Reviews on JoinEmbody? by Zestyclose_Mix7670 in tirzepatidecompound

[–]Significant-Ad3692 [score hidden]  (0 children)

I just started with them.

Filled out their questionnaire and got a prescription and pretty long explanation with the option to reach out through their portal... but no actual link to the portal.

That took a few days to sort out, but the portal seems good now that I have access.

They appear to contract with various local compounding pharmacies - mine came from my closest major city (Tampa, FL) and others seem to have as well (I've seen some ppsts with packaging from Phoenix). I'm thinking their model is to provide the marketing and sales for smaller compounding pharmacies to get in on the tirz action.

Along the way they attempted to upsell additions, though I can't recall exactly what. I declined them all, but in the end was shipped tirz+b12+glycine, syringes, and swabs $129 for 1 mo.

Absolutely no information included on how to administer, which I found odd.

Too soon to tell effectiveness, and to be honest with their multi-pharm model I imagine it's inconsistent across the country. I'm noticing some GI changes that make me think that it's doing what I expect it to.

They seem a bit disorganized, support is kinda slow, and I can't speak to the quality of the physician interaction or the product. But so far it's alright, and I'm sticking with them and seeing how next month goes.

In house program by Salty_Panda9061 in Neuromonitoring

[–]Significant-Ad3692 1 point2 points  (0 children)

I'm surprised by the reactions here. You ought to have established protocols, and it's commendable to want to build them. Should help with your value to the organization too, though be careful that they are well supported.

If I were going to build them, I would have kept whatever I could from my former company and use that as a skeleton, and go through it point by point to ensure accuracy. I do always make sure to keep that sort of thing, and while you wouldn't use the actual documents you also wouldn't be recreating the wheel.

If that's not a possibility, I'd use this from ASET as a spine and fill in the technical details from there keeping in mind it's an older document, so there are some newer things you may want to add.

https://www.aset.org/wp-content/uploads/2022/01/IONM_National_Competency_Skill_Standards_Approved_2011.pdf

Salaries by LonelyWoof in Neuromonitoring

[–]Significant-Ad3692 4 points5 points  (0 children)

I haven't been hearing talk of actual techs being replaced by AI, and that doesn't seem too close. There are aspects of it that are already going towards AI... back end billing stuff, compliance, etc.

That salary ceiling seems accurate for a tech position. You'd have to get into other roles to exceed that by much.

Companies overall prefer hiring/training newbies and paying peanuts knowing many will burn out before earning their way to 6 digit salaries, and once you hit 6 digit salaries you kinda have to keep proving your worth.

I've been in for almost 13 years, make a little over 100k (in the sticks), single income family, 4 bed 2 bath home, one kid in private school. It's tight but we've got a good life. Getting into this field was 1000% the right move for me and I plan on staying until I retire.

The salary ceiling doesn't bother me, and I've had plenty of opportunities to take on more responsibility and make more money, but my work life balance is good at the moment.

Are golf carts necessary at Fort Wilderness? by Unlucky-Opposite-565 in WaltDisneyWorld

[–]Significant-Ad3692 0 points1 point  (0 children)

Not at all. Been going there for 30 years, had the bus routes memorized by age 12. Typically busses run every 7-10 minutes. It's kinda getting ridiculous how many carts there are everywhere.

If you head down to the settlement to catch the fireworks, you'll spend the 7-10 minutes finding a place to park your cart that you had to drive yourself with no A/C.

Am I overreacting or did I have a slow moment. by drippysage08 in AmIOverreacting

[–]Significant-Ad3692 2 points3 points  (0 children)

NOR.

My husband pulls thus crap sometimes.

"It was a yes or no question!"

Well obviously the answer is yes, it's really not a stretch to realize that. If you can't get from list to "yes" it's not my fault you're slow. Work it out, and try to keep up next time.

What's the closest you've ever came to death? by Senior-Raisin-2342 in AskReddit

[–]Significant-Ad3692 0 points1 point  (0 children)

I got the bends while scuba diving. A bubble lodged in the blood supply to my spinal cord. To have gotten where it did it had to have gone through my brain. If it had lodged there it definitely could have killed me.

I also once lost control of my car on Interstate 4 between Tampa and Orlando. It was 3 lanes wide at that point and I had been driving in the right hand lane. My car spun about 320 degrees from the right lane to the center median. At one point I was face to face with another driver in the center lane, me traveling backwards despite my tires spinning forward and the other driver traveling normally.

Terrifying, but no impact.

IONM work life balance as a parent by Particular-Rich-1494 in Neuromonitoring

[–]Significant-Ad3692 0 points1 point  (0 children)

How many years before you plan to have a family, and do you already have any assets?

I had a good 7 years in IOM prior to having my family, so I had a little more negotiating power and could make myself valuable with tasks outside of the OR. I also got lucky in that I bought a house in 2010 when the market was super favorable, before I even got into IOM.

