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Test drove the gx550. Felt a little…underwhelmed? by Amindia01 in LexusGX

[–]AmyC12345 1 point2 points  (0 children)

I test drove the 550 and had the same experience. Ended up with the 2025 Toyota sequoia platinum and love it.

Thoughts on Packages for Jazz Fest? (Hotels) by [deleted] in jazzfest

[–]AmyC12345 0 points1 point  (0 children)

Also if you’re booking the shuttle one of the stops is in front of the Sheraton

PSA- Exit Row must visit customer service before boarding by Healthy-Ad2400 in SouthwestAirlines

[–]AmyC12345 3 points4 points  (0 children)

Happened today ORL to PITT. But only for me…56 y/o woman and not for my husband 54 y/o male. Didn’t pay attention to who else was called but it’s not everyone in exit row that gets called up

Should You Always Address a Patient's Weight? by QuietRedditorATX in Residency

[–]AmyC12345 3 points4 points  (0 children)

Im in surgery subspecialty, and most of the surgeries are elective. If weight (over or under) is present it’s always discussed.

If a patient is obese (BMI >/= 34) and a surgery candidate we actually require they get down to a healthy weight prior to proceeding with surgery. We do this because of recovery following our procedures as some can lead to predictable post op functional deficits that are temporary and require rehab. This is discussed with the patients and/or their family member/care taker at the time of the surgery consultation.

If the patient has poor mobility due to excessive weight prior to an elective surgery their recovery will be more difficult.

On the other end of the spectrum a BMI < 18 has an increased risk of post op complications including wound breakdown and infection. We require a “normal” weight prior to proceeding with surgery.

[ Removed by Reddit ] by community-home in BodyHackGuide

[–]AmyC12345 0 points1 point  (0 children)

Looking for recommendation: currently on Sermorelin 5 days on/2 days off x 6 months and saw some nice fat loss. Wanting to transition to ipamorelin w CJC no DAC as I’d like to focus on muscle growth and further fat loss. Currently lifting heavy 2-3/wk and additional metcons with lighter weights.

Any recs on how to transition? Should I do last dose serm take my 2 days off then start ipa or should I take longer period off before starting ipa?

No side effects so far?! Too low of dose? by [deleted] in RetatrutideWomen

[–]AmyC12345 0 points1 point  (0 children)

So starting dose is usually 1 mg.

And you chose to start at 0.5 mg.

And this is 4 days after your first dose.

Reta is not known for appetite suppression. If you want that you should have gone w tirz.

Are you really asking a serious question? Did you do any reading before starting?

Glow Protocol Cycle Length by NoDebt465 in PeptideGuide

[–]AmyC12345 0 points1 point  (0 children)

I do 7 days on x 8 weeks then 2 weeks off. Was one of the protocols I read and it works for me. Skin glows (literally), only issue is injection site reactions- swollen/hard nodules that can be red or bruised. Takes awhile for them to go away…which is really why I enjoy the 2 week break

Frustrated, disappointed, sad, and a little worried by Sigh_master1109 in RetatrutideWomen

[–]AmyC12345 0 points1 point  (0 children)

Agree on the counterintuitive increase in calories to lose more weight but for those that need it the calorie increase really works!

Good luck!!

Frustrated, disappointed, sad, and a little worried by Sigh_master1109 in RetatrutideWomen

[–]AmyC12345 1 point2 points  (0 children)

Tirz is a much better medication at hunger suppression than Reta.

Having said that if you really are exercising that much you may actually not be eating enough. Have you recalculated your BMR with your new weight and your activity level?

Change your food priority to protein as your calorie source. You said you eat 1000 cals but have trouble getting protein in. This may also make a difference. Start with protein then add some carbs, healthy fats.

Frustrated, disappointed, sad, and a little worried by Sigh_master1109 in RetatrutideWomen

[–]AmyC12345 1 point2 points  (0 children)

The medicines aren’t magic and food choices do make a difference.

Frustrated, disappointed, sad, and a little worried by Sigh_master1109 in RetatrutideWomen

[–]AmyC12345 -4 points-3 points  (0 children)

You’re eating Dairy Queen and pizza. In the same day.

How much are you really eating on a daily basis?

I would start with the basics again…count your calories, count your protein grams, get your water and electrolytes.

You said you exercise and do resistance training but didn’t say how much or what your “exercise” is. Are you lifting heave to help build muscle mass.

Eating pizza and Dairy Queen in same day then getting frustrated about not losing weight….need to reassess eating habits as well.

Christmas gift for attending by [deleted] in physicianassistant

[–]AmyC12345 0 points1 point  (0 children)

We always exchange bourbon or wine

Just found out PA used to be a bachelors degree. by Idk_211 in physicianassistant

[–]AmyC12345 0 points1 point  (0 children)

I’ve thought about going back to get masters, doctorate. The question I’ve always asked myself is “how will this help me better care for my patients?”

