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[SadieKate]

SK, I think it means "Certified", but what that means beyond the P.A. designation, I can't tell you.

Thanks, Lise. This was our guess but really didn't have a clue.

Dad is having all sorts of problems that can't yet be pinned down. What is really awful is that his personality is getting pretty nasty though he does recognize that his anger goes beyond what is appropriate. We're guessing that maybe some strokes are happening but, again, really don't know. I'll talk to my brother and see if he sees the personality changes but not sure that he will be objective. He is very protective of my father. My mother has micro-managed for years and talked about him behind his back so some of what my dad is saying may be some years of resentment about this. However, her micro-management may be what takes care of him as he gets older. He'll be 79 in October though he's acted like 79 for decades.

NPs - Number 1 criteria for picking a gynecologist is that the NP does the annual exam so I rarely have to deal with the doc.