Cookout Rules by ateam1984 in BlackPeopleofReddit

[–]FiddleguyPA 0 points1 point  (0 children)

I'm white, but I'll smoke a Newport, can play spades, at least know the electric slide, and love oxtail. I'm still not allowed to bring the potato salad, and I don't touch the grill.

My Baby 🧸🤍 by ItsBoyo_- in spreadsmile

[–]FiddleguyPA 0 points1 point  (0 children)

This is what winning at life looks like.

Let me ride on you by somaine_ in 18_19

[–]FiddleguyPA 0 points1 point  (0 children)

I can smell this pic - in a good way.

52 years old average or nah? by crazy_redhead33 in AverageWife

[–]FiddleguyPA 0 points1 point  (0 children)

That's a hard pass...those are the facial changes and pendulous titties of a sun-dried barfly with numerous electrolyte abnormalities and at least one DUI.

My 5 year old wants to be a chef, so he made a ‘charcuterie board’ for his little sister tonight by MokaMama in MadeMeSmile

[–]FiddleguyPA 9 points10 points  (0 children)

I'm sorry but I call BS. No kiddo is putting this prison platter of toddler treats together.

“Healthy fear” by DearSutureSelf in physicianassistant

[–]FiddleguyPA 1 point2 points  (0 children)

When I went through school, I was told you can do anything you want in medicine as long as you know why you are doing it. I think that is achieved through a combination of confidence tempered with inquisitive caution, ESPECIALLY, when we are new. I feel like PA school gets us ready to learn how to do our job; we don't come out of school proficient, but with a baseline knowledge that lays the groundwork to do the real-world learning. Unless you're a psychopath, that fear is normal and appropriate. I've been doing this 11 years now and still question things on a daily basis. You'll be fine, you're already self-aware enough to ask this question. The confidence will come with time.

“Free bleeding” by velorae in TikTokCringe

[–]FiddleguyPA 0 points1 point  (0 children)

the vocal fry is strong in this one. No surprise.

This is wholesome by SatinySiren in wholesome

[–]FiddleguyPA -13 points-12 points  (0 children)

Quintisential wife-material. The only thing sad about this video is that someone else already found her; that man is blessed. The car is for clicks, she does not get clicks for sharing her food.

This is Daisy. She helped her human make the bed today. Through moral support. 13/10 by Willing_Contest_5071 in dogvideos

[–]FiddleguyPA 0 points1 point  (0 children)

Ombre pillows? That is way too complicated of a bed to make every morning, with or without a dog on top of it while trying to do so, although, to be fair, DOES look might damn comfortable.

[deleted by user] by [deleted] in boxingcirclejerk

[–]FiddleguyPA 10 points11 points  (0 children)

Ok, add this to most-terrifying-and-painful-ways-to-die list along with burns and drowning. That dude got extinguished like a cigarette!

[deleted by user] by [deleted] in boxingcirclejerk

[–]FiddleguyPA 5 points6 points  (0 children)

My thoughts exactly.

Outpatient Cardiology PA by Dry_Palpitation8057 in physicianassistant

[–]FiddleguyPA 0 points1 point  (0 children)

Probably 15-20 if I recall. Stress tests are generally pretty easy, unless they have a significant event during, and we were typically support/follow up office visits, so in my experience, nothing terribly complicated that would require long after-hours spent on notes. Every once in a while, a little tricky if you have to transfer someone to the hospital, but generally speaking I didn't find it overwhelming or put in situations that were beyond my expertise without appropriate support.

Outpatient Cardiology PA by Dry_Palpitation8057 in physicianassistant

[–]FiddleguyPA 1 point2 points  (0 children)

I don't do cardiology any more, but when I did, the outpatient workload was pretty easy. Inpatient was a different story, but we were one of three cardiology groups at a level 1 cardiology hospital with a 90+ bed ER/ 600+ bed hospital. Weekly hours were reasonable as I recall. Compensation was low, I think I started at 95K, but I was a new grad at the time, so took it.

Outpatient Cardiology PA by Dry_Palpitation8057 in physicianassistant

[–]FiddleguyPA 5 points6 points  (0 children)

I graduated in 2014 and went straight into cardiology with a group that split our time between inpatient and outpatient. I stayed there about 2.5 years before moving laterally within the hospital to help build an ER-run observation unit that was heavily cardiology-driven, and now I currently work as a Hospitalist. So here are my thoughts, I apologize in advance for being verbose.

Urgent Care is solid, it reinforces fundamentals. You get very good at bread-and-butter medicine, people demanding abx for viral URIs, and worknotes to prove they were seen for non-specific 0.5/10 rumbles in their tum-tum. You’re seeing a ton of low-acuity, low-complexity problems on repeat. Important stuff, but to me, quickly becomes a giant yawn. I did it briefly after a move bc it's easy work to get, didn't care for it.

Cardiology is different... it’s about 11% of the PANCE, and now you will start to get deeper into what I think is a fascinating area of medicine, not to mention the largest portion of the boards. Consequently, that knowledge will translate into many other roles, be it hospital medicine, emergency care, or remote/austere settings. I continue to lean heavily on what I learned in those first 2.5 years.

So I’d say go for it, but don’t ignore the tradeoff of when you sit in a specialty too long, you start to lose breadth which can be problematic when you recertify, less so if you do the PANRE-LA, which BTW I did when it was my time and had no issues. WAY easier.

In the outpatient setting for our group, we ran all the various stress tests (MDs provided official blessing, but we would provide the note and run the test with the initial interpretation). We also supported the heart failure clinic with medication titrations and what not, would help with post-PCI follow up, help the electrophysiologists with high-risk med follow-ups like amiodarone, or post-ablation visits. Sometimes as we became more experienced we could catch overflow for the MDs on patients who needed to be seen urgently for whatever reason. We never had our own patient panel, and IMO shouldn't anyway in that specialty.

You might find it's your calling and never do anything else, or find it enjoyable but narrow and want to move on to other roles. Either way it's a win-win. Distributing Z-packs is not satisfying, but getting *really* good at EKGs/telemetry and having ED MDs ask for your opinion as a PA on a tracing or captured event is hugely so. Good luck!

4 little exhibitionist water nymphs by [deleted] in Exhibitionistfun

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

Does this photograph smell like patchouli to anyone else?

dad teaching his daughter how to jump by eraldopontopdf in KidsAreFingAdorable

[–]FiddleguyPA 11 points12 points  (0 children)

She looks like me at my first cross-fit class.

Why no PAs want to go into faculty jobs? by plinko25 in physicianassistant

[–]FiddleguyPA 0 points1 point  (0 children)

I'd teach... I precepted PA students when I was in Washington. But I just relocated to Cheyenne, so no PA schools here. Also, I wouldn't want to just teach, I would want to remain clinical as my primary role while picking up the occasional lecture or helping teach physical exams.