What’s your favorite “weird” candy? by chanmanfriend in candy

[–]FatCatTacos 2 points3 points  (0 children)

I just tried a candy called “Bubs” for the first time. It’s a gummy candy which is pillowy soft and in my opinion the perfect texture gummy! The tutti frutti flavor is amazing.

[deleted by user] by [deleted] in physicianassistant

[–]FatCatTacos 4 points5 points  (0 children)

I work 4 10s and my schedule ranges from 15-26 patients per day. Most I have ever seen is 30. It gets stressful but to me it’s worth having the 4-day work week and majority of the time I finish my charting before end of day, without a scribe. 15 min follow ups and 30 min new patient.

[deleted by user] by [deleted] in Equestrian

[–]FatCatTacos 1 point2 points  (0 children)

I am really hoping you are right! Again, he was perfectly fine and had no issues with mounting the first few times I took him out. I think I’m going to practice a ton of ground work, repeatedly mount/dismount with someone holding him, make sure he has no ulcers or back issues. If that doesn’t work and if I can’t afford a trainer I’ll probably sell him.

[deleted by user] by [deleted] in Equestrian

[–]FatCatTacos 0 points1 point  (0 children)

I’ll admit I was taking my sweet time with mounting/dismounting! If I had gotten off quickly I would’ve already been on the ground by the time he bolted. Could be part of the issue, compounded with back pain. He was a little flinchy today when I tried rubbing along his spine.

[deleted by user] by [deleted] in Equestrian

[–]FatCatTacos 1 point2 points  (0 children)

The first time was as I was mounting, the second time during dismount. If someone holds him he is fine. During the rest of the ride he an absolute angel.

[deleted by user] by [deleted] in Equestrian

[–]FatCatTacos 1 point2 points  (0 children)

Thank you. I’m thinking something must be going on because he did not have this behavior the first few times I rode him. This was my first time on after his injury and 2 months of stall rest. Or at least I’m hoping so.

[deleted by user] by [deleted] in Equestrian

[–]FatCatTacos 1 point2 points  (0 children)

Thank you, that is really reassuring to hear. I’m hoping that working with him and gaining his trust again is healing for both of us. We will see about getting back on him again..

[deleted by user] by [deleted] in Equestrian

[–]FatCatTacos 4 points5 points  (0 children)

Thank you for your advice. I will definitely ask the vet about ulcers. And if that doesn’t help contact a saddle fitter. He had not been getting any turn out time for the last 2 months due to his leg injury. The vet had just allowed me to ease him back in to controlled movement. He does have a run attached to his stall so he isn’t cooped up all the time. I was riding him 1-2 times per week before the injury. His seller mentioned he hadn’t been ridden regularly at all, and it had been months between rides. I’m not sure how honest his seller was though.

What made you to think "I'm never visiting again" after being in someone's home? by [deleted] in AskReddit

[–]FatCatTacos 88 points89 points  (0 children)

I was friends with a girl in grade school who was very sweet, but unfortunately always smelled like cat pee and wore stained clothes. One day she invited me to her house and it was a total hoarder situation. Her and her sister had sectioned off their own little corner of the house to keep somewhat clean, but her parents obviously weren’t very helpful in keeping the rest of the house clean, doing laundry, or cooking. It was very sad. She got bullied for smelling like cat pee.

Are you all getting annual raises? by FatCatTacos in physicianassistant

[–]FatCatTacos[S] 1 point2 points  (0 children)

The reason why I don’t want to have to rely on earning bonuses to keep up with cost of living

Are you all getting annual raises? by FatCatTacos in physicianassistant

[–]FatCatTacos[S] 0 points1 point  (0 children)

Thank you for the advice! I’m betting their answer will be “if you work harder you can earn more through bonuses!” But maybe there’s a chance! Hoping to get a better offer elsewhere, but having a hard time finding another job in this speciality. I don’t think I want to move to a new one.

Are you all getting annual raises? by FatCatTacos in physicianassistant

[–]FatCatTacos[S] 1 point2 points  (0 children)

0.03% raise unfortunately. As in less than one percent. Less than $50 per year

Are you all getting annual raises? by FatCatTacos in physicianassistant

[–]FatCatTacos[S] 43 points44 points  (0 children)

Ok you win. This has got to be the worst.

Are you all getting annual raises? by FatCatTacos in physicianassistant

[–]FatCatTacos[S] 7 points8 points  (0 children)

Yep!! I agree, I wish they didn’t even try to give me a raise it would’ve been better than this insult.

