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  1. I'm with ya Rev, I was fortunate enough to have been one of the first vaxxed in the us back in early december. If my immunity is "hypothetically" waning then I would prefer to wait to get a booster. If I had titres drawn and it looked as if I had a significant decrease in immunity, my shirt sleeve would be rolled up. I want to see numbers at this point. I wear a mask for 10 hours a day at work, everywhere I go outside of work, truly believe there's a less than 10% chance that I hadn't contracted covid back in late march 2020 while undiagnosed covid patients coughed directly in my face while we were all unmasked.... I just want some hardcore data at this stage of the game.
  2. I started out of school just before covid came around. I had about 7 "training shifts" where I essentially saw about 5-7 patients per shift. Almost 2 years later I see 18-24 in a 10 hour shift, mix of fast track and much sicker patients winding up in fast track due to no rooms available in main ED. The first few months were terrifying. Best advice I could give, as somebody with very little experience, is ask as many questions as you need to and don't feel bad doing so. I honestly don't care anymore if my attending has 8 super sick patients and is stressed out. To this day I see something each shift that I have not seen before and will run up to my attending and run it by them. Use your on-call specialists whenever you need to. You can get through it if you start slow and accept that it is going to suck for a few months. Treat 1 patient at a time and don't worry about your total patients per shift at this point. If I have a shift that turns out to be all "express" patients, I could see 30 in 10 hours safely, but I have had shifts recently where I saw 10 because 8 of them were chest pains with elevated trop's and ICU consults.... Just do what you can do early on and get the "right" kind of experience and not "fast" experience
  3. Long story short I work in an emergency department in a very rough and underserved area in the northeast. Pre-delta, our volume had quadrupled which is now getting even worse, waiting room overflowing at all times, whereas mondays and tuesdays used to be bad and the week slowly got better. Now it is a trainwreck 7 days a week. We get paid higher than most other emergency med PA's in the state, simply because nobody would ever stay for more than their first year out of school for anything less. A huge part of that compensation are the quarterly bonuses. I went to open my bonus check, which is based not on RVU's but on an algorithm that previously ensured you would hit the max amount just for showing up and doing your job. Well it was 30% less than last year at this time. Confirmed that the other APP's had the same reduction. No heads-up, no emails, nothing. When brought up to our management, it was brushed off...basically a "if you don't like it, leave" type of feeling. There are absolutely no job openings in the area right now so I have pretty much zero leverage. What makes me angry is that compared to last May/june/july, I am seeing 50% more patients per shift, 10 times more stress, and being asked to do more non-clinical tasks. What would you do in this situation
  4. 10 years from now I see myself living under a bridge hysterically laughing and crying at the same time while the zeta variant wreaks havoc on the rest of my colleagues in the emergency department
  5. Hey ventana, just trying to add some humor here, I used to pick patient's up from the shattuck all the time when I was an emt... The NP's can happily have this one all to themselves
  6. Just wanted to check in to see how many of you have finally reached the other side. A few days after dose 1 I had some tinnitus that turned into sounds of bill gates' voice in my ear. It went away. Then 2 days after dose 2 I felt something traveling up my carotid towards my brain. Then wouldn't ya know it, Mr. Gates himself speaking to me through the nanochip. Amazing. Blessed he chose me to be the truth-teller. A little bit of pain as the device entered the amygdala but after that it was all good. I know can hear colors and see sounds. Feel great
  7. My hospital will likely be getting a shipment in a couple of weeks. I will get the vaccine right away, sign me up. It's crazy that we feel the need to justify getting the vaccine. Does that seem crazy to anyone else? It's been through 3 phases. They have between 94-95% efficacy with reported 100% chance of surviving covid if vaccinated and infected... interestingly tho, I am in no hurry to get my kids vaccinated
  8. I'm just thrilled about the 5G nano-chips that will be injected in my arm, verizon wireless has been getting crazy expensive...can't wait to become my own personal 5g hotspot
  9. Im in the boston area and see 20+ patients per shift in the ED, we are slammed 24/7, census was low in april and may and then it exploded again, covid and tons of non-covid stuff. Other than the covid burnout and overall sense of depression during the pandemic, my job has been secure throughout the whole thing, and at this point, people will never stay away from the ED because of covid surges, at least up here they don't....
  10. I can relate to so much of all of this.... I find something that is interesting and unique to us providers and something I'd call "awareness fatigue". I (and we) are hyper-aware of covid, at all times, it never goes away. Whether I'm at work or at home I am constantly thinking about which patients or people I should have a higher suspicion for. I'm not comfortable hanging out with large groups of people, and often times not even small groups of people, even outside. There has been a massive hit to my families social life whereas so many of my friends and family members had begun to relive their lives in the blissful ignorance that covid is "not that bad anymore". But I cannot escape the thought that one bad move could result in me infecting at risk family members and it is EXHAUSTING. I am so grateful to be working and being in a specialty where furloughs were non-existent, but man the day this is over or even the first day that I realize "I haven't thought of covid for a week" I will probably break down in tears. I'm very proud of what we all do and what we have endured through all of this. As with every pandemic that has hit the US, this will be over at some point....Hopefully, the day after the election (I'm sorry, I had to)
  11. I'll take the vaccine to my eyeballs if it means seeing pearl jam live again.. Just kidding, but seriously... Some great points made here. I think one thing that gets overlooked is the "how long does it take to build a house " scenario. If you have 4 people building a house it could take 6 months. If you have 200 people building a house, it could be done in 10 days. I don't think the speed in which the vaccine is being made is as concerning when you look at the unprecedented amount of brilliant scientists and researchers working on this at the same time. The "post mutation" efficacy is concerning for sure. But as many have said, if it shows a solid immune response with minimal side effects and appears safe, I would be on board.
  12. Just read the entire transcript, some really interesting stuff in here and it was actually reassuring to read
  13. Not sure if this has been brought up but I'm curious to what everyone's opinion is... We all know, especially up here in the Northeast, that this winter is going to suck, simply as Flu coincides with people moving indoors due to colder weather, and covid cases will naturally rise for the same reason/s. The ED's will be flooded with parents bringing their kids in for covid tests cause they "coughed twice yesterday" etc and it will be difficult to distinguish btw covid and flu, especially if our rapid flu test is about 50/50. I can deal with all this, I get paid to deal with all this, and I have dealt with all this since March 1st. However, my concern is this.... What happens when we have a vaccine, or multiple vaccines out at some point next year (2021 seems more realistic based on what I'm reading unfortunately) and some states remain super strict as far as what can open and what remains closed, while other states open right up again. I feel like so many people, and honestly this includes myself, have been hanging their hats on the notion that the vaccine will allow life to return to normal, or some resemblance of normal. I worry that if a vaccine is out and treatment is available in some or any form, and people are still told they can't get back to "normal" people are really going to throw in the towel and say F* it. I'm burnt out but I'm not saying I'm done fighting, I just don't think we can all live like this for, say another year (making it a total of 19 months since this started. And I'm not sure that we need to. I don't know, I'm just tired and can't wait to be able to smile at a 5 year old who is terrified with a big lac on their face that I'm about to repair knowing there is an acutal person behind the mask
  14. I'm a year into my first job out of school, in my mid 30's, and I've made 6 loan payments thus far. I started with about 196k and now down to about 184k. My partner and I are fortunate to have made about 175k on the sale of the home we bought 7 years ago. We have just bought a new home and made a small down payment as . My question, is, would you have put the 175k towards the new house, save and invest it, or pay off the loans and be debt free? worth noting, new home interest rate is 3.0 and my loans are 4.5 through sofi
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