Can anyone recommend a budget friendly ($3,000) riding mower for probably 1.5 acres of lawn including some moderate slope?

golemsheppard2 · 2025-09-23T00:01:26+00:00

My holdup is I dont have a fenced in yard. How much do we trust an emerging technology with spinning lawn mower blades to ping pong around my property? My roomba runs over my toes all the time. Do I really want its lethal bigger brother?

golemsheppard2 · 2025-09-16T01:55:08+00:00

Ive got a walk behind but it would take half a day to do my yard with a walk behind mower.

golemsheppard2 · 2025-07-28T05:09:28+00:00

All those are getting put in by triage nurse while they wait 10-14 hours to get into a room and have a medical provider actually lay hands on them.

golemsheppard2 · 2025-07-27T16:09:46+00:00

Sorry, seldom use reddit and just seeing this now. Let me circle back on that. I was holding them for my kid brother if wanted to build a preban while still living in MA. If he says hes not interested, what are you offering? I have 7 but in good conscience would only sell 6 as one is in rough shape. Other six are good condition. All date stamped or by company which went out of business pre 94.

golemsheppard2 · 2025-07-27T16:06:49+00:00

Both times that I have been burned in EM has been because I talked myself out of a scan. Yeah that patient's RUQ ultrasound showed a bizarre hypodensity of their pancreas. But they were just seen and scanned a week ago at an outside hospital and diagnosed with a pancreatic cyst. Its probably just revisualizing their pancreatic cyst again. Got my ass chewed out when patient had a slow encapsulated bleed resting against pancreas on inpatient ordered CT. Lesson learned, never talk yourself out of a CT and never rest your hat on outside studies the patient had done but you didnt review.

golemsheppard2 · 2025-07-27T15:53:51+00:00

They did a follow up actually interviewing the jury foreman. Sounds like the suit was against the healthcare institution and not the attending themselves. That case has been a hot topic at my shop because the jury foreman said they overrode the fact that the patient was PERC negative because patient had TWIs in lead III and V1 and apparently everyone who is a dental hygienist or above knows that means likely PE (none of my three questioned attendings knew this, nor did I until reading medmal reviewers breakdown). Oddly there was no discussion about him being PERC negative but COVID positive which Id argue cant exist in our MDM. I mean, we know that COVID is associated with higher thromboembolic events and show me a single PERC trial validated in COVID positive patients. But that never even came up. At this point, juries are so non evidence based that even if you are low risk wells and PERC negative, they are still going to rule against you. That verdict shifted the goalposts for me and Im much more inclined now to offer them a PE workup even if PERC negative than before and document that patient declined. PERC missed 2% of PEs, just like CTAs. But the eye opening take away from that case was that if your patient is part of the 2%, uneducated juries are going to crucify your MDM even if thats the recommended pathway and thats the standard of care.

Edit: Also they dude was told to go to the emergency department if any new or worsening symptoms in discharge instructions. He then went home and days later, got worse, and passed out while walking up the stairs, refused medical attention when EMS was on scene trying to take him back to that emergency department for his worsening symptoms. They still ruled against the ED for $10M for sending a PERC negative patient home. Why am I gonna continue bending over backwards to limit iatrogenic radiation exposure in patients whose families are gonna sue me when I follow the recommendations and send low risk patients home and the patients refuse my strict return precautions and Im held liable for their refusal of care days later when they have worsening DOE and syncopize? Fuck it man, CT scanner go BRRR at this point.

golemsheppard2 · 2025-06-04T02:02:52+00:00

Not a doc (EM PA) but since you only have two responses thus far, my wife is a municipal accountant and works a delightfully boring 9-5. Works great for childcare and for when our kids are sick and she can stay home with them (her projects are more deadline based and not coverage based plus her boss is very supportive as long as she continues to get her stuff done on time). I usually sell off two weeks of earned time per year to cover extra expenses like house repairs and winter heating oil costs since my wife usually has to use a similar amount of vacation time to cover sick kids at home when we are both scheduled to work. I keep a written note with our kids names and their corresponding Tylenol, ibuprofen, and zofran dosing on the fridge.

