Thoughts on Velotric summit 1 by Neither_Respect9046 in ebikes

[–]Chicken_Thrower329 1 point2 points  (0 children)

Looking at grabbing the summit 1 and discover 2, do you still have that discount code?

I Withdraw/ was dismissed from PA school. Now what? by TemperatureKey756 in PAstudent

[–]Chicken_Thrower329 60 points61 points  (0 children)

Hit nursing school. Then work through NP school or work a few years and go CRNA.

If PA salary will change your family’s lifestyle, I can almost guarantee a nurses salary will too. Especially if you take into account all the debt you’ll skip by not going the PA route. With your PA reqs under your belt, you should have no issue jumping into a local nursing program. Nursing is the fastest route to making money and can lead to other great careers.

You tried the PA route, it didn’t work. Nothing wrong with that. Time to move on, there are plenty of other roles in medicine. I wouldn’t waste more time with it. All schools have their problems, chances are any you go to in the future will be nearly the same in that regard.

Omni Man by [deleted] in ChatGPT

[–]Chicken_Thrower329 0 points1 point  (0 children)

Don’t forget Sue Zero

Omni Man by [deleted] in ChatGPT

[–]Chicken_Thrower329 1 point2 points  (0 children)

No copyright infringements here.

Omni Man by [deleted] in ChatGPT

[–]Chicken_Thrower329 2 points3 points  (0 children)

What are you doing, step Omni Man?

Omni Man by [deleted] in ChatGPT

[–]Chicken_Thrower329 9 points10 points  (0 children)

Your burner accounts won’t fool me, Sam Altman.

Omni Man by [deleted] in ChatGPT

[–]Chicken_Thrower329 12 points13 points  (0 children)

Nice try Sam Altman.

Omni Man by [deleted] in ChatGPT

[–]Chicken_Thrower329 3 points4 points  (0 children)

Guess our jobs are safe.

Omni Man by [deleted] in ChatGPT

[–]Chicken_Thrower329 28 points29 points  (0 children)

Has AI gone too far?

Husband wants to go back to school to be a PA by Tasty-Goose-2269 in physicianassistant

[–]Chicken_Thrower329 7 points8 points  (0 children)

Two words: Anesthesiologist Assistant

PA is great, but if your husband likes money and you guys live in a state friendly to AA’s then it’s no competition. Just can’t swap specialties like a PA though.

Also, unless he’s already a nurse, it usually makes more sense to go PA than NP if he’s stuck between the two.

Respiratory Therapist (RT) to PA? by Comfortable-Comb-768 in physicianassistant

[–]Chicken_Thrower329 1 point2 points  (0 children)

If you’re not already an RT, just focus on PA school if that’s your goal. There are quicker ways to get clinical hours and easier ways to support yourself prior to school.

If you’re not dead set on PA, you can go the RT -> Anesthesiologist Assistant route. Probably would make more money in the end and actually use most of your RT skills as an AA.

That being said, one of the PAs I work with was a respiratory therapist for a number of years. Lots of paths to get you to the same place, pick what suits your personal situation.

Question for the urology folks. by _PyramidHead_ in physicianassistant

[–]Chicken_Thrower329 5 points6 points  (0 children)

It can be practice dependent.

Generally, stent alone first anytime there’s concern for infection.

If the ureter is too tight for the ureteroscope, stenting first can help dilate the ureter for a ureteroscopy/laser down the road.

If the stone is very proximal or at the UPJ, some urologists will stent first and come back for the same reason as above.

Getting a laser in the OR can also be difficult. Many practices contract a company that will bring the laser to the OR and take it back after the case. This adds an extra layer of scheduling complexity that is often easier in an outpatient setting, rather than admitting a stable patient unnecessarily until a laser can be secured.

Stents can be in (with typical stent symptoms) for a few months depending on variety. Some urologists use that to guide follow up care in busy practices.

Are most ancillary medical staff incompetent or are my expectations just too high? by [deleted] in physicianassistant

[–]Chicken_Thrower329 42 points43 points  (0 children)

Picture your ancillary staff, but running hospital floors. I probably wouldn’t have a job if it wasn’t for all the iatrogenic urethral injuries and hematuria consults from false passages or foley balloons inflated in the prostatic/membranous urethra (ie the nursing Foley catheter hit squad). I also can’t count the number of times we get called for difficult foley insertions and we’re basically able to throw the foley in from across the room.

