I’m finding it harder and harder to give my patients the care they deserve with all the corporate policies in place. From restrictive appointment times to mandatory documentation requirements, I feel like I’m constantly battling the system. For example, I only get 15 minutes per patient, which leaves little room for genuine conversations about their concerns. I try to push back when I can, but it feels like a losing battle. How do you all handle these restrictions and still deliver personalized care? Any strategies for advocating for your patients while navigating corporate red tape?

529 Plan VERSUS Prepaid

We live in Florida and currently have a Freshman in High School and a 16 month old. We hear from our friends and family with college bound children "I wish we would have done Florida PrePaid." After obviously ignoring this for years, we are finally trying to do it before "it's too late" for both children.

Does anyone have recommendations on which plan to go with for each child? I once did the pros and cons on a whiteboard and it seemed like 529 was better.

Please tell us, since COVID started:

-weirdest thing you've eaten
-weirdest thing you've watched
-weidest thought you've had.

I am trying to practice a version of intuitive/mindful eating - honoring my body’s hunger cues and not sticking to a timeline or plan as to what and when to eat. But tbh years of “dieting” has screwed over my ability to recognize hunger cues. I suddenly realize my hunger after not eating for 10+ hours and then I’m ravenous and would just eat anything. Anyone dealt with this have any recommendations? TIA

Got into fitness roughly two years ago and stuck to a pretty strict diet. Right now am unable to bring myself to drink or even just eat the food I like cuz they are all unhealthy carbs. Anyone? 😞

Anyone buy les mills bodypump for at home? I started going to classes pre-COVID and really loved it. Curious about the at home experience. OR any experience with Beachbody Lift4 program?

Today Pfizer announced that trials show that their vaccine is 100% effective for teens ages 12-15. Do you think most of our students will get it for next year?

Here is my dilemma: I was passed up for manager promo last year and rightfully so a lot of my feedback was definitely correlated to me not properly handing my symptoms causing a good bit of inconsistencies in my performance especially if I lacked interest. This year I’ve crushed it and switched up projects off of ones that I’ve long been on. The few people who “advocate” for me seem to be stuck on things that seem either 1) so unsubstantiated and show that they are too far detached from the …

To do an ERA or not before transfer is the question. My clinic said currently the recommendation is to only do an ERA with multiple transfer fails, but I’ve read about ERA’s for those with recurrent pregnancy loss as well. Anyone go through this experience?

Is anyone aware of studies on how safe tented outdoor dining is? Here in LA I’ve been seeing very elaborate renting that basically looks like indoor dining and feel like that defeats the purpose of eating outdoors to reduce transmission.

I just found out I am pregnant and the person is not a believer. I know i have sinned, and now i am so lost. Abortion has crossed my mind multiple times. Not sure what i am doing posting here, I just needed to vent.

Changes in the healthplans are going to drive me to spend hundreds in out of pocket early on and I'll meet my deductible whether high or low. Any advice on how to choose a policy?

CNN And FOX stfu about COVID real quick with this Ukraine/Russia stuff going on.

How is everybody doing with the lockdown? Dealing with the stress of an ongoing divorce and loneliness is driving me nuts

Going through a miscarriage at the moment. Was 5 weeks-ish in and did three days of HIIT workout and here I am. I’m young so not that sad but I just hope I don’t have to get the D&C surgery. :(

We recently got the ok to schedule our orientation and delivery date for our IVF medications and all I have to say is ADVOCATE FOR YOURSELF! My husband has dermatomyositis, and his doctor put off treatment so that we could do some collection and go through IVF. I felt like my dr was blowing off our timeline, but I persisted. I worked with CVS Caremark directly and got approval in 2 days (not the expected 3 weeks). Moral of the story: ADVOCATE FOR YOURSELF!

What do you guys think about apps like BetterHelp and Talkspace? I understand they might have real therapists working on their content, but a lot of the marketing I see is so vague and broad that it feels like a lie. Seems like "This app got rid of my anxiety with a 30-minute automated text questionnaire" is the new "This tea made me lose 20 pounds in two weeks!" Just seems a little fad-like and money grabby to me. Thoughts?

Cold weather cycling 🐠 any clothing recommendations? Not trying to break the bank Thinking of gloves, hat/ear muffs, leggings, etc. (I’m 27M, avg height on the thinner side if helpful)

How many dependants/in laws can be covered in PWC medical policy.

Just here to say I’m so thankful we have this safe space. People who aren’t diagnosed generally have misconceptions about ADHD and its symptoms, and I’m so grateful we have this bowl to seek help, learn from one another, and sometimes just vent! With all the negativity in the world, this bowl is that one ray of sunshine I so desperately need, so thank you everyone for what you have done and what you’ll continue to do!

Does anyone have a Farer watch? Or does anyone have thoughts on them?

Biglaw first year associates, what’s your favorite thing about your job (beside the paychecks)?

Are there actual consequences if your MD lies to you about how they allocated raises/bonuses a certain year?

Can I receive rent on H1? How can that be accounted towards the end of the FY?

