- Joined
- Feb 26, 2010
- Messages
- 12,023
- Reaction score
- 13,983
Any time!I might PM you with a question. Glad you’re doing well
Any time!I might PM you with a question. Glad you’re doing well
How's everyone doing these days??
Drowning. I'm still ER. We're still getting crushed. All 9 of the ERs in the Twin Cities still close almost every night. Last night - for the umpteenth time - I was the only facility still trying to take things in around 9-10pm or thereabouts, and I don't think any of the other facilities even opened again until this morning.
Don't even want to talk about how bad it is. My gut sense is that the caseload is starting to drop a tiny bit over the last year or so, but our efficiency/capacity has dropped with it (as we've hemorrhaged staff), so we're still getting crushed. I'm starting to run into more internal limitations (like having 1 ICU tech and 20+ hospitalized cases) more often than before where it was more like "Ok, there are 15 cases currently here and another 10 on the way ..... we gotta shut down the flow at SOME point." I've had a few nights where I've been bored and we're still partly closed simply because I can't hospitalize anything else. I've started 'hospitalizing' things on the ER treatment floor and having my ER techs care for it overnight because the ICU tech or techs simply can't accommodate any more cases, and then shifting them into ICU as capacity opens up.
It feels a bit like I imagine a human hospital putting patients in the hallway until a room is available.
On the upside, the money is amazing.
I see myself moving to another (ER) practice early-ish next year, but can't say much about it yet. Sucks, because I really do love the level of medicine we are set up to provide. And our new facility is pretty darn sweet. But the new gig should offer significant upsides - full staffing, an amazing schedule that gives me flexibility to travel far more often, a boss that I absolutely love (my former boss).... we'll see.
I may just toss it all in, buy a boat, and live on the boat.
@LetItSnow I can’t imagine working ER right now. I’m glad I’m out of the SA GP world anyway but especially now. Huge kudos to you for making it work.
Are you confident the new place will stay fully staffed? Do you feel like the medicine will be at least comparable to what you have now? That was a huge driving factor in me leaving my first job.
Not at all confident it will. But OTOH - so what? "Maybe staying staffed" is still better than "almost completely without staff". And the schedule is a major enticement since it would allow me to travel more. And ... she was my boss for 5 years and she's fantastic.
I dunno. Not sure where things will go. At the moment .... the 'give a crap' meter is bouncing off of 0.
It is fairly awful right now. At this point, I'd kill for a position that allows me more time off. Screw the rest of it. No where is staffed decently and the doors revolve like they're wd-40'd every 5 minutes, so even if you have a month or so of decent staffing, it seems unlikely to stay that way. So that's where I'd prioritize which place will allow me the most time away from the hell circus that is vet med right now.
I work swing Fri-Sun, overnight Mon and every other wednesday for full time and really love the schedule. I still work occasionally at my GP and some easy spay/neuter shifts in between, but routinely have 5-7 days off in a row.Indeed. And the schedule they are proposing is every Wed overnight with every other Fri-Sat-Sun overnight, counting as full time. So, every other Thu-Wed morn off. Not shabby. There's also a proposal on the table from a colleague of mine where both she and I go there, and she takes that overnight schedule I just described and I take the days on that schedule instead. She and I practice similarly and communicate with owners similarly, so we like it when we're alternating on weekends .... makes case management so much easier.
Either way, it's an amazing schedule from my perspective. A little light on hours which translates into less income, but it's trivial to pick up extra shifts just about anywhere as needed to supplement income.
Reasonable approach for sure. A good boss is worth a lot!Not at all confident it will. But OTOH - so what? "Maybe staying staffed" is still better than "almost completely without staff". And the schedule is a major enticement since it would allow me to travel more. And ... she was my boss for 5 years and she's fantastic.
I dunno. Not sure where things will go. At the moment .... the 'give a crap' meter is bouncing off of 0.
Reasonable approach for sure. A good boss is worth a lot!
And agreed with DVMD that time off/scheduling is more important than most other things. I’m working 7-3:30 M-F but with plenty of vacation and unlimited sick time (a huge perk with these dang kids getting daycare bugs every other week!) I’m still doing a weekend a month at my GP job but it feels loads different because I’m not there regularly. Although my boss did text me and try to entice me back full time but I’m at the point where I don’t care how much you want to pay me. Ain’t doing it!
@scb44f For real, what a trip. Having twins legit feels impossible some days. I’m glad we never had to do NICU but it definitely takes its toll and while in many ways we’re stronger, it’s also not the same. I’m not the same, frankly. I’m sure things will get better in some ways but harder in others. It’s all a balancing act, right?