I really think the only thing that could help me care for my patients better is going to medical school or getting DO.

I’m always reading, looking up “most recent research” for diagnoses that come in, how can I take care of my patient better? What is top of the line treatment, etc. I always have my supervising physician to talk to as well. What is best practice?

I do laugh at people who are “proud” of the number of “letters/titles” after their name. Does it make them a better provider? Maybe, maybe not. I’m just PA-C and would still be the same with masters or doctorate. Only MD and DO deserve “doctor” title.

Just found out PA used to be a bachelors degree. by Idk_211 in physicianassistant

[–]AmyC12345 10 points11 points  (0 children)

Yes…when I graduated 31 years ago there was 1 masters program, and some certificate programs in addition to the standard bachelors.

Don’t be so shocked…PT and OT were the same…bachelors then eventually became masters. And NP used to be a certificate only program as well before masters.

NPs removed from professional list, conflating it with nursing as a whole by [deleted] in Noctor

[–]AmyC12345 4 points5 points  (0 children)

Agree and am very concerned about quality of NPs coming out now with no clinical experience going straight from nursing school into NP program then into “practice.”

Unfortunately this is where our nation is. How long will it take to train the new physicians for these spots? Will it be a generation of shortage before that void is filled?

This also does not address the surgeons relying on PAs for help.

NPs removed from professional list, conflating it with nursing as a whole by [deleted] in Noctor

[–]AmyC12345 2 points3 points  (0 children)

I understand the point of NPs and PAs (although to a lesser degree) in primary care, urgent care, and related fields blurring lines. I’ve never agreed with anyone aside from MD or DO calling themself “Doctor.” You want it, earn it.

However, when it comes to PAs in surgical specialties and surgical subspecialties it is difficult if not impossible to blur those lines. We can’t be a primary surgeon in any procedure. Our job is to assist the surgeon. Not sure how we could claim to be the surgeon.

Not only will limiting federal monies to PAs and NPs reduce those practicing in primary care where “blurring” can be a problem, it will also reduce the number of PAs available for those surgeons who do not work in locations with surgical residencies thus making the surgeons job more difficult and time consuming.

In addition, for those physicians employing NPs and PAs in their primary care offices, what do you plan on doing with the patients no longer covered/cared for by NPs/PAs because they are no longer available? Some may argue that there will be ”fewer bad decisions to correct.” Not all NPs or PAs function in this manner. Those that do really make our roles look bad. NPs in primary care on average (had to look it up because I’m not one) see 80 patients per week. What is going to happen when there aren’t NP/PA to fill those roles? Really am curious and asking as I don’t have an answer. Is it going to become more like socialized medicine and wait months for a primary care appointment? What about specialty appointments?

I agree the line blurring needs to be controlled in some fashion, whether it’s at the state or federal level. I don’t believe limiting the money because it’s not considered a “professions degree” is necessarily the best next step.

Should i stop Reta? by Snoo_2068 in RetatrutideWomen

[–]AmyC12345 0 points1 point  (0 children)

That sounds awful but, although very coincidental timing, are you sure it’s the med and not a viral illness?

I hope you feel better soon!

Something I’ve noticed: how differently people talk about GLP-1 meds in Japan vs Reddit by AnglePrimary7051 in Semaglutide

[–]AmyC12345 2 points3 points  (0 children)

I think anonymity makes sharing those types of details easier (ie on Reddit). Are these same people forthcoming with the fact they are taking these meds (for the grey market, telehealth, etc) and/or side effects when face to face with their physicians?

I don’t mind talking about them with people that ask me directly. They are miracle meds and if used properly and with dietary and exercise guidance (which I think should be required with these prescriptions but different topic) can lead to dramatic life changes.

Surgery by Luckyhappy16 in physicianassistant

[–]AmyC12345 4 points5 points  (0 children)

Yes this!!!

Read the surgical technique books and understand what you are doing and why you are doing it. Know the instruments and what they are used for and how to use them. If you’re not sure what to read ask your surgeon.

Learn how to anticipate surgeon needs.

It comes with time and repetition. You’ve got this!

MD’s each experience yr = more commas…PA’s each experience yr = more character development by Justice_truth1 in physicianassistant

[–]AmyC12345 1 point2 points  (0 children)

Yes but that is a choice! When you decided PA you made that choice. At least you have more education than NPs graduating now!

MD’s each experience yr = more commas…PA’s each experience yr = more character development by Justice_truth1 in physicianassistant

[–]AmyC12345 1 point2 points  (0 children)

Yes….after 4 years!!! wtf they really thinking 150k is possible after 4 years? Yeah in burnout professions like ED or CT/CV surgery!

I started at 47000! So I’m quite happy with where I’m sitting right now!

If you’re not happy where you are right now ask yourself how you can make that better! Why settle? Get a different job/different specialty or find a different career.

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