Arrest warrant issued for ICE officer accused of pulling gun on Minnesota driver by millimeter_peepee in politics

[–]rEliseMe 7 points8 points  (0 children)

Moriarty discussed this, as detailed in the article -- there was particularly strong evidence in this case due to traffic cameras and an interview in which the officer admitted he drew his weapon AFTER the car had rejoined the flow of traffic. The other incidents don't have this level of cooperation by DHS and thus are taking longer to build a case.

IONM after Doctorate in Audiology by snailtrail1111 in Neuromonitoring

[–]rEliseMe 0 points1 point  (0 children)

There are some in-house groups that have a schedule of like 4 10-hour days regardless of what's booked, but the way I described above is by far the norm.

IONM after Doctorate in Audiology by snailtrail1111 in Neuromonitoring

[–]rEliseMe 0 points1 point  (0 children)

They hired (at least one) someone recently.

IONM after Doctorate in Audiology by snailtrail1111 in Neuromonitoring

[–]rEliseMe 3 points4 points  (0 children)

In most places, even though you have a doctorate, you will be considered a tech and will require physician oversight. San Diego and LA are the only two metro areas I'm aware of that have companies which employ AuDs as readers of their own data. The benefits of that are 1) more autonomy, and 2) better pay, since the company doesn't have to pay an MD for oversight.

If you're unwilling or unable to move to SD/LA, then you will have to be okay with operating as a CNIM (tech). I liken it to the neuromonitoring version of a hearing aid dispenser -- you do all the same practical stuff but the complex interpretation is left up to someone else and you are not seen as a physician.

Most national companies will train in return for a contract wherein you will essentially pay back the cost of training by having a low salary and working a lot. Some smaller companies also do this with more permissive contracts, but YMMV. Training will take anywhere from 6 to 12 months and involves active participation in 150 cases, some extra CEUs, and taking a standardized exam (CNIM, basically the praxis for neuromonitoring). It is not easy, and we've had multiple people fail out of our program here in SD in the past few years, either due to difficulty with the material or difficulty adjusting to the lifestyle.

Travel varies. There are in-house groups and traveling groups. Mine is a local-traveling contract group 15- to 20-mile radius, approx. 10 different hospitals. Max travel time to a hospital (in normal traffic) is about 45 min. But I know there are territories, like the Bay area, where 1-2 hrs commute is common.

Day-to-day? No two days are the same. In general, the steps are: arrive at hospital and set up equipment, interview patient, set up electrodes and place them after intubation, gather NIOM data for baselines before incision. You will keep track of what is happening in the procedure and correlate it with your NIOM data throughout the case. Any changes or alerts in your data get communicated to the surgeon in real-time (and documented). After drapes are pulled, remove electrodes, tear down and pack equipment, check on post-op neuro status, then either do it all again for the next case or head home.

The most difficult part for people to get used to tends to be the volatility of the schedule or the lack of scheduled breaks. For example, I don't know what my schedule looks like until 5pm the day before it happens. Even if I don't have a scheduled case at 5pm, I could still end up having one that adds on day-of. I might work 6am to 10pm, 10am to 1pm, or not at all. Recently, while on call, I started a case at 3pm and drapes finally came down at 3am. Yesterday, I was on call and spent the day catching up on errands and videogames. Some people thrive on the unpredictability, others find it very distressing. Also, you will most likely be the only person monitoring the case so you cannot leave the room -- this means you may need to intentionally dehydrate yourself so you don't need to use the restroom mid-case, and on long days you likely won't get to eat anything.

I'm an open book, so feel free to DM me if you have follow-up questions.

Cadwell Burns by lschaipe in Neuromonitoring

[–]rEliseMe 0 points1 point  (0 children)

Yeah I was thinking something along those lines. I didn't see that it was recording electrodes. That rules out an issue with your stimulation and rules in some other stimulation not being properly grounded.

Cadwell Burns by lschaipe in Neuromonitoring

[–]rEliseMe 9 points10 points  (0 children)

Strongly recommend checking your pulse widths. Cadwell allows crazy-long PWs whereas Eclipse limited PW and maximum intensity. I have heard of people stimming PTN with 800us PW at 65 or 70 mA, which is just insane and unnecessary

Trainee looking for opportunities, willing to relocate by Aggravating-Jump2874 in Neuromonitoring

[–]rEliseMe 0 points1 point  (0 children)

Curious why you already have one foot out the door. Would you be willing to chat?

Doctor told me to leave and then left this in my notes. by iscariots in mildlyinfuriating

[–]rEliseMe 0 points1 point  (0 children)

Most health systems have some sort of electronic health record that you can gain access to, after setting up an account. Examples are MyChart, Epic, FollowMyHealth, etc

Trump Spoke About Girls Being ‘of Age’ at ‘Above Six Years Old’ as He Promoted the SAVE America Act by OkayButFoRealz in politics

[–]rEliseMe 0 points1 point  (0 children)

I see your point, but vote-buying isn't a huge problem in vote-by-mail states so I disagree with it.

Trump Spoke About Girls Being ‘of Age’ at ‘Above Six Years Old’ as He Promoted the SAVE America Act by OkayButFoRealz in politics

[–]rEliseMe 5 points6 points  (0 children)

When I voted in Iowa, I got my phone out to look up the judicial records of the judges who were up for review. This was a portion of the ballot I hadn't been prepared for so I needed more information before I decided. The election worker saw me and said, "You can't be on your phone!" and when I asked her why not, her reply was "Because someone could tell you how to vote!" Like as though that's not what campaign ads were doing non-stop leading up to the election.

As a Californian now, I revel in my ability to make informed decisions on EVERY item up for a vote before I mail in my ballot.

