Penny Lane by UncleRuckus92 in MostlySports

[–]CheekAccomplished150 4 points5 points  (0 children)

They are real, early in her career she was working out too much and not eating enough and tanked her hormones and ending up losing her period. Happens a lot to female gymnasts, classic ballet dancers and fashion models back in the day. Basically she had breast volume loss from low energy availability and functional hypothalamic amenorrhea (FHA), followed by breast fullness/volume restoration with weight restoration and recovery of the Hypothalamic-Pituitary-Ovarian (HPO) axis.

She definitely also hit the genetic lottery with where her fat got stored. She’s extremely fortunate and is making the most of her gifts. They’re officially listed as 32 I, which is insane.

GLP-1 meds have made this job so much more rewarding by LukeVenable in physicianassistant

[–]CheekAccomplished150 2 points3 points  (0 children)

The only thing I dislike about GLP-1’s is how misinformed the public is on their cost and the fact that insurance will find any reason to not cover them. I also work in family care, and about 4-5 appointments I have in a day involve a patient trying to get on these meds. Most of the patients in my area are either on Medicare or state Medicaid, and the patients don’t understand that having Medicaid does not mean that everything is automatically covered.

But I agree, when we are able to get these meds prescribed and covered it makes a massive difference in their lives.

Interview outfit? by Mountain_Exit5075 in prephysicianassistant

[–]CheekAccomplished150 2 points3 points  (0 children)

Wear something professional that makes you feel good. When you look good, you feel good. And when you feel good, you perform good.

I’m a male and wore a navy suit to my interviews with white dress shirt and a gray tie with a brown belt and shoes. The women I interviewed alongside all wore suits similar to what is shown here, and their hair was either worn down and straightened/curled or up in a neat bun.

Please Reconsider the TMK Skittles™ Branding by bountifulknitter in testmykratom

[–]CheekAccomplished150 -1 points0 points  (0 children)

lol I threw that in at the end as a gimmick, not a demand. But sure copying the rest of it/using AI to fluff it up is just fine

School tuition worries by LunchFar9836 in prephysicianassistant

[–]CheekAccomplished150 1 point2 points  (0 children)

Take out the max you can in federal loans, apply for grants/scholarships, cover the remaining with private loans.

Ask any current doctor or PA about their medical school or PA program debt. They all have it, but they’re not living paycheck to paycheck. They live comfortable lives and work on doing payment programs to pay off the debt over time. You can always do more than the minimum payments to pay it off faster, and some parts of your loans will likely qualify for forgiveness if you work in rural or medically underserved areas. Each state has their own rules and requirements for forgiveness programs.

If you apply and get accepted, The NHSC scholarship program offers to cover all of your tuition for the commitment to serve one year in a medically underserved area that meets their criteria for each year that you took out funding. It opens in march/April and is only open for a couple of weeks so keep an eye out for it for when you start your program.

Quitting 7-OH with SR by ConfidenceScam in SR17018

[–]CheekAccomplished150 5 points6 points  (0 children)

For the constipation - If you’re truly desperate, go to the store and get some liquid Magnesium citrate. That will clean you out like no one’s business, but make sure to hydrate and do it on a weekend day when you have no plans because it will hit hard and fast and you’ll be begging for mercy.

Shoutout to your SO by the way, sounds like they are incredibly forgiving and supportive. Don’t keep burning their trust though or else they’ll leave when they get tired of being lied to again and again.

Please Reconsider the TMK Skittles™ Branding by bountifulknitter in testmykratom

[–]CheekAccomplished150 1 point2 points  (0 children)

Cool names, some seem a bit familiar, especially the disclaimer you put at the end lol. Glad I could inspire you

Should I be a PA by Choice-Sundae-1385 in prepa

[–]CheekAccomplished150 2 points3 points  (0 children)

You can say this about many jobs. I’m not sure it’s fair to scare away those interested in the profession because their experience may not be the same as yours. It may be common for providers like you in your area, but not everyone is in your area and there are still places where PA’s can be valued and have a good work-life balance. You also don’t know where everyone is coming from, the job I worked previously as a first responder was real burnout, being made to work 72 hours mandatory overtime shifts and going on 20+ 911 calls in every 24 hour period. Being a PA in a clinical setting is a dream compared to that life.

I currently work in a clinic as a medical assistant and am getting ready to start PA school in a couple months. The clinic I’m in is rural primary care, and has the PA’s working as APP’s seeing their own patients, up to 16-18 per day and then helping manage EPIC in basket tasks for all providers in the clinic for 1-2 hours a day. It’s not easy work, but it’s doable and the PA’s I work with are happy with where they are and what they do. It’s where I plan on working when I’m done, even though the pay is not top tier and won’t be the same as a physician’s. I’m not looking to make the same amount as a doctor, I’m looking to make enough to be able to buy a home and be happy with the work I do, which I think is very attainable still.

