Between July 1 and Aug. 18, Eagle County Sheriff’s Office dispatch logged 290 bear calls, while Colorado Parks and Wildlife (CPW) received 81 reports — 47 involving property damage. Bear activity surging in Eagle County – https://www.vaildaily.com/news/bear-activity-surging-in-eagle-county/ There will be NO pickups in the back alley.
Cyclospora cayetanensis lives only in people. It reaches a lettuce field exactly one way, which is human waste getting into the irrigation water or onto the ground. That is not something lettuce does. It is something we do upstream of lettuce, and the record says so every time. FDA’s advisory changed this month from an onsite […]
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Don’t get me started on this. Pretty soon all of the primary care in the United States will be mid-level practitioners, nurse, practitioners, or PAs. There is just too much bullshit and too many regulations, and not enough compensation. All the primary care is going to fall on the mid levels. And the MDs and DOswill be going into specialties, especially surgical specialties.
I know exactly how much the nurse practitioners know. Over the last 40 years I’ve taught them. And many are good. But for a GYN rotation doing 30 Pap smears is just not enough to be a women’s health practitioner, and that is all that is required here locally.
Almost all the specialists I go to, Cardiology, Dermatology, G.I., orthopedics, have so-called physician extenders. And every other appointment or more is with a PA or a nurse practitioner. The quality of care is not the same. But, but the physician practice bills at MD rates. The state of medicine is really pathetic.
I apologize for getting you “started”.