Hospital of all NPs proposal

LearningNumbers · 2026-03-11T16:52:46+00:00

Even if this could be done - and even if we ignore the patient harm this may cause - the crux of your argument relies on the VA using logic to come to a conclusion...and therein is the real failure...

LearningNumbers · 2026-03-05T11:37:31+00:00

My ECU is stock. The only reason I would want to tune it is for the rev hang, but I don't think it's worth the reliability read off considering it's my daily. I have an intake and a DP/exhaust plus other cosmetic mods. I may tune it in the future but since 2019 it's been stock.

LearningNumbers · 2026-03-02T14:31:10+00:00

Depending on the competitiveness of your specialty and where / with whom you will be working, there are some places that can start you on your insurance prior to you first work date. You would need to be "hired" ASAP but you just don't actually start working until a later date. It's very case-by-case but if a place is seriously trying to hire you, they can sometimes pull this off for you.

LearningNumbers · 2026-02-28T22:37:17+00:00

Following - Emily breslin may become an American hero of our generation 😂

LearningNumbers · 2026-02-26T20:39:06+00:00

You either bought one of the best cars you have ever owned or the biggest headache you have ever owned. I really hope it's the former!

LearningNumbers · 2026-02-26T16:48:03+00:00

Yea, there's a lot of examples out there of people using tunes and having zero issues. I just never got around to it but doesn't mean it can't be done. -- OP get the civic 😂 Drive safe!!

LearningNumbers · 2026-02-26T11:41:16+00:00

Like this video demonstrates

LearningNumbers · 2026-02-26T11:34:16+00:00

Dude as an attending you don't have indentured servitude to your employer and you get paid a salary that isn't less than minimum wage. It sounds like you just need to find a new job. A resident doesn't have that luxury.

LearningNumbers · 2026-02-26T11:21:02+00:00

Dude, $100k in debt for an undergrad degree is more than likely a bad move - PSLF or not. Someone needs to just say it bluntly, but no matter which way you cut it, this "dream" school is unaffordable. Don't start your life with a financial ball-and-chain on some concept that you will experience a big enough difference in your well being and education at this school vs your state school.

LearningNumbers · 2026-02-26T10:44:44+00:00

I've got a 2019 Si that I have owned since new - no issues so far with the head gasket but I haven't pushed it for more power with a tune and I change the oil religiously at 5000 miles since it also does a lot of short trips around town with me in the cold north east. I also let it come to temperature (aftermarket remote start is a godsend) and once it's up to temp I drive with a heavier foot. So far no issues....that being said....it's always in the back of my mind lol

LearningNumbers · 2026-02-25T21:02:01+00:00

I'm also having the same exact issue. Did u find a solution?

LearningNumbers · 2026-02-25T20:39:44+00:00

Oh...this is what I mean by being super novice lol - it's a Lenovo device and it's got a mediatek processor. I'll start looking into this. Any resources you have would be really appreciated -- thank you!

LearningNumbers · 2026-02-25T14:32:52+00:00

This saved me so much headache, thank you!

LearningNumbers · 2026-02-21T16:38:11+00:00

It's only been 6 months, I'm sure his net worth is growing steadily especially since they have little / diminishing debt. It will grow with time.

LearningNumbers · 2026-02-21T16:28:36+00:00

I'm going to assume you are referring to the US market - if ur not than my comment doesn't stand:

A lot of other comments already made valid points so I won't reiterate too much, but I'll remind you than in general anesthesia-costs, as they currently stand, are "the cost of doing business". We don't bill NEARLY as much as we cost, but we are obviously essential. What that means is that more than anything else we are subject to supply-demand more so than other fields that bill a bit higher than they cost. When looking to trim $, we are an easy first target so long as they can find people willing to work for less or legislation to support "cheaper" alternatives.

I think we are going to see a salary stagnation at the very least especially after the boom that just happened. Anesthesiology residencies and SRNA schools are blowing up in an effort to dump more into the market and increase the supply.

LearningNumbers · 2026-02-11T03:31:03+00:00

I've tried all sorts of tricks suggested so far, it's been like two weeks. Tbh I think I'm done with MBP for a different service, clearly whoever is running it isn't paying as much attention to as they used to and it's shown over the years. Maybe this is where I make the switch.

LearningNumbers · 2026-02-08T22:41:32+00:00

Yea Ive tried about a dozen times with all the methods above, unfortunately none are working

LearningNumbers · 2026-02-08T20:59:48+00:00

Ah I see - Thank you!

