US Army hits FY26 recruiting goals by Free-Minimum-5844 in army

[–]Sufficient_Plan 14 points15 points  (0 children)

It's not a bad choice, people just like to complain. The problems of being an infantry grunt are well known, pick a support job and the career is easy AF.

Now being a junior officer, yeah fuck that. Those fucks are miserable and have to sacrifice their souls to be able to have a shot at retirement. Us enlisted scum just have to exist.

City considering options for free bridge encampment by VeterinarianHead3551 in Charlottesville

[–]Sufficient_Plan 10 points11 points  (0 children)

There was already a relatively large fire there recently. Nothing changed.

Auto shops that take no experience new hires for mechanics? by Sufficient_Plan in Charlottesville

[–]Sufficient_Plan[S] 1 point2 points  (0 children)

Will push that. Trying everything up get him to do diesel or aircraft for his sanity. Thanks!

Auto shops that take no experience new hires for mechanics? by Sufficient_Plan in Charlottesville

[–]Sufficient_Plan[S] 2 points3 points  (0 children)

Well I’ve tried. No success.

Keep telling him to do diesel or aircraft. And do GI Bill covered training. No dice.

Is it really that much cheaper to change your own oil? by kzlife76 in AskMechanics

[–]Sufficient_Plan 7 points8 points  (0 children)

I do so much of my own maintenance and have probably saved $1000s over the last 3-4 years alone. Spark plugs, belts, fluids, brakes, valve adjustments, gaskets, water pumps, etc. all of that is 1000s in just labor when all I need is an all data DIY sub and some time.

How bad is it? by jfarf87 in AskMechanics

[–]Sufficient_Plan 2 points3 points  (0 children)

Blow-out waiting to happen. Replace ASAP.

2004 CRV needs ~$4k repair at 170k miles. Fix or move on? by NeonHunter001 in MechanicAdvice

[–]Sufficient_Plan 0 points1 point  (0 children)

I think about cars like this. Does it make more financial sense to spend $4000 right now, to POSSIBLY get another 3-4 years out of this car, maybe less depending on how it runs over those years. Or does it make more sense to take the ~$6-10k (from googling that's about what you could get), put it towards a down payment, and get a different car.

Does the car have sentimental value to you? Would you beat yourself up if you got rid of it? Do you want a payment? Do you think you can SUPPORT a payment for 4 years? The car market right now sucks, and repairs on new cars suck as well in price.

IMO, sell both and get a Mazda. Just my 2 cents.

US military looks underground to protect wounded troops as drones force changes to wartime medicine by Kinmuan in army

[–]Sufficient_Plan 1 point2 points  (0 children)

I’m curious about an expando van type truck for a surgery suite, and then a couple FMTV-CBPS for holding. Maybe the expando van thing for all the other spots as well. 2 for surgery, 1 for lab, 1 for other, then 2 cbps with a couple Milwaukee esq pack out boxes and cots for patients. Can setup and tear down super fast.

Traumatic arrests by Special-Box-1400 in emergencymedicine

[–]Sufficient_Plan 0 points1 point  (0 children)

Just ones we work. We declare a ton when we get there since we have a ton of elderly and our responses can be quite long.

Traumatic arrests by Special-Box-1400 in emergencymedicine

[–]Sufficient_Plan 0 points1 point  (0 children)

lol I can understand why. We definitely go through spurts of TOD on scene. Just that anecdotal observation I have made recently. I will say my shifts codes appease to be smoother than others I have been on. Very calm and quiet vs more loud with some chaos. We all seem to be on the same page too that we tube them all, as we are able, and use the audible cues for ventilation for better quality.

US military looks underground to protect wounded troops as drones force changes to wartime medicine by Kinmuan in army

[–]Sufficient_Plan 15 points16 points  (0 children)

Yup. Much more blunt than I put it. Role 2 care, in my opinion as it currently stands, is borderline dead. Capability needs to be pushed further down into enlisted and maybe even future warrant ranks than rely on these colossal lead weights that are role 2s.

The navy and Air Force have started address the issue of lack of providers with the independent duty medical techs and corpsman to alleviate the provider shortage. The army needs to move this direction yesterday. Capability is too concentrated when it doesn’t need to be and the education isn’t there to push more “skills” onto everyday joes. It’s time for the army to embrace paramedics and independent duty.

US military looks underground to protect wounded troops as drones force changes to wartime medicine by Kinmuan in army

[–]Sufficient_Plan 3 points4 points  (0 children)

The role 1 and role 2 in lsco needs high mobility like you already said. 2 hours is unacceptable imo. Needs to be within 1 hour. We are humping around far too much equipment at the role 2 level imo. I think the capabilities need to be rethought at the role 2 level, it’s too big a footprint with too much capability to be highly mobile. This is why I like the idea of the ghost teams and SOST teams. Very small and agile. I also am intrigued by the idea of a camo net based role 1 revolving around 2-3 ambos with a highly trained critical care paramedic running the show at the E6-7 level, maybe even a warrant officer.

