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psychiatric evaluation clearance letter

psychiatric evaluation clearance letter

Arch Surg. Alcohol-Induced Blackout: How Does Alcohol Impact Memory? 1991;115: 956961. The halfway point is Van Buren Bay, NY. 0000023351 00000 n Copyright 2023 KM Business Information Australia Pty Ltd, Most foreign employees paid below award rates, Free Whitepaper: 3 steps to pay transparency, Name discrimination rampant in Australia's recruitment: study, Putting employees first with wellbeing strategy, Employers using job titles to navigate labour troubles, Revealed: HRD Australia 5-Star Employers of Choice 2023, ANZ Bank urged to make WFH a workplace right amid union negotiations, Regulatory duties for employers regarding psychosocial risks growing across Australia. Thanks for watching! As such, to counter the States assertion that the applicant poses a risk to the public, it is generally beneficial to present expert testimony to the contrary. References Make yourself known to an official member of staff and/or call the national coronavirus helpline number on 800-232-4636. 0000012898 00000 n WebThe following are sample letters that may be used in the event of a crisis, including letters for staff, parents, and scripts for students. Services depart once daily, and operate every day. This article was contributed by Trent Sebbens, Partner at Ashurst. A bariatric surgery psychological evaluation is done prior to any weight-loss surgery. Dr. Mahony is a clinical psychologist from Lutheran Medical Center, Brooklyn, New York. The exact coordinates of the midpoint are: 42 27' 32" N 79 20' 13" W. The best place to meet based on recommendations from Trippy members is Dunkirk. 4. 0000004116 00000 n There are two main reasons why you might have to see a psychologist prior to your surgery. While for men, a history of psychological problems, psychiatric medications, psychiatric hospitalization, and suicidal ideation predicted sexual abuse status correctly 94 percent of the time. It ends in Buffalo, New York. Travel information. [3] Despite of this requirement, empirical evidence on psychosocial outcomes to bariatric surgery remains sparse. The "dr" The handouts that are referenced in some of the letters can also be found below. New York State Route 5 (NY 5) is a state highway that extends for 370.80 miles (596.74 km) across the state of New York in the United States. Jack Teixeira, the Massachusetts Air National guardsman accused of leaking highly classified military documents, said in November 2022 that if he had his The most expensive prices can be found in the month of December. Future Directions One of the initial concerns is the length of time it takes to complete the PsyBari. Jack Teixeira, 21, had a top-secret security clearance which gave him access to sensitive and highly classified government documents. Earlier. 0000049784 00000 n Children. 2006;16(5):567573. In the last month, $31.00 was the average price of a train ticket from Erie, PA to Buffalo, NY. The goal of the psychological evaluation is to help identify good candidates for surgery and to increase your chances of success post-surgery. It is a comprehensive test that assesses psychosocial constructs demonstrated to be, or considered to be, 0000012185 00000 n Whether a direction is reasonable will depend on the particular circumstances of the case. Medical / Mental Health Treatment History: 3. 6. Most permit denials are based upon safety concerns. WebApproaching the end of the program the employees spouse contacted the employer to notify the employer of a return to work date. 0000025119 00000 n endstream endobj 412 0 obj <>/Metadata 26 0 R/Pages 25 0 R/StructTreeRoot 28 0 R/Type/Catalog/ViewerPreferences<>>> endobj 413 0 obj <>/Font<>/ProcSet[/PDF/Text]/Properties<>>>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 414 0 obj <> endobj 415 0 obj <>stream How do mental health professionals evaluate candidates for bariatric surgery? <]/Prev 143760/XRefStm 1503>> Surgical referral letters may be required for surgical procedures, per insurance guidelines. Should I fly or drive from Buffalo, NY to Erie, PA? c,~ 3 r 9"q9Z6f@D\,, x(ct0 @ Compare the weather today and the next four days in Erie, PA and Buffalo, NY: Planning on renting a car to go from Erie, PA to Buffalo, NY? What is the fly or drive score? document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Standardizing Presurgical Psychological Evaluations with the PsyBari Psychological Test, Update on American College of Surgeons Bariatric Surgery Center Network Accreditation Program: An Interview with Ninh T. Nguyen, MD, FACS. - Wikipedia. 