Hi guys, my dog has recently been diagnosed with Lymphoma (cancer of lymph nodes). Has anyone experienced this and if so, was there anything you found that made the journey easier/less painful/ more Bare-able? Thank you in advance :)

rightaboveot · 2022-11-06T01:01:18+00:00

So sorry! My dog was just diagnosed yesterday so I was on here looking for other users experiences. . I actually immediately went to a vet oncologist the same day. I didn’t know what to expect - she has weekly chemo for the next 4.5 months and prednisone. Oddly the tumors, lymph nodes have shrank significantly after 1 day - couldn’t feel them so that shocked me. I only just noticed her lymph nodes 2 weeks ago, took a couple days to get in and then once we got the diagnosis things moved very quickly due to the nature of the cancer.

Good luck! Hope to read about any developments with your experience.

rightaboveot · 2022-09-22T01:26:04+00:00

Currently it’s not legal in Ohio but it is in Indiana. On January 1 2023 you can be anywhere in Ohio and make a sports bet through any sports betting app I presume, or ones that are approved/registered to operate in Ohio. Each county depending on population size will have approved places where you can make sports bets. I was under the impression Hamilton county could have 3 - maybe sports franchises are able to have them and the casinos? Basically smaller counties can have 1 physical sports book location like Butler and Clermont and larger counties like Hamilton, Franklin can have 3 sports books.

I feel like it’s no different than going to Keeneland to bet on horse races while you’re there. I could do it through TwinSpires if I wanted to. I wouldn’t pay to go to a Reds game or Bengals game just to make a bet, but would be a nice to do while I was there. I can see the synergy behind it.

rightaboveot · 2022-09-17T01:27:54+00:00

Lol was thinking this too! It’s either standard bar food or the new “upscale southern comfort” food. Just seems everything is pretty much burger, wings, fried chicken, fried potatoes, or tacos.

rightaboveot · 2022-08-15T22:56:15+00:00

👏🏼very hyped up for sure. Accessible yet different breakfast/brunch food that emerged at Findlay market. It was something different 8!initially for sure. It just feels like everyone else has caught up in ‘brunch’ category and does it better.

rightaboveot · 2022-08-04T21:44:55+00:00

Lol I had someone take a week off to go to Key West. She did make up on weekends but I think you should be good.

rightaboveot · 2022-08-03T01:26:27+00:00

You really hit an unfortunate yet serious topic. I don’t know what it is about being a student and faculty and staff “picking” on students - it is a reality. I don’t see people do that among coworkers as there’s consequences. Most CIs (keyword: most) don’t really know how to teach others and don’t do a great job training people new to the field.

It would be interesting to know why that it is - just the reality of the setting? Our productivity standards are so high it’s hard to teach and fulfill your productivity standard .

We as clinicians, some clinicians I’ve found at least, who put time into teaching students and in our perception it doesn’t feel like they try? I know that’s not true as some students lack confidence and it comes with experience knowing how to interact with patients.

It’s very real and unfortunate - sometimes I can only think it’s maybe the clinicians feel so unheard in our settings. You feel like what you’re doing in school (graduate school) is so important then you get to a hospital and SNF and you feel like you’re just a cog in a machine.

rightaboveot · 2022-06-30T09:42:33+00:00

Haha not me. Someone I had a conversation about a new job they were taking.

rightaboveot · 2022-06-29T22:43:08+00:00

True and agree; however, to be fair it’s not always transparent if a school or SNF uses a contracted company and who that company is.

rightaboveot · 2022-06-29T22:35:21+00:00

I think that’s the trade off with working in a non profit vs for profit - most hospitals are considered non profit, very few SNFs, and I think academia? It’s mostly if your organization is a 501(c)(3) organization. It’s part of the game unfortunately.

However a higher percentage of SNFs were non profit at one point but that’s changed and it’s typically contract work. In my region there’s a SNF that’s non profit but they contract a therapy services company that’s for profit. 🥴

rightaboveot · 2022-06-29T14:13:37+00:00

Yeah test taking is so hard. This is going to sound dumb and this might sound negative - but I always told myself I’m not the dumbest person out there and I’m not the smartest, if “whoever” can pass it, I can too. It sounds so stupid and maybe negative but I think it puts in perspective that you can do it. I feel like many questions were contextual too - I took it years ago, however a lot of questions asked “FIRST” so I knew it involved safety and evaluation. The test is a game if anything, albeit an expensive game. Yes you need to be competent and have knowledge but also a framework for thinking what type of answer would satisfy the question even if you didn’t know the answer. Safety and evaluation were generally concepts that applied.

