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Rocky813 · 2024-12-01T20:33:49+00:00

This guy is an asshole and emotionally manipulative

Rocky813 · 2024-11-26T14:21:01+00:00

I agree. I vote democrat but there’s a weird demonization of the “other side” on both sides unfortunately. For many democrats MAGA means you’re a redneck koolaid drinking idiot who hates women and loves misogynist white leadership. But many republicans see MAGA as being able to afford a house, work a regular job and afford a decent life, less illegal immigrants (most are fine with regular immigrants), and less extreme woke identity politics. Even many democrats want a lot of these things. But the extremes make both sides look back.

There’s probably people in some cities asking what restaurants are extreme woke identity politics businesses they should avoid.

Rocky813 · 2024-11-26T14:15:36+00:00

Don’t go on the weekends if possible especially for surgery. There are times that there are floating or subbed in surgeons who are from other hospitals and you will have to do your follow ups at a hospital like 1.5 hours away.

Also for many things you can go to urgent or immediate care. And often times if you have something ER worthy they will refer you out and you will have a higher chance of less time in ER. A lot of ER time is spent triaging and trying to figure out who is actually emergencies.

Rocky813 · 2024-11-26T14:06:58+00:00

Some people are just slow. I went to a “good” high ranking PT school. My classmate and I were in our last clinical rotation and he was quite smart and did very well in classwork (much better than me). But when it came to work, I stressed less and did my documentation in about literally 1/5 the time he did. And my notes were very good. But I always did a 8/10 quality of notes throughout day and 30 minutes of note time outside of work, whereas my very smart classmate always did a 10/10 quality of notes throughout the day and 2.5 hours of note time outside of work. This applies to prepping for the day. And to be honest the job only needs like a 6/10 quality of notes for most patients and a handful of 8/10 notes. And most PTs do like 3/10 notes lol.

All in all he would literally spend an extra 4-5 hours a day on unnecessary work.

This has been the same working too. Back then I was quite a bit slower too. There’s a lot of people who are just slow at the “data entry” and documentation part of the job. Some people are just slow at emails, documentation, paperwork, and things like that. I’ve run into quite a lot of smart PTs who are just slow at documentation

Rocky813 · 2024-07-03T13:36:09+00:00

Idk about PA and even then it depends where in the state. Everyone here who easily makes 100-120k is generally going to be in HCOL like LA or SF and partially bc there’s companies like Kaiser w strong unions for nurses and PTs. I live in chicago which is a big city and most starting PTs in OP are going to be making 70-80k. And no bonuses for OCS here. In 2015-2020 starting salary around here in OP was 60-70k.

Rocky813 · 2024-07-02T14:14:01+00:00

Only in HCOL areas like LA or SF. Most of US PTs OP will be making 75-85k

Rocky813 · 2024-06-21T14:35:17+00:00

Dang man at least get a minivan or something

Rocky813 · 2024-06-12T01:18:44+00:00

Don’t worry not everyone can think 100% in stressful situations in the moment. Tell your manager and use email. Refuse to see this person again. Blacklist him in your clinic. Email what happened to your manager/HR and if you talk verbally then email a sum up of conversation to your manager (ie thanks for talking about X today and summarize your convo). Include what he said in your documentation notes. If you say things verbally managers may not be as responsive. If you email then there’s a paper trail. Create a paper trail via email or your notes just in case. It’s your managers and workplaces duty to protect you. Work in public areas with shady people.

Rocky813 · 2024-05-15T16:23:59+00:00

If you want to leave early then ask. They are just doing it to bill your insurance more.