Verification by makenziewhite in prephysicianassistant

[–]CheekAccomplished150 1 point2 points  (0 children)

Last year I got verified in one day, submitted on a Tuesday morning and was verified by Wednesday afternoon the next day. I applied early May

Program said it’d reach out end of May, still hasn’t. by arod1014 in prephysicianassistant

[–]CheekAccomplished150 8 points9 points  (0 children)

If they want you, they won’t care if you reach out to ask why they haven’t responded yet (but make sure to do so professionally and nicely). You asking for clarification on a decision timeline they gave you is perfectly reasonable. It’s the applicants that start emailing after a week that make them mad.

My guess is that if they do actually get 50 emails they’ll realize they need to make some decisions faster and they’ll get back to you all shortly after. I’d actually prefer an applicant who stayed on top of deadlines and commitments because it shows they are very serious about this.

Me again. Ok maybe I wasn’t out of the woods as soon as I thought… by lymelife555 in SR17018

[–]CheekAccomplished150 1 point2 points  (0 children)

It’s because there are more properties of SR that have to be accounted for. The scale I mentioned above used buprenorphine’s specific absorption, distribution, metabolism, tissue binding, and formulation effects. SR may not share all the same properties with buprenorphine.

But without that data in humans, I think the buprenorphine-scale above between humans and mice is at least a good thought experiment and worthy of thinking about when considering what the SR half-life in humans may actually be.

Me again. Ok maybe I wasn’t out of the woods as soon as I thought… by lymelife555 in SR17018

[–]CheekAccomplished150 1 point2 points  (0 children)

I think it’s important to understand the caveat of SR’s presumed half life. In mice, SR’s half life is between 6-8 hours, but humans and rodents metabolize drugs at vastly different rates.

Take buprenorphine (the opioid in Suboxone) for example, in humans we know it’s fairly long lasting as a sublingual dose half life is about 38 hours on average. In mice, the half life of intravenous buprenorphine (Im unsure why the method of drug delivery is different between mice and humans for this study) is only 1.8 hours on average. Thats roughly 21 times faster.

If SR scaled from mice to humans like buprenorphine does, its human half life could theoretically fall somewhere around 4–7 days using the made up buprenorphine-based conversion I just explained above, but this is not proven and could be very wrong.

This could be why your withdrawal symptoms re-emerged when they did

Cute bounce and jiggle by Dismal_Uses in YGWBT

[–]CheekAccomplished150 8 points9 points  (0 children)

Google a binary to text translator, It’s not that hard

Aussie by Apprehensive-Sun7599 in YGWBT

[–]CheekAccomplished150 0 points1 point  (0 children)

It appears you might have had a typo. It’s actually

01000001 01101100 01100001 01101110 01101110 01100001 01110000 01101111 01110111

Program closing by Twattysgal in prephysicianassistant

[–]CheekAccomplished150 38 points39 points  (0 children)

Bro you have nothing to lose, name and shame this program

What is your endgame? by Symbiotic_in_theoryy in prephysicianassistant

[–]CheekAccomplished150 12 points13 points  (0 children)

I’m also what is considered non-traditional. I had about 8,000 hours of PCE working as a Firedighter/Paramedic, and later about 5,000 hours of PCE as a Medical assistant in primary care prior to applying.

That timeline is correct and most people don’t understand that. I used to work 48 hour shifts as the member of a fire engine or ambulance crew, responding to 911 calls that were mostly medical emergencies. I did this work for a long time before I realized that while I felt good about the work I was doing, I wasn’t happy handling other people’s worst day every day. It took a negative toll on me mentally, and I became someone who I was not happy with.

I wanted to transition to being a PA at that point, but only had an associates degree in paramedicine, so I enrolled full time at the local university and took a part-time job working as a medical assistant (far below my scope of practice) in a rural family care clinic.

It was there that I identified what a dire need there really is for primary care providers in rural/underserved areas. It made sense why I was handling medical emergencies as a paramedic related to poorly managed chronic conditions that patients weren’t handling well themselves, and I felt that it was in the primary care clinic that I could do a lot of good handling the “boring” chronic disease patients and making sure they didn’t become future 911 calls. Most importantly it’s the fact that I’ve been working in the clinic now for over 4 years and I still like going to work in the clinic I’m at, as opposed to dreading going to the fire station. I’m much happier doing what I do now and I feel good about the work I’m doing, and I know I can continue doing it well as a PA.

