Saturday, November 25, 2023

The Undying Phoenix in Me

    


        As a newly-minted PA 35 years ago, I faced & encountered numerous obstacles, early on in my career. Perhaps, more than I’ll ever publicly share. There were countless instances where my 1st 3 employers & peers doubted my ability to thrive in general in my newly chosen career. In retrospect, many years later after my slow start (from their perspective), I came to learn they had written me off for a host of reasons...none of which would have been fair to anyone at that point. But those were the demons I had to battle day in and day out. 

        Many assumed that I would become just another statistic, one who wouldn't be "able to cut the mustard" in the business of medicine. That's how wrongly & strongly they felt about my early beginnings and future as a Surgical PA. I carried some painful memories about those days, wondering if I would ever be accepted and belong 

        Honestly speaking and without a drop of animosity, I have to say, Thank You, to those who judged me, but forgetting that they too were novices and untested clinicians. How quickly they forgot that they were also student too in many respects early on in their careers.

        Because of those unsupportive working environments, I had to learn quickly, that no one was going to determine my career fate without me having the final say. Because of that negativity, I was able to make lemonade from lemons as the old cliche saying goes. Basically, those experiences provided fuel for my fire that didn’t allow me to succumb to the doubting Thomases surrounding me. No matter how hurtful people were, I chose the "higher ground", meaning I carried on with love in my heart and treated everyone with respect regardless of how dismissive, indifferent, or adversarial they were towards me. 

        It has been a roller coaster ride at times, yet, I feel proud of myself for enduring the trials and tribulations of these days. I am humbly proud to be here today, defying those expectations and remaining true to my value system. proving that with determination, resilience, and hard work, I was able to rise above every difficult circumstance encountered along the journey.

       I’ve experienced first-hand a journey thus far that has taught me the unshakable value of perseverance and the strength that comes from embracing challenges head-on and not giving up when everyone else scoffed assuming that I would. However, I would be remiss if I did not acknowledge those who believed in me and provided support, there were a few people who have been instrumental in my success, and I am truly grateful for their encouragement that reinforced my beliefs while traveling down this journey.

        Today, I share this personal sense of personal and professional accomplishment of being an empathetic provider of value through the years to my patients as well as to my students and colleagues. Throughout our careers, we will have "ups" and "downs", much like Paul the apostle wrote to his protege Timothy stating not only was he a warrior but more importantly he fought the good battle in being an exemplary to those who would come after him.

        I suppose, this personal milestone of mine of no different than many other successful folks. Fortunately, much like them, I can claim that also my success is a testament to the power of belief in oneself and the capacity to achieve dreams despite societal/other expectations. As my clinical retirement horizon approaches rapidly, I am still excited to embark on this new chapter of my life where I am confident, I will continue to grow personally in my senecent years.

Sunday, November 19, 2023

Is Time to allow Physician Associates to practice w/o restrictions in Puerto Rico

        

        For the past 7 years, Puerto Rico has had a very critical shortage of practicing Physicians, yet their highly trained counterparts, Physician Associates/Assistants are severely restricted from practicing to the fullest scope of practice allowed by law in the island. Many studies have shown Physician Assistants can provide accessible life-saving care across all medical specialties and subspecialties, but arbitrary partisan laws prevent them from providing cost-efficient patient-centered care to those in most need: the 3.2 million disenfranchised Puerto Ricans from a broken politicized healthcare infrastructure system. 

        Today, nearly all Puerto Rican citizens lack the basic medical care services they need for the management of their chronic medical illnesses/conditions. Unfortunately, worsening a bad situation, the U.S. government declared a public healthcare emergency back in August 2016 due to an alarming rate of Zika infections followed shortly by the devastating effects of hurricanes Maria and Irma back to back in 2017. To this day, many other socioeconomic infrastructures have yet to recover fully from this.

        Those who have been following this Public Health crisis closely ( much like this author has), know that the root causes of The Puerto Rican healthcare crisis are complex, stemming from a myriad of many problems; ranging from economic shortfalls (budget constraints, etc.) to the duopoly of warring partisan factions when it comes to legislation as seen with the passage of “LEY #71”( law 71) in 2017. 

        Puerto Rican policymakers, along with other industry stakeholders as well as opposing nursing groups, and ultimately The Collegio the Medicos Cirujanos of Puerto Rico have all failed collectively to become aware of the benefits of the PA profession by failing to recognize the one method of alleviating PR’s strained healthcare system: the utilization of PAs to assist the depleted corps of physicians on the island. PAs have well over 50 years proven their ability as competent & empathetic providers not only in the US but around the globe. Especially in more recent times, including with the Veterans Administration Hospital in Puerto Rico. 
    
        Physician Assistants are highly trained in general medicine and are part of a patient-centered healthcare team. PAs improve access to care for underserved populations by diagnosing, treating, and preventing disease. PAs are trusted health care providers, licensed to practice and authorized to prescribe medication in all 50 states, the District of Columbia, and all U.S. territories with the exception of Puerto Rico. 
   
        Please urge your fellow colleagues to support us in changing this draconian practice setting/law so that the people of Puerto Rico can have increased access to medical services. Shouldn’t it be time PAs are allowed to make a difference during this time of extreme need in Puerto Rico? 

PA Employment Scams: Beware before signing the dotted line!

     When interviewing for open PA job vacancies don't be misled by false promises presented to you during the job interview process. Ma...