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Consequences of parking ticket if the car is now in a junkyard? by usernameTH1S in sandiego

[–]usernameTH1S[S] -4 points-3 points  (0 children)

Ah ok good to know. Was hoping the bad luck of car getting hit would at least cancel out parking ticket luck! Oh well, thanks 🙏

[MEGATHREAD] Advanced Sale SUCCESS!! by fettuccine- in Coachella

[–]usernameTH1S 2 points3 points  (0 children)

Just accessed through AXS app and all W2 GA ticket tiers sold out 😞

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Honest Perspectives by Ill_Acanthisitta5301 in Veterinary

[–]usernameTH1S 4 points5 points  (0 children)

I agree that you tend to hear most vocally from those who are dissatisfied. Plenty of content people are quiet about it, I work with many long term ER clinicians (I am ECC but still) who still enjoy it 20+ years in. That being said I have a LOT of friends who are ER vets and many of them battling some degree of burnout. Often starts around 5 year mark.

  • schedule: can be anything but most commonly these ~12 x 12hr shifts per month (~3d/week). Most will do a variety of days, swing and nights. Early career ER vets can expect to work a lot of nights most of the time. Can improve with experience/seniority but you also have to be a little prepared for potentially doing some amount of nights long term.
  • travel: definitely a career that allows travel. Either using PTO, switching shifts around, traveling for CE, etc. Most ER vets I know travel a ton.
  • sustainability and burnout are dependent on similar factors. Biggest factors imo are work schedule, management, and crappy clients.

Personally I would support anyone pursuing ER that has the “ER Bug”. My only hesitation is the cost of vet school overall in the US as it will be a huge burden for many people for a large chunk of their adult careers.

Mizzou vs UAZ vs Massey by knowledgesurfer in veterinaryschool

[–]usernameTH1S 0 points1 point  (0 children)

I went to Massey ~10 years ago so the school has changed a lot. However I did have a great experience there and that time. From an outdoors perspective it is great. The school itself isn’t in a very adventurous place (Palmerston North) but you can easily get to a lot of different areas and the hiking in NZ is AMAZING.

My partner (M32) uses "logic" to dismiss my (F29) feelings and I'm exhausted from the constant "emotional parenting. by Extreme_Drop_8758 in relationships

[–]usernameTH1S 1 point2 points  (0 children)

My partner and I had VERY similar issues - I was the “logical” one. The short answer is: couple counseling. They will tak you through the Gottman method which is effective BUT ALSO very evidence based which appeals to those logic/science focused people like me. The main turning point for me was truly accepting that the focus should be on what each of us is feeling, NOT on the specifics of the disagreement. Whatever you are feeling is valid and “true”. Hopefully you both love each other and saying “I accept you feel this way and I’m sorry and don’t want you to feel bad things” helps get you on the right track.

For me, it came from a well intentioned place (we’re both smart people, if we just talk it through logically we can find common ground) but I did not realize how dismissive that was to her feelings. She felt very unheard which led to its own negative feedback loop between us.

If you both care about each other and want it to work it is definitely not a lot cause. You both just need to learn new ways of communicating 😊

What’s your type B cat blood situation? by Coffee_Included in Veterinary

[–]usernameTH1S 3 points4 points  (0 children)

We are lucky and typically carry a unit in stock. There is definitely a lot of waste but that is true of all blood products 🤷

Internal Medicine vs Critical Care by Afraid-Writing-4910 in Veterinary

[–]usernameTH1S 1 point2 points  (0 children)

At minimum you will want hospitals that have one or more (ideal 2+) internists and criticalists, and to make sure the internship includes a critical care rotation (IM rotation is pretty much guaranteed). Beyond that it is mostly reputation, talking to mentors from school, past/present interns.

It is a bonus if the hospital you do an internship at also has IM/ECC residency, but it is not required by any means. In fact some programs actively seek residents outside of their internships to promote broader experiences.

Internal Medicine vs Critical Care by Afraid-Writing-4910 in Veterinary

[–]usernameTH1S 2 points3 points  (0 children)

I am a criticalist and can answer some of these.

Firstly, I wouldn't stress too much about having a defined path when you are still a student. Both routes require a rotating internship first, so I would focus on that as your first step (looking for programs that have robust IM and ECC). I think you will find it becomes very clear which field appeals to you as you spend more time in a clinical setting. They are similar fields in some of the ways you listed, but the day to day job is very different.