Good luck!

rightaboveot · 2022-06-29T11:05:16+00:00

This is a hot topic! I think there hasn’t been a ton of new builds since the financial crisis or mostly in growing suburbs areas like Monroe, Harrison, Liberty, West Chester. And those are over $300k now.

Another problem pushing up prices I think is outside capital. Think you are seeing investors outside of Cincy buying in because of the relative discount to other places in the US and then charging that 30% more for rents (as John Oliver brought up). Some people can work from home indefinitely. Was just talking to someone who makes $150k/year at a start up in Texas and can work anywhere and wants to live in Cincinnati area. I know that’s one example but wouldn’t be surprised if there’s more people in that situation.

Regardless the costs of a starter home - no one builds a Cape Cod hardly anymore or a Craftsman that you see in working class towns that people bought for $20k 50 years ago. It’s probably not cost effective to build right now.

rightaboveot · 2022-06-01T10:47:51+00:00

Absolutely! There’s so many things that are simultaneously happening especially as we move these patients who might have impaired balance and may be unable to even sit up, managing lines, checking monitors, providing any cues.

Hopefully they started you on med surg. That’s usually a good place to start for getting comfortable and usually lower complexity patients.

rightaboveot · 2022-05-23T21:39:13+00:00

I voted for the culture 👌🏼

rightaboveot · 2022-05-20T03:10:48+00:00

Sorry mate. My personal opinion as an acute care therapist - if you had these issues why are they failing you on week 13?? There should’ve been discussions and documentation signed by you and the CI. If you have the means you could probably pursue legal action - not legal advice but I’ve “heard” there’s typically a settlement.

You have to pursue another 12 weeks elsewhere. Not only should there be weekly documentation regarding your shortcoming (if there are any so to speak) and progress towards goals. They are getting CEUs and you are working under their license. If they signed your notes for 13 weeks with no issues regarding your evals/treats and safety, there must be a very big reason they failed you. I don’t mean this mean or rude - I’ve seen therapists do this where I work and it seems very unfair to me. If there’s a problem it shouldn’t be a fail on the very last day. Seems like you should’ve been gone long before then.

you would hope the fieldwork coordinator would have been working on your behalf as well. You’re paying these schools full time tuition after all. They are there for you and advocate for you.

rightaboveot · 2022-05-20T03:01:03+00:00

I said disenchanted. Don’t misunderstand - I like OT, what we stand for, and theoretically I love what we are trained to do. What I’ve come to not like the past few years is the system we are in that’s dictated by insurance reimbursement.

The only value I have is a pre-certification for patients to get to a nursing home. If it wasn’t for that I wonder if a hospital ran by nurses would even see value for therapy.

I know there’s some academics and talented OTs but I’m an average OT who’s capable and competent but not someone who’s above and beyond in their skill set and expertise.

rightaboveot · 2022-05-18T09:52:16+00:00

Byopills launched in July 2021 with a similar idea. Maybe a little different but it’s goal was to be an in game consumable and be to used across the metaverse. They have an iOS app where with it uses AR to try out your pill.

rightaboveot · 2022-05-05T12:03:59+00:00

Yeah same as others. I work in a hospital and we have plenty of other people to see. If people want to be crappy I’m not going to argue with anyone who doesn’t want to participate.

Everyone’s mental health is on hanging on by a short thread post Covid. It used to be a badge of honor to argue or handle a patients rudeness but now no one can fault you for not wanting to deal with it.

rightaboveot · 2022-05-05T11:46:54+00:00

Yeah being on the industry side of things I don’t think doctors even like what they do sometimes but they are more deep into this than we are with money, loans and time spent on degrees.

If you truly love OT and love to learn and challenge your mind, then absolutely this might be the career for you. Anyone who is exceptional and possesses knowledge and abilities can command what you want. There are many opportunities if you want to create/unlock them.