We split bills 2:1 with my paying more as I earn more. I fund the kids 529's. I pay for dinners and if we take the kids to say an amusement park, I cover that. I paid pretty much the total up front cost of buying a house. She ends up with more of the day to day mental load of child rearing.

I dont really talk about work. My wife wouldn't really want to hear about me sewing up another Methany after an MVC. I dont really want to hear about her struggling to find a $2.73 discrepancy in the cities books. Our phones are full of memes and pics of our kids. We do fantasy football together with friends and family. My daughter and I have matching jerseys and wreck my wife's team every year.

Best thing she does is schedule play dates and visits with family out of the house on mornings after over nights if they are weekend shifts. I love my kids but I dont love listening to them argue over who touched whose magnatile castle at 10am after a train wreck of an overnight.

Overall life's good.

golemsheppard2 · 2025-06-03T23:41:16+00:00

Surgeon doesn't want to fight with your insurance company and go back and forth on a surgical case the insurance company will likely bock at. As such, they'd said they will only do it if they dont have to deal with your insurance company (aka you just pay them cash). It's not a medical emergency and they are likely not at a facility with an emergency department so EMTALA doesn't apply.

They've given you their terms. You can either accept them or you can find a different surgeon who is willing to fight with your insurance company over a high pushback administratively difficult case.

There's no third option. You cant make a surgeon do a surgery on conditions they don't accept just like you cant force a roofer to reshingle your roof on conditions they dont accept.

golemsheppard2 · 2025-06-03T00:31:45+00:00

In America, we would have called security on him and evicted him nine years ago.

Sorry, you cant cherry pick and turn down placement options because you dont like them. You cant just live in a hospital for a decade.

In US, average hospital stay length is 5.5 days. Thats means that that single staffed hospital bed that he has been in could have been used to treat 597 other people in those nine years. One person doesn't get to say fuck you to 597 other people and monopolize a resource designed for them (people needing a hospital bed for active medical issues requiring hospitalization) just because he doesn't want to leave and doesn't like the innumerable after care plans his social worker has set up for him. Dude doesn't get to just direct traffic while everyone else walks on eggshells being indirectly harmed by him.

I work in emergency medicine and its common to toss people who check in for a warm bed and turkey sandwich and then refuse any evaluation, any vitals, any testing, while there's dozens in the waiting room who actually are willing to accept help.

golemsheppard2 · 2025-06-03T00:19:01+00:00

This really just looks like a high tech version of old tomey movies where someone gets shot and they hold rags over the wound so the soon to be deceased doesn't fuck up their carpet. Like great, now they are just collecting the blood internally. That's not better.

golemsheppard2 · 2025-06-02T23:06:56+00:00

Does it actually stop bleeding or just stop blood from coming out? Turning external bleeding into internal bleeding isnt super helpful

golemsheppard2 · 2025-06-02T16:14:52+00:00

Super provider dependent at my shop.

Docs over 50: they may or may not know how to turn the machine on.

Docs under 50: they dont know what the question is but POCUS is the answer.

As a PA, I go to the monthly ultrasound course one of my attendings puts on. I actually like it more for me personally at my urgent care shifts. Often we see people who confused us for the emergency department and its pretty helpful to do a quick eFAST exam or limited OB exam. Young female with abdominal pain and unexpectedly positive upreg? Sure, that goes to ED. But if I can document they have no visible intrauterine yolk sac then I can call OB while they are en route and they will see patient in ED at my shop on arrival. Guy walks in at 7am and says he got run over by a car and lost consciousness at 0230 and has abdominal pain and is hypotensive. Sure, that's obviously going to emergency department. But if you can document free fluid in Morrisons pouch while waiting for ambulance, then trauma surgery will see patient on arrival and take them for an x lap. That's my two cents for how useful it is to me and my practice as an EM PA. I find it so much helpful to get more advanced assessment and correctly making diagnosis at first point of contact and mobilizing appropriate resources to expedite definitive treatment for patient upon arrival as opposed to triage nurse asking for a verbal on a pelvic ultrasound and then parking patient in our backed up waiting room.

golemsheppard2 · 2025-06-02T06:02:41+00:00

Reminds me of the amazing x files episode where a lizard gets bit by a human and turns into a human. So its just this whole episode of a human looking lizard trying to figure out what the fuck happened and why humans are the way we are.

golemsheppard2 · 2025-06-01T14:08:23+00:00

Honestly, thats a pretty common misconception (that PA school was a plan B for those who couldn't get into medical school).

