coast2coast, MSN, NP 8,568 Views
Joined Jul 9, '10.
Posts: 405 (42% Liked)
I may be too late for this but ... THAT IS WAY TOO LOW! Waaaaaaaaaaaaaaaaaaaay under average for SoCal. New grads in community centers are starting over 90 at multiple locations in metro LA.
I know you are a new grad and need to get hired, but man oh man I would tell this doc to stuff it and call me when she was ready to discuss a serious salary.
You will never successfully renegotiate for lost income. Realistically you will do well to get 2-3% per year in most places unless you have an RVU structure in place. When you take the job is really your only moment to get what you want/need.
anyhow. PM me if you want to discuss the LA market.
I was offered a full time job at an IM clinic. I asked for $48 per hour compensation with full benefits because i thought this was reasonable for a new grad in southern CA. The average is $44-46/hr.
On my second day of orientation, my boss told me that she is going to switch my pay to salary. She said she will offer me 75k per year. I was really shocked!
I told her that at the hospital, although without benefits, I get paid $52 per hour. Then she said that i shouldn't expect that much because being a nurse is different from being an NP. She also has to train me and that will take time. Then i countered and said i am willing to meet her at $88k. Then she said she can only offer up to $80k. Then i said i also have to make ends meet at home so I will think about it over the weekend.
Then she said she will call me back this weekend for a final offer.
Any suggestion or tips on how to handle this negotiation when she calls me back? Should i walk away from a low ball offer? Or is it worth it to get that experience for a year then go? This negotiating acitvity is exhausting! ;-)
I want to get an offer of at least 86-88k. I am better off working at the weight loss clinic at $60/hr
Personally have seen a good job market for a range of specialties. Graduated from a direct entry program and had a job 2 months prior to graduation, across the country, in one of the worst job markets in the US (California). All my classmates (30+) were hired within months of graduation as well. Never worked as an RN and this has not been a barrier to getting interviews and offers.
I'm 24. I'm 5'5" - 44-35-44. No shrinking violet, but not a bruiser, either. I live in skinny jeans and fitted tops and I like looking remotely "female" when I step out of the house.
Normally I'm pretty laid back. But scrub shopping makes me crazy.
I do not want pants that fasten under my armpits. I don't appreciate a full-circle elastic girdle of doom slowly squeezing the life out of me 12 hours a day. I don't want peg-legged monstrosities that my 57-year-old mother would be delighted to wear. I also don't want flare-legged trainwrecks that my 13-year-old self would have found TOTALLY KEWL !!1!1! back in 1998.
I have breasts. Obviously no scrub manufacturer has ever gotten close to such things, because no scrubs are designed to accommodate them. I am not a man. If my chest is 44" around, it does not mean that my biceps are also 44" around. Neither is my waist !
Not that measurements appear to be used in scrub design. Seriously. I'm normally a US size 12 and a medium or large top. But as I wade through piles of scrubs, I find myself in medium or small bottoms, and on one special occasion- extra small! I assure you, there is nothing about me that is or ever will be extra-small. Even as my pants seem to magically shrink in the dressing room, my tops balloon to commically large sizes. Medium? Can hardly pull it on. Large? My chest is still squished into a bizarre, quadro-boobed nightmare. Extra-Large? Suddenly my chest fits, but the sleeves come down to my elbows and I could hide a nine-month pregnancy under the midsection.
I see two generations of scrubs when I go shopping. The first were designed by men, for men. They are now called unisex and are generally shapeless and avoidable.
The second generation is more deadly. It fills you with false hope, because it's marketed for women. It's supposed to be updated, fashionable, etc. Lies, all lies!
Flare-leg pants ARE NOT STYLISH. Slitting them up the side 3 inches doesn't change this.
Empire waists and "wrap tops" make 99% of women look like pregnant, blimp-boobied BEASTS.
Frenetic patterns in bubblegum pink, gathering, ruching, and bow-tying are also not the path to scrub enlightenment.
Also - and I realize this may be more of a personal tic - I want to be respected. I don't feel like that happens with sweetheart necklines, lacy bits, or ribbony-shiny trim. There is a difference between a nicely fitted top and one that simply hugs and reveals cleavage.
Brands - The Worst of the Best
Grey's. I don't get the hype. Tops fit fine but the bottoms leave me, an amply-bottomed young lady, with saddle bags pooching around my bum and hips. The super-soft material that everybody goes nuts over also hangs terribly, and seems to reverse any sort of styling that went into the garment.
Koi. Of all brands, Koi is the worst. Koi fills me with false hope and then leaves me high and dry. My issue here is not with fit but with color selection. Which seems to have been made by some demented, evil, super-villain in a darkened laboratory somewhere. Camel colored pants! Bubblegum pink tops! Strawberry colored pants! Sickly yellow tops! Lovely wine-colored pants with HIDEOUS EYE-GOUGING light-blue contrast stitching! Koi, you make me want to slit my wrists!
Urbane. Also a heart-breaker, this one. They get the closest to 'modern' fit of all brands I've tried thus far. Unfortunately, they're clearly designed by non-medical professionals and thus have no pockets. My heart breaks when I find awesome-fitting Urbane pants with NO POCKETS ANYWHERE. It's like a magic trick - guess where all the pockets have gone? And the catch is that they never existed in the first place. Sob.
So this is my scrub rant. I am young and picky and would probably pay one million dollars for a set of scrubs that made me feel like a human being while I was wearing them. I've clearly been trying on way too much at this point, and I am exhausted and scrub-less. It doesn't help that my school wants maroon-colored scrubs. The mere mention of scrubs gives me an anxious eye tic that I'm afraid will never go away. School begins in six weeks and I know that eventually, I'll have to give in and buy the dreaded burgundy potato sack. Until then ... I can only dream.
I don't understand this one- I thought that elevated TSH always indicated hypothyroid. Can someone explain this to me?
The highest TSH I've ever seen before was 157. Pt very fatigued, low heart rate, low B/P, overweight, and so on.
Chronic hgb in the 3.5-4.0 range. Dying of metastatic probably rectal dancer, survived almost a year.
a1c 16.9, very alive and one of my best-behaved diabetics now.
TSH 490. Manic but definitely alive
a1c's of 15, systolic BPs in the 200s, and trigs of 3000 sadly become very mundane very quickly in community practice. It's amazing how resilient the human body can be.
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