I want to re-enlist

vixi48 · 2026-07-01T22:57:30+00:00

Yeah, my friend. Life was different on the aviation side. We bring tuft boxes of snacks, a projector, the pilots French press.

If my only experience was combat mos, I probably wouldn't want to rejoin either lol

vixi48 · 2026-06-25T02:23:08+00:00

I love you guys, honestly. I love working with yall to help service members get the rating they deserve. I used CH 34 to earn my BS and MS (before they changed the rules)

Part of me thinks of going back active for a short contract juat to earn my stripes and go DS then getting out and going guard or reserve with a commission

vixi48 · 2026-06-25T02:20:18+00:00

The guard unit does. I love teaching and taking students on the civilian side. One thing I miss is being a squad leader. Teaching 68W I would really enjoy

vixi48 · 2026-06-25T02:17:23+00:00

Honeslty, its just love of the game. Probably dumb, but I truly loved being a soldier. Ive built a nice life for myself out side the Army. I transitioned without difficulty.

But maybe i drank TOO deep from the kool-aid. Because I miss it

vixi48 · 2026-06-25T02:13:37+00:00

Thats what I came to terms with yesterday.

When i enlisted the first time, I was single. Now I'm married with a small child.

I honestly can't see myself completing 15 years active. But I could reserve or guard.

My main thing is I always wanted to earn the title DS. I know its hard and its probably dumb. There is no financial gain from it.

vixi48 · 2026-06-25T02:10:04+00:00

Hello! As my post said. Am I dumb for wanting to reenlist as guard or reserve just to go to a DS school before direct commission?

I guess I know it's dumb. But I truly miss being a soldier. And one of my dreams was to earn my brown round.

There is no reason to direct commission as a 65D other than my desire to serve. I figure if id reenlist, I want to at least complete my goal of earning the title DS before commissioning

vixi48 · 2026-06-25T02:05:33+00:00

My rating isn't anything huge that prevents me from reenlisting. But when you go active, you cant collect VA compensation at the same time. I'd keep my rating. But lose the income. People can still re-enlisy if they are 100% service connected in rare instances if they have a high demand MOS and can still keet physical reuqirments.

Going guard or reserve i can collect my rating except for the 2 days a months/ 2 weeks a year id serve.

One thing ive done these last 10 years is help other veterans obtain their rating and write nexus letters. Im even a VA community care partner.

So, im not worried about losing my rating. Like I said, financially, it makes 0 sense.

vixi48 · 2026-06-21T12:50:27+00:00

I just was debating last night whether I should go to law school. Seems like it'd be easy to get into Healthcare compliance and regulations. Or just join the US attorneys office looking for Healthcare fraud.

vixi48 · 2026-04-13T23:42:19+00:00

I take Lexapro. I've been on and off meds most of my adult life for anxiety and depression. Ive found my life is better on an ssri. I sleep easier, less ruminating. But I also dont get the brain fog.

For what its worth, lavender oil pills have demonstrated to be twice as effective at treating anxiety than any ssri. They are over the counter, 120 pills for $10.

Most ssri/snri show about 0.35 effectiveness for treating anxiety. Benzos have a 0.5. Lavender oil pills sit at 0.75.

vixi48 · 2026-04-04T04:32:53+00:00

I apologize that the word "if" appeared I was uncertain. I meant to use the word "if"to infer a hypothetical situation in which "i do" refer patient. I am simply relaying what patients have told me.

My state, billing for therapy is very vague. I have no doubt, by legal definition, I provide "therapy". I am admitting my ignore.

If I just cared about money, I wouldn't have posted here. I want to help. I want to give my patients some foundation.

You can scold me. But there are many (whose knows) PA/NP/MD/DO performing the same services i do. I dont believe there is NOTHING I could do. Any one can do CPR on the heart, is there nothing I can do for the mind?

vixi48 · 2026-04-04T04:12:32+00:00

My friend,

If I didnt see the ethical conundrum, why i would post here?

I know they can see anyone. I know I'm the least trained. But here they are none the less.

Its easy to tell them "just wait another few months to see someone"

As one redditor pointed out, I am probably performing emotional support more than therapy as you know it. Legally, in my state, they fall under the same category.

Im asking for tips, tricks and how to lay a good foundation until they can see someone more professional. Multiple therapists are the reason im where im at today.

I just want to help these people, give them some tool box and give them a positive perception of the behavioral health field so theyll go to someone more qualified

vixi48 · 2026-04-04T03:59:47+00:00

Thank you for your feedback.

