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deaddebate's Blog

A group blog by in General

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About this blog

Commentary On Medical Group Processes And Opinions From An Enlisted Airman

Entries in this blog

Transsexualism / Transgenderism in the US Military

[color=rgb(0,0,0)][font=verdana][size=3][background=rgb(245,245,255)] [quote]To minimize confusion in this post, I will combine the terms transsexual(ism) and transgender(ism) to just "trans" and "trans-ism." These terms are still relatively new and have not yet been fully defined, especially due to their many similarities. Various interest groups and political leaders have begun to investigate the policies of denying trans personnel from joining the US Military, the administrative separati
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How your Primary Care Manager Team works

The PCM sees 20+ patients in clinic EACH DAY; the Nurse has 30+ requests/consults EACH DAY. The technician is part secretary and good ones help their PCM's stay informed and prioritized. Sadly, this rarely happens. The PCM is horrendously overworked and "good" care for their empanellment size requires 70+ hour work week in clinic (seeing patients and doing admin work) and then go home and read or research cases there too. Most are just overworked and punch out after around 50 hrs/wk. Many pat
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WTF is MiCare? Why is the MDG terrible at communication?

What do you want from the Medical Group? You probably only want two things: good healthcare when you need it, and to be left the hell alone when you don't. Both of these things can only exist with good communication, something the Air Force generally lacks in great quantities. There will be many times when you really need to talk to somebody about the results of a test, the documentation from an off-base visit, or the status of a special duty application. There will also be times that the MDG wa
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Patients screwing up; OR Don't do what these knuckleheads did

These are examples of real patients I've had: the Patient-- Gets a special-duty OCONUS assignment with a unique medical requirement. Patient didn't get the correct paperwork from some other office in the MDG several months ago, but knowingly (re: lazily) sat on that knowledge and did nothing until <14 days from their RNLTD, then called my office freaking out. Asks for a medical clearance <48 hours from the Vol By closeout when the position ad has been posted for >60 days. "Needs" a Fl
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Why everyone blames the MDG for everything

Among the most widely used and unquestioningly great excuses you could ever give for delays or tardiness in the modern Air Force (or likely any time since the Air Force existed) is "Medical is screwing up." Anytime your boss could doubt you, you can effortlessly say, "TSgt Awesome Pants was on leave so I had to work with A1C Snuffy who had no idea what the fuck he was doing and we ended up calling some other office and they're supposed to call me back later. It's such a dumb process anyway; I do
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As a patient, how do I get clearances/paperwork/stuff done?

This post is meant to do two things: Empower the applicant to know what the fuck they actually need Get the paperwork done The Air Force is an enormous organization that is buried in red tape, and the Medical Group is among the worst. Obviously other career fields are in the same boat, however Medical is unifying in that everybody has to contact somebody in the Medical Group for some reason at least once a year. To reliably get anything done, you need to be the one to initiate it. Only o
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How to elevate your concerns/problems with the MDG

This entry is for personnel already in the Air Force, not applicants. Frequently, you may feel that nobody in the MDG is doing what they should be doing for you. You submitted a clearance request X days ago and got no response or you need a copy of your records but nobody is giving you a good answer on the delay or you need to complete a specialty clinic consult but it's still unapproved/unpaid. You have a few options, but I recommend we start at the bottom. The good ol' PDG has some gre
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Medical Reg's worth knowing (for everyone)

Below is a list of publicly available regulations that are worth knowing exist. You do not need to read or ever actually download any of these, but again, you might need to someday, or your boss/wingman/troop might need to be pointed in the right direction. This only covers medically relevant regulation within the 4X series, and a few more from 10, 11, and 36. Obviously, there is more, but these are the major ones. AFI 10-203 | DUTY LIMITING CONDITIONS | 25 Jun 2010 AFI 10-250 | INDIVID
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How to read your own Hearing Test

Everyone that gets a hearing test always asks the same thing--"What do all these numbers mean?" There are plenty of educational aids, but many get too detailed or they don't empower the reader with enough real information. This is the best pamphlet and graphic I have ever seen that concisely answers this question. This is also one of the best training videos I have ever seen regarding hazardous noise/noise-induced hearing loss. Great for a less boring training day. There's plenty of other stuf
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Current BMT Standards

I remember looking at the different physical standards from the 40's of the Army Air Corps, then the transition to post-Vietnam and finally to the 21st Century. I thought of how very difficult Basic Training must have been for the first generation of Airmen, and how it continued to ease as we converted to a more highly information based and socially aware military. My flight wasn't kicked or punched if we give the instructor attitude. My flight usually got at least 5 hours of sleep every nigh
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