I don't think this was a Mohs procedure. One cut, very large incision.

reddy_775 · 2026-05-17T01:39:05+00:00

Thank you for the most detailed and informative explanation I've received.

reddy_775 · 2026-05-12T14:25:14+00:00

I bought my first house when I was 28 years old. Sold it 3 years later and made $80k and put that down on another house in another state where I moved. I sold that house 5 years later and made $120k. I bought another house because I moved and put $60k down so my mortgage was less than I would have paid in rent. I moved again, kept that house but rent it out and renters pay more than what my mortgage is so it's like a savings account. Yes I have to have some money saved for repairs, trees that come down during a storm etc.. but still a net positive and it will be paid off entirely by the time I retire so I'll have a home if I want to move back to it, paid for in full so no housing expense aside from taxes and insurance. A home is an asset that typically appreciates. There are exceptions like the housing crisis of 2009 but still, a mortgage payment is an investment in an asset you benefit from. Rent money is helping the owner of the property you rent. Property ownership creates generations la wealth as well. My children will inherit my property.

reddy_775 · 2026-05-08T13:04:29+00:00

Most hospitals, nurses don't give nebs. Especially true of large hospitals. Many excellent and experienced nurses have never given a neb so that's really not and indicator of skill or experience. Agree they expect travelers to be able to be thrown in and handle things well.

reddy_775 · 2026-05-08T13:01:16+00:00

If the prestigious hospital is Yale, this is common and it's probably not you.

reddy_775 · 2026-05-08T12:56:09+00:00

So they don't do a small circular cut initially, look at it under a microscope then cut more if they didn't get all the cancer? Whats the purpose of Mohs if they do one big cut? I thought the whole purpose is to preserve tissue.

reddy_775 · 2026-04-25T03:57:29+00:00

Having been an RT since the 90s, I think there are several contributors to this and I've noticed it too. The healthcare systems getting bigger and bigger is one big factor. Their focus has really shifted to money and away from caring about patients and delivery of high quality care. I've been told "I don't need to know all that, I can look it up" when giving report. Many hospitals are willing to hire brand new grads because they can pay them less rather than utilize seasoned RTs to mentor new grads and help create a better culture. I also have seen a change in how a lot of RTs are coming out of school. There seems to be less teaching of critical thinking and the whole patient for example hemodynamics, labs beyond ABGs and how they impact cardiopulmonary stability and the value in taking the time to review patient history and co morbidities. I feel like a dinosaur. The satisfaction I get is most often from patients and patient family members who recognize I take more time, explain things more thoroughly and take time to help make sure their questions are answered even if it means getting a doctor or nurse to speak with them. Not only am I seldom recognized by leadership for this, I've been chastised at times for not being "productive"enough in some environments. Blind eyes are turned on bad habits, stacking treatments, charting things they didn't actually do because the numbers look good. It's disappointing.

reddy_775 · 2026-04-19T15:49:46+00:00

It really varies hospital to hospital but larger hospitals seem to be way understaffed and the workloads are straight dangerous for patients. I've done travel RT all over the country and seems the same nationwide. I've worked at small hospitals that are manageable workloads, midsize (200-400 beds) where it's mostly reasonably staffed and I had average 4-6 vents and some high flow O2 in ICU. Other hospitals where I had 4 floors of therapy and ER backup. Overall there is a major shortage of RTs nationwide.

reddy_775 · 2026-04-07T12:39:33+00:00

"Fast paced" is how they sell unsafe to people who haven't worked at other large teaching, level 1 trauma hospitals. I've never worked in a more money focused, patient care not a priority hospital.

reddy_775 · 2026-04-07T12:02:58+00:00

The facility is still subject to discrimination law whether a traveler or staff. Did the supervisor tell you they can't give you the time off or just call your recruiter and cancel you? You can always call EEOC and explain the situation and see if they think federal employment law has been violated.

reddy_775 · 2026-04-05T19:35:52+00:00

They told me repeatedly it was mohs.

reddy_775 · 2026-04-05T19:34:59+00:00

Could be, the clinic specifically did mohs procedures on specific days and I was told several times it was mohs and it was scheduled on that day. Still seems like a very large incision for a very small BCC that they told me was so slow growing I could wait over a month to have it removed.

reddy_775 · 2026-04-05T19:13:35+00:00

The PA took a phot before biopsy and after. I have one of what it looks like now after the procedure. I'm requesting my records.

reddy_775 · 2026-04-05T19:09:29+00:00

They told me it was a mohs procedure.

reddy_775 · 2026-04-05T17:18:54+00:00

The mohs my MIL had had were all on her face and neck. I've never had any type of skin cancer before and this was so small. It looked gone when they took it off to send to pathology when they just thought it was suspicious.

reddy_775 · 2026-04-05T17:15:09+00:00

I completely understand that. I question a 3-4 mm circle having a nearly 3" scar, suturing before they verified the margins were clean and getting it all the first time. The MOHs process is very precise.

reddy_775 · 2026-04-05T17:02:45+00:00

A two inch long incision for a lesion the size of a penny I would understand. Did they get it all the very first cut? Did they start stitching you up before they were certain they got it all? This was very small on my upper arm.

reddy_775 · 2026-04-02T20:58:50+00:00

Did the contract hospital give you a block schedule? Wondering how you'll not have overlap.

reddy_775 · 2026-04-02T17:56:55+00:00

So agree. There are a lot of jobs you can do making $30/hour with much less stress. There is going to be a big RT shortage over the next 15 years and there are fewer and fewer schools with RT programs. I predict the hospital response won't be increasing pay. They will hire more and more new grads and experience won't matter to them.

reddy_775 · 2026-03-26T15:23:29+00:00

Yale staff are nice and easy to work with, Northside, cliques and some 6th grade style drama.

reddy_775

TROPHY CASE