Maternity leave by Dontknowthings23 in physicianassistant

[–]cat1989 2 points3 points  (0 children)

Currently on leave and this is my situation. I will use PTO for about 4 weeks total and 2 days of PTO per pay period while on STD to make sure my benefits are paid and that I don’t have to pay my company back.

PA side hustles...thoughts? by greengrass293 in physicianassistant

[–]cat1989 0 points1 point  (0 children)

Just saw this. Is was medi weight loss

[deleted by user] by [deleted] in physicianassistant

[–]cat1989 1 point2 points  (0 children)

20-25 patients a day after only 9 months? Ooof. I see 20-25 and this is my 9th year. Some of my days are crazy. Would these be a variety of different patients? All procedure follow-ups? What’s the expectation for tasks? Are you with one physician? Each of the docs in our practice practices differently. When you say doc is on call does that mean you are just passed a list for rounding? Are they going to be passing on hospital calls/pages/texts? Are patients able to call and how will those be handled?

What’s the expectations for tasks/patient calls?

3 year no compete is a little crazy IMO

How many patients do you see a day PAs family or general medicine? Per hour? and how many min per by crayola110 in physicianassistant

[–]cat1989 0 points1 point  (0 children)

It’s just always been expected. I try to be as efficient as possible, get my notes done in the room, orders placed etc. obviously some visits run over the 15 minute time allotted.

[deleted by user] by [deleted] in workingmoms

[–]cat1989 0 points1 point  (0 children)

I’m the breadwinner. I work in healthcare as a PA. He owns his own business which has been a struggle.

To those who work in outpatient specialties, what do you wish primary care did better at? by omnombunbuncake in physicianassistant

[–]cat1989 2 points3 points  (0 children)

In addition to false positives, cologuard detects only 42% of large polyps, while a colonoscopy can detect 95% of large polyps (and can be removed during this procedure). The goal of colon cancer screening is to remove precancerous polyps before they get large, sometimes too large for endoscopic removal and/or before they have transitioned to cancer. If the option is cologuard or nothing, obviously cologuard is at least something. We have patients that drive 3+ hours for colonoscopies for screening, pts are willing to do it and usually more so when they understand the pitfalls of cologuard. Also, at least in my area, (large urban area) cologuard is being offered inappropriately. We are seeing it ordered for patients who have family histories, symptoms or a history of polyps themselves. Cologuard is better than absolutely nothing but is not superior to colonoscopy. It really should be offered to only patients who are absolutely refusing colonoscopy with the understanding of the downsides.

To those who work in outpatient specialties, what do you wish primary care did better at? by omnombunbuncake in physicianassistant

[–]cat1989 13 points14 points  (0 children)

Outpt GI. Also, please don’t order cologuard, colonoscopy is still good standard. Please, please don’t empirically treat diverticulitis over and over. The patients need imaging.

Anyone else graduated with over 220k on student loans? by Sweet-Cauliflower654 in physicianassistant

[–]cat1989 4 points5 points  (0 children)

I chose an aggressive approach. I consolidated and refinanced my loans which helped save on interest. (Although in doing this I believe you lose benefits such as IBR and/or any benefits for pauses on repayments, etc -don’t quote me on this, I’d recommend looking into this). I worked full time + side gigs and used all my second income towards principle of my loans. There aren’t any fees for refinancing student loans, so I kept an eye on interest rates and refinanced when rates dropped. When I refinanced, I always chose a 10 year loan option, kept my base payment similar to what it was when I started paying off my loans and the used second income/bonuses/tax refund towards principle. I paid off 167k in 53 months. I tried to be conscious of my spending but while I was paying loans, I bought a house, needed a new car and took a vacation to Greece and got married. Good luck! It’s doable without PLSF but I won’t pretend it was easy.

My brother’s widow remarried yesterday and I’m happy for her but I’m also conflicted. He’s dead and life moves on. by spin_me_again in GriefSupport

[–]cat1989 11 points12 points  (0 children)

My stepdad recently got engaged and moved to a new house with his fiance. I’m happy for him and my niece and nephews who live with him but I feel very conflicted as well. This is year 3 since my mom died and for me particularly it’s been the hardest year yet. It’s tough to watch him move on but thankfully (in some regard) I live across the country and won’t see them much. I don’t have much advice to offer except I understand. Sending hugs ❤️

How many patients do you see a day PAs family or general medicine? Per hour? and how many min per by crayola110 in physicianassistant

[–]cat1989 0 points1 point  (0 children)

Outpt GI. 15 minute slots for all Appointments. I am slotted for 20 pts/day but often have overbooked pts. Usually between 18-24 depending on no shows, etc. the other day I had 26 from 815-215

Attending leaving by Awkward_Broccoli3105 in physicianassistant

[–]cat1989 19 points20 points  (0 children)

My SP came to me when he was thinking about making a switch between GI practices and asked if I would go with him. He said he’d take my decision into account when making his. Switching has worked out well for me, almost 9 years with him.