10 Mahony D. Assessing sexual abuse/attack histories with bariatric surgery patients. Rome2rio is a door-to-door travel information and booking engine, helping you get to and from any location in the world. WebThis sample letter is designed as a guide to help you draft a personalized medical report documenting mental impairment. Book your tickets with the best fares and compare the bus schedules. We will also conduct a feedback session to go over testing results and our treatment recommendations. Similar to other psychological tests, clinicians can interpret the PsyBari results with an understanding of how a patients response style may have influenced the results. QBQ+8+f |HWR2? j{ WebDepartment of Psychiatry and Behavioral Sciences Stanford University School of Medicine 401 Quarry Road Stanford, CA 94305-5722 650-498-9111 Psychological/Psychiatric The nature of food cravings following weight-loss surgery. Yes, travel within United States is currently allowed. Distance (mi) 81 Distance (km) 130 The cost of living in Buffalo, NY is 11.6% higher than in Erie, PA. You would have to earn a salary of $66,949 to maintain your current standard of living. hb``b```AcCcxC!pR0tpi3J?hx2-QPI84,@JCa|@ -Hk XD]5!s*7>gShpzFnc-ymLk700Z*"htsywo$41i`/pg20m,b@7 : Airmen found eligible for SI and FAA ATCS found eligible for SC will be required to undergo periodic re-evaluations. We get a lot of questions regarding what a patient can expect during a pre-surgical evaluation. It is located directly across the street from Buffalo State College. I understood the reasoning behind it, on a logical level, but not on an emotional one. 0000005525 00000 n A pre-surgical evaluation will provide your physician with information regarding your psychological functioning and mental preparedness for surgery. Ann Intern Med. The cheapest way to get from Erie to Buffalo is to drive which costs $9-$14 and takes 1h 41m. List all providers you have seen for any mental health condition(s) and dates. 0000013552 00000 n Located at 65 Niagara Square, the 32-story Art Deco building was completed in 1931 by Dietel, Wade & Jones. A lower score is better. 0000001836 00000 n The six factors for men were physical impairment with depression, awareness of eating habits, early life problems due to weight, interpersonal support with anxiety about weight, anger, and guilty feelings about eating habits. A psychological evaluation for bariatric surgery candidates. Effortlessly add and underline text, insert pictures, checkmarks, and signs, drop new fillable fields, and rearrange or delete pages from your document. =a[ilv%qR:7[+kZI~+;a0beDoHLe+Iv 3r$TBc*dBzF/b"w&!HLJ!I0b%$LnHd3%Is9H In this way, more data are collected to validate the test and the researcher can use a reliable instrument instead of an ad-hoc measure. The zoo is open year-round. However, recognizing the % of WLS candidates who have eating disorders, this instrument must be accompanied by evaluation by a professional familiar with food and body issues, addictions evaluation and treatment. 987 0 obj <>/Filter/FlateDecode/ID[<151351FA9BF7DB9DD4F01689F5981A8D>]/Index[958 195]/Info 957 0 R/Length 144/Prev 303948/Root 959 0 R/Size 1153/Type/XRef/W[1 3 1]>>stream xref 0000023624 00000 n For example, a patient might have depressive symptoms due to chronic pain or body image issues due to being overweight. Tuesday 02/16/2021. Rome2rios travel guides to the US tell you the best ways to explore the country, from Amtrak to Greyhound to the New York Subway. [8] With these results, the depression scale was individually configured for each gender so that it accurately measures the underlying structures of depression of each gender. Seniors. The AlbrightKnox Art Gallery is an art museum located at 1285 Elmwood Avenue, Buffalo, New York in Delaware Park. Reliability and Validity Founded in 1875, the Buffalo Zoo, located at 300 Parkside Ave in Buffalo, New York, is the third oldest zoo in the United States. Cheapest. In 1991, the National Institutes of Health (NIH) recommended that bariatric surgery patients receive presurgical psychological clearance. 2010 Mar 20. Buffalo is the second largest city in the U.S. state of New York and the largest city in Western New York. Verdugo Psychological Associates | Website by, Personal Injury & Independent Medical Evaluations, Police Officer Pre-Employment Evaluations, Not Guilty By Reason of Insanity Evaluations (NGRI). 0000011561 00000 n Domestic travel is not restricted, but some conditions may apply. Sunday 02/14/2021. $22. 292 0 obj <> endobj [Epub ahead of print] When I had bariatric surgery a few years back, I have to admit that I was a little upset when my doctor told me that I had to go through psychological testing before being considered. 