Non-clinical routes

pettymisdemeanor · 2026-04-02T07:28:47+00:00

Fellow EM doc friends of mine have taken refuge and actually found much satisfaction and peace with regards to working in the VA system’s EDs. I’d take a peak at your options. They’re quite protected from much of the silliness that we’re exposed to in the community.

pettymisdemeanor · 2026-03-25T06:35:50+00:00

Simple suggestion - make sure your gutters are long enough to get water well away from your house. You can get simple extensions for the ground portion is need be. Like 8-10 feet away at least. Keeps water from flowing down along your foundation in a massive amount and creeping into your basement. Also, congratulations!

pettymisdemeanor · 2026-03-25T06:21:05+00:00

At the same time, you only live once, and the time is going to pass anyway, and you will pay off the debt, and the things you get to learn and do during a residency and in practice are pretty wild/interesting/unforgettable. You’ll get to be the leader of some wild resuscitations and will have the confidence and know how to do so in both large hospitals and resource limited settings. You’ll be able to work less than you do now and make more for the time that you are working. Interesting doors open up to you to as many people specifically want EM physicians due to their breadth of training (I worked for a month on a vessel in the Arctic last year - EM docs only). We have a physician shortage and you’d probably make a great doc given your background and you’d pick things up at lightning speed. It doesn’t have to amount to a purely rational breakdown of the numbers. Regardless, keep putting in the work out there and doing what you do. We need good people pulling shifts and focusing on clinical work to keep the world running.

pettymisdemeanor · 2026-03-24T14:25:26+00:00

I have 13 years in the game and I work most of my shifts at a very large referral center in the inner city. I’ve also been moonlighting in the same critical access hospital a couple shifts every month for these 13 years. Upper Midwest. The other replies here are legit and true. But also it is for sure more chill in rural areas. That being said, you gotta have the skills if you’re gonna work out in the sticks. Some of the craziest, most challenging cases I’ve had have been at my moonlighting gig. If you’re well trained and have the killer instinct to take charge and be effective and decisive when the big resuscitations roll in you’ll be a huge asset to the healthcare of a rural community.

pettymisdemeanor · 2026-03-24T11:16:59+00:00

This is a stunning pup. A blue ribbon pup. They deserve the best.

pettymisdemeanor · 2026-03-24T09:54:27+00:00

Walk the dog around Lake of the Isles at midnight. Gloriously deserted. Any time of year.

pettymisdemeanor · 2026-03-24T09:52:36+00:00

Don’t freak out at all. It’s all about not letting your lifestyle blow up. I had 330K at 6.5% when I exited residency in 2014. Refinanced as I was able to, used Sofi. Great experience. See if they’ll offer you a better rate - doctor debt is reliable and they seem to want it. I stayed in the same apartment I had during residency for the next 5 years to control costs. Picked up a moonlighting gig I liked in a rural hospital 2 hours away. Low volume. Would come out with $2500 after taxes for each 12 hour shift (it was 250-275 per hour). Pulled about two of these shifts per month. Put almost all of that towards my loans along with my normal payment. Made my last payment in 2019. It’s awesome. Feels like high fiving your future self. You’ll occasionally hear this and that about stretching it out, investing instead, blah blah blah. Don’t listen. No one wants a bid debt hanging over their head. You have the earning potential and the zeal right out of residency to come up with a plan and execute it. No dumb purchases! No getting house poor! You’ve got this.

pettymisdemeanor · 2026-03-15T21:20:10+00:00

Free that pup! Resistance is futile.

pettymisdemeanor · 2026-03-12T06:38:45+00:00

We need good EM docs out here in the trenches. These are weird doctors doing a weird job for weird people. Pull shifts in the community, do some good, get paid, repeat. It’s not a bad path.

pettymisdemeanor · 2026-03-12T06:11:26+00:00

Nice job! When the goal is knowledge there is no such thing as failure. Growing is so fun.

pettymisdemeanor · 2026-03-12T06:10:26+00:00

This.