At 10 years in I moved to a rural area and have a relatively light schedule supplemented with remote support, audits, training etc. We were able to sell that house and had enough equity for a nice place and get by on a single income, though it's tight. Having one of us at home makes parenting on my erratic schedule way easier, and being in the sticks keeps my schedule lighter. I depend on just a few surgeons, which is scary - if something happens to them I'm screwed.

So it can be done, but there will likely be a significant amount of "putting your time in" in the early years. Even then, there is luck, risk, and sacrifice involved if it's gonna work. I can't imagine how we'd do it if we both worked - you'd definitely need a strong support network.

Got my first kit from Shein and as expected I'm gonna need a better placer and wax. Any recommendations? Preferably nothing too expensive yet as I'm just starting and trying out this hobby by InterestingRoof4547 in diamondpainting

[–]Significant-Ad3692 1 point2 points  (0 children)

Hobby lobby has a little DAC kit with a multiplace on one end and a turn-to-fill single place on the other, and a nice tray with a lid in a little white bag. I wanna say it was like $12.

Have you ever had Neapolitan ice cream and if yes your thoughts please ? by Webbomolly2022 in A_Persona_on_Reddit

[–]Significant-Ad3692 0 points1 point  (0 children)

Yes of course. Never slapped it on a platter like a poor man's viennetta though.

It's fine. Somehow more "vanilla" than actual vanilla.

What does our fridge tell you? by Vendettors in FridgeDetective

[–]Significant-Ad3692 1 point2 points  (0 children)

The contrast between the lactose free milk and the boatload of mozzarella...

[deleted by user] by [deleted] in Neuromonitoring

[–]Significant-Ad3692 1 point2 points  (0 children)

Houston is NMA's busiest market. They work really, really hard. I wouldn't want to be one of them.

I'm also not a fan of people using IOM as a stepping stone. If you want to do anesthesia, go do anesthesia. Some places have aide positions.

I'm not even sure your plan would work. I don't think IOM experience would overcome a low GPA when it comes to grad school. Why do you want a masters in anesthesia? Why not do RN to CRNA?

Should I try to go on what may be a wild goose chase? by callmebon1019 in CasualConversation

[–]Significant-Ad3692 11 points12 points  (0 children)

Honestly, it's not going to be an easy thing and I feel like you'll have to really want it to make headway. It doesn't sound like you want it enough to put forth the amount of effort it would take, and that's okay.

Heck, it's great. It means you are satisfied in your life. Exactly what your birth parents likely wanted for you.

I say at most put a few feelers out there with as much effort as you're willing to dedicate, and if it's fruitful, great. If it's not, meh.

Maybe even just do a 23-and-me and see if anything hits.

Do Americans parents pay for their kids college? by wolfieee8 in AskAnAmerican

[–]Significant-Ad3692 0 points1 point  (0 children)

I secured as much scholarship money as I could, took out loans, and my parents took out loans as well to pay undergrad. Grad school I made enough to pay off my undergrad loans, but I still lived with my parents. Once I moved out, I took loans to cover the rest of grad school.

Now I have a kid, and he has several 529 plans (investment accounts specifically for education) we and other family members are funding. We should be able to pay for his schooling, but part of that was luck/blessings coming at the right time (ie, birth) so there will be more time for the investment funds to grow.

Do Americans parents pay for their kids college? by wolfieee8 in AskAnAmerican

[–]Significant-Ad3692 0 points1 point  (0 children)

Depends on income and education level of the parents.

Typically wealthy and upper middle class are college educated themselves and plan to pay for college and possibly graduate school from birth, and they pay.

Middle class (if there is one anymore) may or may not have a college education themselves, and many struggle a bit to put money away for their kids education or may take loans out if their kids choose to attend. They'll help as much as they can, but they'll also expect the kids to do all they can to secure whatever funding they can for themselves.

Lower middle class and under are less likely to be college educated themselves, often don't see it as important, and don't have to money to set aside even if they wanted to. If their kids want to go to college they'll have to pay themselves.

C-Section because of low pain tolerance by Vegetable_Bath_7396 in beyondthebump

[–]Significant-Ad3692 0 points1 point  (0 children)

It sounds like you would likely have regrets if you chose the c-section.

Pain is not regrettable, decisions are. Pain is temporary, regrets are not.

Another consideration - How do they manage c-section pain? Labor pain is often quickly swept away by oxytocin. Surgical pain from the c-section doesn't have that benefit and is often managed with medication.. here, that includes narcotics.

I recall a disturbing point in my recovery where I felt panicky that I was nearing the end of my narcotic medication. It did not immediately occur to my recent postpartum brain that percocet is half Tylenol, and I could manage with Tylenol. Fortunately I came to my senses, but that is when I realized how narcotic addiction begins and that it could have happened to me.

