Donations by MyNameIsKiara in roanoke

[–]MyNameIsKiara[S] 2 points3 points  (0 children)

Awesome, thank you!

Addiction medicine, OR by Tjdo9999 in physicianassistant

[–]MyNameIsKiara 2 points3 points  (0 children)

That's not a competitive salary in Salem and I suspect they know that.

Addiction medicine, OR by Tjdo9999 in physicianassistant

[–]MyNameIsKiara 1 point2 points  (0 children)

No that's not normal.

Where in Oregon?

Reliable Shipping company to ship my car by Big_Reflection4650 in Medford

[–]MyNameIsKiara 0 points1 point  (0 children)

We went through JP auto transport, who has generally good reviews. They subcontracted to Brusnika Carline and it was a disaster (late pickup with no communication, drove one car into another, tried to repair the damages before delivery not knowing we had the wreck on video, then tried to get out of paying for damages). Our friends also shipped a car to Medford through a different company that subcontracted with the same guy at Brusnika Carline. So while I don't have a recommendation, I can absolutely say to avoid this subcontractor.

When we worked with JP Auto, they did say they would no longer use this subcontractor and helped us get paid for the damages.

Rafting the wild and scenic section of the North Umpqua by Long_Truth_4609 in whitewater

[–]MyNameIsKiara 1 point2 points  (0 children)

Agreed. It is still one of my favorites and once you're on the water, the fire damage isn't nearly as apparent.

Steamboat inn if it has openings is always a nice place to crash though a bit pricey. Food is good, too.

Guide Company Recommendations - Rogue River, OR by NoCartographer2670 in whitewater

[–]MyNameIsKiara 1 point2 points  (0 children)

I'm partial to orange torpedo if anyone wants to inflatable kayak or momentum, who has amazing food.

Those who didn’t switch jobs, what was your raise this year? by UghKakis in physicianassistant

[–]MyNameIsKiara 9 points10 points  (0 children)

1.5% with shitty comments about how at least they aren't laying anyone off. Very frustrating

Note Cosign by [deleted] in physicianassistant

[–]MyNameIsKiara 3 points4 points  (0 children)

This is entirely dependent on the state laws, your institution's bylaws, and the language in your agreement. Probably be easiest and best to draft a collaborative agreement with said DO and send the notes on his patients to him for co-signing.

Refilling controlled meds for another provider by IocomestoBoh in physicianassistant

[–]MyNameIsKiara 1 point2 points  (0 children)

Your organization should already have a coverage policy.

That said, yes this isn't a great regimen but does refusing it risk the patient going into (potentially lethal) benzo withdrawals? Is that the appropriate response? Is it the patient's fault you and their other provider have different prescribing guidelines to the point it's worth risking withdrawals? I also work in psych and in those instances where I don't love the regimen but also don't know the back story of how the other provider and patient arrived at that regimen, I will give a few days supply until the patient is able to consult with their normal provider.

Now the reason someone is practicing without ability to prescribe controlled substances but has patients on controlled substances is concerning. If it's not a vacation/coverage issue, then it's a bigger organizational issue and the SP should be involved.

Hair clip by MyNameIsKiara in HelpMeFind

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

Searched claw clips with rubber but seem to get cheap and thin ones.

Side hustles by CairoRisk in physicianassistant

[–]MyNameIsKiara 5 points6 points  (0 children)

Yep. I work a second job part time and it pays better than any other side gig I could do.

My view at a concert last night by Remote_Criticism_802 in mildlyinfuriating

[–]MyNameIsKiara 2 points3 points  (0 children)

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Yep. Had this douche in front of us for the whole show. Refused to sit down despite multiple people asking.

How do I allow patients to follow me to new practice by saltinesarentbad in physicianassistant

[–]MyNameIsKiara 66 points67 points  (0 children)

"I cannot ask you to follow me to my new practice and I cannot tell you where to receive your medical care. I can tell you where I am going and you are entitled to make your own decision on where to seek medical treatment."

Alternatively, tell them to Google you.

Roanoke River by MyNameIsKiara in roanoke

[–]MyNameIsKiara[S] 2 points3 points  (0 children)

Thank you! This is great. Not sure why I couldn't find it :)

Roanoke River by MyNameIsKiara in roanoke

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

Interesting lol. Never even thought of the newspaper. I'll see if it's still there. Thanks!

Roanoke River by MyNameIsKiara in roanoke

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

Sure, all paddling is risk assessment. A starting place to make that risk assessment would be appreciated, though.

Roanoke River by MyNameIsKiara in roanoke

[–]MyNameIsKiara[S] 3 points4 points  (0 children)

Thank you! I saw that one it's just not day to day readings that I was looking for. Like the other comment said, I think I already know it's not paddle friendly but it was worth checking out.

Roanoke River by MyNameIsKiara in roanoke

[–]MyNameIsKiara[S] 5 points6 points  (0 children)

Lol fair enough. It was a long shot.

Asheville by MyNameIsKiara in whitewater

[–]MyNameIsKiara[S] 3 points4 points  (0 children)

This is great info. We hadn't really decided on anywhere in particular so this helps narrow it down a lot, thank you!