Latest Comments by FNP2B1

Latest Comments by FNP2B1

FNP2B1 (4,033 Views)

Joined May 4, '10. Posts: 66 (65% Liked) Likes: 170

Sorted By Last Comment (Past 5 Years)
  • 1
    ICUman likes this.

    Oh, if anybody is looking for a FNP position in rural Southern California, I know one that will pay $90 a hour plus all housing and travel expenses provided. Trust me, there is money to be made as FNP.

  • 5

    I enjoyed reading all of these responses. I was former ICU RN who went to anesthesia school. I had great grades but decided anesthesia wasn't what I wanted to do. The stress got to me. I finished up as a FNP after dropping out of my SRNA program. My classmates thought I was nuts. I currently work in a dermatology practice in Southern California doing mostly bread and butter general dermatology. When I feel like it I do some cosmetics ie Botox, fillers lasers etc. The cosmetic patients are a pain in the ass. I get paid $200,000 a year in base salary plus benefits working in La Jolla, California. Its a low stress very interesting job. I work with 3 MD dermatologists and 1 surgeon. If you want to make a good living and have a low stress life outside of anesthesia I suggest dermatology as a FNP

  • 4
    dee1234, jaabrn, CircleOfRN, and 1 other like this.

    I never tried to go back to NA school after I left. I just transferred over to the University's FNP program. All of my classes transferred. My anesthesia clinical hours didn't transfer but that was ok. I had to learn how to be FNP anyways There may be schools that accept trandferees but I haven't heard of any. Good luck in whatever path you take. The universe has a way of making everything right in the long run.

  • 4

    I left anesthesia school more than halfway through the program. I just couldn't stand the OR environment. Made great grades, great performance reviews but just hated anesthesia. I should mention that I only went into anesthesia for the money. Actually I only went into nursing for the money and readily admit that to everybody except the admission directors for the 6 anesthesia programs that I was admitted into while applying. I switched over to my schools FNP program and am now a NP. I love it. I make more money than the average CRNA according to the last salary survey. When I was doing my NP training I met another SRNA drop out who eventually became a neonatology nurse practitioner. He eventually moved over to cosmetic dermatology and is making a mint in Miami Beach, Florida. There is life after being a SRNA if you don't finish. Just find your path and do it. I don't regret my decision at all and will promise you in a few months you won't regret yours either Hang in there!

  • 4
    peaq, jaad, SC_RNDude, and 1 other like this.

    Like I said earlier, my patient population can't afford much of anything. I have a hard time getting them to pay $4 for a Wal Mart generic drug. Getting them to pay $50 for a copay isn't going to happen.

    I told my patients I could not be their provider because of what their insurance would pay me. I was quite blunt about that and told them what I get paid. I don't BS my patients. I asked if they could pay the copay. They laughed and asked if they could pay with their SNAP card. Unfortunately food stamps won't pay for a medical visit. My patients have a bronze plan. Have you seen the deductible on those? My patients are paying more and getting less in the long run once deductibles are paid. They are really getting less considering nobody in my group or anybody else within 40 miles will see them beyond the state hospitals.

  • 2
    jaad and tntrn like this.

    I didn't lie to them. As part of a business, we have in the past not collected copays as our patient population is generally low income or poor. We have just eaten the 20% and did it for the benefit of our patients. If we billed them they couldn't pay us so why bother.

    Currently we get reimbursed $76 for an office visit. Obamacare has now reduced that to $24. We cant keep our office open with reimbursement like that.

    If I wanted to work for fast food wages I guess I could be their provider or another doc in the practice could. None of us desire that. We do charity care when we choose to provide it in our free time. I can't support a family on what Obamacare pays. I am not alone.......

  • 3
    SC_RNDude, jaad, and tntrn like this.

    Two of my favorite patients told me today they had changed their insurance plans since their previous ones were cancelled over a month ago. They went on and got a new policy. They were excited. That excitement was dimmed as I told them I could no longer be their primary care provider. I told them the $18 reimbursement for an office visit didn't cover our office's overhead much less leave us with a profit to provide medical care. They were stunned and asked where they could go. I suggested one of the local state hospitals that does accept the plans. They called and found a primary care provider who could see them in 8 months. I feel this will become much more common especially here in California. I fear for the health of my patients who foolishly believed they could keep their doctor/healthcare provider. It simply is not true.

  • 1
    Not_A_Hat_Person likes this.

    You can also call the Novo Nordisk patient assistance line. I don't have the number if front of me but they are very generous if you truly can't afford your medication.

  • 3
    GM2RN, SC_RNDude, and tntrn like this.

