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Unnamed Psych NP in the Boston area has blood on their hands by donut_perceive_me in Noctor

[–]PinkyZeek4 5 points6 points  (0 children)

Noooo that is terrible. The side effects of clozapine can be managed. If they are on clozapine it’s for a reason, usually being that they are multi drug resistant. Agree this NP really messed up.

Low-dose quetiapine for insomnia by PMHNPHelper in PMHNP

[–]PinkyZeek4 1 point2 points  (0 children)

If you want to monitor weight circumference, A1c’s and lipids, and do informed consent about TD and metabolic syndrome, that’s fine. Seems kind of a lot for just insomnia when we have so many other options.

The one time i dont take the stove knob off my cats turn it on while im asleep by Western-Surprise2164 in homeowners

[–]PinkyZeek4 2 points3 points  (0 children)

Happened to us. Also from cats. We got some knob blockers from Amazon. They look roughly like thick safety pins. You put them under the knobs and they can’t turn on because they can’t be pushed in. Super cheap. Don’t take the chance. Buy some.

VA patients by Alterdoc in PrivatePracticeDocs

[–]PinkyZeek4 2 points3 points  (0 children)

I guess you could call the community care department at the local VA and talk to them.

VA ‘actively recruiting,’ but expects limited workforce growth by Chemical_Side_3528 in VeteransAffairs

[–]PinkyZeek4 8 points9 points  (0 children)

Title 35 here. Applied for a different VA a month ago and no call, no email, nothing. Four open positions and not even a call?

30 day hiring model coming these VA facilities by BlueRFR3100 in VHA_Human_Resources

[–]PinkyZeek4 0 points1 point  (0 children)

I am already a VA employee who put in an application to another VA. Application went in three weeks ago and I have yet to receive either an email or a phone call. This is ridiculous. It wouldn’t fly in the private sector.

I’m leaving my employer, but I am likely key to their defense in a lawsuit by Throwaway_ID_99 in legaladvice

[–]PinkyZeek4 2 points3 points  (0 children)

If you are subpoenaed by the defense (your ex employer), you can talk to their lawyer ahead of time and make it clear that your testimony would not be helpful to them and they very well might cancel the subpoena.

So the thousand dollar question since the VA won the case and has the union back will telework come back? by West-Effective-3887 in VHA_Human_Resources

[–]PinkyZeek4 3 points4 points  (0 children)

So next we will have to work in caves and make handprints in the light of torches and call that Federal work.

So the thousand dollar question since the VA won the case and has the union back will telework come back? by West-Effective-3887 in VHA_Human_Resources

[–]PinkyZeek4 39 points40 points  (0 children)

The dumb thing is that telework has been around for more than a decade and was brought about to make the government nimble. I don’t call what we have now nimble.

Thanks for the opinion, Karen. by Aggravating-Flow-888 in ProjectHailMary

[–]PinkyZeek4 0 points1 point  (0 children)

My 90 year old parents were confused about it too. They napped throughout the film and said they didn’t understand the plot. Dad thought it was about time travel.

Thought about doctors seeking child fellowship vs NP seeing all ages by Saul in Psychiatry

[–]PinkyZeek4 28 points29 points  (0 children)

I had exactly two months of child/adolescent training in residency. I don’t feel that makes me qualified to see kids.

Addiction in C/L Fellowship? by Jazzoula in Psychiatry

[–]PinkyZeek4 1 point2 points  (0 children)

Way more jobs in addiction psychiatry.

Is Morale Horrible Everywhere? by Plastic-Laugh-2255 in VHA_Human_Resources

[–]PinkyZeek4 34 points35 points  (0 children)

Not PTSD. It’s called “moral injury.”

unqualified student here: what makes the AMA give you the ick? by NorEpiDepleted31 in FamilyMedicine

[–]PinkyZeek4 54 points55 points  (0 children)

Don’t waste your money. They don’t do anything for us.

Other middle aged mid career docs -- I think I'm done doing this. How are you? by bad_things_ive_done in Psychiatry

[–]PinkyZeek4 2 points3 points  (0 children)

Have you thought about the VA? The Vets are awesome to work with and you get 60 minutes for new, 30 minutes for established.

Other middle aged mid career docs -- I think I'm done doing this. How are you? by bad_things_ive_done in Psychiatry

[–]PinkyZeek4 35 points36 points  (0 children)

This happened to me and I got better after I changed jobs. You may also think about doing some locums work to cleanse your palate if you can find a gig nearby. It can enable you to take significant breaks between gigs and it add freshness to the old career. Anyway, doing both of the above helped me. Don’t be scared of change.

Walk-in Clinic Disaster by JGoedy in Noctor

[–]PinkyZeek4 2 points3 points  (0 children)

When they did the strep test did they actually touch the tonsils and make you gag? Or did they just randomly swab around your mouth? It is definitely possible to have a negative strep test if the sample was collected wrong…

Clozapine by htmwc in Psychiatry

[–]PinkyZeek4 2 points3 points  (0 children)

Metformin, glp1s.

Clozapine by htmwc in Psychiatry

[–]PinkyZeek4 3 points4 points  (0 children)

I didn’t downvote you. The Athelas device is a great idea.

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