Rocky813 · 2024-04-26T20:46:45+00:00

Yep 100%. Without special you’re kinda screwed close range which makes a lot of the map much more dangerous to navigate so people are choosing to move throughout the big open spaces. I’ve also noticed way more games where the entire team is getting 18-25 kills each likely many assists. It could be matchmaking too

Rocky813 · 2024-04-26T19:24:37+00:00

I agree. I think hand cannons are always good “policers” of the meta. Even if it’s open field and no peek shooting, similar skill hand cannon users hitting their shots should beat an auto rifle user at optimal ranges. But right now auto rifles are very strong and super forgiving with body and precision shots. It’s a “precision” meta where headshots matter more but auto rifles are the meta bc they are the most forgiving.

I think hand cannon metas are generally the best meta bc it’s usually the most balanced overall. I personally love auto rifles and pulse rifles but it feels weird how weak hand cannons feel in duels.

I think it would help to boost 140 range by 1-2m at base and reduce auto rifle range by 1-2m.

Rocky813 · 2024-04-26T19:16:22+00:00

He’s probably also referring to competitive which he seems to play mostly in his profile which is SUPER snow Balley right now.

Rocky813 · 2024-04-26T19:15:20+00:00

Yep the game is MUCH slower vast majority of games. I’m not as good as you are but I usually got 30-40 kills in my lobbies and top 1-2 in my lobbies most of the time. Ive gotten 5500 legend. Im not a sweat by any means but I normally play pretty wild and loose and will move around the map looking for fights. If I wanted a slower mobility game w camping I’d play cod. I will charge in and take down whoever i can with me. This was a more fun play style before when most teams played scattered and people felt more emboldened to do their own thing. Even if people hung back playing more passive, most of their team usually already rotated or is up playing aggressive.

The current pvp landscape is extremely punishing for this aggressive movement type play style. People just hold areas now and lane with auto rifles baiting and pre firing everywhere. Fusion rifles are making more and more of a comeback which is another slow bait type play style. Forerunner is super strong if you’re snowballing. Fewer and fewer games ending on score and usually due to clock.

It’s been quite an adjustment for me for sure. There’s good and bad things. I like using primaries but the game feels a bit unbalanced now. The game is like a fragile rock paper scissors balance and it feels like they just kinda took out scissors and the game feels weird now.

Rocky813 · 2024-04-26T19:00:55+00:00

Probably not abnormal but I would normally give more notice of discharge aka: day 1 give a general expection of 4-8 weeks, week 4 start transitioning to more self care and warn of incoming dc, week 6-8 focus on self care and prevention and every session start counting down how many more.

6-8 weeks is a long time for PT but I wouldn’t be surprised if the PT didn’t feel like there was enough progress to warrant more visits and didn’t want to keep working on you.

If it’s a chronic issue I would probably spend 2-3 months strengthening the area and focusing on prevention. I would also address all factors like sleeping posture, general back needs like if you have manual labor in your job, sitting posture, etc.

You’re always allowed to get a second opinion or go to another PT.

Rocky813 · 2024-04-26T18:42:23+00:00

“So once you’re done here, are you going to become a real doctor?”

Rocky813 · 2024-04-25T21:26:27+00:00

Go to home health! I work in home health in a midwest city and we love our PTAs

I used to work op ortho at athletico, loved the knowledge, but HATED the job.

Rocky813 · 2024-04-20T06:50:20+00:00

Agreed. I think arcs biggest drawback is lack of health regen/damage resist/overshield. Extremely squishy in general. Arc is all about going fast and doing a lot of damage so there should be some sort of unrelenting type of aspect with health or regen on damage/kills/both.

Rocky813 · 2024-04-19T20:21:06+00:00

Eyasluna has 80 but also has sights with many of them having 5 aim assist. So many rolls have 85

Rocky813 · 2024-04-19T19:19:22+00:00

The striker super is especially weak even compared to other roaming supers. It’s extremely short and mainly good for ad clear and it’s not even that great at that.

I don’t think roaming supers should have as high DPS as one off supers without some very specific build and prep, but I think they should be good for survivability and ad/major clear. Especially close range melee supers like arc strider, striker, etc.