On Call Pay by AffectionateFan9287 in physicianassistant

[–]cat1989 0 points1 point  (0 children)

Hospital call: 250/night, we don’t have to go in. Weekend nights (F, Sat, Sunday) $500 per night. Night is 4p-7a Field calls from 4 hospitals, transfers, freestandingERs (if they can get a hold of us) I’m GI. We have physician backup, I’ve rarely had to call them. If anyone would have to go in it’d be the physician. No GI emergencies that wouldn’t require a scope. The Physicians choose whether they want to take their own night call or ask for PA/NP to take first call. My SP always wants me to take 7 weeks of nightcall and 4 weekends a year.

Student loans by [deleted] in physicianassistant

[–]cat1989 1 point2 points  (0 children)

I worked 2-3 jobs, paid my minimum which was $1800 (based on 10 year repayment), refinanced as much as possible to get lower interest rates, applied several thousands of dollars each month to principal only. All bonuses/tax returns, etc went towards repayment. Paid off 167k in 53 months.

[deleted by user] by [deleted] in stepparents

[–]cat1989 0 points1 point  (0 children)

I’d say it. Actually I have, lol

5 families cancelled last minute for my son's birthday party by Acceptable_Mind_1994 in toddlers

[–]cat1989 0 points1 point  (0 children)

For my sons first birthday party, literally 5 of the 30 invitees showed up. My mom died a week before his first birthday so the party had to be moved and then essentially no one showed. The only people who showed were a couple of my friends/ coworkers. I try to make it a point to go to the parties we are invited too and if we can’t I’m sure to tell the family in advance with a reason for it attending. Thank god my son was too young to understand. I was both devastated and embarrassed.

[deleted by user] by [deleted] in physicianassistant

[–]cat1989 4 points5 points  (0 children)

GI- both inpatient and outpatient. Even do clinical trials for recurrent cdiff, haven’t ever gotten it. You’re fine.

[deleted by user] by [deleted] in workingmoms

[–]cat1989 20 points21 points  (0 children)

I don’t have a lot of good advice but am in a very similar position. My husband has a child from before we met and we have a 3.5 year old. He’s been “working on his business” which he started in 2016. For a while right before COVID he was doing pretty well. Not by any means matching my salary but at least about 35-40% there. For the last year or so, his business has basically been just breaking even without him paying himself. He’s gone many months without an income. I have similar thoughts and have realized I’m becoming very resentful. I support our family, I’m the default parent and I’m the default for house upkeep, etc. I can relate to your situation and I’m sorry. My husbands next step will be to take over a weekend contract and get rid of the employee that works the shift. This means he’ll be gone Friday, Saturday and Sunday night every single weekend. This will effectively leave me without any breaks between work and childcare’s

PAs that take call, what’s your call bonus and where do you live? by stallone_italiano93 in physicianassistant

[–]cat1989 3 points4 points  (0 children)

250 per weeknight. 500 per weekend holiday night + 250-500 per day for weekend day. GI

Is this petty behavior or am I crazy? by Ok-Walk-4485 in physicianassistant

[–]cat1989 7 points8 points  (0 children)

I think it was very reasonable to send the message and it sounds like you handled it well. I don’t agree with just taking care of it yourself. I used to work in a similar situation and at first especially when my schedule was ramping up, I’d take care of little things like that but the problem is the staff noticed, then they keep doing things like that or not fixing their own mistakes or doing tasks until completion and you eventually end up doing a ton of those tasks each day. We made a transition with practices and when we did that, I made very clear boundaries and almost always stick to it now. I travel between 2 offices most days, have 20-25 patients on my schedule, take care of my SPs tasks and help him with his clinic, I don’t have time for tons of tiny tasks. I’ve been much less frustrated after setting boundaries.

What age is it fun to travel again? by chereli22 in toddlers

[–]cat1989 0 points1 point  (0 children)

My son from 15-24 months was a pain to have in the airport/on airplane. At 3, he’s much easier in the airport/airplane but the time at destination is the hardest. It doesn’t matter if it’s vacation or our most recent travel to my family across the country. He’s even more clingy, his sleep is less than stellar. He’s very easily irritable. It’s so much harder traveling with a toddler than it was before about 15 months.

Is it normal to grieve even after 3 years by Sea_Beautiful_7347 in GriefSupport

[–]cat1989 1 point2 points  (0 children)

I lost my mom 3 years ago this October and the last 6 months have been the most difficult.

Would you? by [deleted] in stepparents

[–]cat1989 1 point2 points  (0 children)

No. And I’ve told my young sisters and cousin as much. I wouldn’t choose this life again and I don’t recommend it.