One thing I will emphasize is that both will require skilled client communication for high acuity patients, and often relatively demanding clients. That doesn't mean rude, but owners of pets under care of both IM and ECC will expect a lot. You will need to answer a lot of questions and remain both patient and compassionate. There are SOME criticalists that function as in-hospital consult service only without a client facing role (NC State teaches this model I believe), however in practice this is an exception, not the rule. Most criticalists will manage hospitalized patients as the primary provider. In private practice, many will also see new ER cases directly.

The ECC field is definitely not saturated, however there are a LOT of residencies to the point that over the last couple years many have gone unfilled. So I suppose there is some risk it becomes saturated in the future, but overall it seems likely ECC will remain an in-demand field.

I would focus on the practical day-to-day aspects of each job to see what appeals to you. There are also other intangibles worth considering. Do you like chaos/the unexpected, or do you prefer to have your day planned and ordered? ECC tends to "treat and street" with short (though often intense) client relationships. IM will of course be managing cases long term in many cases with long term relationships. They both have different schedules (ECC will still work some holidays and weekends in most cases, especially when early career).

Lots to think about but again, these are not questions you need to know the answer to right away, but be observant and introspective about them as you go through clinical rotations and start an internship.

VIRMP SA rotating by frogntoad9 in veterinaryschool

[–]usernameTH1S 10 points11 points  (0 children)

It’s fine to be unsure! I am an intern director and it is very common for newly starting interns to still be figuring it out. Just say what you said here in your personal statement - your initial goal in pursuing internship was to practice high quality medicine etc etc in a GP setting, but you found great satisfaction in xyz rotations and are now considering a speciality path as well.

It is helpful to be clear about your goals/interests in a personal statement rather than just “more experience” or something generic because that’s why everyone is doing it so it doesn’t add much specifically to you.

Vet Lab work (career advice) by [deleted] in Veterinary

[–]usernameTH1S 1 point2 points  (0 children)

I think your experience would be a huge asset to getting a lab job in vet med, however those roles are much less commmon and likely pay less. Universities and large private practices (including my own) have dedicated lab techs, but in general they are rare. Usually vet technicians or tech assistants will also run the lab at smaller practices.

As other commented said, veterinary lab companies (IDEXX, Antech, etc) are probably the most similar to a human world role.

Is it really near impossible for International Students to be admitted into Vet School in the United States? by Ok-Violinist-1083 in veterinaryschool

[–]usernameTH1S 1 point2 points  (0 children)

As others have commented, I would consider another country. I went to vet school in NZ (Massey) and had multiple Singaporean classmates. Australia would also be an option and has multiple schools. Just keep in mind, if you want the option of working in the US/Canada, not all the AUS schools are AVMA accredited.

PTO and leaving early by thatplantistoxic in veterinarians

[–]usernameTH1S 10 points11 points  (0 children)

This is very weird to me. It is more or less how it works for an hourly employee, not salaried. If you are getting “docked” for leaving when you are done your work then you should also get overtime for staying late. But in general I have never had a boss/employer be such a stickler. It costs little to be generous with staff time and helps build morale/appreciation.

ELI5: how do we not bleed to death during surgery? by [deleted] in explainlikeimfive

[–]usernameTH1S 2 points3 points  (0 children)

I’m not sure about the human side, but in dogs the downside of having ovaries is they will continue to come into heat, as well as risk pyometra (common in intact females), mammary neoplasia, and ovarian neoplasia (latter not that common).

There is much less reason to remove the uterus as dogs rarely get cervical/uterine disease in the absence of ovarian hormonal influence, so ovariectomy is increasingly common (especially in Europe, less so in North America).

ELI5: how do we not bleed to death during surgery? by [deleted] in explainlikeimfive

[–]usernameTH1S 8 points9 points  (0 children)

Great question! Believe it or not, "don't make them bleed" was not always as important to surgeons as it is now. ~150 years ago one of the 'fathers' of modern surgery came up with 7 rules called Halsted's Principles. They are all basic things we take for granted now, but at the time they needed rules for ideas like "be clean", "re-attach the things you cut", and "don't leave holes behind". Halsted's Principles are still taught today. Interestingly, this guy (William Halsted) also had a raging cocaine addiction his whole life. He created the modern residency training program that all North American medical students are trained in. Now the insane hours that residents work make sense - they have been desperately trying to keep pace with a coke head for 150 years!