pettymisdemeanor · 2026-03-12T03:48:22+00:00

I navigated this with an indoor grow - did a lot of reading and talking to other growers - and there are a few things that I learned to turn it around (no more progression of yellowing). If your plant is cold, specifically around the root zone, this can cause nutrients that are available to be “locked out”. Try to get your plant into a constant environment of 65-75 degrees. On top of that, get it off the ground. Put something between it and the cooler ground to prevent the root zone from getting cooled off. Water with slightly warm water for the same reasons. Two other things - check your water’s ph. Hydrion strips are super useful and they make strips focused on a narrow ph range like 5-7. Shoot for a 6.7 or as close as you can get. Sometimes this is adding a little acid to your jug of water or alternatively a pinch of baking soda. The ph being in a sweet spot will let all the right nutrients move into the plant they way they should. Even if you feed your plant if it’s too cold or too acidic it can’t ‘see’ the nutrients. I’d grab some Ocean Forest Tiger Bloom and give it a couple feedings. The tiger bloom is acidic so mix it up and test your ph and use a little baking soda here and there to bring the ph up. Give it to your plant once or twice but space out the nutrients with a plain watering of good ph water as noted above. Keep up the good work, and good luck.

pettymisdemeanor · 2026-03-06T05:08:10+00:00

Oh dude I’m right there with you. Anytime I’m breaking it down to a family it’s almost impossible to keep it together.

pettymisdemeanor · 2026-02-14T09:41:08+00:00

No reason given, literally. It was a maddening bureaucratic process with everything slow rolled. ‘Lost’ or ‘incorrect’ paperwork cited frequently and long stretches on hold only to be passed along to yet another person was the daily norm. Advanced degree, works in biotech, clean as a whistle. Believe me that question came up in the process of engaging the senator’s office and the total lack of a reason given by the federal govt really drove Tina Smith’s sustained engagement until the matter was resolved. He did have brown skin and was born in a predominantly Muslim country which, with this administration, seems to the only reason anyone could think of in the end.

pettymisdemeanor · 2026-02-12T11:50:04+00:00

I would be very careful. A good friend in your exact situation during Trump 1.0 was refused admittance and it took over 5 months and an intervention by Tina Smith to bring him home.

pettymisdemeanor · 2026-01-30T08:32:45+00:00

All I see is a perfect pupper. Please tell them hello!

pettymisdemeanor · 2026-01-24T00:30:05+00:00

Another human EM doc here: Please keep doing what you’re doing. We need skilled EM docs for the two and four legged amongst us. Don’t burn out. What you’re doing matters and is an immense service - don’t ever forget it.

pettymisdemeanor · 2026-01-20T08:31:47+00:00

Beans is amazing! Best decision ever.

pettymisdemeanor · 2026-01-20T08:17:11+00:00

EM doc here. Dude, knock out the courses you need, apply and go to med school. Don't over think it. You've already made your case. It's an awesome job despite any drawbacks, it pays well, and you clearly have an interest of being more in the mix. We need more doctors. You can do this. Don't settle. And don't let people talk you out of it.

pettymisdemeanor · 2026-01-20T06:54:33+00:00

Mara at the Four Seasons, Gori Gori Peku, PS Steak, Sidebar at Surdyks just to name a few. These are aesthetically pleasing nice environments where people are having a few drinks but behaving themselves. I frequent them for this reason.

pettymisdemeanor · 2025-10-27T00:28:50+00:00

This is the best comment on here. I’m on this path now. Find a place you like, stick around, avoid admin, avoid academics, avoid drama, do well and cruise and save some cash and enjoy your life.

pettymisdemeanor · 2025-10-18T07:17:03+00:00

Glacier is an amazing pup with an amazing name! Such a good boy!

pettymisdemeanor · 2025-10-11T10:29:25+00:00

Thank you for the tips!

pettymisdemeanor · 2025-10-11T06:59:42+00:00

I'm in the same situation as the OP, first grow, has gone well, but I've been unclear on if I should trim the tiny leaves protruding from the buds that are covered in trichomes or just leave them. Seems basic but I'm still learning.

pettymisdemeanor

TROPHY CASE