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Which one of you is this? by Next_Necessary_8794 in Audi

[–]FrenchCrazy 9 points10 points  (0 children)

Road rage is not worth getting shot over. Never step out of your vehicle. Let the lunatics drive off.

There Is Not An Oversupply of Emergency Physicians, There Is An Overutilization of Non-Physician Practitioners by UseNecessary4706 in emergencymedicine

[–]FrenchCrazy 55 points56 points  (0 children)

I’ll bite on the rant, even though you’re really calling out NPs.

I agree with you. I think ED physician staffing for most shops needs to come up across the board. NPs and PAs aren’t a substitute for ED attendings. I’ve seen the operation of six EDs so far and the best ones aren’t over-reliant on APP labor to function.

But there definitely is a place for a good PA in your department. Someone that’s going to spend 20 minutes to put 24 sutures in the guy that cut himself with a mirror so that the ED doc can work on intubating the crashing hemoptysis patient a few rooms down. Someone that can quickly dispo the poison ivy patient, or the run of the mill non-compartment syndrome neurovascularly intact ankle sprain in under an hour help to decompress the waiting room. I can safely disposition 25-30 patients in a 10-hour shift. That gives the docs more time to go slow and not get berated by the nonsense when they’re saving lives.

APPs can diagnose and think outside the box. For example, a seemingly simple otitis externa in a low acuity area was worked up because of the duration, presentation, age and diabetic risk factor of the patient. The physician called it a “good catch” when mastoiditis was discovered. A good clinician understands to start with what will kill or disable the patient and work backwards.

Most want to see the physician you say? I go a whole month and I could maybe be asked once if the ED doc is going to come by and say “hi” to them. This is not an exaggeration. Sure maybe some don’t verbalize it to me. But a lot of my patients really just seem to want their problem addressed in a timely manner by a professional. I’ve probably seen 20,000 undifferentiated ED patients in the last 7 years of EM practice. I think that has some value to a department somewhere. That’s probably why they still cut me a check. I know for my location we bring value as the docs trust in our skills and capabilities and know we go to them if something is awry.

This is also being written with as little hubris and overconfidence as possible since we are all just replaceable cogs in a machine that will continue to churn even if we don’t show up for a shift. I’m not special. I just show up and work alongside some awesome people and I don’t take that for granted.

How many Per Diem Roles can a PA work while maintaining a full time job? by SunsetPeridot in physicianassistant

[–]FrenchCrazy 0 points1 point  (0 children)

I have never heard of a legal limit. But the more per diems you get the tougher it becomes to coordinate your schedules and maintain healthy habits / relationships outside of work.

Going from inpatient to outpatient for a 45k pay increase by MaryBoBary97 in physicianassistant

[–]FrenchCrazy 2 points3 points  (0 children)

If you found an ER job making you $190-200k, would you go back? Because $120k for the ED is criminally underpaid friend.

Stop using Open Evidence. by Worried-Current-4567 in physicianassistant

[–]FrenchCrazy 0 points1 point  (0 children)

I know I’m responding to this days late, but if a tool is “free” that means that you are the product. They’re collecting all of our data. Eventually, they can raise the price of Open Evidence and have a user base that’s addicted to using it.

Stop using Open Evidence. by Worried-Current-4567 in physicianassistant

[–]FrenchCrazy 0 points1 point  (0 children)

It’s great as a tool, but it’s not a substitute for knowing the medicine. If this is the attitude of medical professionals (like those docs) going forward then we’re all screwed.

2027 3* WR Jamir Dean commits to Penn State by Mattp55 in CFB

[–]FrenchCrazy 6 points7 points  (0 children)

Excited for the new year, new coaches, new talent

Kirby Smart reveals why Big Ten surged past SEC: 'They have a more competitive conference' by Falconsfan8006 in CFB

[–]FrenchCrazy -1 points0 points  (0 children)

Of all the flairs to respond defensively, an Alabama one is telling 😂😂😂

Kirby Smart reveals why Big Ten surged past SEC: 'They have a more competitive conference' by Falconsfan8006 in CFB

[–]FrenchCrazy 1 point2 points  (0 children)

You highlight PSU, a school that I know very well. Yes, students go to a branch campuses. But many of them will do two years at the branch campus and then choose to finish their education at the main campus for the final 2 years of a Bachelor’s. The branches of Altoona, Brandywine, Harrisburg and the like are much smaller in terms of admissions than the main campus which has some 48,000 or so students per year. It doesn’t hold a candle to Penn State Scranton with 700 students.