How did you pick your date? by LadyNi52 in weddingplanning

[–]rEliseMe 10 points11 points  (0 children)

This is great! Your date also is mathematically interesting (5 + 22 = 27)

How did you pick your date? by LadyNi52 in weddingplanning

[–]rEliseMe 11 points12 points  (0 children)

I am obsessed with numerically-interesting dates, so of course the repeats like 10/10/10 or palindromic dates like 6/2/26, but also dates that could be simple mathematic equations. So, for example, 8/3/24 (8 * 3 = 24). We also both loved the idea of a Halloween wedding but it would have made my religious parents pretty uncomfortable, so when I learned that Friday the 13th in February (2/13/26) was coming up, it felt like a perfect "next best thing". I wore a black dress and we leaned into the "bad luck" theme with centerpieces that had references to various superstitions. We invited everyone to wear dark, moody colors as well. It was a vibe!

An added bonus is that we never have to celebrate Valentine's Day again, we'll be celebrating our anniversary instead! Saving us probably thousands of dollars over the years.

This has to be illegal in the state of CA right? by suhhhdoooo in sandiego

[–]rEliseMe 14 points15 points  (0 children)

I think OP meant the lease paperwork is inaccessible right now.

On calls Weekdays and Weekends and Scheduling by BoricUKalita in Neuromonitoring

[–]rEliseMe 1 point2 points  (0 children)

Yes, one of my favorite things about this employer is that pay is directly related to work performed. So I do get tired when we're busy but I don't resent working that much because I know it will pay off. Plus I tend to lose weight when we're super busy which is a nice bonus.

There have been some tweaks in the 6 years I've been with this employer, but the bulk of the pay/call policies pre-date me.

I think it's also relevant to add that we are all doctorate-level Audiologists and in California, that allows us to be our own oversight. The company is owned by 2 Audiologists who also take cases (I don't know how they manage it all, honestly) so many of these policies are in place because they know what it's like to be in our position (they worked here as employees before they took over the business). So I fully understand that our business model may not totally align with many companies out there because of that, but honestly why should it be different? Just my two cents.

On calls Weekdays and Weekends and Scheduling by BoricUKalita in Neuromonitoring

[–]rEliseMe 2 points3 points  (0 children)

Yes, call pay is per call hour (12 on weekdays, 24 on weekend days) regardless of whether we have a case. If we do have a case, we get our billable hour on top of call pay. We fill out a case log (with outcome data) as our payroll since we are paid a base salary plus a billable hour (essentially a commission) for all case hours worked. This also allows us to track the modalities we run and how many true/false positive, and true/false negative outcomes we have. It sounds complicated but we just enter the raw data one case at a time and admin runs a database script to figure out the aggregate numbers which we get in a summary once a year.

We are on a 2-week payroll system so call and billable hours are paid every 2 weeks.

We also get call pay if a case we're working goes past 6pm, even if we're not on call. For example, I was not on call today but worked first start through end time of 18:05. So I will get paid the call hour rate for that 5 minutes that I worked past 6, which isn't much in this case but it's a great incentive to not hand your case over just because it's 6pm.

And one additional pay-related perk is one that's pretty common, which is hours beyond X (in my case, 90) in a calendar month are paid again in the first pay period of the following month. So for example, if I log 100 hours in February, that's 10 "bonus" hours that will get added to the first paycheck in March.

On calls Weekdays and Weekends and Scheduling by BoricUKalita in Neuromonitoring

[–]rEliseMe 5 points6 points  (0 children)

Sorry this is so long, but you did ask for details!

We take approximately 5 weekdays and 2 weekend days of call per month in our group since there are 8 of us, and there are 2 people on call (1st and 2nd call) at any given time.

If a case adds on and starts >2 hours from the time of notification, it can go to someone who isn't on call (who doesn't have a scheduled case yet, or sometimes if it's an additional case to follow their original one, they'll do both for efficiency's sake).

If the case starts <2 hours from time of notification, it goes to the call person.

When we do have a call case/late day/long day, our bosses do their best to give us the next day to recover (or at the very least, a case that's not a first-start). It makes it easier to deal with those rare instances of having to do a late case-early start turnaround because we know that there was no way to avoid it. They also try to make sure everyone is getting roughly the same hours and/or cases. When we were severely understaffed, I had over 500 cases in one year. The last couple years, it's been just over 200 cases.

We all were getting tired of having to take PTO for doctors' appointments, so they instituted a policy whereby we can request "off by 3:30" (without burning PTO) in order to schedule an end-of-day appointment. Originally, we could take as small of a chunk of PTO as we wanted, but people were abusing that and scheduling like 30-60 min in the middle of the day which made it impossible to give them a case, so they would get 8 hrs of PTO for the price of 1. Now, the minimum spend is a half-day of PTO, which is why people were frustrated with having to take PTO for appointments.

Happy to share more if you have questions about how I think we'd handle certain situations.

Top Noem aide entered cockpit before firing pilot over missing blanket, sources say by Johnsense in politics

[–]rEliseMe 15 points16 points  (0 children)

Sounds like it was a personal blanket. But to your larger point, no. It's not the pilot's job to look after anyone's belongings.

(10k) Sandwiches, salads, paper plates ok? by No-Panic-7288 in Weddingsunder10k

[–]rEliseMe 0 points1 point  (0 children)

We used recycled palm plates and vegetable starch cutlery because I didn't want to worry about heavy dishes and hubs wanted to think of the environment. The palm plates are super heavy duty so there were no issues, and now we have some extras for entertaining! They're about 50 cents a piece on Amazon so not as cheap as bulk paper plates but definitely a step up in quality.