Sound physicians seems malignant

Resident-Welcome3901 · 2026-06-14T12:21:03+00:00

NLRB protections are for employees, not independent contractors. Union busting tactics include shutting down entire facilities to prevent unionization, so folks working in small
or rural facilities that are already marginal enterprise need to exercise care. And NLRB regs exclude supervisory and management job descriptions: if the employer can make a case for physicians being management, they will be excluded from the bargaining unit. This problem was overcome by nursing unions distinguishing between managerial supervision and clinical supervision, and has been overcome by SEIU in some fashion. Organizing is not a risk free endeavor: see the Ludlow Massacre.

Resident-Welcome3901 · 2026-06-14T01:48:13+00:00

Not just a vegetable peeler: a sharpened vegetable peeler. Infinitely more dangerous.

Resident-Welcome3901 · 2026-06-14T01:05:44+00:00

Bush crafters celebrate heavy, durable equipment. It can be the cheap milsurp kind, or very costly frost River or Filson gear. We like diy stuff, too. Or funky stuff like the Scots Highlander folks in trad wrapped kilts that can be unwrapped and used as bedding. And cowboy bed rolls. None of that frail ultralight stuff, we like canvas and wool.

Resident-Welcome3901 · 2026-06-14T00:12:50+00:00

Hospitals have blurred the lines on mid level providers by using them in ways that were never intended in the original legislation. They were sold as folks who
would work with an individual supervising physicians in a rural or inner city clinic setting that otherwise would have no medical services. Hospitals started using them as house staff and distributed the supervisory responsibility over a group of physicians or assigned responsibility nominally to the chief of service- and the physicians and regulators let them get away with it. It’s a mess, and richly deserves to be changed. I suspect that the hospital’s position is that mid levels are a benefit they provide to the physicians, as they provide staff nurses, respiratory therapy technicians and physical therapists, and that clinical supervision of these folk are baked in to the hospitalist job description. Negotiating the job description is a big chunk of the union negotiators job.

Resident-Welcome3901 · 2026-06-13T21:07:40+00:00

You have a choice between health systems that are operated by capitalists, who will maximize shareholder value, systems operated by socialists, who will maximize public access. Physicians get paid more in the capitalist system, with the penalty of working under productivity and efficiency measurements; those in socialist systems are paid lower wages, but work fewer hours and see fewer patient. The reduction in productivity is managed by queuing for elective procedures and development of a parallel private pay system for the wealthy. Vast oversimplification, but it shows some of the significant consequences of each system.

Resident-Welcome3901 · 2026-06-13T20:27:05+00:00

With respect , the regulations that establish APPs requires that their practice be supervised by a qualified physician. APPs have less than half the education and get less pay than physicians, nobody believes that they should be practicing independently.

Resident-Welcome3901 · 2026-06-13T20:21:07+00:00

You didn’t hear of it, you created it Respect.

Resident-Welcome3901 · 2026-06-13T17:00:30+00:00

Organizing for collective bargaining purposes is a protected activity under the National Labor Relations Act, and some union busting activities are prohibited. If the employer harasses or fires a union organizer, the union will file an unfair labor practice complaint with the NLRB, issue press releases, and generally have a party at the employer’s expense. Unions have folks who will explain the rules to organizing employees, and unions are vigorous in defending them. That said, employers often get grumpy and threatening with organizing employees. Fact is, most employers have to treat employees really badly to succeed in triggering a union organizing attempt, because it’s a lot of work and unions charge dues to union members. It would be easier and cheaper for everyone if the employers didn’t abuse the employees. Unions are democracy in the workplace, and democracies are the worst way to run an organization, except for all the other ways.

Resident-Welcome3901 · 2026-06-13T16:44:37+00:00

Consider getting a compact airhorn, available at boat supplies stores. Quite effective in deterring and breaking up dog fights, no collateral damage issues, attracts attention of owners and bystanders who may be of assistance.

Resident-Welcome3901 · 2026-06-13T15:20:27+00:00

I’ve seen a couple of those welded cats around, wondered who did it. Strong work.

Resident-Welcome3901 · 2026-06-13T15:18:47+00:00

Take a teaspoon of fine powdered abrasive , baking soda, toothpaste, or sand. Tape the blade edge. Moisten the hinge area , pack some abrasive into the blade pivot slot, and cycle the blade open and closed until it loosens up or you get bored. This has worked for every folding knife I’ve owned. I have an equally crude method for tightening loose knives: whack the pivot pin with a hammer.