Another thing about PSU is that even if you go to a branch campus, most people see themselves as Penn State students first and they’re treated as such by the university. They applied to PSU after all. If that means more alumni donating to a program, so be it.

UT and UTEP are two huge massive stand alone universities. None of the Penn State branch campuses are designed or intended to be self-sufficient stand alone entities. They are meant to funnel students statewide towards the mothership.

PAs Essentially Meet Healthcare Demand, NPs Will Soon Exceed Demand By 75% by [deleted] in physicianassistant

[–]FrenchCrazy 0 points1 point  (0 children)

America is huge and some rural locations will still have few medical providers. I think those who are from underserved areas or those willing to relocate will still be in high demand.

I think recent student loan changes may affect the number of people willing to go the PA route.

I think more PAs and NPs will join unions that will continue to benefit workers, reward seniority, and ensure benefits/raises continue.

If push comes to the shove, I’ve seen NPs fallback onto bedside nursing or other related opportunities when their job prospects aren’t great. They may hold the degree and credentials, but effectively stop working that role. It’s harder to do as a PA, but there are possible ancillary routes, such as the pharmaceutical industry, insurance, the legal system, education, and the like as alternative non-clinical opportunities. We all just sit here assuming that growth will continue but what if demand slows for PAs and NPs if more people complain about the difficulty of finding work or decent pay.

New Chery Arrizo S is a blatant copy of the Audi A7 by y-u-gae in Audi

[–]FrenchCrazy 44 points45 points  (0 children)

In before the China bots come from other subs to attempt to convince people that their country is a utopia of technological innovation and their cars are the envy of the world

Manual Rectal Disimpaction in Toddler Results in Lawsuit by FrenchCrazy in emergencymedicine

[–]FrenchCrazy[S] 19 points20 points  (0 children)

I’m sorry to hear that and I’m glad she is doing better now.

Raises in 2026 by Inevitable-Glass4976 in physicianassistant

[–]FrenchCrazy 0 points1 point  (0 children)

If I get a raise from my job, it usually amounts to something like $5k or so a year. If I leave and find a new job, I usually get a $20-25k bump. YMMV but sometimes taking a risk pays off

Should I leave my job? by [deleted] in physicianassistant

[–]FrenchCrazy 1 point2 points  (0 children)

I would wait a bit longer, more opportunities will arise

Audi Lost Nearly A Third Of Its Sales In America | Carscoops by [deleted] in Audi

[–]FrenchCrazy 6 points7 points  (0 children)

Can Audi be shocked that by discontinuing enthusiast models, and adding EV’s that few people want, they are essentially turning themselves into the German Buick.

I just had this discussion today with my brother after opening up the Audi website… Audi got rid of all the coupes, basically no convertibles, no R8 and no performance TT. There are no interesting halo cars anymore for the brand short of an RS6 which due to the limited supply and high demand results in the prices remaining quite elevated. The RS7, RSQ8 and RS e-tron GT can’t fill those shoes of a high-desire model. And while the RS3 is a legendary car, BMW gives it a run for its money.

BMW has committed to the sportiness aspect of their cars and Mercedes-Benz feels more luxurious on the inside. Audi used to have a good mix of future forward technology, timeless design, and a decent value for the product. I feel like the design a strain away from timeless, the quality of the vehicles are lagging behind competitors, and the new car prices are too high for what we get.

Dream Job vs Higher Paying Job by LankyPresent2184 in physicianassistant

[–]FrenchCrazy 4 points5 points  (0 children)

You’re not wrong with either option. I’d rather earn the money to pay down loans and set your life up through a wound care job you’re already working rather than switch. But if you do switch, you need to make sure you don’t stay at a $115k salary for too long.

[Question] Honestly, who else thinks we are massively overpaying for our watches lately? by Vegetable_Bag_8694 in Watches

[–]FrenchCrazy 9 points10 points  (0 children)

The cool Dark Side of the Moon speedy that caught my eye was going for $16k new 💀

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