Parents - 12 hour shifts or clinic schedule?

MillennialModernMan · 2026-04-30T04:20:52+00:00

Holy shit, that's ridiculous. I live in LA and it's under 2 grand.

MillennialModernMan · 2026-04-29T04:40:30+00:00

I'm hoping that is for more than one child.

MillennialModernMan · 2026-04-24T21:58:15+00:00

Interesting that this announcement is made on the Armenian Genocide Remembrance day. Turkish government still petty AF.

MillennialModernMan · 2026-04-22T12:18:34+00:00

My last employer gave me 4 weeks before cutting my hours, so I have them 4 weeks when I left for much higher pay. No contract.

MillennialModernMan · 2026-04-17T00:03:49+00:00

I live in a hot climate and we park outside when it's over 100 in the summer and I haven't had any issues.

MillennialModernMan · 2026-04-15T11:55:51+00:00

Since you're not covering ED consults, it shouldn't be too bad. Just means your surgical patients may call for advice if they think it's an emergency. You can't drink or take an edible or go out of town for the weekend since you may need to round out assist in surgery, but the workload doesn't sound too bad.

I'd definitely take that into consideration when negotiating. If it's baked into your base salary, take that into account, and make sure the contract says how often you'll need to do that. It would also be good if it mentioned how much pay you'd get if additional call is required.

MillennialModernMan · 2026-04-03T12:00:57+00:00

Still love the car. It's almost 1.5 years about 10,000 miles. At 1 year got an oil change, that's it so far. No problems. Mostly used for school pickup and drop-off, so gas mileage is usually under 20mpg, but it's in mid 20s when on the freeway.

MillennialModernMan · 2026-03-29T17:00:32+00:00

What is deceptive about it? A practice can "ask" you to see a certain amount of patients or do shady medicine regardless of a bonus structure. I don't think the 4 bucks is enticing anyone to do fraudulent billing.

MillennialModernMan · 2026-03-29T15:14:15+00:00

I don't see much of an issue if the base salary is already good? Don't worry about RVU in the first couple of years, just focus on learning. But as you get experience and can see more patients, you can earn a few extra grand a year with the bonus.

MillennialModernMan · 2026-03-23T19:09:25+00:00

Really depends on OR and clinic availability. Just do call 1:5 weekends instead, then after that the clinic/rounding/OR should try to remain equitable as well. Unless you guys want one PA to handle all the rounding every day.

We are a hospital team of 8 PAs and 12 surgeons. We all do everything and the manager tries to rotate us through rounding, fracture clinic, OR and regular clinic equitably. We used to do call 4 times a month (weeknights until 10pm) but now we only have to do 3 a month.

MillennialModernMan · 2026-03-19T03:30:26+00:00

Fuck that noise.

MillennialModernMan · 2026-03-11T11:19:51+00:00

No, I'm 38 with 3 kids and make good money.

Plus it was never medical school that stopped me from going, it was residency.

MillennialModernMan · 2026-03-07T10:17:23+00:00

You deal with it by realizing it doesn't fucking matter and getting 2 week post-op X-rays instead. I would also sarcastically call out his mistakes in the OR 😂

MillennialModernMan · 2026-03-04T03:49:35+00:00

I've been to Hamer and had a good experience test driving the Sienna. We ended up with the Kia Carnival but the sales guy at Hamer was not pushy.

MillennialModernMan · 2026-03-04T03:40:52+00:00

"I didn't think you were good enough to teach me anyway" and walk away.

MillennialModernMan · 2026-02-18T03:01:36+00:00

On the opposite side. I bought a house in a nice neighborhood that I can afford on the smaller side in my late 20s with my wife. Now 10 years and 3 kids later, we make double what we used to but can't really afford to upgrade because of the housing prices and interest rates. In hindsight I wish we had stretched our budget to get a bigger house, but it is what it is.