454 0 obj <>stream For example, when multiple publications demonstrated that carbohydrate cravings can influence postsurgical weight regain, items assessing this craving pattern were included in the test. 2008;18(5):607610. This process can be very anxiety provoking and stressful, especially for someone that has never met with a psychologist. Some surgeons or hospitals require a surgical clearance assessment from a practicing psychiatrist in order to allow patients to undergo extensive Web2022 JHCTH Mental Health Evaluation for Surgical Readiness Criteria If you are ready to move forward with a gender affirming surgery, you will need to have a mental health Bauchowitz AU, Gonder-Frederick LA, Olbrisch ME, et al. Patients become increasingly restless if the test takes longer than 30 minutes. 1) Schedule your appointment by calling 9736960800 or by using the patient portal. You'll have just enough time for a small nap on this relatively short trip. The city is the county seat of Erie County and serves as a major gateway for commerce and travel across the Canadian border, forming part of the bi-national Buffalo Niagara Region and BuffaloNiagara Falls metropolitan area. 0000006946 00000 n WebEdit Sample psychiatric clearance letter for bariatric surgery. Average USA gas price used for calculation is $2.85 per gallon of regular gas. At present, the test is updated every two years. endstream endobj startxref directions_bus train service. For researchers, the test can be customized to fit the needs of their specific topics. What will be required if special issuance/ special Consideration is authorized? [9] Differences were also found between patients that disclosed a history of sexual abuse as compared to those that did not disclose a history of sexual abuse. Employers in Buffalo, NY typically pay 3.5% more than employeers in Erie, PA. Named for the lake and the Native American tribe that resided along its southern shore, Erie is the state's fourth-largest city (after Philadelphia, Pittsburgh and Allentown), with a population of 102,000. Calculate the cost of flying versus driving to see which way is better. As of 2010, the BuffaloNiagara Falls metropolitan area had a population of 1,135,509; the combined statistical area, which adds Cattaraugus County, had a population of 1,215,826 inhabitants. A logistical regression found that for women, a history of physical abuse and suicidal ideation predicted sexual abuse status correctly 82 percent of the time. This is estimated based on the Buffalo to Erie distance by plane of 81 miles. For this trip to Erie, you can get on board at Buffalo, NY - Exchange Street (BFX). The city is the county seat of Erie County and serves as a major gateway for commerce and travel across the Canadian border, forming part of the bi-national Buffalo Niagara Region and BuffaloNiagara Falls metropolitan area. Rome2rio has everything you need to know about travelling with Amtrak. Other subgroups may also exist within the bariatric surgery population, such as age, race, and age of obesity onset. This does leave the test vulnerable to social desirability response styles, which will be clarified in future studies. Rome2rio displays up to date schedules, route maps, journey times and estimated fares from relevant transport operators, ensuring you can make an informed decision about which option will suit you best. WebThree types of clinical psychiatric evaluations are discussed: 1) general psychiatric evaluation, 2) emergency evaluation, and 3) clinical consultation. The PsyBari. An intriguing look into its predictive abilities came with the most recent publication. It can be revised frequently as researchers identify new empirically validated constructs of interest, clarify the underlying structure of these constructs, and/or determine the utility of these constructs. July can be a great time to fly to Buffalo from Erie with a flight ticket averaging about $279. Psychologists have little empirical evidence for guidance and have resorted to using a wide variety of assessment practices. 