u/SomewhereExtreme6937
SomewhereExtreme6937
SomewhereExtreme6937
High level or low level?
SomewhereExtreme6937
Huh. I only see lower paying B's and M's, though I used to do high paying B's all the time. Weirdly, I only started seeing the lower ones after I took the new qual for hs math.
Now I just have r's and occasional C's for high paying.
SomewhereExtreme6937
Yeah, I lost both of those as well about a week ago. However, I have been seeing middle school b-metal lately.
SomewhereExtreme6937
Sure thing, ping me. There's just so much information and resources that isn't made readily known to us with a diagnosis.
SomewhereExtreme6937
With your son aging out of your current ABA services, I guess now is a good opportunity to decide if you want to try to enroll your son in the public school system. Forsyth county is generally considered pretty good when it comes to its special education services. Generally they try to meet our requests through the IEPs.
My son currently attends a self-contained classroom. It has 4 autistic children and 2 teachers. They attend specials (PE, art, computer) and lunch with neurotypical children. He also has in-home ABA services for 8 hours a week.
I'm a bit undecided on whether in-home or in-center is more beneficial. He doesn't get to interact with other children with the in-home services. I'd suggest using a service that can offer both so the option remains open.
Do you live in the South Forsyth area? I could suggest some ABA places depending on your insurance.
I'd recommend looking into Bobby Dodd family support services. They provide $3000 for recreation services and $5000 for respite care services for children that meet criteria. For Forsyth, Avita is our local provider. Let me know if you don't already have this.
Also check into getting the Katie Beckett Medicaid waiver. Quite frankly, the process is pretty intense, so I hired Debbie Dobbs to help streamline that.
Rock the Spectrum is a autism-friendly kid's gym that provides care. It really helped us over the summer. There's one in Roswell, but they're going to start one in Alpharetta soon.
Let me know if you have any questions or want a playdate. I know it can be pretty difficult to find kids willing to play with our little ones.
SomewhereExtreme6937
Dang. I mainly did math/physics. What subject matter is up?
I would prefer not to have to do the physics qual again (possibly a third time?).
SomewhereExtreme6937
Anyone else all out of STEM (math, physics, chem) projects? Been out for nearly a week here.
SomewhereExtreme6937
Yeah, I last saw some on Friday, and there weren't as many as usual even then.
SomewhereExtreme6937
I've been applying for some of these other platforms as well. For stellarAI and RWS, do they have specialty/domain projects such as math like DA and outlier? Alignerr has an assessment, but they don't seem to actually have any projects.
SomewhereExtreme6937
Yeah, mine are usually math tasks. My math tasks dried up today, though there's an r&r.
SomewhereExtreme6937
Ah. It's a different difficulty level. Thanks for letting me know.
SomewhereExtreme6937
Darn. I got the email it was up 2 days ago. Now I don't see it. Hope it's temporary.
SomewhereExtreme6937
Is b-metal math up for anyone?
SomewhereExtreme6937
It's more like 50% clinical 50% operational, at least at the one I was at. 3 patients is pitifully low. Mine was in a military base, so while there was a decent population and a VA hospital, non-military are forbidden from using the VA. Critical access hospitals are limited to 25 beds by CMS, but there can be an ED, neonatal/labor, and an OR unit on top of that.
But yes, there is a lot of stabilizing for strokes, codes, neonate codes, ect which I attended and then shipped off if they need an ICU. Yes, a retail pharmacist could eventually learn it all, but I would never hire one to staff without constant supervision for at least 4 months in that setting. But after 4 months of training, I would begin to question why I bothered.
And policies are set by somebody...which means you're probably part of that in that hospital.
SomewhereExtreme6937
That depends on the hospital. Most of your larger hospitals are like that. But a critical access hospital? With only 1 pharmacist staffing at any time? You're on your own and very few "policies" are in place.
SomewhereExtreme6937
The reigning theory here is that if you were 65 or above, you didn't receive a market adjustment.
If you were 5 years of experience or above (including residency counting as 5 years), you went up to 65.
SomewhereExtreme6937
Huh. I'm in the area and I got a similar market adjustment. 59 to 65. My hospital system starts with N. You?
SomewhereExtreme6937
My company's 457b allows for early distributions after separating from the company. The only caveat is you must pull out everything in the account within 5 years of separating from the company. That might be specific to our retirement set, so you should check for yourself.
SomewhereExtreme6937
We have a son in Forsyth county in a hybrid classroom and has had services. Let me know if there's anything specific you want to know.
SomewhereExtreme6937
It's a small hospital that receives federal funding due to servicing rural areas that wouldn't have a hospital otherwise.
SomewhereExtreme6937
For #1, it depends on how your EMR system charges. Most systems I've seen charges by a "unit". For oral meds, it's one tablet for a unit.
CMS HCPCS has an online excel you can check to see how things are charged if you truly care that much about it. They're not by vial, they're either by "mg" or "ml" usually when IV medications are involved. So no, splitting a vial for multiple patients is usually fine from a CMS standpoint (there's a whole separate thing about charging for waste for certain other drugs like daptomycin and epogen).
As for 340b, I think it's odd to even mention that since it's for outpatient use only. IV medications would only come into okay for infusion centers, which usually have their own satellite pharmacy. Those medications are usually separated from inpatient ones regardless.
i won't speak for #2 since I don't use epic.
SomewhereExtreme6937
What bookshelf is that on the left? Might want that for my bedroom.
SomewhereExtreme6937
Love the ceiling light. Can you say where you got it?
Does the PhD math qual actually connect to any projects? I ask because it states it's for future projects, but it's been available for nearly a year.
Just wondering if it's worth doing.