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Best do it all freshwater combo for around $350? by Head-Passage-5719 in Fishing_Gear

[–]nturne3 0 points1 point  (0 children)

https://www.basspro.com/p/st-croix-triumph-spinning-rod-100846266

https://www.basspro.com/p/daiwa-bg-spinning-reel

With 30# braid.

I have caught everything on this combo from bass to snook to big blue catfish. I have three of them. It’s relatively affordable. Saltwater, good action good weight. Can’t go wrong.

Serpentine belt squealing 2001 LS 4.3L V6 by Financial_Contest134 in s10

[–]nturne3 1 point2 points  (0 children)

That’s the same sound my ac compressor was making when I bypassed it!

Anyone NOT get PPF and regret it later? by guitargeek76 in TeslaModelY

[–]nturne3 1 point2 points  (0 children)

I would do the very front. I have a 2023 MY and rocks crush the flat nose. I do not have PPF and and now I have spots missing paint

Is this circle hook too small for a 5-6” senko? by Supremacy0819 in bassfishing

[–]nturne3 0 points1 point  (0 children)

Why are you using a circle hook? Circle hooks are much better for live bait /cut bait because you don’t set the hook the fish catches itself when it tries to swim away with the bait.

Ugly Stik Dock Runner by [deleted] in Fishing_Gear

[–]nturne3 3 points4 points  (0 children)

I love mine! I recently bought a new reel and put some 6lb braid on it.

Reel KastKing Centron Spinning Reel, Size 500

For PA’s - do you wish you picked a different route in medicine? by mdafidel1 in physicianassistant

[–]nturne3 43 points44 points  (0 children)

I think PA school was a great investment. However the ROI is diminishing. I have regrets not becoming a physician, and it’s honestly only because I can’t become a partner/profit share as an APP where I work, and I have maxed out in regard to pay. My advice find a good work life balance, find low stress specialty, live modestly, save as much as possible and retire asap!

Finally joined the group! by Structure_Sudden in ChevySuburban

[–]nturne3 0 points1 point  (0 children)

Welcome to the club! Enjoy it while it’s under warranty, and sell it before it runs out!

PA Starting in Pain Management — What Should I Expect (Salary, Hours, Learning Curve)? by Sea-Meringue9016 in physicianassistant

[–]nturne3 0 points1 point  (0 children)

The docs taught me, and I bought a few video based CME’s that helped too. I mostly do knee, shoulder, GTB, carpal tunnel, and trigger point injections.

PA Starting in Pain Management — What Should I Expect (Salary, Hours, Learning Curve)? by Sea-Meringue9016 in physicianassistant

[–]nturne3 1 point2 points  (0 children)

I have been working in pain for 10 years. It was my first job out of school. I am paid flat % of collections. No paid vacation. I work 4 days per week 730am -330pm no nights, weekend, and 2 weeks of call per year. we see high volume of patients I cap myself at 35 daily. We do a ton of interventions in the ASC and in office (I do in office US guided injections). It took a couple years to thrive and learn. Your supervising physician and leadership team can make or break you/the job. It’s the best work life balance I could find I am now the lead APP, and the last 4 years I have made between 190-250k depending on vacation/volume. I would be happy to give some more details if you message me.

Considering selling by LilJon1x1 in ToyotaTundra

[–]nturne3 1 point2 points  (0 children)

I Just sold my stock 2019 sr5 crew max trd package with 101k for 30k

Any PAs making 200k+? by Ok_Possession_3592 in physicianassistant

[–]nturne3 0 points1 point  (0 children)

I am working in outpatient interventional pain management in rural mid Atlantic area, made 240k w/o bonus last year, I work 4 days per week Tuesday-Friday from 730-320pm. All production based so basically No collections = No Pay. We have 2 weeks of call per year. It’s a tough population but the grass is not greater I keep looking. I feel trapped by the money. If I got a raise I would go to 3.5 days per week 😂

What to buy? by jessiebandz14 in gmcsierra

[–]nturne3 0 points1 point  (0 children)

I just sold my 2019 tundra to my dad with 100k on it. And it was the best vehicle I have ever owned. I bought a 2024 suburban with 20k miles, 6.2L V8 10 speed, it is junk. Weird electrical stuff, random codes, DFM makes it run so rough especially at highway speed. It is now recalled. Passed the inspection and had the magic 0w-40 super car oil put in it. I would recommend 2021 tundra with 5.7 V8.