3. %PDF-1.5 % COVID-19 Travel restrictions may apply in United States. In addition, women were more likely than men to also disclose a history of suicidal ideation. Choose the depart date and the number of passengers and click 'Search' to get more accurate information. [1,2] These evaluations aim to identify patients who are at increased risk for a wide variety of postsurgical psychological, interpersonal, behavioral, and/or medical problems, such as binge eating, substance/alcohol abuse, depression, suicidal ideation, anxiety, medical adherence, and weight regain. hXr8~{ kI9t&I[h www.psybari.com. Factor analysis results show that both men and women have six underlying factors. Compare the flight distance to driving distance from Buffalo, NY to Erie, PA. Erie. The carbon footprint would be 0.79 pounds of CO2 per mile. WebMedical Examiners at Item 47. Bariatric surgery candidates are required to receive psychological clearance before they are eligible for surgery. The test can effectively identify subgroups within the bariatric surgery population and it can accurately predict psychosocial markers, such as a history of sexual abuse. Due to these constraints, the test items are all written simply, directly, and when possible, they relate to the topic of weight, eating habits, or bariatric surgery. Amtrak is a rail service that connects the US and three Canadian provinces. There are a number of options that may be available to an employer to require an employee to attend a medical examination to obtain this information: These results are intriguing because although the PsyBari was not designed to predict a patients sexual abuse status, it seems to do this well. The halfway point is Van Buren Bay, NY. Sample Letters for Staff 0000067868 00000 n Psychological and behavioral factors can play an important role when determining your readiness for surgery. This includes the finding that women are more likely to report feeling depressed because their weight impairs their social functioning while men are more likely to report feeling depressed because their weight impairs their physical abilities. Issuing a direction might be lawful and reasonable where: trailer Looking for alternate routes? It was not until I went through the testing that I truly understood the meaning and reasoning behind it. FLY OR DRIVE. 0000002321 00000 n Amtrak train Erie, PA to Buffalo, NY 1 train schedules from Erie to Buffalo on Friday, Feb 12. Tickets cost $27-$40 and the journey takes 1h 26m. The document identifies key psychiatric 0 0000009567 00000 n The Creation of the PsyBari I think one of the New York City centers does, too. It was designed specifically for bariatric surgery patients and can be updated as new information becomes available. 2005;67:825832. Driving distance from Erie, PA to Buffalo, NY The total driving distance from Erie, PA to Buffalo, NY is 96 milesor 154 kilometers. WebGenerally, it is a good idea for anyone filing an appeal to obtain a psychological evaluation. For example, when asked if they are depressed, they will often respond no and complain that this is an intrusive question. The travel length between Erie and Buffalo takes by bus around 1 hours and 45 minutes, and the approximate price for a bus ticket between Erie and Buffalo is $10. hbbd```b``}"xA$s dK\A$=Gd7XdT9"!`}A|rDJ4L~p6C>Xm H/Ld`bd`=J$,.|5? H endstream endobj 430 0 obj <. The closest town to the halfway point is Van Buren Bay, NY, situated 46 miles from Erie, PA and 53 miles from Buffalo, NY. This is the fastest route from Erie, PA to Buffalo, NY. Rome2rio also offers online bookings for selected operators, making reservations easy and straightforward. That way he knew exactly what issues to address. 29 --Afternoon. The PsyBari is a 115-item psychological test designed specifically to evaluate bariatric surgery patients. Since the PsyBari was designed specifically for bariatric surgery patients, many of the tests items will give the clinician information that is normally obtained during the clinical interview (Figures 1 and 2). Located on 23.5acre of Buffalos Delaware Park, the zoo exhibits a diverse collection of wild and exotic animals, and more than 320 different species of plants. Select an option below to see step-by-step directions and to compare ticket prices and travel times in Rome2rio's travel planner. There are a range of legal risks which an employer could be exposed to, such as breaches of the general protections provisions of the Fair Work Act 2009 (Cth) or anti-discrimination laws, unfair dismissal claims, breach of contract or claims under workers compensation laws. Average. The insurance company is spending a lot of money on the surgery and they want to make sure that their patients are mentally prepared and ready for surgery. There is no "one size fits all" approach and each step in the management of an ill or injured employee must be carefully considered in light of each employee's circumstances. The number of buses from Buffalo to Erie can differ depending on the day of the week. Save big with Greyhound cheap bus tickets from $10! Coach USA Erie Schedules and Tickets Get around Western New York easily and hassle-free with Coach USA Erie. 455 0 obj <>/Filter/FlateDecode/ID[<3FE0F4BF142F5C4FB434EB0517BA3E21><90DB5F81874B1447B1917C75AD531C96>]/Index[429 52]/Info 428 0 R/Length 116/Prev 53726/Root 430 0 R/Size 481/Type/XRef/W[1 2 1]>>stream http://www.surgicalreview.org. Book your next Greyhound bus from Buffalo, New York to Erie, Pennsylvania. endstream endobj 293 0 obj <. Looking for alternate routes? The average travel time between Buffalo and Erie is around 1h 55m, although the fastest bus will take about 1h 55m.This is the time it takes to travel the 81 miles that separates the two cities. 