with. She would spend a week on a crack-binge, at the crack house, pontificating... and would get really torqued if their was any threat to her percieved positon at ""top of the wood-pile." The irony was... they were all sitting around smelly and unkempt after being in the crackhouse for a week.

Interestingly... I've been targeted and attacked since the introductoy post. But not one "moderator" came to my aid and warned the attackers. Probably because the attakers, insulters have mostly been "moderators.' So I went on the defense of myself... and now I'm made out to be the bad guy. Its Classic.]


This is an official warning.

[Your "warning" means NOTHING to me. I'm neither your daughter nor a bottle of soda... "bottle-cap."]


For your consideration


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 Post subject:
PostPosted: Thu Dec 15, 2011 10:38 am 
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Nanoparticles hold enormous potential to change many aspects of our existence... some for the better, some for the worse. So what are nanoparticles; where do they come from; what have they got to do with brain health; and why have I referred to them as saints or sinners?

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silver nanoparticles


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PostPosted: Thu Dec 15, 2011 11:28 am 
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docnusum wrote:
MDs are NOT the only providers of Addiction Medicine.

Doctors of Osteopathy-DO
Physician Assistants-PA
Nurse Practitioners-NP
Medical Doctors-MD

ALL practice medicine to the SAME standard and all can practice addiction Medicine specifically.
All can be certified addiction medicine specialists
All have individual licenses by their respective states to practice clinical care in ALL medical specialties either independently or collaboratively.

All can own, manage, staff Suboxone clinics.
All can prescribe and/or dispense Buprenorphine using their own DEA numbers.
Only DOs/MDs can prescribe Buprenorphine for the express purpose of Opioid replacement therapy.

In my clinic...
I own the building and everything in it. I employ 2 MDs (Psychiatrists) and 1 DO (Family Practice).
Each has a Data 2000 waiver with 100 slots for Buprenorphine patients.
We currently have 125 patients with the capacity of seeing 300 Suboxone patients.
Right now, I see all of the patients Wed-Fri from 3pm-9pm and do ALL of the Inductions on Saturday mornings from 9am-2pm. I will expand the days and hours as the clinic grows and slowly relinquish days and hrs at my other two inpatient psych/internal medicine/detox jobs and decrease my teaching duties. currently, I refer all of the counseling out. The plan is to expand into "Pain Medicine" in 2013, and then add Internal Medicine "HouseCalls" in 2014. We may even bring the counseling peice in-house, with my wife as the lead... if she wants to do it.

The Family Practice physician is my "Medical Director" (Doctor of Osteopathy, Triple Board certified in FP, Addiction and Accupuncture)

I'm the Managing Member and the "Clinical Director" (Paramedic, Critical Care Nurse, Family Nurse Practitioner & Physician Assistant, Masters in Psychiatry/Behavioral Medicine with a special focus in Addiction Medicine)

My Wife is the "Operations Manager" (X-ray Tech, Radiation Therapist, Masters in Health Care Management, Masters in Counseling Psychology)

My eldest Daughter is the "Receptionist" (Medical assistant and nursing student)


Quote:
What is a Physician Assistant/Physician Associate...???

A physician assistant/associate (PA) is a healthcare professional trained and licensed to practice medicine with limited supervision by a physician.

A physician associate/assistant is concerned with preventing, maintaining, and treating human illness and injury by providing a broad range of health care services that were traditionally performed by a physician or medical practitioner.[citation needed] Physician associates/assistants conduct physical exams, diagnose and treat illnesses, order and interpret tests, counsel on preventive health care, assist in surgery, give medical orders and write prescriptions.[2]

Physician associates/assistants work in hospitals, clinics, and other types of health facilities, and exercise autonomy in medical decision making as determined by their supervising physician, surgeon or medical practitioner. The professional requirements typically include at least two years of post-graduate education.[citation needed] They are educated in the medical model designed to complement physician training, rather than in the nursing model as nurse practitioners are.[citation needed] Physician associates/assistants are not to be confused with medical assistants, who perform administrative and simple clinical tasks with limited postsecondary education under the direct supervision of physicians and other health professionals, or nursing assistants.[citation needed]

In the United States, the profession is represented by the American Academy of Physician Assistants. The equivalent type of provider may also go under different titles in different countries, such as clinical officer, clinical associate, assistant medical officer medical care practitioner or Feldsher.[3]


