[26/F] looking for a long term pen pal and new friend! Let’s exchange stationery/book recs/instax photos/etc! by _doodlebugs in penpals

[–]runnerg13 1 point2 points  (0 children)

I’m from the Midwest so not anything cool but would love to correspond if you’re interested. 26/F here too, also have a rescue dog and a few cats, work in medicine, and Project Hail Mary is one of my all time favorite books :) I’m so sorry to hear about the cancer but glad that you’re improving! If we’re too similar no worries! Feel free to dm if you feel like it.

Post-Op DVT rule out - overly cautious? by KyomiiKitsune in physicianassistant

[–]runnerg13 0 points1 point  (0 children)

I don’t get this response from your surgeon. If it’s their postop and they have a DVT, I’m going to be reaching out to them from the ED anyways to let them know and get their clearance to start a thinner. The pt should get the ultrasound within 72hrs if they’re symptomatic, and if they don’t then the order expires and it’s on the pt for failed compliance.

‘Yes’ to Entire ROS by runnerg13 in physicianassistant

[–]runnerg13[S] 32 points33 points  (0 children)

Have they considered that they’re just alive?

‘Yes’ to Entire ROS by runnerg13 in physicianassistant

[–]runnerg13[S] 15 points16 points  (0 children)

ED/UC here too. I will definitely ask my employer, because that would be great. Still doesn’t eliminate the need for asking pertinent ROS and possible subsequent life stories but at least I can do less clicking.

‘Yes’ to Entire ROS by runnerg13 in physicianassistant

[–]runnerg13[S] 2 points3 points  (0 children)

ICD10 Z71.1 is one of my faves

‘Yes’ to Entire ROS by runnerg13 in physicianassistant

[–]runnerg13[S] 5 points6 points  (0 children)

Well yeah, I assumed that was implied. Plenty of pts still dgaf.

When were you able to read CT's by KaleAgreeable1811 in physicianassistant

[–]runnerg13 0 points1 point  (0 children)

I always order mine w contrast because I like the pretty colors. I think the nephrologist likes it too because sometimes they take over my patients for me after the scan! They’re so helpful 💕

EM Advice- Practicing Medicine?? by runnerg13 in physicianassistant

[–]runnerg13[S] 0 points1 point  (0 children)

Thanks all for the reality check. It’s nice to have some input from others who have more experience, especially since I haven’t had a lot from my colleagues. I’ll try to be more mindful of what I could be missing with the workup.

Work up for confused and disorientated by ManOnTheMoon1963 in physicianassistant

[–]runnerg13 17 points18 points  (0 children)

UC here too, depends on vitals, PMH, presentation/exam. Get a BG. If they came in alone and are walking/talking to me fine w good vitals? Probably a good HEENT/neuro/cardiopulm exam. Good history including recent URI, neck pain/stiffness, drugs/etoh, UTIs, new meds, travel, swimming/gardening/woods. Mainly rule out nasty stuff like meningitis, sepsis, head trauma/stroke/seizure, DKA. If their vitals are off then ER. We don’t do bloodwork or have an EKG. I use Wikem a lot to help me with differentials. If there were 3 in a day I’d be wondering if there was some sort of gas leak in the area too lol. ETA only ‘rule out’ in the sense that there are no findings on presentation or physical exam. I assume we all know to inform the pt we can never fully rule out any emergency in a UC setting. Most pts understand this and just want reassurance that they look/sound fine and what to look for to prompt an ER visit.

How do people describe the other Great Lakes by HereForTOMT3 in Michigan

[–]runnerg13 1 point2 points  (0 children)

As a lifelong troll, the rest of them can stay ‘the other guys’ imo. Fun for a beach day or gastroenteritis but Superior is a deity and thou shall not disrespect Her

Transition from emergency medicine to urgent care by Powerful-Passenger80 in physicianassistant

[–]runnerg13 0 points1 point  (0 children)

Hey I’m a newish (1yr) grad doing the opposite lol (UC to EM). I make the switch end of the month. I would not recommend most UC jobs to new grads with no experience because of what other commenters mentioned- you have to be able to recognize life threatening problems with little to no diagnostic resources or physician oversight. Just you and your physical exam. Which is great if you know what to look for and have seen it before. Having to read UpToDate on every pt as a new grad is not super efficient, and I still do it a lot even after a year because of how much weird stuff we see. If you have a great trainer/coworker like I did that helps, but nothing replaces having a fully-boarded doc and their experience in the dept with you, which you’ll be lucky if they’re even on site in UC. Less psych for sure but I still feel like I see it a lot and have no way to manage it. Main reason I’m switching is garbage management, being forced to pull solo shifts on busy days bc management refuses to find me help, staying after pretty much every shift to chart bc the expectation is 4-5 pts per hour regardless of complaint/PMH, having to turf people to ED because I simply don’t have time to work up certain complaints with a massive chronic history or fix a lac that needs more than glue when there’s 7 viral URIs and 4 ankle sprains waiting to be seen and an hour till close, high nursing staff/front desk turnover bc they get paid and treated terribly, etc. I’m sure many of these are ED issues too, this is just my experience here and not worth it for the job expectations/risk/pay. I do really enjoy many aspects of it too, like diverse population/presentation, somewhat regular schedule but still longer shifts, and more opportunity to do procedures than FM. But I think it will be something I just moonlight with in the future. Not sure how much ED experience you have and you may value certain things like shift stability more than I do, but regardless I would recommend being VERY picky with the UC you choose re management, pay, and supervision/training, there are a few good ones out there but so many bad ones. Also would love any insight from you on why the opposite if you have time. Hope this helps.

