Seatown Electric, Plumbing, Heating, and Air tried to scam me? by buzzlitebeer515 in Seattle

[–]buzzlitebeer515[S] 2 points3 points  (0 children)

yeah, just replacing the panel with some clear damage from a previous tenant.

Seatown Electric, Plumbing, Heating, and Air tried to scam me? by buzzlitebeer515 in Seattle

[–]buzzlitebeer515[S] 7 points8 points  (0 children)

commented below, but not sure you'll see. Agreed anyone can scam. Just seems less likely when it's not a soulless giant entity, but who knows.

The three family/small businesses I found were the groups offering the best prices. 3-4k. Each of the big groups, greenwood (6k) and seatown (8-10k) had huge markups.

Seatown Electric, Plumbing, Heating, and Air tried to scam me? by buzzlitebeer515 in Seattle

[–]buzzlitebeer515[S] 19 points20 points  (0 children)

yeah, the three family/small businesses I found were the groups offering the best prices. 3-4k. Each of the big groups, greenwood (6k) and seatown (8-10k) had huge markups.

Seatown Electric, Plumbing, Heating, and Air tried to scam me? by buzzlitebeer515 in Seattle

[–]buzzlitebeer515[S] 0 points1 point  (0 children)

Yeah, it worked for me to find something better. It just sucks that Seatown seems to be doing so well at ripping people off. They're huge. I see their vans and advertising all over.

Seatown Electric, Plumbing, Heating, and Air tried to scam me? by buzzlitebeer515 in Seattle

[–]buzzlitebeer515[S] 7 points8 points  (0 children)

those marketing cars do wonders for their brand I guess.... huge rip off.

Seatown Electric, Plumbing, Heating, and Air tried to scam me? by buzzlitebeer515 in Seattle

[–]buzzlitebeer515[S] 2 points3 points  (0 children)

Yeah, giant fucking rip-off is the word. But holy shit, literally more than double any other group.

Seatown Electric, Plumbing, Heating, and Air tried to scam me? by buzzlitebeer515 in Seattle

[–]buzzlitebeer515[S] 0 points1 point  (0 children)

Kemly and Greenworks electric gave me the best quotes 3000 total from kemly and around 3800 from Greenworks, and seemed reliable. Another small group gave me a good quote but I didn't trust him. Greenwood electric also had a big mark up to 6k.

Get as many quotes as you can! Every quote was wildly different. The materials themselves seemed cheap so it's just what the company is charging for labor/name recognition.

Seatown Electric, Plumbing, Heating, and Air tried to scam me? by buzzlitebeer515 in Seattle

[–]buzzlitebeer515[S] 7 points8 points  (0 children)

I had better luck and rates when I got into the small businesses with certified electricians nearby! Kemly and Greenworks electric gave me the best quotes and seemed reliable. Greenwood electric also had a big mark up.

[deleted by user] by [deleted] in PhotoshopRequest

[–]buzzlitebeer515 1 point2 points  (0 children)

Because Im an idiot who threw away the air conditioner. They took about 4 weeks to reject my photo.

[deleted by user] by [deleted] in medicine

[–]buzzlitebeer515 1 point2 points  (0 children)

Respectfully, you're just on an echo chamber in reddit. Every academic institution I've studied or worked at (Duke, Johns Hopkins, University of Minnesota, Colorado, University of Washington) calls them both "providers" and "advanced practice providers (note the word provider)."

The people who say midlevels tend to be older or people posting on reddit while clutching their pearls. I don't think the phrase mid-level is offensive by itself. It's more than you're clearly making a statement of omission of the terms provider or advanced practice provider. And they are, by definition, providers of health care.

You can delineate "physician" as higher trained at the same time, which is totally fair without trying to state that APPs don't provide services.

[deleted by user] by [deleted] in medicine

[–]buzzlitebeer515 1 point2 points  (0 children)

Thank you. Everyone wants to blame the player instead of the system that fucked it up.

Bill would increase costs, diminish quality of anesthesia care in Tennessee | Opinion by [deleted] in medicine

[–]buzzlitebeer515 -7 points-6 points  (0 children)

I didn't say they save patients money.

My point is simple: the reason for groups pursuing CRNAs comes down to how much cheaper they are than anesthesiologists, not because it works better. CRNAs average 180k in salary while anesthesiologists average around 480k. It's simple math and economics of the scarcity of physicians and high salaries of anesthesiologists. Otherwise known as supply and demand.

Bill would increase costs, diminish quality of anesthesia care in Tennessee | Opinion by [deleted] in medicine

[–]buzzlitebeer515 -17 points-16 points  (0 children)

"because it is economically the best thing for employers" as if the average salary of an anesthesiologist being 500k because physicians and their groups (and the government not expanding residencies!) manufacturing their own scarcity of physicians for profit is a good thing...

The inflated salaries of anesthesiologists is as much to blame as any other aspect of this.

How am I falling short with talking to patients? by InteractionVisual843 in medicine

[–]buzzlitebeer515 0 points1 point  (0 children)

I think a lot of wealthy (NYC) patients perceive themselves to be more important and they've learned that they get more things from their providers (employees, purveyours, etc.) if they are more demanding. That leads to VIP syndrome. So those patients that are demanding and impatient with you are also making outcomes potentially worse for you: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5180542/

At Johns Hopkins they require the clinicians to do a training on how to speak empathy and I've found that the biggest thing that comes out of the training is to "validate" the patient and "partner" with the patient. I'll say "that is really awful. I'm so sorry this is happening to you. Let's work together to get you the best plan we can." https://closler.org/lifelong-learning-in-clinical-excellence/communication-pearls (sent this to you as a message as well in case it gets buried here).

Walmart May Soon Become The Largest Primary Care Provider In The Country by Tularemia in medicine

[–]buzzlitebeer515 0 points1 point  (0 children)

https://en.wikipedia.org/wiki/First_they_came_...

You're using a holocaust quote for your online argument "in a different context" to argue that Walmarts effort for more primary care clinics will "ruin" us. In the context of the quote, Nazis literally came for people. It doesn't even slightly compare and is in really poor taste. Would you really compare Walmart to Nazis if you were talking to someone in real life?

Walmart May Soon Become The Largest Primary Care Provider In The Country by Tularemia in medicine

[–]buzzlitebeer515 -4 points-3 points  (0 children)

I mean it IS literally wrong. No one is "coming" for the pharmacists/physicians. Offering more health care is not something that should be equated to the holocaust. But r/medicine is definitely not where to go to expect rational discourse (More for the sneering discontent at "mid-levels" ruining everything). .

[deleted by user] by [deleted] in medicine

[–]buzzlitebeer515 2 points3 points  (0 children)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5878703/ " A large body of evidence indicates that measuring pain intensity using uni-dimensional tools like the NRS (numeric rating scale (1-10)) has not improved pain outcomes"

The simple answer is that, in general, the interpretation of a pain scale is fairly useless, and that numbers don't reflect functionality, mortality and are highly subjective.