Hello, I am a 3rd year Psychiatric DNP student living in San Diego searching for a psych NP preceptor. I am attending Brandman University and need a psychiatric preceptor to fulfill hours for the children & adolescent population. Please contact me at if you know of anyone that can be of...
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As a psychiatric nurse for the past 20 years in a variety of settings and treating a diverse age population of clients, I have witnessed first-hand the high recidivism rate primarily related to medication and treatment non-adherence. This finding has been consistently supported in the...
When the American Psychiatric Nurses Association asked me to represent them for the Army Medicine Experience Tour (AME12), I was both honored and thrilled. There have been three distinct times in my life when I considered joining the military. Once in high school when West Point invited me for...
The post-graduation elation has given way to the reality that I now have to use the education I have taken a couple of decades to acquire. So, where does a DNP go from here? For starters, I have to take the ANCC certification exam. Application was sent, the card was charged, and I am...
Treatment of low T3 Treatment of low T3 John V. Billings ARNP 11/3/2009 (revised 5/28/2010) Prior to October 2009, when I tested the thyroid (TSH, freeT4, freeT3) I was acting under the assumption that mid-range freeT3 levels were between 3.0 and 3.3. This was...
Have We Replaced Efficacy With Efficiency: The Current Medical Standard Versus The Old Way Of Treating Hypothyroidism John V. Billings ARNP The current climate in primary medical practice, to survive financially, requires the practitioner to be efficient without sacrificing...
The Medical Definition of Hyperthyroidism is flawed The Medical Definition of Hyperthyroidism is flawed John V. Billings ARNP 5/28/2010 Hyperthyroidism, by medical definition, is when the Thyroid Stimulating Hormone (TSH) level less than 0.40 (uIU/mL), if the ...
Low T3 Level: An Indication for Treatment? (revisited) Three years ago I posted this and today I ran into it again and found that someone had actually responded to it. Even though I haven't posted a response to the comment, I am going to post the whole thing here today. ...
Thyroidal Dysfunction versus Non-Thyroidal Dysfunction (a work in progress) Hypothyroid and hyperthyroid are not the same thing as hypothyroidism and hyperthyroidism. The condition of being hypothyroid, hyperthyroid, or euthyroid (or normal thyroid) is defined primarily...