Which firm EY Consulting or KPMG Consulting. Not taken TC or level into consideration. Which firm would be better? (And no not considering Deloitte or PWC)

What is the training period for new joiners in kpmg global bangalore for Audit teams?in PwC it was 1.5 months of induction and training before you join your team for work.

Does American express accept counter offer post offer letter acceptance? If yes whats the best way to go about it ?

Anyone else been impacted by the teacher strikes?

Has anyone seen firing in Deloitte India? Is there any process or employees are fired directly like few companies?

Why do things escalate so quickly at the end of my shift? Ugh - I feel like this is the Murphy's law of medicine.

Hi, can I get a referral at ADP for the job id - 218816?
It would mean a lot to me. Thanks

I am feeling some depression due to COVID and I want to move back to Misouri to be closer to my parents, but I'm worried about looking for jobs outside of the major tech cities and moving in general. Any advice?

I know the go to is usually dark blue jeans - but how do we feel about black?

So who else here is experiencing plummeting billable hours and exponential weight gain since this whole WFH thing started? Bought snacks for 30 days, finished in 48 hours.

Does anybody work in a rule for a litigation finance or legal funding company who doesn't hail from a big law firm in background? Basically I have a lot of interest in the area have read a book about it in my free time and was wondering what sort of entry level opportunities I should be seeking.

My girlfriend, 29, is looking to move out of teaching. She is willing to get certifications or designations but has no business background. Any suggestions for career change? Either positions or ways to get into the business world would be great!

Reposting: Looking for PA’s and/or NP’s for Neurosurgery practice in Union county NJ with OR experience.

I’m discussing a part-time orthopedic position that would include clinic and surgery in WA state, about 1 hour from seattle. 5 years experience. Anyone have experience with this? I’m looking for hourly rate expectations. I will be covered under their malpractice insurance, but no other benefits.

Have any of you worked in FM and then started practicing HIV medicine? I am working toward an AAHIVS credential, but am wondering if I need to leave my current practice vs try to incorporate treatment where I am. No one else treats HIV in my clinic currently, and PAs in my clinic are not currently paneled but I have a lot of autonomy in my team despite technically seeing patients with an MD listed as PCP

What is the standard billing for a surgery PA? I read somewhere it’s 20 percent of what the MD bills for but I’m not sure how accurate that is?

Hello all,

I'm a PA in the PNW working for a private group staffing ED's in several hospitals. Recently the group has asked the PA's to take on a couple new roles (triaging and rapid track from triage i.e. straightforward ESI 4, 5). With these changes the PA's are considering asking for increased pay in the form of an addition of a COLA (cost of living adjustment) to our normal salary. Was wondering if any other PA's in the ED have these in their contracts and at what rate.

-Thanks

I’m a brand new PA trying to find a job in dermatology. Does anyone know new grad friendly employers? Or are you looking for an awesome pa? 🤩 open to locations.

Anyone leave clinical medicine for consulting or tech? What kind of role did you take? What kind of company do you work for? Pros/cons of the switch? How does salary compare? Work-life balance, job satisfaction? Any input appreciated. I’m burnt out and underpaid for the work I do. I’d love to get into Epic strategy or implementation.

Does anyone know the average pay of a physician assistant emergency medicine working in Orange County?

Any PAs that have another stream of income outside of their PA job? Like business/entrepreneurship or IT?

Physician assistants in Chicago area/surrounding suburbs. What specialty are you in and what is your salary ($/hr)?

Could use some insight on what the average salary is for a PA in philadelphia? Could you list salary and specialty please? Im in gastroenterology and IBD.

I'm considering training to be a PA. I'm coming from a slightly different vertical in the medical industry. I know salary is variable depending on location and lots of other details, but what could you expect starting out in a MCOL city?

Anyone work in the VA system or specifically the Houston VA willing to share some pros/cons?

Just accepted an offer with a psych startup. Not exactly the offer I was hoping for as I’m taking a slight pay cut ($73/hr) and it’s a 1099 position. I keep getting stuck on the 1099 piece because I’ll be working 40 hrs/wk, but have been told I’m not eligible to be a W2 employee. Needless to say, no benefits whatsoever. They don’t even provide a computer or any other remote equipment for the completely remote position. Am I making a mistake? Also, can anyone chime in about being a 1099 employee?

Where do you live/work & would you recommend it to a 20-something new pa!?Salary, benefits, lifestyle, etc.

I’m a PA relocating to Phoenix area and negotiating an offer for home care visits full time. I am wondering if anyone in related field could tell me ballpark range what you are paid. I was considering asking for 142-152k range.

Anyone do a lot of minimally invasive surgery and use blue light glasses? I’m wondering if they’ll help with the eye strain from staring at a screen doing laparoscopies all day.

Anyone know of any non clinical PA positions or options?

Anyone have experience with retention bonuses? Wondering if the terms are negotiable. I work for a large academic medical center, for context.

How do you feel about physician only lounges? Are PAs allowed to use them? Our hospital does but surprised to hear my friend tell me hers does not.