DFWAJG

I tell people all the time that skydiving reminds me of med-school, without the exams.

40 years that is. As of Saturday, I can join POPS!

Considering that I have 6 1/2 years of post graduate training in family practice and psychiatry, I think I know what I am talking about. 90% of ANY diagnosis is from history and physical, whether that is a psychiatric diagnosis or a general physical condition. What are your credentials that make you an expert on such topics? Care to share what licenses YOU have to practice medicine. I know Dan Amen. He corroborates with my boss in California on forensic exams. He uses spect scanning to confirm what he suspects that he has gathered from his questionaires and his interview. I should know this, because I have seen the man myself. TEsting is used to confirm a diagnosis, not to be used as the primary diagnostic tool, whether it be for a psychiatric reason, or for a general medical reason. Psychiatrists are physicians first, specialists second. So, when I had a 45 year old woman come to my office with a first onset of panic attack, I INTERVIEWED her for more information. As she told me that she had never had an attack before, I grew suspicious that she had a general medical problem. She had been seen in the ER and had thyroid studies done, which, were negative (thyroid problems being the number one cause of medically induced panic disorder). After I checked her blood pressure and pulse, and did a general cursery exam, I ruled out pheochromocytoma. Further questioning lead me to conclude that she might have an insulinoma...a rare disorder seen in one of every 4000 people. That is when I ordered three blood tests. Surely enough, they were abnormal and I sent her to a surgeon to have her insulinoma removed. So you can see, that in this case, if she came in and I did a spect on her head, I would have missed the diagnosis. Instead, I asked her diagnositic questions that lead me to a history that was consistent with her diagnosis, and confirmed it with the proper testing.

Psychiatry, the only medical profession that attempts to treat an organ they fail to even examine. You are sadly misinformed. Psychiatrists use a Mental Status Exam as a means of examining the brain. http://en.wikipedia.org/wiki/Mental_status_examination

Don't mess with Andrea! I agree with her wholeheartedly.

I've got snowshoes!

I got one! Finally, after two years and 5 weeks.

Racer-X! When I was 5, I had a big crush on Racer-X!

She probably doesn't want sex because she is too dry. Tell him about Astroglide. But warn him to use only a little bit. It causes hip fractures in the elderly.

http://uncyclopedia.wikia.com/wiki/Tandem_skydive

Heard a few on NPR this afternoon. What did the maxi-pad say to the fart? You are the wind beneath my wings. Why do farts smell so bad? So BillyVance can enjoy them, too.

OOPS!

I'm at work just waiting for the flood of heart attack calls to come in. Unfortunately, it'll be domestic violence calls keeping the cops occupied.

Told Ya! The Steelers are the Men!

It ain't over yet. Katie and I are watching it together, in different states!

Steelers are hammering up the Cards!

It should have had funny mispelled words at the subtitle. hmmm.... Whrrrrr....I ferrrtttchd dis brrrranch ferrr sum crrrrrttts.

I'm going to see "UP"!

Just saw the Budweiser commercial. I didn't like the commercial, but I love those horses. I had my picture taken about six years ago with the clydesdales. They are incredible horses.

I always love the super bowl commercials. So far, I think the Bridgestone tire/ Mrs. Potato head looses her lips and gets out her angry eyes is the best!

Enjoy the slopes on your birthday, Bethany!

Bolas has recruited me for the Catholic schoolgirl team. And I kick ass at Dodgeball, btw. NO GUY has ever gotten me out! I always catch the guy balls. The chicks, however, seem to be able to get me out.

They are tremendously heavy and I don't feel that they have good suction. I just bought a Rainbow, and I love it!

Ok, I'm strongly going to consider it. I've got my fleece. Gotta find good gloves to keep my fingers warm. mmmmm....Never jumped in Jersey, but lived there for 23 years.

dd kicks asss. you go girl