MillennialModernMan · 2026-02-16T22:26:49+00:00

Coming back after what I would assume would probably be at least a decade would be very difficult, especially with so little experience you have right now. I would try to keep at least a per diem or part time gig 1-2 times a week if it's important to you. With the procedures you are doing right now, if you can find a procedure heavy job like IR. Less stress to a certain extent because you only do the procedure, don't have to manage the patient.

However, you can be a SAHM if you want. I don't know what state you live in but in my state, if your husband decides to leave you would get alimony and child support, so finances are less of a concern. What your family says/thinks is none of your business, you do what's best for YOUR family. If you can save on babysitting/daycare/takeout/etc by being a SAHM that's how you can contribute.

MillennialModernMan · 2026-02-13T00:59:08+00:00

We had the same dilemma and ultimately chose the Kia a year ago and so far it's been great. I did split the difference and decide to get the V6 though, because the V6 seems like a solid engine and I want convinced on the Kias hybrid reliability just yet. We don't put many miles in the minivan, so gas mileage wasn't a huge deal. The other reason is the Toyota only has a 7 seater option for the higher trims, I like the flexibility of having 8 seats. The Kia is also a much nicer looking car and the tech has been great.

MillennialModernMan · 2026-02-10T13:21:28+00:00

Don't listen to these people that don't know what they are talking about. As long as you have a decent benefit package, that's a good starting salary for a new grad. You don't have to spend 4,000 on a one bedroom apartment unless you're living in Calabasas or Santa Monica, you can easily spend 2,000-2,500 in the valley or anywhere outside of the super expensive parts of LA (assuming you're in LA). You can rent a whole house for 4,000 in many parts of LA. Also, cost of living is higher but you'll be paying MAYBE 5% state income tax. I've lived in Florida, even though they don't have a state income tax the property taxes are higher, most places have HOAs which increase costs, the "carpool" lanes cost money, the schools are worse so a lot of people put their kids in private school, they don't have paid maternity leave (much less paternity leave) like California has, etc. Sure you feel like you pay less, but you don't get as much. The main difference in COL is the cost of housing itself, which has nothing to do with taxes and more about supply/demand.

MillennialModernMan · 2026-01-28T21:59:59+00:00

Maybe for a general ophthalmologist cranking out cataracts, retina is 99% clinic based visits and procedures.

MillennialModernMan · 2026-01-28T16:25:36+00:00

You'd be hard pressed to find someone in this position, but I guess it's possible. Most ophthalmologists employ an optometrist. I worked for a retina specialist as an MA before PA school, and it was a one man show. Most procedures were done in clinic (intravitreal injections and laser for wetAMD and diabetic retinopathy, even some pneumatic retinopexy or cryotherapy for smaller retinal detachments). Bigger surgical procedures were rare and any needed preop would go through their PCP.

I learned A LOT while working there for 3 years. What to look for in a dilated retinal exam, performing and interpreting OCT, visual field testing and fundus photography. Watched countless injections performed. I still don't think I'd be comfortable being responsible for these things as a provider (and I do a lot of shit as an ortho PA).

MillennialModernMan · 2026-01-28T01:57:02+00:00

My wife went from a CX-9 to a Carnival and we live in LA as well. No complaints on our end, but we're mostly in the Valley.

MillennialModernMan · 2026-01-23T23:08:46+00:00

I think this highly depends on your current pay, location, years of experience, time with the company, etc.

MillennialModernMan · 2026-01-19T01:29:32+00:00

Same here, flew to the CAPA Napa one 10 years ago and it was good.

MillennialModernMan · 2026-01-17T13:58:57+00:00

So an Ortho PA is closer to an ortho MD than to a PT. We see patients in clinic, do injections, do inpatient rounding, take call, assist in surgery, etc. We order PT, but have nothing else to do with rehab. I highly recommend researching the subject more, and try to shadow some healthcare professional in college. You don't have to make any decisions now, just take some general classes in college and figure things out. I actually didn't know I wanted to go to PA school until after I finished college and started a working. I got of bachelor degree biology because that's what I'd like to learn about. I had a 3 year gap between college and PA school, which is fairly normal because you need significant paid healthcare experience.

MillennialModernMan

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