's census estimates, the population was 256,322. Buffalo City Hall is the seat for municipal government in the City of Buffalo, New York. Click on the links below to purchase tickets: Erie ( /ri/) is a city located in northwestern Pennsylvania in the United States. )z28B{CFm]8$i;=Mx*tQN00ptt00HcLL)i ByP WebSurgical Clearance Evaluations. Typical signs of depression are decreased energy, slowing of thoughts and movement, and a loss of interest in doing certain activities. I have 10 years of education and training in clinical psychology and neuropsychology and extensive experience evaluating adults and adolescents for psychological and neuropsychological conditions. Its a delicate situation, but sometimes unfortunately necessary, Trent Sebbens, Partner at Ashurst, explains how determining whether a direction is reasonable will depend on the particular circumstances of the case. What should I do if I have COVID-19 symptoms when I arrive in Buffalo? Standardization is valuable on one level to assure that certain issues are broached with all subjects. A typed statement, in your own words, describing your mental health history, antidepressant use, and any other treatment. Don't forget to check out our "Gas cost calculator" option. 0000001689 00000 n The national COVID-19 helpline number in Buffalo is 800-232-4636. If you don't already have an account, click the button below to create one. Please type your origin and destination and pick one of the options. By interviewing patients about their experiences when taking the test and conducting missing data analyses and factor analyses, several psychometric concerns have emerged. 0000006039 00000 n ^s'VP2dUz E} )"VMp ESJYT*xxmV7,}_hBDWCmIrYXZ7D~e;C7//G> QyfyF hv]Sm=C[BU :2$jG/Otra +#RfLk@@Q:$ahkF(@3h3qm]wjyMVk)].9'cj%-yoUmat].B How far is it from Erie, PA to Buffalo, NY? WebSurgery referral assessment requirements. Development, reliability, and exploratory factor analysis of the PsyBari. To obtain the Psybari test, Please contact the author, David Mahoney, at (718) 668-1919 or [emailprotected]. Email ( required; will not be published ). 0000014630 00000 n Does anyone have a copy of their psychiatric evaluation clearance letter for weight loss surgery? A psychological evaluation can help identify these symptoms and develop a treatment plan in order to help the patient after surgery. @s|SpKp_v-Q^ JO;i Ne'Y;4N {iM;_wgX`IeWqBj 3) Complete video interview. Buy cheap bus tickets online from Buffalo, NY to Erie, PA and travel with Greyhound, Megabus and others. 0000003857 00000 n An Evolving Instrument WebInclude brief mental health history, including current psychiatric (non-hormone) medications with and doses, active psychiatric symptoms that may impair surgical recovery Further study evaluating the wider application of the screening tool including follow up on patient outcomes is needed to better characterize the tool. Erie to Buffalo train services, operated by Amtrak, depart from Erie Amtrak Station. It ends in Buffalo, New York. Driving distance from Erie County, PA to Buffalo, NY The total driving distance from Erie County, PA to Buffalo, NY is 97 milesor 156 kilometers. What are the travel restrictions in Buffalo? PMID: 14597679 DOI: 10.1176/appi.psy.44.6.452 Current time in both locations is 1:39 am. In these ways, the PsyBari evolves to incorporate new findings, remove outdated items and/or constructs, and over time, improve its overall utility. Tags: bariatric surgery, PsyBari, psychological evaluation. Exploratory factor analyses identified six factors for each gender.8 Some factors were common for both genders, some were unique for each gender, and some consisted of mixed constructs. Obes Surg. Book your Erie to Buffalo bus tickets online with Busbud. PRIVILEGED AND At a minimum, you must include the following information: a. In press. To the best of our knowledge, it is correct as of the last update.Visit Rome2rio travel advice for general help. A psychological evaluation will help identify your strengths, weaknesses, and your motivation for surgery. Check out my blog. 9 Mahony D. Psychological gender differences in bariatric surgery candidates. Obes Surg. They want to make sure that you understand the post-operative effects, potential complications, and follow-up care required after surgery. How long is the train journey from Erie to Buffalo? They also identified psychometric parameters that are unique to bariatric surgery patients. They use a wide range of assessment procedures and ultimately have to rely on their own judgment when deciding which patients should receive surgical clearance.