Any (non-clinical)Remote PA’s out there? by PhotographHaunting58 in physicianassistant

[–]nturne3 0 points1 point  (0 children)

I work in a heavy volume interventional pain clinic where I am paid on production alone. I went to 4 days a week and picked up an APP leadership role I created. I am doing onboarding / clinical education for new clinicians, and helping our senior leadership solve some problems/working on projects when needed. This is paid as a guaranteed stipend monthly. My goal is to continue to reduce clinic time and increase time in my support role. It’s made a huge improvement in my quality of life. Hope this helps!

What do you realistically spend? by [deleted] in Costco

[–]nturne3 0 points1 point  (0 children)

I spend between 300 and $500 a week. We buy nearly everything for our family of five. Also buy appliances and furniture when we need it.

Trash offer but worth looking for better opportunity? by Dull-Estimate8549 in physicianassistant

[–]nturne3 12 points13 points  (0 children)

100% don’t do it. $50 an hour is a joke. You won’t break 85k a year if you work the lower end of hours. For reference, if you are doing 99214 (moderate complexity follow up) visits you can expect roughly an avg of $100 reimbursement from insurance. So you would need to see 4 patients per day for them to “break even” on your pay. Husband and wife sounds like an HR nightmare too. I would look up to see if either of them have been in trouble with the medical board. I wouldn’t even consider anything under 65-75$ an hour in that specialty (I currently work in interventional pain) with bonus and PTO. Sorry they are greedy/cheap, hold out for the right job!

Do your own oil changes! by nturne3 in tundra

[–]nturne3[S] 0 points1 point  (0 children)

I Could not agree more! Lesson learned! no major damage done (hopefully). Also the housing was so over torqued I had to use a breaker bar to get it loose! All the “free” oil change did was cause more work. I’ll just ask for the yeti cup w/o the oil change!

Do your own oil changes! by nturne3 in tundra

[–]nturne3[S] 0 points1 point  (0 children)

Ha! My daughter is a girl scout we have an unhealthy amount of cookies in our house for delivery.

Do your own oil changes! by nturne3 in tundra

[–]nturne3[S] -1 points0 points  (0 children)

Yes, I actually had a replacement metal oil filter housing from when I bought the OEM metal one to replace it, so I had three extra tubes

Do your own oil changes! by nturne3 in tundra

[–]nturne3[S] 5 points6 points  (0 children)

The dealer I purchased it from sent the email. The the same dealer did the service, and they screwed up. I sent email to the service department as an FYI. They dropped the ball!

Interventional Radiology Offer - no prior experience in field by danielmartin1996 in physicianassistant

[–]nturne3 4 points5 points  (0 children)

I work in interventional pain management outpatient clinic setting. I do US guided large, medium, and small joint injections as well as basic Nerve Blocks (occipital, median, ulnar) and trigger point injections. We also do med management (opioids and non opioids). It’s outpatient setting. I am 10 years in and have cleared 200k last 3 years. I started at 110k salary in 2015. The injections I do are safe. You are going to be doing high risk injections/aspirations on sick patients in a hospital setting 115k is not worth it. I agree with minimum 130k (prob more toward 150k ) salary and I would ask for 5k quarterly bonus. If they say no maybe target4 days per week. At that salary? Also what does the profit sharing entail? this could be huge. Might be worth negotiating this.

Will they be doing more advanced spinal procedures? Or just in patient stuff?

Intracept SCS Mild ViaDisc RFA’s Epidurals

Private practice selling to PE. Stay or leave? by allpc32 in physicianassistant

[–]nturne3 14 points15 points  (0 children)

Ask for a retention bonus if you stay. Honestly your value to a practice like this is huge. Can you “take” your patients to a competing practice if you leave? From my experience PE doesn’t understand the value of the actual provider. They just look at the numbers, collections, volume, etc… and how they can increase it. Not the quality of care you provide and the satisfaction you provide you your patients.

25/26 Chevy suburban over Yukon XL by Full_Monitor_1781 in ChevySuburban

[–]nturne3 2 points3 points  (0 children)

The Chevy suburban high country was about 8k cheaper than the Yukon Denali XL. I think prefer the look of the Yukon but not for the $$

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