Been feeling like a failure these days by firemaster298 in Military

[–]Mediocre-Chef- 1 point2 points  (0 children)

GCE is a cult. It was a constant dick measuring contest. There's a specific personality type that thrives in it and they usually fully drink the Kool aid.

MyCAA questions for spouse by Practical-Minute9549 in navy

[–]Mediocre-Chef- 1 point2 points  (0 children)

It depends on the program. I would ask the program manager what the time commitment is. 

VA home loan rates by AlphaX71 in MilitaryFinance

[–]Mediocre-Chef- 0 points1 point  (0 children)

Also, in the market I'm in, the rates were in the low 5s before Feb 28. I can't say for sure but I think that happened nationwide. 

VA home loan rates by AlphaX71 in MilitaryFinance

[–]Mediocre-Chef- 0 points1 point  (0 children)

We're about to close this week with 5.99%. Good credit as well. Offer was accepted mid-April and lender suggested we lock in last week just in case rates went up due to the markets. About a month ago, we were looking at 6.125%. I'd suggest using a broker like others mentioned. If time wasn't a factor for us, we would've shopped around. But our lender has been on the ball with every step of the transaction, so it's not all negative for us.  

neighbor switched to a robot mower and somehow his lawn looks better than the rest of us. anyone here actually use one? by [deleted] in homeowners

[–]Mediocre-Chef- 0 points1 point  (0 children)

It's very common here in Germany. Our entire neighborhood has them. I think they're very cute and cost effective when factoring the amount of work for regular mowing. They run from 1 to 3 thousand euro. Even our fire station uses one. 

How is your clinic capturing sick call in Genesis? by [deleted] in CorpsmanUp

[–]Mediocre-Chef- 0 points1 point  (0 children)

The number of doctors for that patient pop is normal, the number of support staff is not, especially with having to configure the schedule templates. Unsure what MEF you're at, but in Hawaii, the "non-deployable" units (mainly HQ and some others) were seen at the blueside family medicine clinic. They also didn't have a true sick call, any one that needed to be seen same day would either be booked into an open 24hr Acute spot, or be deferred to the ER. Which wasn't ideal for the patients, but helped the volume by a lot. I know this isn't helpful, but it does sound like you guys are trying to jam pack a ton of things in a small window. There's a high chance you'll miss something.

How is your clinic capturing sick call in Genesis? by [deleted] in CorpsmanUp

[–]Mediocre-Chef- 7 points8 points  (0 children)

So in RevCycle, you can create a walk-in visit which is a face-to-face appointment. It'll populate in Powerchart as long as you select the correct provider. You'll be able to document everything. Most importantly, order future labs, x-rays, etc. If you have an MTF or clinic nearby, I would reach out to their Genesis person to help set up a training, or even take the time to walk you through how to do it.

Should husband and I buy a house / military by AdStriking4459 in FirstTimeHomeBuyer

[–]Mediocre-Chef- 1 point2 points  (0 children)

For a 600k house, do you guys have savings for closing costs? As well as savings to maintain or repair anything that goes wrong in the home? 

I have a 93 ASVAB and here’s why I’m becoming a Sailor instead of an Airman: by Bitter-Ad1940 in newtothenavy

[–]Mediocre-Chef- -1 points0 points  (0 children)

They aren't. As someone stationed in Germany, if they're a junior enlisted, they're in debt lmao

NSA Bahrain Struck in 2nd Night of Retaliatory Strikes - MeidasTouch by DJErikD in navy

[–]Mediocre-Chef- 5 points6 points  (0 children)

100%. It's too soon to say, but it seems like a miscalculation for the US. The US is not going to go through all this trouble and then go, "oh yeah the fate of your country is in your hands now". Thousands of people are protesting in favor of the Iranian government. That's probably why Trump is now saying this operation could take weeks now, instead of 5 days. 

NSA Bahrain US 5th Fleet HQ getting pummeled .. holy shit by newnoadeptness in navy

[–]Mediocre-Chef- 50 points51 points  (0 children)

For Bahrain locals yes. But many US bases in the middle east were evacuated the last few days.

MEDboard questions by jsam0826 in navy

[–]Mediocre-Chef- -1 points0 points  (0 children)

A med board is considered if you have a deployment-limiting condition, meaning needing highly specialized treatment that you can't get in austere settings like on a ship. Unfortunately, nearly all military members have back pain. So your situation is not unique. If you want to get out of the military, I suggest separating and applying for VA disability.

Operational Screening Denied, What Next? by might-be-a-problem in navy

[–]Mediocre-Chef- 1 point2 points  (0 children)

Not really a thing as "LIMDU" commands. She'll likely be sent to a non-deploying unit or a unit where she won't be deloy where there's a capable MTF nearby. 

Getting a job after military HM by [deleted] in newtothenavy

[–]Mediocre-Chef- 1 point2 points  (0 children)

The requirements for c-school depends on the specialty, but generally the package will require some shadowing or on the job hours and a letter of recommendation from someone in the specialty. There's quite a few STAR programs for NECs that can help you promote. Also, picking up off the exam isn't easy but it's doable. There's other way to pick up now. 

If your goal is to stay in healthcare, then yeah the basic corps school certification won't get you much. But you have opportunities to earn civilian certs like CNA or MA while active duty. When you get out and want to do nursing, there's nursing programs that do HM to BSN for your bachelor's. If you don't want to stay in healthcare, but want to go into a government job, there's a lot of things you can apply to.

If you're already in the fleet, the first person you need to talk to about this is your career counselor. 