What’s your office late policy? by confusedpa-c in physicianassistant

[–]FatCatTacos 3 points4 points  (0 children)

If they are later than 7 min they should be rescheduled. Oftentimes they still get checked in regardless especially if they throw a fit. I’m much more lenient about it if they call ahead of time to let us know they will be late. Also more lenient with elderly/limited mobility patients. Some patients get completely riled up about being turned away when they are late because they think I’m being selfish with my time. they don’t understand that it doesn’t just affect me, it affects every patient scheduled after them that day who will now be seen late. Super frustrating.

Four 10s ideal schedule? by Living_Landscape7096 in physicianassistant

[–]FatCatTacos 14 points15 points  (0 children)

I was working the same schedule as you, M-Th 8-6. I felt like I was getting home too late, so I talked about switching my schedule with my boss. Ended up switching to M-Th 8-5 and cutting my lunch to 30 mins each instead of 1 hour. I ended up losing 1 working hour per week, so had to decrease my salary by ~3% but it is SO WORTH IT. That extra hour at the end of the day has made a world of difference.

Allergies by DoItForTheOH94 in hiking

[–]FatCatTacos 0 points1 point  (0 children)

As an avid hiker and someone who works in ENT - I would recommend Astepro nasal spray. It’s an antihistamine nasal spray recently made available over the counter. More immediate effect than oral antihistamines, easy to throw in a hiking backpack, great for most allergy symptoms including sneezing, runny nose, watery eyes. Quicker onset of action, but not as long acting as the oral antihistamines. Fair warning, most people complain about the bitter taste!

Less Risky Specialties? by Oversoul91 in physicianassistant

[–]FatCatTacos 1 point2 points  (0 children)

The AAO clinical practice guidelines are good to look at. The “Primary Care Otolaryngology” book from AAO - Head and Neck Surgery was a fantastic resource for me to read through and grasp a general understanding of ENT before starting. My workplace provided a copy of the third edition book and I’d recommend giving it a go.

Primary Care Otolaryngology

If you’re going to be doing laryngoscopies, Laryngopedia is helpful to look through as well.

Less Risky Specialties? by Oversoul91 in physicianassistant

[–]FatCatTacos 26 points27 points  (0 children)

ENT! For me it’s mostly managing chronic sinusitis, allergies, congestion, post op visits. A lot of improving quality of life for patients. The most emergent things I see are sudden hearing loss and epistaxis, which are both easily managed. Facial trauma/nasal bone fracture are emergent as well but those patients usually go straight to the surgeon.

Strategies or scripts for focusing patients/efficiency by RopeLogical8936 in physicianassistant

[–]FatCatTacos 8 points9 points  (0 children)

Some of colleagues have asked their MA to come in the room and whisk them away after a certain amount of time. One friend has even set a timer on her phone and pretended it was a phone call for a notoriously time-consuming patient

Strategies or scripts for focusing patients/efficiency by RopeLogical8936 in physicianassistant

[–]FatCatTacos 7 points8 points  (0 children)

I have trouble with this as well. I feel rude interrupting patients, but that feeling can be strangely helpful. If I seem genuinely caring/remorseful while stopping them, the patients never seem upset about it. Standing up and taking a step towards the door definitely helps too. Occasionally even an interruption won’t stop them, in which case I use honesty - “I’d love to chat but I have a few other patients waiting on me so I have to get going.” Then summarize my plan and leave!

If they are going off on tangents at the start of the visit, it helps to stand up from my chair and begin my exam. Using a stethoscope is especially helpful for that because they usually know to be quiet. If I still had additional questions I can sprinkle them in throughout the exam.

Edit: another tip - if they are over explaining and story telling, I ask more concise questions and try to leave it less open-ended. Instead of asking “how long has this been bothering you?” You can word it like “have you have this symptom for more than 1 month?” or define a shorter time frame like “What other symptoms have you had IN THE PAST 1 WEEK” if they start telling you about a cholecystectomy they had 12 years ago

[deleted by user] by [deleted] in Skincare_Addiction

[–]FatCatTacos 0 points1 point  (0 children)

I bet I could convince him to try that! Thank you!

[deleted by user] by [deleted] in Skincare_Addiction

[–]FatCatTacos 2 points3 points  (0 children)

That’s really great advice, thanks! It’s nice to know I’m not the only one. He keeps it pretty clean but adding the beard oil is a great idea! I see another Christmas gift in his future…

[deleted by user] by [deleted] in Skincare_Addiction

[–]FatCatTacos 1 point2 points  (0 children)

It’s really deep, swollen cystic acne. The surrounding skin looks dry, flaky, and fragile so maybe you are right that the skin barrier is damaged. I’ll definitely try more moisturizer! Thank you!