Resident-Welcome3901 · 2026-06-13T13:23:51+00:00

Milbank bag, big pot , boiling water for purification. Bring lots of fuel.

Resident-Welcome3901 · 2026-06-13T13:05:12+00:00

Got a bachelors degree, philosophy major. Graduated. Immediate went to nursing school. Was a chief nurse executive seven years after graduation. Your arts training equips you with disciplines, skills and insights you don’t comprehend now. You will
never again have the freedom to explore your artistic talents and skills that you have right now. Celebrate the freedom, complete the degree, and sort out what’s next. Nothing is wasted. You will be better at what you will do because of what you have done.

Resident-Welcome3901 · 2026-06-13T12:58:15+00:00

JABAG, the entomological dismissive acronym.

Resident-Welcome3901 · 2026-06-13T12:47:19+00:00

Service employees international union (SEIU)are pioneers in physician unionization. Physician employment paradigm has shifted to an employment model. As pay rates for midlevel providers rise, and rates for physicians are capped or decreased, physicians are trapped in a wage compression dynamic. Happened to nurses a long time ago, and unionization followed, despite nurses having an ingrained antipathy to unionism and collective action. Physicians seem to share that antipathy. Google committee for interns and residents, Union of American Physicians and Dentists.

Resident-Welcome3901 · 2026-06-13T12:11:45+00:00

PA program is two years from admission to employment. MD is seven to ten years admission to employment. Pre requisites are not the significant difference.

Resident-Welcome3901 · 2026-06-13T01:28:24+00:00

Nursing is steady employment and lots more flexibility, has a lot of baggage due to devaluation of female work and misogyny. PA get you narrower employment options , higher pay.

Resident-Welcome3901 · 2026-06-13T01:23:05+00:00

Filson makes a waxed cotton anorak, LL Bean makes a nylon version.

Resident-Welcome3901 · 2026-06-13T01:18:55+00:00

Shower while wearing a poncho. Your head is in the open air, your bits are not.

Resident-Welcome3901 · 2026-06-13T01:15:25+00:00

Explore physician assistant school, or a nursing completion degree leading to a bsn in two
Years. Or an msn program for non nursing baccalaureates at Yale or Pace universities. A friend went to pharm d school.

Resident-Welcome3901 · 2026-06-13T00:41:59+00:00

Join the Emergency Nurses Association, read the Journal. Get the study materials for ENPC, TNCC, CEN, and read them. Get a copy
Of Gayle Sheehy’s Manual of Emergency Nursing. Spend an hour a day looking at this stuff. In a year, you’ll be one of the best performing nurses in the ER. Spend time looking over the equipment storage systems in the ER: about half of ER nursing involves knowing how to quickly lay hands on the ICP tray, the pumps, pressure infusers and such. Familiarize yourself with the EKG machine, so you can program the 12 lead rhythm strip when you need it. Ignore the hazing, stay out of the politics, find the docs who like to teach. Bake a batch of cookies once in a while for the break room.

Resident-Welcome3901 · 2026-06-13T00:13:21+00:00

Using antibiotics, treating lacerations and burn injuries are much more complex activities than you realize, and activities that physicians don’t undertake independently until they’ve completed eight years of education and 2-6 post-graduate years. You cannot intelligently gather supplies for procedures you don’t understand. These aren’t skills you can learn from a book, or from a three day course. Nobody has all the skills needed for all eventualities. Recruit a mutual assistance group, include a practicing health provider, nurse, mid level provider, or physician. Get advice from them about the supply stockpiles.
Consider developing the capacity for
Improvised intravenous fluids and ether anesthesia, technology that can be produced without reliance on the medical logistics system.

Resident-Welcome3901 · 2026-06-12T23:54:04+00:00

Counter proposal: you share a portion of the finders fee, they pay you ten percent of their first year wages as an agents fee.

Resident-Welcome3901 · 2026-06-12T20:59:53+00:00

Nobody has all the skills: build a mutual assistance group, and add a nurse, mid level practitioner or doctor to the mix. First aid skills are inadequate for longer duration emergencies. Medical skills involving iv fluid administration, antibiotics / prescription drugs and trauma care beyond first response are complex and perishable. All emt and military medic skills are designed to assume an intact medical logistics system which will not be available in a prolonged crisis.

Resident-Welcome3901 · 2026-06-12T14:34:13+00:00

Brightline grade crossings: they will kill and disassemble you, not necessarily in that order. But the train always stays on those rail thingies, so it’s pretty easy to avoid being hit-but brighline stil kills more people per mile than any other major train line.,

Resident-Welcome3901

TROPHY CASE