    Nobody should depend on the government for subsidies. If your minimum wage job doesn't pay enough go out and get another job, maybe two jobs. Taking a handout is the easy way out.

    While training in Miami I came to love the work ethic of new immigrants from Jamaica. They had nothing when they came to the US but the shirts off their backs. These people make minimum wage working in the OR cleaning up blood and guts but never complained. After working a full 12 hours they would go work "their other job". If they had any free time they worked another job. Too many US citizens think the US government owes you something. Quite frankly, nobody deserves a free handout from Uncle Sam. If you aren't making enough money get another job or get educated. Taking government assistance is the lazy man's way to live.

  • 2
    tntrn and jaad like this.

    I'm a conservative and would love for the country to go back to the way our founders had planned. Our country's founders were tired of being taxed by the King. They wanted a better life, they wanted more freedom, they wanted a chance to succeed. I believe individuals have a responsibility to take care of their families. I believe government should not have any business in providing food, shelter or healthcare to anybody period. The Pilgrims didn't have anybody giving them free food, free healthcare of free housing and they did just fine. I'm willing to bet when your ancestors migrated to America they didn't have a helping hand either and they probably did just fine. I know mine did. When you "give" people something for nothing they have no motivation to take care of themselves. They wait for the next handout. Generational families stuck in poverty is a prime example. They depend on Medicaid, Snap cards, Section 8 housing as a way of life. They expect it. Their kids expect and the cycle perpetuates. When you have dependence upon the government for your daily survival you lose the will to fight for a better way of life IMHO.

  • 2
    Army and jaad like this.

    In parts of California, for example, low reimbursement rates have resulted in a doctor rebellion, as nearly seven out of 10 doctors refuse to participate in the exchanges.
    San Diego broker Neil Crosby said that "65 to 70 percent of the providers have declined the reimbursement schedules the carriers are offering. They will not be providers in the exchange marketplace."

    My medical group is one where we are refusing the Obamacare exchange reimbursement schedules. They are paying on average 40 to 50% less than other current carriers. It's great if you have insurance, its going to suck if nobody, including me, will take your insurance and provide you with medical coverage.

    Read more:

  • 1
    macenroe likes this.

    Absolutely! I have 4 motorcycles in my garage right now. A crotch rocket, an enduro, a cruiser and a dirt bike. My girlfriend, I and her son all go riding out in the desert on the weekends. I also paraglide and paramotor when I can.

    Life is short. You have to have fun or life is going to suck. A ship is safe in a port but it never goes anywhere...very cliche but true.

    Prior to becoming a FNP I spent my nursing career in a Level I trauma/icu. I saw it all and it never bothered me. If you live your life wondering "what if", you're screwed. I've seen plenty of people in the icu with horrible injuries via walking across the street, riding their bicycle or falling at home.

    Go have fun and live life!

  • 2
    VivaLasViejas and tntrn like this.

    Did money get taken directly from you to pay for somebody else's education? Did money get taken directly from you to to pay for somebody else home? If so let me know. I know my insurance premium is going up 45% this year because of Obamacare and that is for a policy I don't actually want. My previous one got cancelled.

    If your taxes go up 45% in one year then I could see a cry for socialism. I would prefer to scrap the entire US tax system myself and go to a flat tax.

    Socialism is a stage of society in Marxist theory transitional between capitalism and communism and distinguished by unequal distribution of goods and pay according to work done. That pretty much sums up Obamacare.

  • 2

    I did not take out any federal student loans. I lived in California and sold my house at the peak of the market to pay for my education.

    With that being said, I don't see how student loans and Obamacare are comparable. Obamacare is socialism pure and simple. Some people pay higher premiums, some people get tax credits....a pure redistribution of wealth.

    I hate Obamacare and think it needs to be scrapped. I think slowly Obamacare will self destruct under the weight of it's own mismanagement.

  • 2
    ICUman and TashaLPN2006RN2012 like this.

    I work full time doing house calls. My patients for whatever reason can not make into a clinic. Most have mobility issues. It is the best job I've ever had. I work with two other internal medicine doctors, two podiatrists and an opthamologist. We have medical assistants that drive us from home to home for appointments. You are providing the same type of primary care that you would provide in a medical office. I bring all of my supplies and drugs with me that I would need to use in an office. The compensation is great but you have to negotiate. All of my patients are Medicare, very, very complicated sick patients. I think most housecall patients are usually high complex patients. In my situation I get paid 51% of net revenues. This year it will be around $180k. I normally work 6 to 7 hours a day. If you can find a job doing house calls, go get it!