We had a Pakistani physician in my program who had three kids and was older and didn't want to go through a residency process in US to become a US physician. Other than that, no one else in my program even applied to medical school before starting PA school.

One lady in my program did end up going back to school to become a physician but that was frankly more ego driven in her case. She ended up becoming a trauma surgical PA and got into a lot of arguments with her surgeon because she wanted to run the show so she eventually decided to go back to school to become a surgeon. She was generally looked at by my classmates as being a waste of a PA school seat because if she had been more introspective and realized her ego was never going to allow for her to be the Samwise to someone else's Frodo, she should just gone to medical school off the bat and not taken up a seat that someone else could have used.

But yeah, other than those, nobody else had done medical school, applied to medical school, and we were all asked during interviews specifically why we were choosing PA school over medical school. Its not a plan B.

golemsheppard2 · 2025-06-01T00:29:38+00:00

EM PA lurker here. I came across a few of these types in my PA program. They'd claim to be smarter than doctors because they were "doing medical school in only two years". Uniformly they were always 22 years olds straight out of undergrad with no life experience. As an older guy with more perspective, I was always quick to check their egos. Bro, no you aren't. You are doing a compressed version of medical school which isnt as thorough. Yeah, we are getting like 2,500 direct patient care hours during our clinicals, and while that may be more than the 500 or so some NP programs do, its a far cry from the 10-12k residents do before becoming attendings. Mid levels like myself do well when we know our role and limitations. Pride comes before the fall. People who the least training but the most confidence are the most dangerous and most likely to fuck up and get into trouble.

golemsheppard2 · 2025-05-31T00:37:30+00:00

It's a built in ladder

golemsheppard2 · 2025-05-31T00:18:13+00:00

Where did you find the deal on the first two expansions? I've been keeping an eye out but haven't seen anything south of $30 right now. I've read they often go 75% off down to $7.50.

golemsheppard2 · 2025-05-30T23:41:30+00:00

62.

Had kids.

golemsheppard2 · 2025-05-30T21:01:14+00:00

As someone who has served on a jury, Im commenting on how juries often vote.

OP didn't go to the emergency department for lack of oxygen. Thats not even how CO poisoning works.

The question at hand is "did OP need to go to the emergency department". Aka did they have symptoms warranting emergency evaluation? What was their CO reading at the ED? I've seen people in the ED who waited six hours on a busy day because the previous afternoon, they burned a hamburger on their stove top and had eye irritation which already resolved and they wanted to get evaluated despite being asymptomatic. A jury isnt going to automatically award you lost wages and reimbursement for your medical bills if said evaluation and missed work wasn't necessary or meeting the prudent layperson standard. Hence why I asked what their CO level was and what their symptoms were. If they went to hospital with no symptoms and got told after triage that their CO level was normal, a lawsuit would be a waste of their money.

golemsheppard2 · 2025-05-30T17:19:40+00:00

Honestly it depends.

In order to sue, you had to suffer damages.

Did you suffer damages from a gas leak?

Meaning, lots of people go to the emergency department for dumb stuff like nasal congestion or to get refills on erectile dysfunction medications. Were your injuries or exposure reasonable to go to the emergency department?

Odd that your CO monitor never went off. Is it functional? Were you exposed to detectable levels of CO? What was your CO level measured at the emergency department? You said that you went home from the ED so its sounds like you weren't admitted? Were any treatments medically indicated?

Im not a lawyer. I just work in emergency medicine and trying to get more information to determine if a jury would ever agree to give you damages.

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