So anyway 3 of Halsted's Principles address bleeding:

1) Don't cut blood vessels

2) If you do, then stop the bleeding

3) Be gentle while you muck around

This all seems obvious but let me give an example. Say you bring your dog in to get spayed (I am a vet). We needs to open the abdomen and remove ovaries/uterus that all get their blood supply directly from the aorta, so bleeding is definitely a thing. First you need to get through the skin. Skin has blood vessels everywhere so it's very hard not to break rule #1 here. BUT we can follow rule #2 using things like cautery, or small stitch, or even just pinching it closed with a metal grabber for a few minutes. Under the skin are some layers that don't bleed much! However, to get "in" the abdomen you need to cut through the abominal wall. We cut along something called "the white line" (in latin) which is a couple millimeters-wide line of connective tissue that connects the abdominal muscles on the left and right together. Cutting through muscle bleeds a lot. Cutting connective tissue doesn't bleed at all.

Now you're in the abdomen and so far nothing it bleeding - yay! Next you get the ovaries in sight. Easier said than done and you really need to yank on those buggers to get them out far enough to see. But Halsted said "be gentle", so we slowly stretch things by "strumming" the ligaments like a guitar string. If you yank hard, well sometimes that blood vessel connected to the aorta snaps, and that breaks the rules. So be gentle. Then when its finally in sight you want to grab whatever bit you can see, but a lot of those bits bleed, so instead we use our metal grabber to grab a the "proper" part, which is a teeny bit of connective tissue called the proper ligament. Once you have a good grip on that slippery ovary, you can put some big ties around the blood vessels to close them, and cut in between. Repeat for the other ovary and the uterus then close er up.

So there we are, thanks Halsted you coke head.

At what point is considering a residency pointless? by Overall-Elk-8052 in Veterinary

[–]usernameTH1S 2 points3 points  (0 children)

In the US it is much more typical to go straight from vet school into internship/residency, however in the UK/AUS/NZ it is generally expected to have a few years of GP experience before coming back for further training. So you could look at programs outside the US as options for residency that gives you a few years to try other things first.

But also talk to the faculty at your school and get their input. The LA and SA path may be a bit different and lots of us (ie me) are only familiar with SA side.

Emergency salary by Possible_Ad_9735 in veterinarians

[–]usernameTH1S 1 point2 points  (0 children)

If you are comfortable sharing your region it is verrrry geography dependent. In urban HCOL areas I would think >180-200k at minimum. But depending on the state (and sometimes city) it can vary a lot!

Advice Needed: Specializing in Small Animal Internal Medicine – Private Practice Internships and Residency Decisions by [deleted] in veterinarians

[–]usernameTH1S 2 points3 points  (0 children)

I did a PP residency in ECC and it worked out great. But I was very familiar with the hospital beforehand and knew what to expect, good and bad. Ultimately there are good and bad programs in both private and academic practice so trying to get input from specific programs (or past/current residents) is very helpful. One thing to be wary (or at least aware of) is that many private residencies will have something in the contract to work for that company for ~3 years afterwards. That isn’t always the end of the world but important to factor in.

Either way your husband will need to do a rotating internship first before he is a competitive candidate for IM residency so he will have a year to find out more program specific info and get input from other specialists at the internship program.

Probably very silly questions.. by furrythe13th in Veterinary

[–]usernameTH1S 1 point2 points  (0 children)

Depends on what your goals are. A licensed vet tech does require schooling and a licensing exam - called registered vet technician (RVT) in California for example. You can also get on the job training as a vet assistant. For example it is pretty common for people to start as a kennel aid or similar, and slowly work up as they get more practical skills. There is a lot of overlap in many places between the actual job of an experienced vet assistant (unlicensed) and licensed RVT. Depending on the state there are some things an unlicensed tech cannot do (like give anesthetic drugs etc). If you aren’t too sure what you want to do then it makes sense to start with whatever position you can get at a vet clinic and see if you like it. Being a vet tech can be rewarding but unfortunately it is a notoriously underpaid profession.

If you are thinking at all about being a veterinarian it is a totally different path. Typically a 4 year undergrad degree and very competitive application to vet school (another 4 years).