Scope of practice

PAs are medical professionals. They typically obtain medical histories, perform examinations and procedures, order treatments, diagnose illnesses, prescribe medication, order and interpret diagnostic tests, refer patients to specialists as required, and first or second-assist in surgery. Physician assistants' scope of practice is spelled out in their PA-Physician practice agreement. PAs are employed in primary care or in specialties in urban or rural regions, as well as in academic administration. PAs may practice in any medical or surgical specialty, and have the ability to move within and between different medical and surgical fields during their careers.[citation needed]

Physician assistants have their own medical licenses and do not work under a physician's license.[13] Each of the 50 states has different laws regarding the prescription of medications by mid-level practitioners (which include PAs) by State and the licensing authority granted to each category within that particular State through the Drug Enforcement Administration (DEA).[14] PAs in Florida, Kentucky, Puerto Rico and the U.S. Virgin Islands, are not allowed to prescribe, order, dispense, or administer any controlled substances.[15] Several other states place a limit on the type of controlled substance or the quantity that can be prescribed, dispensed, or administered by a PA.[15]

Depending upon the specific laws of any given state board of medicine, the PA must have a formal relationship on file with a collaborative physician supervisor. The physician collaborator must also be licensed in the state in which the PA is working, although he or she may physically be located elsewhere. Physician supervision can be in person, by telecommunication systems or by other reliable means (for example, availability for consultation). The physician supervision, in most cases, need not be direct or on-site, and many PAs practice alone in remote or under-served areas in satellite clinics.


I thought we got rid of docnusum?
Slipper


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 Post subject:
PostPosted: Thu Dec 15, 2011 11:39 am 
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He is gone, if you notice his last post on this thread was Dec 10th.


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 Post subject: IS THIS GUY FOR REAL?
PostPosted: Mon Dec 19, 2011 10:44 pm 
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OMG what a jerk (Can I say that even though I'm not a moderator) I am new to this forum but have really enjoyed reading the post etc...Is that Doc for real? I was reading all the post and yet I was waiting for someone to pop out on my screen (or thru my webcam) saying SMILE YOUR ON CANDID INTERNET. I would have been terribly embarrassed as my mouth was hanging wide open. I never did see his practice name or where he is located but I for sure got the name and there is no effin way I or anyone I know would attend his practice. What surprised me the most is he would shit and then step back into it on the next posts. He needs to practice harm reduction by refraining from being so insulting in defense of himself. A person can defend themselves without attacking or insulting people. But you know it all became quite evident and neither I nor any of you all need a PHD in Psychiatry to realize when he started in about his mom/crack pipe binge, he suffers from PTSD or something of the sorts to think posting such about his Mother was necessary to defend his stand. THIS IS WHY HE HATES DRUG ADDICTS not why he chose to work in the field.
Its mostly "top of the wood-pile" border-line stuff, but it kinda reminds me of how my mother used to like to lecture to the folks she got high with. She would spend a week on a crack-binge, at the crack house, pontificating... and would get really torqued if their was any threat to her percieved positon at ""top of the wood-pile." The irony was... they were all sitting around smelly and unkempt after being in the crackhouse for a week.
“their was” should have been “there were” “their” being there and “was” being were……………perceived and position both are spelled wrong…………….. he messes up on the E before I or I before E rule. Did he miss spelling and English in the 6 or 8 or 12 years of schooling he talked about? Oh wait I bet he learned “top of the woodpile” in uhhhh uhhhhh uhhhh hell I don’t know modern science class? Where’s the irony???? Percieved positon and smelly and unkempt. I missed the whole irony thing.
Good Grief even a Methadone Client like me (uh oh bet that is really a dirty word for him) can spell/write better than he can and I am minus 6 or 8 or 12 years of him in schooling too.
I have went back through and tried to find the name and location of his practice. Can anyone give at least the town and state so I can watch out to never go there please?


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PostPosted: Sat Dec 31, 2011 1:56 am 
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I really like this subject. Could you tell me more … I would love to explore.


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 Post subject:
PostPosted: Sat Dec 31, 2011 4:14 pm 
No.


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 Post subject:
PostPosted: Sat Mar 03, 2012 5:36 am 
Hospital Management systems managing in the organization will be well organized and structured . Information will be stored successfully in data source, which will help in option experience as well as its safe-keeping.


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PostPosted: Sat Mar 03, 2012 6:23 am 
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claretalabs wrote:
Hospital Management systems managing in the organization will be well organized and structured . Information will be stored successfully in data source, which will help in option experience as well as its safe-keeping.


SPAM BOT.

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 Post subject:
PostPosted: Mon Mar 05, 2012 7:51 am 
hello jonathanm1978

i thing u r not able to see aerosmith what he do............

how dare u to say like this..........

ok take bye


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