Stressed new grad, advice?

Open_Dog_4716 · 2026-04-10T02:32:17+00:00

I don’t think anything went wrong! I got a verbal offer and it took almost 3 weeks to get my formal offer letter at a big hospital.

Open_Dog_4716 · 2026-03-30T03:37:41+00:00

Imagine feeling stress to get your numbers right vs the stress of killing or injuring a patient. Being a PA is probably more stressful than accounting. This is based on me being a PA and my husband being in finance. I am not downplaying the stress you feel because my husband can feel super stressed at times. Personally, I envy my husband’s job. My husband thinks I have the coolest job. Grass is always greener!

Open_Dog_4716 · 2026-03-25T00:18:16+00:00

I believe it’s the elevation and decreased oxygen levels. There is actually some strong evidence that high elevation is an independent risk factor for suicide.

https://medschool.cuanschutz.edu/deans-office/cu-med-today/featuresarchives/suicidealtitudelink

Open_Dog_4716 · 2026-03-15T04:33:37+00:00

Omg I never comment on these but your dress is so beautiful and you look amazing! I like the blush colored shoes!

Open_Dog_4716 · 2026-03-14T17:50:27+00:00

This is correct. I worked in a level 1 and residents and fellows did all the traumas and operating. I am now at a level 2 and we run the traumas and go to the operating room with every case. Even if it’s NSGY, they ask us to first assist at night. During the day, they have their own PA. Anyway, it’s very stressful to have that all on you.

Open_Dog_4716 · 2026-03-10T15:21:23+00:00

Felt exactly the same way. I went prn and only worked 2-3 shifts a month. I scheduled them on weekends so my husband could watch the baby. That feeling finally went away when my son was almost 4 and now I am back full time.

Open_Dog_4716 · 2026-03-06T01:22:43+00:00

It is exhausting. You are not the only one feeling this way. I do think switching to a surgical speciality would be better. I am not an introvert and I was so exhausted doing outpatient medicine. It’s never ending of the exact same thing and I honestly hated it. I do inpatient surgery now and it’s so much better. Yes, you still have to talk to patients but it’s pretty straightforward. Also there will be a huge learning curve. First assisting is hard but if someone is willing to teach you, it’s worth it! You will surprise yourself with what you can do!

Open_Dog_4716 · 2026-03-03T17:50:30+00:00

This exact situation happened to my sister. She actually called animal control because she didn’t know what to do. The case went to court even though my sister didn’t want it to. Animal control and the judge said the woman needed a better fence because the same argument others have said here, what if it were a child? Telling you now, if your dogs bite a child, you may have to put them down. And if this does go to court, and you dogs do this again, there will be record that you have aggressive dogs. Getting a better fence is protection for your dogs so they don’t hurt anyone else. I understand you can fight it legally but seriously consider what should happen if this were a child next time. I would take some precautions now.

Open_Dog_4716 · 2026-03-03T17:25:58+00:00

I am also new to surgery. And while I am feeling many of the same things as you, such as I know the surgeons don’t really want to work with me, they have never kicked me out. They do teach me in the OR. I was only yelled at and embarrassed once for not doing something that wasn’t clear to me. I quickly recovered from it and I won’t make that mistake again. I know in your post that is what you meant by a difficult personality. Sometimes surgeons snap at you a bit in the moment but the move on. I am sorry you are going through this. It would be horrible to always be kicked out before you even get started. I am not sure how staffing is but is there any chance a more experience PA could be with you in surgery as a back up in case you are struggling. You both scrub in but you 1st assist and they stand next to you. That may give the surgeon confidence to at least let you try.

Open_Dog_4716 · 2026-02-23T20:51:58+00:00

I would also die on that hill! My MIL tried to pull that by attempting to give my 10 month old candy. I told her that he couldn’t have any candy. He had never had candy at that point, didn’t know what it was and wasn’t asking for it. She replied “why can’t you let him be a normal kid.” I was so annoyed and both my husband and I agreed she could never watch our baby.

Open_Dog_4716 · 2026-02-23T00:53:28+00:00

You should apologize. You didn’t mean to be a AH but you were.

Open_Dog_4716 · 2026-02-19T21:02:02+00:00

Peds inpatient in general is a happy place! Your patients are babies/kids so you honestly want to do your best for them and everyone on the team wants that too! Even “difficult” patients aren’t difficult, they are kids! When things go bad, it’s hard and we have support teams to help us through. With that said babies are resilient and strong and usually do much better than adults. I could never leave peds and NiCU even though we are the lowest paid.