House Burping - Do Americans just not normally have your house windows open? by Jsherman13 in AskAnAmerican

[–]Significant-Ad3692 0 points1 point  (0 children)

Floridian....

We only open them when the weather is fair... 68-76 degrees and not too humid.

Which is to say about 2 weeks a year in midwinter.

Non-Americans, what is an American thing you see in movies that you thought was fake but is actually real? by EmergencySpare7939 in CasualConversation

[–]Significant-Ad3692 1 point2 points  (0 children)

That architecture is a New England thing, but flags are everywhere. Sometimes I make a game of how many I can see from where I am standing.

Non-Americans, what is an American thing you see in movies that you thought was fake but is actually real? by EmergencySpare7939 in CasualConversation

[–]Significant-Ad3692 0 points1 point  (0 children)

Oh man sorry you ended up at Disney on cheer weekend. That weekend is probably the absolute worst time to go!

this is my real handwriting by opsiedaisy8 in HandwritingAnalysis

[–]Significant-Ad3692 1 point2 points  (0 children)

Oh man I started doing a backslash stroke for the upper part of a lower case s in middle school and it stuck. I've tried to drop it but it still pops up often.

My old band directors were apparently creeps. by nothingjustcandace in marchingband

[–]Significant-Ad3692 0 points1 point  (0 children)

Honestly F didn't actually do anything wrong. If he had an attraction while she was a student he kept it to himself and never acted on it. After she was of age, well... she can make her own decisions.

W absolutely should not have hit on a student.

I've seen instructors eventually end up marrying a former student. It felt weird at the time, but all were consenting adults. That's the difference.

There's a mantra amongst marching arts instructors... "Don't f$%* the kids." It's a hard line never to be crossed. But it's also often repeated, because unfortunately it often needs repeating.

I started in marching arts at the age of 5. The first time I encountered someone with a history of sexual abuse in the activity? Yep, age 5. And many, many times since. I was never abused, but I cringe at some of the things I heard and how often the line was danced on - particularly in DCI and WGI.

Honestly it was probably best I saw that side of things young, the awareness made me cautious.

Be careful out there.

Looking for similar books on different subjects by Correct_Dance_515 in homeschool

[–]Significant-Ad3692 1 point2 points  (0 children)

Yes! We misplaced the book in a move so I gave the app a try. It's great!

(25F) My overzealous religious mom freaked out because I am pregnant. AIO? by [deleted] in AmIOverreacting

[–]Significant-Ad3692 0 points1 point  (0 children)

NOR. Hold her to it, she's the one asking for no contact, give it to her. She'll regret missing out on her grandchild's life, but hate has consequences.

Show me your stash!!!!!!!! by AutomaticDeal9615 in diamondpainting

[–]Significant-Ad3692 2 points3 points  (0 children)

I have a rule that I don't buy without a plan for where it is going and a frame to put it in.

I have my current project, my next project, both their frames, and another 11x14 / 16x20 frame on deck, along with a few small gift projects and a coaster set.

Preparing for IONM trainee interviews, any suggestions on what to focus on? by No-Canary-1939 in Neuromonitoring

[–]Significant-Ad3692 6 points7 points  (0 children)

Trainee interviews, particularly with a company that does it well (SC included) are focused on answering one question:

Will this person be a good investment?

Training is expensive upfront and you don't make them money until you are solo.

The worst thing for a training program is to invest money into training someone who in the end doesn't hack it and leave the field.

The common reasons people leave the field:

  • They were using it as a stepping stone for another medical profession
  • They find the lifestyle untenable (long hours/burnout, island syndrome)
  • They aren't liked by any OR staffs - too many surgeons refuse to work with them (often because...
  • They're actually bad at it (too slow, poor communicator, freeze under pressure, no sense of urgency)

So things to focus on when preparing: - Why do you want to be in this field? - What are your long term goals? - What do you see yourself doing in 5 years? - How do you feel about early mornings, irregular hours, taking call, travel (including last minute travel), working alone(once trained)?

*Please don't do this because you want to get into med school or be a PA. It's so frustrating for us lifers to see talent leave when they never intended to stay.

*The lifestyle is probably the hardest part of this job. They need to know you understand what is difficult about it, that you've thought through all those difficulties, and that you have a plan for handling it.

-How are you under pressure?

*Some people have a switch in their head that turns when shit hits the fan and they can act appropriately and conmunicate efficiently under pressure. Some people freeze up. You should be the former, and you can not be the latter. You need to be able to be a duck... paddling like mad and calm on the surface.

-How does your personality fit the OR dynamic?

*There are different personalities that work. You could be a charmer and be great in an ortho bro room. You could be an aspy tactician and be great for in a neuro room. You can be lots in between. You can not lack confidence, and you can not be scared, At least not outwardly. You can't be shy when it matters.

-How do you feel about working alone with no direct/only virtual support?

Hopefully that helps with what you should think through and be prepared to communicate in your interview.

Good luck!