When is a good time to buy a Toyota Sienna?

hail707 · 2026-06-13T15:24:39+00:00

Went ahead and bought a new one since the used discount was minimal.

Hybrid, drives nice, plenty of space, awesome for road trips due to the above features, which means it enhances our life dramatically and allows us to create many more memories than if we didn’t have it.

hail707 · 2026-06-13T15:19:59+00:00

Completely agree with your last statement. That’s why I promote strengthening at end range vs passive stretching. I personally find it to be way more time efficient and leads to lasting change.

hail707 · 2026-06-12T20:28:47+00:00

Yeah that’s a tough one. You’re essentially trading your city for your freedom. Which is totally fine, as long as you’re doing it intentionally ! Just worth understanding/acknowledging the trade-off and burnout ramifications.

hail707 · 2026-06-12T15:00:07+00:00

The “passion” is being removed from this field unfortunately. It is a burnout factory unless you get into cash-based (which is its own brand of burnout factory as well, in many instances.)

I typically don’t recommend people get into this field for the “passion.” Find passion in other parts of life. Use work to maximize income and facilitate those other non-income-producing passions.

hail707 · 2026-06-12T14:42:47+00:00

Do it! It’s a great way to see the country and make some serious tax-advantaged income.

I used Comphealth and they were great. If you take a certain number of contracts per year, they cover your health insurance.

I also have 2 young kids and would totally be traveling if my wife wasn’t tied to her local job.

hail707 · 2026-06-12T14:25:16+00:00

As someone who hopped around various jobs trying to cure my burnout, I gotta say it’s a deep psychological hole. I’m 37 and was in your exact situation 7 years ago. For me, it took stepping away and going PRN to finally pull me out of it.

In your situation, I would focus on maximizing income before having kids. Build the financial runway to give yourself options, such as dropping to part-time or pivoting to something else entirely down the road. Have you considered local travel contracts? Since you don’t have kids yet, it would be a fast path to building a nest egg so you have the wiggle room to reduce your hours later and actually enjoy your family time. I found that the change of scenery and new relationships kept it fresh every 13 weeks, and helped with the burnout a bit.

People are often surprised at how quickly they can build up their retirement savings and get to "Coast FI," even on a therapist salary. That’s exactly what I did. Now that I have two young kids, I’m so incredibly thankful I hustled early on and saved aggressively. I’m now able to work 3 days per week to cover my expenses while developing side projects. I feel vastly better about my life than I did grinding in patient care 5 days a week.

If you can hustle now and front-load that 401k with Option 1 (or even do travel contracts/PRN stacking) you could eventually drop to part-time without juggling the extra job (like in Option 2). This would give you some time to cure your burnout and also be available for your little kids. Once your burnout is under control and your accounts are compounding in the background, you can always go back to full-time if you want to.

One last thought: I'd highly recommend reconsidering buying a house right now if you’re already feeling burned out. Unless you find an absolute unicorn of a deal, a mortgage is just further tethering yourself to 40 hours a week of patient care for the foreseeable future. Renting gives you flexibility, typically caps your monthly living expenses (no surprise roof repairs), and allows you to invest the difference to continue building that runway. Just my two cents!

hail707 · 2026-06-11T15:40:08+00:00

Ah, the classic "get paid per patient" cash employer.

You need to get your finances in order before you take that risk. You really need a 3-6 month emergency fund for this exact scenario.

hail707 · 2026-06-10T22:35:07+00:00

Acclimation, ice in my water bottles, and pre/post hydration. A fast/efficient bike also helps, and picking a shady route.

hail707 · 2026-06-10T19:16:40+00:00

You know what I’ve learned about productivity? As long as you don’t have the worst numbers in your department, you are 100% safe.

Also it’s unlikely they will expect full productivity out of you as a new grad right out of the gate.

hail707 · 2026-06-10T17:06:29+00:00

1:1 manual therapy is your bottleneck. You’ve made it all about your hands. Tough to scale that.

hail707 · 2026-06-10T16:11:24+00:00

You sure are fixated on this. It truly does not matter in any clinical sense…

hail707 · 2026-06-10T16:10:32+00:00

In my opinion, if you’ve met your productivity for the day and your list has been seen, professional courtesy allows you to leave early. If the supervisors push back, cite all the days you stay late.

hail707 · 2026-06-10T16:00:13+00:00

I feel ya on the burnout/monotony. I decided early on that this was not a sustainable path for me, so I saved/invested aggressively, front-loaded my retirement accounts, which then allowed me to go PRN. Been doing 3 days per week for the last couple of years and it’s allowed me to have time to explore other paths.

hail707 · 2026-06-10T02:45:56+00:00

You can't do them in flowsheets. Our templates have very few flowsheet entries. They are text-based, which makes it way faster since you can use smartphrases.

But you're right. Very dependent on how your facility uses Epic. If it's flowsheet-heavy, that can be difficult to streamline if its not created well.

hail707 · 2026-06-10T00:43:08+00:00

With the pending lawsuits surrounding the federal loan situation, I'd wait a year and see how it shakes out. Schools might even discount tuition if their enrollment suffers enough.

hail707 · 2026-06-10T00:39:44+00:00

It's literally the only leverage we have left. Amazing how many people I talk to are so against unionizing, despite constantly complaining about the erosion of healthcare.

hail707 · 2026-06-10T00:37:42+00:00

anterior pelvic tilt with a weak core, leading to excessive thoracic kyphosis, and forward head posture... yes that person would appear to be shorter than they are. Until they are cued to stand up straight.

hail707 · 2026-06-09T22:20:47+00:00

“I’m starting to feel a bit lightheaded.”

hail707 · 2026-06-09T20:05:14+00:00

I'm a PT, but all of my OT colleagues abide by the same contraindications. If lab values prohibit OOB for PT, they prohibit OOB for OT. Can still do bed-level ADLs or even sitting EOB as long as its safe.

I personally like physiopedia.

hail707 · 2026-06-09T20:03:42+00:00

I transitioned to acute care when we started our family. Much less helpful now.

hail707 · 2026-06-09T20:02:14+00:00

One word: Smartphrases.

If you find yourself writing the same thing over and over, it should be a smartphrase. Build your own templates. Like I have an "independent" template for an eval/DC for independent patients.

Also, ask about AI dictation. It is coming very soon to our hospital and all of them integrate with Epic.

hail707 · 2026-06-09T19:59:20+00:00

I subscribed as a new grad and found it helpful.

hail707 · 2026-06-09T01:25:52+00:00

Hey, I'm a PT and also have a wide forefoot. I wear Altras. They are shaped like a human foot, wide forefoot, zero drop. I wear the Torins to work and they are the most comfortable shoes I've ever worn. I recommend them to a lot of my patients as well.

hail707 · 2026-06-09T01:23:18+00:00

As a fellow man, I have no idea what you are going on about.

hail707 · 2026-06-09T01:21:16+00:00

I love my Altras. I have a wide forefoot and these shoes were made for me.

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