Mandy

I would love it if other providers stopped writing for once daily Losartan and either dosed it twice a day or used another ARB.

“Celebrate PA Week” written in real and white on a navy background with teal, white, orange confetti. There is an orange banner with the dates October 6-12. #PAsgobeyond

Happy PA Week to my PA colleagues and friends!

Kennedy Fires N.I.H. Scientist Who Filed Whistle-Blower Complaint

Was it something she said, here in the Land of the Free?

www.nytimes.com/2025/10/02/h...

The Potential Impact of Ending the Ryan White HIV/AIDS Program on HIV Incidence: A Simulation Study in 31 U.S. Cities | Annals of Internal Medicine Background: With antiretroviral therapy, people with HIV can live a normal lifespan and not transmit HIV. The Ryan White HIV/AIDS Program provides care for over half of people with HIV in the United S...

Ending Ryan White funding could result in a 49% increase in new HIV infections in the US by 2030

www.acpjournals.org/doi/10.7326/...

Evaluating Linkage to Care Among Patients With HIV Viremia in Los Angeles, California Multiple barriers hinder retention in the HIV care continuum, including structural, systemic, and individual factors. We conducted a retrospective study to characterize people living with HIV (PLH) in...

Study Identifies Factors Tied To Increased Likelihood Of Achieving Virologic Suppression Among Patients With HIV #IDSky #MedSky

www.cureus.com/articles/383...

Republicans seek deep cuts to HIV prevention and treatment funding Cuts proposed by the Trump administration and House Republicans could drive up new HIV cases by more than 200,000 by 2030, one expert projects.

Cutting funding for HIV treatment and prevention is short sighted and will reverse progress that has been achieved through decades of consistent funding and prioritization. We cannot allow this to happen.
www.nbcnews.com/health/sexua...

That was going to be my question. I’ve accidentally signed PA-C on non-work docs.

Authors, Year Location Study Period Risk Estimate Study Design Sample Size Missing Data Inclusion Criteria Exposure Definition Outcome Definition Ahlqvist, 2024 (overall study) Sweden 1995–2019 HR = 1.05 (95%CI 1.02–1.087) Prospective cohort N = 2,480,797 Exclusion and covariates imputed using dummy category approach All Singleton live born children in Sweden with linkable personal identifiers with follow-up until Dec 31,2021 Ever use APAP derived from midwife interview at 8–10 weeks gestation and later during pregnancy. From 2005 onward supplemented by Prescribed Drug Registry data Autism from ICD codes recorded in the National Patient Registry

I don't know whether this has been discussed by anyone yet, but the meta-analysis that claims to find a relationship between acetaminophen and autism: ehjournal.biomedcentral.com/articles/10....

Here's how it reported the results for the largest study. This study carries massive weight...

A PA friend looked into it and said it was hard to find jobs that would hire American PAs. She’s going to New Zealand next month. There are apparently a lot of PA opportunities there.

I saw a post awhile back that said maybe we all died during COVID and now we’re in Hell. I am starting to agree.

I always thought it was because of the tornados (hence the name storm door). We don’t really get them there I’m at now. I just hated the idea of opening the door for someone and there’s no barrier there.

We had them growing up in Michigan. My house in Texas didn’t have them (or screens on the windows) so we installed them.

That makes sense. I was actually just talking to my dog trainer about how there’s not a big difference between 2-3 dogs but when you get to 4 it feels like you have 8. I would imagine it’s the same with kids, maybe worse?

An MRI image of the cervical spine showed a large disc protrusion severely narrowing the right C5 neural foramen.

I appreciate the Radiologist’s use of the arrow but I think even I could see that defect without it 😯

My PA classmates and I are hitting the 11 year mark and a lot of us are talking about getting out of clinical practice.

It is so disappointing that in the year 2025, a physician would ask if I get nervous working with people living with HIV.

a man in a suit and tie is saying that he is not superstitious but i am a little stitious . ALT: a man in a suit and tie is saying that he is not superstitious but i am a little stitious .

Are you trying to make it busier in the ER?

Yes it was. The sad thing is, when you search “chlamydia” on the app there is more than just that one.

A black tshirt with butterflies and groovy pink don’t that says “In my chlamydia survivor era”

Ummmm ok SHEIN

Administration to phase out NIH support of HIV clinical guidelines The National Institutes of Health will phase out its support of the clinical practice guidelines that advise doctors how to diagnose and treat HIV.

The Trump administration is phasing out support of HIV clinical guidelines, which affect what tests, treatments and medications are covered by insurance companies and Medicare www.washingtonpost.com/science/2025...

I’m in a training for our EHR upgrade and they are calling the SOAP the APSO document? What???

That’s beautiful!

I have one episode left and I love it.

I was just telling my supervising MD about the Pittfest episodes and how I think more people need to see that reality so maybe we will get some legislative movement.

I’m choosing to believe that was an Easter egg for the ER fans since the writers also worked on ER.

Dr. Robert Romano from the TV show ER wearing blue scrubs. He is standing in the ER with his hands on his hips.

I’m watching The Pitt and when Dr. Robby tells the med students where to stand while they are waiting for the helicopter I immediately thought of Dr. Romano. It’s so hard to not see Noah Wyle as Dr. Carter warning the students because he’s seen what can happen.

Support Bull Terrier Rescue | Bonfire https://bullterrierclubofamericarescue.com/. The Rescue and Welfare Trust Fund of the Bull Terrier Club of America is run by dedicated volunteers and depends on a network...

Want to support Bull Terrier rescue but can’t foster or transport? Go to www.bonfire.com/support-bull... to pick up a shirt to support the Rescue Welfare Trust Fund of the BTCA 🙂

US FDA suspends milk quality tests amid workforce cuts The Food and Drug Administration is suspending a quality control program for testing of fluid milk and other dairy products due to reduced capacity in its food safety and nutrition division, according to an internal email seen by Reuters.

In case you were looking for motivation to give up on dairy products. Look no further.
www.reuters.com/business/hea...

Wooden purple egg with a bunny wearing a surgical mask that says “White House Easter Egg Roll 2021” sitting on a letter with White House letter head.

Every Easter I think of the eggs we got as a thank you for our work during the pandemic.

And then a patient will make you a gift and you will get a glimmer of good.