[5]. As further work is done, the goal of the PsyBari is to identify surgical contraindications, including risk for substance/alcohol abuse, suicidal ideation, weight regain, and to determine if a patient is motivated enough to complete surgery. Our patients' high level of satisfaction was due to a combination of a well-conducted preoperative preparation program, competent surgical skills, and consistent postoperative follow-up.5 Mental health providers and the psychosocial assessment are components of improving patient outcome in each of these steps. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. Specialised medical examination Buffalo and Erie are 1 hour 36 mins far apart, if you drive non-stop. Yes, the driving distance between Erie to Buffalo is 94 miles. 0000023977 00000 n Flight distance is approximately 81 miles (130 km) and flight time from Erie, PA to Buffalo, NY is 09 minutes. Erie, PA Directions {{::location.tagLine.value.text}} Sponsored Topics. Find out how many hours from Buffalo to Erie by car if you're planning a road trip. The Full Court held that while relevant coal mining safety legislation that applied to the workplace did not declare in express terms that coal mine workers (such as the employee) may be required to undergo medical examinations, the legislature intended that they may be so directed if it is reasonable and necessary to ensure that anyone is not exposed to an unacceptable level of risk. endstream endobj 959 0 obj <>/Metadata 85 0 R/Names 991 0 R/OpenAction[960 0 R/FitH 586]/Outlines 1111 0 R/PageLabels 951 0 R/PageLayout/SinglePage/PageMode/UseOutlines/Pages 953 0 R/StructTreeRoot 533 0 R/Threads 988 0 R/Type/Catalog>> endobj 960 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC]/Properties<>/XObject<>>>/Rotate 0/Thumb 60 0 R/Type/Page>> endobj 961 0 obj <>stream 2020 ObesityHelp, Inc. All Rights Reserved. In reaching this conclusion, the Court had regard to the employee's history of significant absences (including unexplained absences), the employee providing medical certificates that only stated "medical condition", and inconsistencies in the employee's own statements about his health. Explore all of the routes from Erie, PA to Buffalo, NY. 0 RAA CP*J29Rk `CxU9, 9,bPLTUP}?.am9GcfF4.2O.;|;_^Tg]ffNCz;P5|o*'74KpTJ+*^~Y@%ufBVKY-VS=C8ME^/ 1a@wmLKkL_Bd|lHVYL3&^:ejzPUT1.H~i>~UMXxR %%EOF For example, there are items that assess the patients understanding of postsurgical responsibilities, such as being limited to eating four or five ounces of food. I am a licensed psychologist (PSY 29643) specializing in neuropsychological and forensic evaluations. 0000003263 00000 n 0000010849 00000 n The Central Terminal is located in the city of Buffalo's Broadway/Fillmore district. The halfway point is Van Buren Bay, NY. WebLast year the membership of the Association of Directors of Medical School Education in Psychiatry (ADMSEP) approved a standardized letter of recommendation, which was developed by the ADMSEP Task Force on Medical School Performance Evaluation, in league with some psychiatry training directors.The standardized letter can be used now. The test will be able to determine which patients are at risk for specific postsurgical psychological, behavioral, interpersonal, and medical adherence problems. Is it compulsory to practice social distancing in Buffalo? 1 hour, 32 minutes. The best way to get from Erie to Buffalo is to bus which takes 1h 45m and costs $25-$50. Financial Disclosures: The author reports no conflicts of interest relevant to the content of this article. Alternatively, Amtrak operates a train from Erie Amtrak Station to Buffalo Depew Station twice daily. For example, the insurance company does not want to pay for someones bariatric surgery if they dont understand the post-operative requirements after surgery (e.g. Educational / Work History: 4. Psychosocial evaluation of bariatric surgery candidates: A survey of present practices. How much does it cost for a flight or road trip between Erie, PA and Buffalo, NY? 2Vv!'c%F6. Greyhound USA operates a bus from Buffalo, Ny to Erie, Pa 3 times a day. I'm from Illinois and unfamiliar with the roads in Buffalo.I'll be driving from Erie to Niagara Falls, and I'm wondering if the Buffalo Skyway (Rt 5) is a safe/quick way to get to there.I've read some differing reviews as to the safety of the highway.

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psychiatric evaluation clearance letter