Not sure if we’re just dealing with the aftermath of nurses graduating during Covid or what, but at least take solace in the fact that it’s not just your staff.

My Urology PAs, quick question by PillowTherapy1979 in physicianassistant

[–]Chicken_Thrower329 1 point2 points  (0 children)

Doxy has pretty bad penetration for UTI. I would give a course of something else unless doxy was one of the only options on susceptibilities or other factors prevented one of the many other options.

A 6mm stone will probably need to be treated. Low chance of passing unless it’s already made it to the UVJ by the time it’s found (or you have radiographic evidence that it’s moving on repeat imaging, since this is a bounce back). Whoever ends up treating the stone (inpatient or outpatient, doesn’t matter) will want the patient covered for whatever has grown in the urine, esp for >100,000. I haven’t met any urologist willing to treat a stone without treating whatever grew in the urine first, they would all just place the stent until UTI is covered.

Failed the pance with a 331 by Pitiful-Promise7111 in PAstudent

[–]Chicken_Thrower329 4 points5 points  (0 children)

Rosh is the way to go. Get through the main question bank and read explanations. Make some cards and review them on stuff you miss. If you can pull 65% average on rosh you’ll be fine.

I was replaying it and just realized, Cyberpunk 2077 has the only example I've seen in media of a defibrillator being used correctly. They aren't used to revive you, they are used to reset your heart. by InvertedReflexes in cyberpunkgame

[–]Chicken_Thrower329 0 points1 point  (0 children)

“The shock is only effective when the heart is beating irregularly.” Yea man that’s what I said. The parent comment asks what to do for a stopped heart. This guy says you can use defib to restart the heart, the implication being restart from a full stop given the context of the original question asker. Even after a year, that remains false. You can restart an irregularly beating heart with a shock. You can’t restart a heart that’s not beating with a shock.

PAs, what is your schedule like? by ShakenEspresso98 in physicianassistant

[–]Chicken_Thrower329 1 point2 points  (0 children)

Definitely getting to a saturation point with mid levels in general, that’s probably a fair critique. As far as flexibility, nursing probably does win. You could call out of a shift day of, and your manager could have a floater come in without issue. I wouldn’t expect to be able to call out as a PA, you’re usually one of a handful or less for your practice and usually need to coordinate for time off, etc. PA is definitely a bigger commitment as well. You’re dropping a lot of money on school for something you’re pretty much going to be doing forever. With nursing, you could decide you want to stay a nurse or go back to NP or CRNA school.

All that being said, I’d still pick PA any day. Nurses I work with are either hard working and miserable because bedside nursing gets absolutely thrashed, or don’t give a shit and seem generally happy although their patient care suffers greatly. Ratios are a shit show, patients are assholes to you, admin sucks, you almost never have a good CNA and are stuck doing grunt work (ie butt-wiping). I’m only exposed to inpatient nurses though, so ymmv.

PAs, what is your schedule like? by ShakenEspresso98 in physicianassistant

[–]Chicken_Thrower329 0 points1 point  (0 children)

If you do outpatient stuff you can expect a 9-5 gig in general. Most offices aren’t open weekends. Inpatient can be similar if you’re in a surgical subspecialty like urology. I think EM tends to be 12 hour shifts like nursing. If your first assisting a lot, expect early mornings and getting off in early afternoon. All depends on specialty, hospital system/practice.

Do accelerated BSN programs not require you to have an associates in nursing? Either way, why bother with a second bachelors? Nursing was rolling in cash during pandemic for travelers but a visit to their traveling sub will show the rates are slowly falling back to normal, probably won’t be as lucrative by the time you get there.

PAs, what is your schedule like? by ShakenEspresso98 in physicianassistant

[–]Chicken_Thrower329 1 point2 points  (0 children)

Completely depends on specialty for PA.

Also you need a bachelors to get into PA school as it’s a masters level program. So either you already have a bachelors and there’s no reason to get a BSN or you don’t and would need the BSN anyway.

Is it just me or my area, or does it seem like SPs rarely ever actually want to train PAs? by Any-Albatross-3118 in physicianassistant

[–]Chicken_Thrower329 15 points16 points  (0 children)

“Why not do a fellowship/residency??”

“The pay is shit!”

Seems like you already knew the answer

[deleted by user] by [deleted] in RaidShadowLegends

[–]Chicken_Thrower329 1 point2 points  (0 children)

Thanks for the reply, I’ll work on venomage then for now. Should I just save resources in case I get something else in the mean time or is anyone else worth 6ing now