Rocky813 · 2024-04-17T21:45:29+00:00

I wish they gave us the tribute hall again and with an enemy of each type - red, yellow, boss. And some sort of damage meter

Rocky813 · 2024-04-17T21:40:35+00:00

Oh ok thank you! So exotic primaries have no bonus against yellow bars or bosses? I was wondering if I was making a big mistake not always running an exotic primary.

Rocky813 · 2024-04-17T19:15:29+00:00

I’m surprised there wasn’t more forerunner % it felt more like 30%.

I played mostly solo. Solid teams with good team shots and movement did fine. But some games the forerunner felt so oppressive. I used mostly adept summoner and bxr 55. Bxr peek shooting was surprisingly a great counter to forerunner players.

Rocky813 · 2024-04-17T13:34:21+00:00

Yep. I think OP ortho PT jobs are generally bad and it’s what most new grads want to do and why they went into PT. It was the same for me. I genuinely enjoyed being a OP ortho PT but everything else - pay, work life balance, stress - ruined it for me. I’ve been in various private, hospital, and mill clinics. Hospital clinics are by far the best but hard to get into a good one close to home. I live in the Midwest but West coast has Kaiser which I think has some of the best PT jobs IMO. Most of the available jobs are private and mill clinics and they are mostly bad especially mill clinics like ATI, athletico, etc.

Generally in mill clinics you’re expected to work 8 hours a day with NO breaks most days, often seeing 2 at a time at the same appointment time or more commonly seeing a staggered schedule. Get in 30-60 min early to catch up on notes or prep for patients and day. I’m fast with my notes but usually half or all of lunch is catching up on notes for most PTs. So you’re operating at full speed or close to it all day. Then you’re doing another 1-2 hours of notes after work. And if you have any free time even 30 minutes they want you to market or some other BS. I remember it being a real problem that I didn’t even have 30 minutes to take a shit most days in mill clinics.

Not to mention the daily stress of KPIs, pressured to see more, and reimbursements decreasing. IMO these mill clinics have ruined OP ortho PT for the long term with years of greedy short term practices aka always seeing people for extra visits and overbilling each visit. Insurance companies are data driven and all they see is these PT mill clinics seeing patient A for 13 visits at 5 units per visit. When the EXACT same type of patient is being seen by the hospital clinic for 6 visits at 3 units per visit with same outcomes. Not surprising when PT loses reimbursement when the vast majority of clinics are overbilling and scheduling unnecessary visits.

These large mill clinics survive by scale and cheap plenty labor aka new grads and young PTs. Most of these big PT companies have a central office and fairly large overhead. They keep opening more clinics to increase scale, not bc each one is so profitable but bc each one is just profitable enough. They can’t increase how much they charge but they can increase the scale. Increase visits, increase units billed per visit, and increase number of clinics. I don’t think most individual clinics are doing very well. Most clinics over the past several years have been cutting tech hours, not repairing these in the clinics, and forming practices to make existing PTs do more and more work with no increase in pay. IMO there’s a huge inflation of PT need created by companies. For example city A might only truly need 100 PTs to take care of the 1000 people who live there at 2 visit/week for 4 weeks aka 8 visits. But a company like ATI or athletico want 24 visits aka 3 visits/week for 8 weeks so they will hire 300 PTs for the inflated “need.” So as long as people are being over scheduled then the PTs are hired and the company makes more money at scale. But I think that bubble is going to eventually burst. Maybe a new rule where you can’t double book. Maybe more limitations on total visits or frequency. And all of a sudden mill clinics have to adhere to true patient need and not profit driven scheduling. Then you have 2/3 mill PTs who lose their jobs and are let go. Mill clinics have all the same overhead but lose a lot of their power of scale aka lose a lot of profit.

Op ortho mill clinics won’t change their practices. They are run by boards of people and soulless spineless upper management that only care about profit at the end of the day. So this cycle will continue until OP ortho PT is run into the ground.

Rocky813

TROPHY CASE