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| - My mother recently came to visit me from Indiana, and became extremely ill with an upper respiratory infection while she was here. I took her to Alliance Urgent Care and was seen by their PA Ninnah (spelling may be incorrect). Just to give some background before i explain what happened, i'm a fourth year medical student. While i certainly don't claim to know everything there is to know about medicine, I know enough to consider myself fairly knowledgable. As soon as the PA walked in the room i could tell she had an obvious chip on her shoulder. She asked if my mother has had a temperature to which i replied "no, I have checked twice and her temperature has remained below 100.4 F (for those who do not know, 100.4 F or 38 C is the accepted medical definition of a fever)". She replied to me in a very rude tone that the correct definition of a fever is 102 F. Before coming to the clinic i explained to my mother that she didn't need antibiotics because the infection was most likely viral. When my mother asked for antibiotics the PA was extremely rude in explaining why she wasn't going to prescribe antibiotics. She then walked out of the room with no explanation as to what her plan was. When she came back, I am assuming she reviewed my mothers medical records because she asked my mother why she takes erythromycin daily. My mother explained her Dermatologist put her on it for recurring staph infections (Impetigo) on her face. The PA responded "that's completely ridiculous and not indicated; in my 20 years as a PA i have never seen that treatment regimen". I didn't bother telling her that she was wrong, she is not a dermatologist, and has no idea what is and isn't indicated for chronic recurring impetigo. It was clear the room was not big enough for both her ego and my comment. After boasting about the dermatologist being wrong, i asked if she was going to prescribe a corticosteroid to take down the inflammation. Again, she responded in a very rude tone: "No, corticosteroids are not indicated for pharyngitis". She then explained her treatment regimen: Tessalon Perles, Afrin, Fluticasone (an intranasal corticosteroid), and Promethazine. Even though my mother was not happy, i did agree with her treatment plan 100%. However, in her case, wisdom clearly did not come with age and experience. Not only did she not know the simple definition of a fever, or that fluticasone is a corticosteroid, but she also never advised my mother not to use Afrin for more than 3 - 5 days because past that point it will actually cause rebound congestion. Overall, i felt the PA's bedside manner was below poor; she was extremely rude, incredibly egotistical, and incompetent.
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