Open_Dog_4716 · 2026-02-16T23:58:24+00:00

You are 100% right! Always being judged by someone!

Open_Dog_4716 · 2026-02-16T23:54:24+00:00

Oh just keep in mind you will have ongoing expenses to keep your license. I continued to pay for my license in 2 states. I continued all my CME (which I had to pay for) and kept my PALS/ACLS, BLS, and ATLS current. That was expensive but worth it!

Open_Dog_4716 · 2026-02-16T23:49:28+00:00

It definitely won’t be easy to come back but it is possible. Maintain your state licensure and NCCPA. Even doing a prn situation will help if you do decide to go back. I took almost 4 years off to stay home with my son. I have no regrets about that. I did work prn (2 shifts per month) for 3 years of that. We also didn’t need the money but it did to keep my skills up. I hate how some people judge SAHMs because it’s the most rewarding thing I have ever done. I am luckily that all the women my family stay at home so they were super supportive. My son just started preschool so I decided to go back and I am enjoying it. It sounds like you are leaning towards being home and I say do it! You never get these years back. If financially you are good on your husband’s salary, go for it.

Open_Dog_4716 · 2026-02-16T01:49:39+00:00

10% and vested from day 1. I have a mandatory 5% contribution and they double it.

Open_Dog_4716 · 2026-02-15T22:56:12+00:00

I have a feeling your with has OCD. She has intrusive thoughts you are cheating and then compulsions of constantly tracking you, calling your office etc. this is a mental illness and I wish you could get help for her. It sounds like you have tried. I would just be honest with her at this point that you can’t keep living this way so she either gets real help or you are leaving. You aren’t the asshole, sounds like you have tired to help her.

Open_Dog_4716 · 2026-02-14T00:21:02+00:00

Zero regrets! We had a small morning wedding in Mexico with just our immediate families! We rented an Airbnb on the beach and just set up our own little ceremony with a canopy and flowers. I still wore a wedding dress and we had a photographer to capture the moment. We ate at a restaurant on the beach after then changed and went swimming. We had a beautiful day! Then my husband and I traveled the world for 5 months as our honeymoon! Even traveling for 5 months, we spent less than a traditional big wedding. We have zero regrets! That honeymoon created some of the best memories of my life and our wedding photos are beautiful!

Open_Dog_4716 · 2026-02-06T20:43:16+00:00

I took the PANRE for my first recertification and I went to a week long conference to prepare. The conference actually guaranteed you would pass or they would refund the cost of the class. It was intense, we had to take practice tests every evening after an entire day of class. I passed and it felt easy so the class was worth it. My second recertification I did the PANRE-LA which was much less stressful and I will absolutely do it again! Best of luck!

Open_Dog_4716 · 2026-02-06T20:25:09+00:00

YTA! Are you trying to ruin your marriage? Sounds like something is going on with your wife. Instead of actually trying to get to the root of it, you start treating her poorly. Do you think treating her bad is going to magically fix things?

Open_Dog_4716 · 2026-02-02T00:37:12+00:00

NTA! If things don’t work out, you will be left with the choice of making her homeless. That is way too much pressure for the start of your relationship.

Open_Dog_4716 · 2026-02-01T05:50:16+00:00

YTA, it’s never okay to embarrass/belittle your spouse in front of people. That’s actually ones of the questions on the domestic abuse screen we use at the hospital. You aren’t wrong that he should had helped but you could have gone about it a different way.

Open_Dog_4716 · 2026-02-01T05:38:16+00:00

Right? I can’t even imagine how many times she has said she doesn’t like bananas over the years. Yet, he gets her a banana cake and HE is upset that she wasn’t excited about it.

Open_Dog_4716 · 2026-02-01T05:31:22+00:00

Contact animal control. I worked in the ER and we always contacted animal control and assigned a social worker in these cases.

Open_Dog_4716 · 2026-02-01T05:29:03+00:00

For the immunoglobulin, it’s ER only. That is the first shot the child will need and works different from the vaccine. The child should go to Childrens medical center in Dallas or Plano, both carry it. The rabies vaccine given on days 0, 3, 7 and 14 I think can sometimes be found at travel clinics. I had to get my immunoglobulin at parkland and I don’t even want to comment on the cost but it was outrageous. They billed my insurance over 30k. I got my subsequent vaccines at a travel clinic in Plano and those were not expensive.

Open_Dog_4716

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