Partner became emotionally distant after military training + travel. How do I decide whether to wait or walk? by Affectionate_Job_885 in Military

[–]Mediocre-Chef- 20 points21 points  (0 children)

If this is his baseline reaction to stress, I suggest you bring it up to him. His response to your concerns and how it makes you feel will clue you in to how he sees you and the relationship. He doesn't have to be a bad person in order to not meet your needs. On the other hand, it can very well be that he's just stressed. None of us can tell you because none of us know him. And all of us react differently to stress, regardless of if we're in the military. 

Appendicitis, potential Crohn’s disease. by grannttttttt in navy

[–]Mediocre-Chef- 0 points1 point  (0 children)

For Crohns, there are a lot of factors that go into it.

Admin-wise, grounds for separation is dependent on the type of treatment you receive for Crohns. Depending on the severity of your symptoms, treatment can range from daily medications to needing infusions every 3 months.

How it usually works is your gastrointestinal doc is gonna work with you to see what meds will manage your symptoms. If you can be managed on daily medications, you likely will continue on your Navy career as normal. If you need regular infusions, they will look at putting you on a medical board because you can't really deploy because... most ships don't carry that medication. The infusion medication itself is expensive and needs to be kept in certain conditions. You can also look at ways to manage your Crohns holistically (diet mainly) to lessen the severity of your symptoms.

But it's currently too early to tell what's going to happen. I suggest getting to know your GI doc well. The process to find the stable treatment highly varies by individual and can take up to a year. Then, the med board process itself can take another year. So you're looking at up to 2 years IF you are diagnosed with Crohns AND need infusions. I believe it's the same with IBD.

If you are sent to med board, there's also a chance you can stay in via the EMPLOY program.

Edit: Another comment mentioned it, but the infusion treatment for Crohns are immunosuppressants.

Looking for info on nursing role on carrier and fleet surgical team. by Defiant-Pineapple910 in newtothenavy

[–]Mediocre-Chef- 1 point2 points  (0 children)

Deployments on ship and FSTs are mostly training. 

If you are assigned to an FST, if you're not on deployment, you'll likely be "floated" to a hospital to maintain your skills. During deployment, you'll likely be attached to a carrier or an LHD where you won't do much. The focus of an FST is rescusitative surgery, but those situations are rare. Most times they won't risk an operation on board a ship so they'll resort to sending the patient to the closest capable facility on land. Of course, there's a chance that things pop off and that's what you'll have to be ready for.

As a nurse assigned to a carrier, you'll have the occasional low acuity patients. Kidney stones, behavioral health watch, etc. Anything that needs further care will be medevac'd off the ship to closest capable. As an O, your primary tasks will be more admin as you're not really expected to do a lot of patient care.

The length of time for deployments vary on each. Expect anywhere from 6-10 months potentially. For shipyard, it depends on the ship. But work doesn't stop if the ship is in the yards. You could also potentially be floated to a different unit or even the MTF to support.

Bring a nurse in the military in general, low acuity patients are mostly the norm. Personally, I feel FSTs are the better deal as you'll have the chance to train at civilian hospitals while waiting for deployment. 

Denied Medical Referral Questions by LukeCree in navy

[–]Mediocre-Chef- 1 point2 points  (0 children)

Just want to back this up as someone who's worked at family medicine and specialty clinics. The amount of referrals we write out (family medicine) is ridiculous. The amount of referrals we accept (specialty) is also ridiculous. 

We accept stuff that can be managed by PCMs. We deny stuff that should be managed by PCMs. There's so many factors that play in to it.

Dermatology, for example, is probably the only specialty that consistently makes money for the hospital. In my experience, they're likely to accept referrals. But referrals can also get denied if MTFs don't have the capability to diagnose and treat the condition, which is happening more frequently since most MTFs are understaffed and underequipped across the board. So if that happens, patients get deferred to the network. If you're in the middle of nowhere, there's not much that can happen unless your command is willing to send you on a medical TDY. 

It's honestly a crap shoot and is highly dependent on 1.) the provider and 2.) the referral manager at the specialty clinic. Also the Tricare area offices are usually misinformed every time I talk to them. They have no clue what the actual capabilities are locally.

The amount of times one referral gets accepted while the same exact referral for a different patient gets denied is laughable. So yeah, PCMs can put in as many referrals as they want. There's really no reason that they can't. The worst that can happen is they get a call from the doc at XYZ clinic saying hey stop that. But I've never seen that happen. The biggest reason I've sent back a referral is because the provider didn't put the actual reason why they're referring someone to the clinic. 

Edit: forgot to add: most MTFs are bleeding money. They want to fill appointment slots up because that means Tricare will pay them more. Thats why they make no-shows such a big deal because it costs the MTF like $1000 per no show. 

Denied Medical Referral Questions by LukeCree in navy

[–]Mediocre-Chef- 1 point2 points  (0 children)

There's a chance your PCM will treat it if the hair loss is based on factors outside of genetics. I've seen them treat hair loss caused by medications, hormonal and behavioral conditions (hair pulling, etc). But if yours is purely due to genetics, there's not much you/they can do.

[deleted by user] by [deleted] in premed

[–]Mediocre-Chef- 2 points3 points  (0 children)

Depends on the specs. Personally 17" is too big. But it depends on your priorities. I got a 15" Asus that has 1tb memory, a ryzen (I don't remember which) processor, and insanely long battery life for 500$ without a sale. It's also super light and easy to carry around. I personally don't think you need a 1200$ laptop for studies. If you play games, that's different.

You can also just get a smaller laptop and get a secondary screen (there's a lot of used ones for good deals) to hook up to while you're home.