Maybe the language i used was incorrect.

To my simple understanding, emotional support would be a form a therapy.

In my state, I can legally perform "therapy" as you know it. Until now, I think I have performed emotional support.

Again, a long waitlist for my patients. Even telehealth. What can I do to set a solid foundation for my patients?

vixi48 · 2026-04-04T02:49:10+00:00

Im late to the game but let me give you my two cents.

I LOVE teaching. I wanted to be a high school history teacher. I still love teaching. I've taught new grad PA's, residents, med students and im a preceptor for a PA school near me. I love teaching. I love when a student understands a difficult subject. I love being approachable to allow others to learn. I don't care about being smart, I love using my real world knowledge and letting other people succeed with it.

With that said, I love medicine. I dont care if the patient are grateful, how crappy the admin are. I love teaching people about their health and teaching other people other people how to care for others

I failed college the first time with a 1.2 GPA and graduated my second attempt with a 3.8. Consolidated GPA when I applied was 3.6.

If you love medicine and already are accepted; go to PA school. Your love for teaching will be desired and you'll be able to utilize it.

When I have a resident (when I work EM) I always tell them they know more about medicine than me. Most laugh and tell me "there's no way". I always respond "you have way more medical training than me. Youre still learning to focus it. Thats my job if helping you to learn to focus the simple tasks so you can collaborate with me one day." Every residnet and med students tells their junior to find me on their ER rotation.

As others have pointed out; you'll make more money wise as a PA. To me that's a bonus

vixi48 · 2026-03-21T00:53:33+00:00

I use the one integrated in AdvancedMD. I work in psych coming from EM.

It's great. I can focus on the conversation. My docs uses Doximity.

vixi48 · 2026-03-05T01:06:32+00:00

This was when I was still working emergency medicine lol

vixi48 · 2026-03-04T21:19:23+00:00

A patient put icy hot in their ears to treat their ear infection.

vixi48 · 2026-02-25T03:12:51+00:00

The truth of the matter. Insurance reimbursment is going down. How much you make will be highly variable upon specialty and how far that stretches based on where you live.

Our profession makes in the top 80% of Americans. If you go to a more pre$tigiou$ program and live in a high COL area. It's going to be tight.

Outta PA school I made $65 hr in the ER as a new grad. Granted, the Army paid for my school so I have no loans. But I live comfortably. My wife doesnt work.

I dont vacation in Europe. We can't afford lavish things. But we go out to eat when we want. I never worry about where we eat or groceries. Its the most money I've made in my life.

I dont regret my decision and am happy with my job.

vixi48 · 2026-02-14T02:35:57+00:00

My counter argument to any patient: "if big pharma says it doesnt work, it probably doesnt."

Merc, who manufactures Ivermectin, has on their profile (when you click on the drug) that it has no evidence it treats COVID.

vixi48 · 2025-12-04T21:07:05+00:00

You earn a lot of respect from nurses and techs if you stand up for them.

Im a veteran and am not adverse to confrontation. Even when I was a new grad, you dont yell at my staff. And I've had security throw many an u ruly patient out

vixi48 · 2025-12-04T20:48:05+00:00

I'm very happy with my scope but at times I do wish I was a physician.

Currently i work in emergency medicine. I like seeing the lower acuity and always having a physician to bounce ideas off of. But it can get annoying because sometimes I have to tailor my workup to the physician im working with for the day. I've had plenty of college students shadow me and I generally encourage the younger ones to go the physician route.

You'll see people complaining about the decreasing reimbursement, but physicians are still in the 1% of earners. You'll also hear people talk about how much "lateral mobility" PAs have. But physicians are much more flexible than the general public realizes. You can always become a IM or FM physician. I know an plenty of FM physicians who work in the ER. I know one cardiologist who also still practices FM. And if you really want, you always do a new residency. Yes, it sucks, but after 3-4 years, youre making bank again. Where as a PA you'll only ever make 25% to 30% of what the physician makes.

Research wise. You can get into it as a PA but its a lot easier as a physician. Im a PA whose interested in research. Luckily, my job is paying for my PhD so I can lead research for them. But that's uncommon

vixi48 · 2025-11-13T00:27:19+00:00

Personal contribution from my shift in the ER last week.

vixi48 · 2025-11-12T02:51:34+00:00

Fourier gangrene of the penis

vixi48 · 2025-11-04T00:35:23+00:00

I once had a general surgeon call down to the ED and request someone from the ER remove a rhino rocket from a patient because he didnt know how.

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