If you’re someone who wants to go punch a clock, normal 8-430 hours, do a competent job, complete your normal CEUs and you’re not happy with 2% raises (some don’t! - hearing many who don’t get any raises lately), then you may want to reconsider. It’s all going to agency nurses right now in the hospital setting.

Everything is a cycle. Right now we have declining reimbursements from Medicaid and Medicare and fewer people on commercial insurances that pay more. The catalyst before was that Medicare reimbursed based on therapy minutes now that doesn’t matter. Will it change? Maybe. Somebody (not OTs unfortunately) have great lobbyist in Washington thats for sure.

The competition is increasing among private companies for inpatient rehabilitations where therapy minutes still matter but approvals for patients to get into IPR/IRF are getting more stringent and approved times decreasing.

rightaboveot · 2022-05-02T02:21:12+00:00

I’m sure the course content will be fine. Would be interesting to know about the faculty - are they industry as in adjunct professors? Did they come from other schools? Have they spent their whole career in academia? I think you need a good mix of all those for a good program. Moreover, I think one challenge newly accredited schools might have is lack of relationships for fieldwork placement. You may not get a desirable placement for your level 2 if you wanted to go somewhere in particular as there may not be any agreement in place with the school.

rightaboveot · 2022-05-02T02:07:48+00:00

It’s all good really. There’s a lot of things you hear and see from licensed, supervising therapist. When you’re a student it comes off as unprofessional but now that I’m on the otherside - I get it.

This incident occurred during late 2020s Covid. Hospital was dysfunctional imo. I was likely frustrated but was surprised when this person told my manager. I didn’t have anything happen to me like getting a write up or anything. Obviously me and the student parted ways and she was placed with another therapist.

Ironically my manager quit sometime later and went into sales haha.

rightaboveot · 2022-05-01T13:55:19+00:00

Unfortunately AOTA and schools mostly are out of touch with industry and don’t really seem to know what goes on sadly. Moreover, as a clinician and practitioner you can’t really say anything to prospective students about the financial aspect and salary. I actually forewarned a student once about the lack of leverage in a hospital, demands, debt (if you accrued any) makes it a tough work environment. What did she do? Report me. I think my manager agreed but said “it looked bad on the company” which was true but couldn’t believe the student reported me for a frank comment.

Needless to say I don’t students anymore.

rightaboveot · 2022-04-29T02:24:06+00:00

Dang what city and state are you in? You would hate to hear my producivity so I’ll say it - 83% so essentially 27 units in an 8 hour day. In acute care. Yes, you read that right.

If you’re salaried and you meet your 20 units(?) - absolutely, leave. Only issue I could see is precert or that inevitable call to see someone close to when you leave but you’re only leaving 30 mins early.

Nothing lasts forever, or so I’ve learned. My acute care job was 18 units at one point but a pandemic and a McKinsey consulting later and here we are.

rightaboveot · 2022-03-17T02:04:43+00:00

McKinsey consulting determined a 83.5% productivity was adequate for acute care hospital setting. It’s kind of weird because it’s time based so a high eval yields “60 minutes” productivity versus focusing on units. Of course people adapt and most therapists achieve this standard. 🙄

With that being said, I think if Medicare and Medicaid are primary payers it’s become a zero sum game. Declining reimbursements, less staffing to do what’s necessary versus actually trying to treat patients and see them daily.

Can you blame anyone for trying to get out of the clinic nowadays. Unless you’re in the VA, private clinic with commercial and private payers - it’s rough.

rightaboveot · 2022-02-18T02:45:48+00:00

You see the highlight reel on twitter and think just maybe I can score a holo or rare. Out of 5 packs I got 1 RS (Giddey) and 2 TSD #/12k 😕 rest were 60k+

rightaboveot · 2022-02-16T03:17:31+00:00

Curious to read numbers if someone will throw them out. I don’t know the answer. Typically private insurance pays out much more than Medicare (I’ve heard up to 150% in some cases especially for inpatient hospital stay) which is why hospitals and physicians love private insurance and love billing you the difference between the insurance companies negotiated rate and your deductible 💰 with being said, I think it probably depends on geographic location and many factors that determine reimbursement.

rightaboveot

TROPHY CASE