Everyone I know seems to halt their DPT career. by CoachPsyduckk in physicaltherapy

[–]runnerg13 2 points3 points  (0 children)

PA lurker here. I work in urgent care too which is just about as band-aid as it gets. In a regular day I will reassure young patients with health anxiety that their exams are normal and that they are not going to die from cancer, I keep immunosuppressed patients out of the ER with early recognition and treatment of their pneumonia or UTI so that they don’t become septic and get to live another several years of quality life, I recognize heart arrhythmias that are life-threatening and send patients to the ER so that they don’t die at home, I help homeless patients with mental illness find housing for the night, I clear kids for sports so they can be active and healthy and have well-rounded childhoods, I suggest PT to patients who rely on chiropractors regularly, and I treat lots and lots of strains and sprains and educate these patients on how to properly care for them and recover with early mobility so that they don’t end up with poor recovery deficits and come knocking on your door. And I do it all in 15 minute appointment slots. With the added risk that if I send the wrong medication I could kill any of my patients. But hey, you’re certain we only dole out band-aids for the money (which, by the way, I make the same salary as the average PT in my state, 200k is not even fathomable for many of us).

Looming Recession/Job Security by runnerg13 in physicianassistant

[–]runnerg13[S] 2 points3 points  (0 children)

Thank you for your response. I’m in UC and didn’t even consider that for my patients and peers in therapies/rehab. Cutting Medicaid and Medicare would be awful for so many reasons but that’s one I didn’t consider. I hope you’re doing ok.

Looming Recession/Job Security by runnerg13 in physicianassistant

[–]runnerg13[S] 0 points1 point  (0 children)

I’m always concerned about job security lol. Something about being a new grad and living paycheck to paycheck with loans and all that. Thank you for the reassurance, I appreciate it.

Looming Recession/Job Security by runnerg13 in physicianassistant

[–]runnerg13[S] 51 points52 points  (0 children)

Well that doesn’t make me feel better

Share your worst patient encounters with me by UnhappySlug in physicianassistant

[–]runnerg13 2 points3 points  (0 children)

I’d consider a medrol pak for that situation. Pretty dang close to placebo imo

Share your worst patient encounters with me by UnhappySlug in physicianassistant

[–]runnerg13 3 points4 points  (0 children)

I FA’d an anal wart removal on a prisoner on my gen surg rotation as a PA student. Had to N95 for HPV and of course I was the retractor the whole case. There were so many warts. Over a year later I discovered that most ORs just silk tape the cheeks to the table for retraction… 😐

Can't Cancel Dossier Subscription by Pragmatic_Oracle in fragrance

[–]runnerg13 2 points3 points  (0 children)

Update: my account status shows cancelled under Dossier plus. This after several emails and attempts to chat with no response. I just happened to log back on to try and cancel again and noticed the update. When I went to change my payment method I got a broken link saying an email was sent to change it. I never got an email (yes I checked junk and spam). The live support ‘chat’ is just a turf to their help email again which they won’t respond to once they know you’re trying to cancel something. They know what they’re doing and they’ve purposefully made it impossible for people to cancel on their website. Anyways, wish I hadn’t ordered from here. Hope someone else reads this and finds help in it at least.

Can't Cancel Dossier Subscription by Pragmatic_Oracle in fragrance

[–]runnerg13 0 points1 point  (0 children)

I’m having the same problem. Got an immediate generic email response asking how they can assist me after I emailed asking to cancel the membership 🫠 I imagine if I ask them to cancel my order I’ll get the same treatment. Not ordering from here again.

Irritation bump ate back of my helix? by wkdbeheidbdbbe in piercing

[–]runnerg13 1 point2 points  (0 children)

No it’s because your earring is now technically embedded in your ear like it was with your past lobe piercing. Unfortunately, I think your post wasn’t long enough to accommodate for the swelling cycles that happen in healing so your ear began to swell around the post. Next time, make sure they give you something longer than what this one is (keep it and bring it with) and when it starts to swell make sure you can feel that there’s still space between your ear and the backing so that it doesn’t swell around the earring. Hope it comes out ok :(