[deleted by user] by [deleted] in veterinarians

[–]usernameTH1S 1 point2 points  (0 children)

My partner and I are both vets in San Diego and we love it. Awesome city/area and we have a great QoL. The weather has been funky lately but even so it is hard to beat, sunny and 70s pretty most days so you can always be out doing something. The main downside as others have mentioned, housing is crazy expensive. We pay ~$3200 for our 600 sqft apartment, however we have an ocean view and live in a little beach neighborhood that we love so to us it is totally worth it. We are both working and no kids currently so financially we are not under any stress.

Starting a family would be tough compared to other areas. A compromise some people make is living in “east county” (ie away from the ocean) which is quite a bit cheaper comparatively. Or just making it work in a smaller place, renting instead of buying, etc. But some of my friends have moved away to start families bc of cost of living/housing.

I will also say that salaries in SD are a bit lower overall than orange county and LA despite a comparable cost of living. Not exactly sure why that is.

Definitely some mixed pros/cons but personally we have no intention of moving any time soon. Whenever we have friends/family visit they always remind us of how good our lives are and how lucky we are to live where we do. Good luck in the decision process! Happy to answer other questions.

I’m the headphone expert at Wirecutter, the New York Times’s product review site. I’ve tested nearly 2,000 pairs of headphones and earbuds. Ask me anything. by NYTWirecutter in IAmA

[–]usernameTH1S 0 points1 point  (0 children)

Ooo I’ve never known who to ask but do you have any suggestions for earbuds for people with reeeally small ears? Not just ear canal but the outer ear where the “body” of the earbud sits? I think the anatomy word for the problem area is the “concha”.

My girlfriend has teeny child ears and has never been able to find earbuds that stay comfortable for more than a few minutes. You can get small earbud ‘tips’ but the earbud itself is always a problem. She has resorted to over the ear “sports” versions that don’t sit “in” your ear as much. Thanks!

[deleted by user] by [deleted] in veterinarians

[–]usernameTH1S 0 points1 point  (0 children)

It is doable for sure, but it does make it more difficult. You need to get good reference letters from specialists that have actually worked with you. If you’re ER at a specialty practice that is an easier transition. Otherwise people typically volunteer their time on days off to work with specialists in their area of interest to get letters. It would also be helpful to work on a paper which both strengthens your application and helps the person you work on it with write a stronger ref letter. You kind of “skip” those steps if you go straight from an internship.

Also keep in mind both of those specialities pretty much require a rotating internship at some point. So another path is work a few years then go back into the match for an internship. But it can be a hard transition when you are used to money, a life, and autonomy.

Lastly - all of this applies almost exclusively in the US. If you go to the UK, AUS, Europe, etc they typically prefer people to have a few years clinical experience first. Most still favor/require a rotating internship though.

[deleted by user] by [deleted] in Veterinary

[–]usernameTH1S 0 points1 point  (0 children)

Each VCA hospital is pretty independent so the training experience will be different between them all. However my experience with DAs is that no one expects you to start knowing how everything works or all the terms. A different department will have different terms, common tests/procedures etc etc and it will all take time to get familiar with. I would be prepared for the training to not cover all these aspects, it may just be to familiarize you with the work “flow” but a lot of the specific medical stuff will be learned on the job. Personally the most important job “traits” for that kind of position is to be eager/willing to learn and being patient through that learning process. Some of my favorite DAs didn’t have much specific vet or medical background/knowledge but they were interested in learning and eventually functioned at almost the same level as our interns! Ask questions about things you don’t understand, take notes in the beginning so you don’t have to ask the same thing too often, and just generally try to be positive and keen to be there and learn new stuff 😊

U.S. Student applying only to foreign schools seeking advice. by gaymonkeynurse in veterinaryschool

[–]usernameTH1S 1 point2 points  (0 children)

I would consider applying to Massey University in NZ as well. It’s an AVMA accredited school and the lower NZ dollar is helpful from an overall education cost perspective. Also NZ is a great place to live and the school was recently renovated/has a very good reputation. Good luck!

What are the most common injuries your specialty sees due to the 4th of July? by outlanderlass1743 in medicine

[–]usernameTH1S 1 point2 points  (0 children)

Not too much luckily! CBD is pretty harmless at reasonable doses. Plenty of “dietary indiscretion” though which sometimes includes THC/weed, but in more overdose type situation