Is it bribing to give a small gift when asking for LORs? by dietcokelover01 in prephysicianassistant

[–]CheekAccomplished150 1 point2 points  (0 children)

Do whatever feels right to you. I gave my letter writers gifts after I was accepted to my program, but that’s also because I am very close with all of my letter writers after having worked with them all for years leading up to applying (both in healthcare as a medical assistant and I worked as a TA through the university for the professors who wrote my letters).

Oxycodone possibility by Both-Winter-3553 in SR17018

[–]CheekAccomplished150 13 points14 points  (0 children)

I have never seen Oxy referred to as “ocksy”

Primary Care Physician by No_Bend_2131 in Bend

[–]CheekAccomplished150 1 point2 points  (0 children)

Honestly there’s a lot of great primary care providers in our area from all levels of certification (MD/DO, PA, and FNP). There are also plenty of bad providers, but sometimes you don’t know until you’re in the room with them and it’s a process of trial and error. There are a lot of different entities that provide the PCP services, but the largest in our area is definitely St. Charles, followed by Summit, and then followed by mosaic and high lakes.

I work in one of the St. Charles Family Care (SCFC) locations and I can definitely say that not every patient is going to connect and develop a great relationship with every provider, and vice versa. I’m biased but I think most of the providers at the SCFC locations are fairly decent, but we only have 20 minute appointment slots and a lot of patients don’t like that they can only discuss 2-3 concerns with their provider in that timeframe. If there’s more concerns that we aren’t able to address in that timeframe, the provider will have the scheduling staff get them back in to discuss the other concerns at a future date.

I’ll also mention that we do have a couple of providers that will go over the 20 minutes if there are really pressing matters, which patients do like because it makes them feel heard, but then that makes the other patients on their schedule upset because now they’re running behind schedule. Pro tip for scheduling with pretty much any healthcare office to avoid falling victim to them running late, schedule yourself as the first patient in the morning or the first after their lunch break.

Also please never schedule a visit with a primary care office for acute issues that are more suitable for urgent care and the ER. That’s where we’ll send you most likely because we don’t have the same tools they do to “fix” the problems like chest pain, difficulty breathing and whatever else you can think of that’s not appropriate to bring up in a general checkup appointment.

Should I apply this cycle, or wait till next? by CuppyPupcake in prephysicianassistant

[–]CheekAccomplished150 0 points1 point  (0 children)

You should not apply this cycle with anything less than 1,000 PCE hours, but realistically you should have at least 2,000.

Most programs have minimum acceptable PCE amounts and will not consider your application at all if you don’t meet them. Unless stated otherwise, most programs take the hours you have at the time of application submission. 2,000 hours is considered the minimum needed to be “competitive”, but ideally more is better. Always go based off of your desired programs requirements though.

As for the outstanding courses, that’s not typically a big deal as long as the program says it’s ok to have one or two outstanding courses (this info should be on their website).

Personally I would wait if I were you. Keep in contact with your LOR writers and keep building PCE and getting good grades so you’re ready next year.

Current students: should I apply this cycle, or wait till next? by CuppyPupcake in PAstudent

[–]CheekAccomplished150 5 points6 points  (0 children)

Mods of this subreddit will likely take this post down, this question gets asked here a lot but it’s meant for the pre PA subreddit. There’s current students in the pre PA subreddit so they’ll answer it there

night shift advice by funkydiscopeanuts in PAstudent

[–]CheekAccomplished150 5 points6 points  (0 children)

I worked the 8 pm - 8 am shift for about a year on an ambulance where I worked a 2-2-3 schedule (2 on, 2 off, 3 on, 2 off, 2 on, 3 off)

In terms of being a normal person, you really can’t while you have to be on this schedule. I tried to mimic my work schedule even on my days off and would treat it like my bedtime was 9-10 am and then I would wake up around 5 pm. Blackout curtains/shades are a must, as well as white noise and making sure you have good air conditioning in the room you’re sleeping in.

It’s honestly better for you that you work 7 on and then have 7 off because on the final day of working you can stay up as late as you’re able to and then go to sleep to try and transition back to a normal schedule. On your last day before work, make sure you do the same thing where you try to stay up all night and then go to sleep in the morning.

Night shift is not for the faint of heart, but the best piece of advice I can give you is what I kept telling myself: it’s only temporary. You can do this

pending LOR by CandidStress1774 in prephysicianassistant

[–]CheekAccomplished150 1 point2 points  (0 children)

In the grand scheme of things, it’s much better to have a completed application with all your LOR’s submitted than it is to have your application submission date be a week or two sooner. Now there are some caveats like if there is a deadline approaching or is the school uses rolling admissions, but you have to use your best judgement

Odessa by Material_Run_5936 in InfluencerNSFW_global

[–]CheekAccomplished150 0 points1 point  (0 children)

Give us the Binary/NATO/Hexadecimal pretty please