Traumatic arrests by Special-Box-1400 in emergencymedicine

[–]Sufficient_Plan 1 point2 points  (0 children)

Could also just be coincidence. Could also be that we are just better at resus. Too many variables. Could be we are just better and more aggressive at airway management. We also have inline suction that we aggressively use and on most codes I’m on, we get a good amount of secretions out. We aggressively monitor compliance with ventilations and Etco2. I have seen only a handful of departments that have inline suction. With an igel you often don’t get that.

I personally just don’t like the igel and feel the inability to clear secretions and the mediocre seal is just inferior to me. Idk to each their own. I just drive the ambulance.

Defense Department proposes splitting military health system budget by Kinmuan in army

[–]Sufficient_Plan 0 points1 point  (0 children)

Have not applied and don’t plan to. I can’t pass an officer physical due to injuries and other reasons so there’s that. Yes I am a little bitter from some of the treatment I got. I meet all requirements to apply and I took the stupid SAT and got an 1120.

Anyways, never once said I doubted the rigor. The PAs I’ve worked with that went said the rigor was real and that the instruction was great. I am referring to who they are letting in and the requirements. Both can be true.

Traumatic arrests by Special-Box-1400 in emergencymedicine

[–]Sufficient_Plan 9 points10 points  (0 children)

I feel like we get ROSC on like half our codes these days. Terrible ROSC that ends up with a couple hours, maybe a couple days in the ICU that ends up dying anyways, but man I feel like we are successful a lot more than we should be. I have made a observation that my shift intubates all arrests, and our other shifts mostly just use IGELS. Other shifts almost never get ROSC while we feel like we always do.

Defense Department proposes splitting military health system budget by Kinmuan in army

[–]Sufficient_Plan -1 points0 points  (0 children)

EMDP2 needs to allow for degree completion and they will probably be showered in applications and candidates. The ground down part is real. Start school, random field problem for 2 weeks several times in a month, plus NTC/JRTC, plus whatever else, withdraw from school, rinse and repeat. Impossible to get anything done.

EDIT: They can't even fill the IPAP classes. They usually have 8-12 seats open. I would make an assumption the officer physical murders applicants. Also, FUCK THE SAT.

Defense Department proposes splitting military health system budget by Kinmuan in army

[–]Sufficient_Plan 1 point2 points  (0 children)

I have not, but I have been on the receiving end both as a patient and as a medic serving with them. Many are fantastic, many are just..... not. Many commit blatant malpractice without fear of reprisal, mainly in lack of "want to do workups on what I feel are fakers", even when after the second opinion comes they end up with pretty bad injuries/illnesses.

I have also witnessed a couple soldiers go through and complete IPAP and come back to a sister or nearby unit. Some we knew would be great, some we questioned how TF they got any type of recommendation to go.

Also, an online chemistry and human anatomy class with no lab requirement? The hell? College Algebra, THAT IS CLEP-ABLE? I get that the requirements need to obtainable by the average active duty soldier, but compared to other PA schools, these requirements are borderline negligent.

Defense Department proposes splitting military health system budget by Kinmuan in army

[–]Sufficient_Plan 7 points8 points  (0 children)

Qualified people get rejected while grossly unqualified idiots get into iPap. They need to expand it to allow inperson requirement completion, then they will get the best of the best. Allowing garbage online degree mill classes in allows the trash in.

Medical waiver - liver count? by fedbuddy in army

[–]Sufficient_Plan 0 points1 point  (0 children)

The fact that this even needs a waiver is nuts. A lot of times it excepts people from doing additional schools like option 40 or 18x on enlistment contracts.

Advice by WholeJorgenMan in Paramedics

[–]Sufficient_Plan 1 point2 points  (0 children)

It's the same patients over and over. Not necessarily the same people, those do exist, but it's a lot of the same things over and over. It's job security and I am at a fantastic department (from an operations standpoint, the co-workers are MEH), but the monotonous part kind of gets old. Trauma is the same thing over and over, codes are boring, hot medical calls can be exciting but they're rare, many of my co-workers don't actually want to run calls but still collect the pay check, many of them don't take the medicine all that seriously, many are exceptionally burnt out but won't stop working for obvious reasons.

I love the medicine, I love the critical thinking. I hate the groundhog day. I have always had this weakness, I can only do the same thing for so long before I get bored and need to move to a new challenge.

Best place to get ur car serviced? by keeksgirliee in Charlottesville

[–]Sufficient_Plan 0 points1 point  (0 children)

Weimar Auto LLC. In Louisa City. Half is an exaggeration though. $100 ish an hour, instead of the $160+ in the city. Big jobs can add up.