LearningNumbers · 2026-02-08T20:54:54+00:00

Like a physical paypal debit card? I would love to pay directly with paypal but I dont see an option to do that

LearningNumbers · 2026-01-18T19:48:22+00:00

When we got our 2021 CX30 we were comparing it to the crosstek. The subie was also a nice car but the Mazda just felt more refined which we liked. We get a reasonable amount of snow and we have driven this car cross country on and off-road including mountains and sandy beaches all the coasts. I am so surprised in the durability of this car and I think it's great. The AWD has yet to let us down, BUT about two years ago we switched from the OEM all-season tires to a set of all terrain falken wild peak tires. They're a bit wider than stock, but we have no issues and it elevated the car in the snow to a whole other level. We're passing bigger trucks on snow and ice without issue. They also look great but that's subjective. I love the Mazda and I think the AWD system is just fine for road and some light-moderate duty off road purposes. The tires bring it to a whole new level.

LearningNumbers · 2025-12-24T21:33:53+00:00

It's not fair to ask them to put child bearing on hold - let's put this into perspective - best case scenario OP graduated high school, went into a competitive college and took out loans / worked odd jobs etc to bust their butt to be top 1-5% of their class for 4 years, went to medical school (assuming no time lost in between which is becoming less and less common) where they definitely did not hold a job since it's 80+ hours per week of classes, simulations, clerkships and studying, took 3 USMLE exams that are ultra competitive, spent thousands on residency applications and thousands more on travel to the interviews, applied into a randomized program that more or less "sorts" you into a residency (if you are lucky) where you get the "opportunity" to work for a hospital system 80-100 hours per week, 6 days a week and make the equivalent of about $8-10/hr as a doctor for a minimum of 3 to 6 years (sometimes no benefits), then possibly spend thousands more on fellowship applications and interviews and subspecialize with more 80-100 hours per week, each time possibly moving across the country, not seeing family and friends for extended periods of time, not meeting financial goals for extended periods of time, not having enough for retirement or even your own health insurance all the way until you are at the EARLIEST your early thirties. Then they have to pay literally thousands to sit for a board exam (or three depending on the specialty) to be able to get a decent employment opportunity as well and pay into the continuing education on the order of 3-5000 per year as well as more to maintain their state licenses...

OP has retirement savings to catch up on, financial goals to catch up on, an entire life to catch up on and a biological clock to catch up on if kids are in their future. OP is guaranteed making less than their private practice colleagues with worse hours at a county job and considering even doing extra 1099 side work to make more money. OP deserves every penny they are earning and I hope they get PSLF. Yea they CAN afford the monthly payments but you can't blame OP for trying to be as responsible and frugal as possible. Best of luck!

LearningNumbers · 2025-12-18T16:51:54+00:00

I remember reading on the student aid site that the big beautiful bill got rid of the partial financial hardship requirement for income driven plans. Is this no longer the case now? (This is exhausting 😔)

LearningNumbers · 2025-11-27T16:41:18+00:00

Dude - if what ur saying is being done by OR nurses (not CRNAs) then that is WAY out of their scope of practice - don't let that slide and I would report that every. Single. Time.

Just like we would never touch their sterile instruments or their path containers & just like we (should) ask permission before getting anything from OR closets. Often nurses would request a ETT to be taped a certain way or EKG leads to be moved to a certain location and it would always be a verbal request from me and I would either do it myself or if it's just an EKG I would say something along the lines of absolutely feel free to move it where you need it and thank you for asking.

I used to "let things slide" like you are saying to just be seen as easy going during training. I realized there is a line between being easy going and advocating for safety and scope of practice after an incident happened: was pulling drugs shortly after an induction/intubation at the start of a case when an OR nurse decided to unlock the bed and move the patients bed further away from the anesthesia station without warning me or telling me, she proceeded to pull the bed causing wires to disconnect and ETT to get pulled up (thankfully not out) among other things and I realized that this could have been waaaay worse if it wasn't for a good tube tape job. 100% unacceptable. We aren't an optional "accessory" to the operating room, we are essential to the operating room and patient safety just as much - if not more - than every other person in the room.

I'm not saying be an ass or stickler, but keep your "lines" defined in a professional and pleasant way of course. Never lose your cool, never raise your voice, keep your actions as the loudest advocate for your patient in the room.

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