 Do I really want to shift gears and change again and be stressed again? Literally everyone writes their essay about lateral mobility like yeah I can spend two years in dermatology and two years in gastro and two years in cardio You're not gonna want to do that. That's hard Hard to keep being the new guy helping others is a calling. It's not a job Okay, I don't know. I don't think I can trade the hospital life for clinic life All I've known is clinic life You know, I don't know. I've been in both. I've been in family medicine and in the hospital I just gravitate towards the hospital every single time I I don't know like I have like this aversion to the hospital just because I've never had a good rotation or a good experience at the hospital But I just I hear so many people saying they love it because you're like with colleagues People around your age, you know people all doing the same stuff about hundreds of them All these employees and it's like this camaraderie and you're just like no, it's us against them It's like the hospital staff. So a lot of it does seem very attractive. So I might try it out You know, it's just like once you get so comfortable with the outpatient life mm-hmm, it's like I Don't know You just don't want to try it. It was my experience as a scribe in family medicine. I think that's why I don't know If it would be different as a provider, I'm pretty sure it'd be different, but mm-hmm I was just my experience from mom like the ER versus like family men. Yeah, I Don't know I Don't know my answer to everything is I don't know I'd really like to try it out, but it's also like Once you already know like a certain thing that's just like that's the thing with wishing specialties in PA as a PA Is like everyone writes their essay about lateral mobility like yeah I can spend two years in dermatology and two years in gastro and two years in cardio You're not gonna want to do that. That's hard Hard to keep being the new guy like even after a year or two of experience doing like outpatient medicine first Internal medicine primary care and now urgent care, which is like a lot of the same and then a lot of other stuff I'm just comfortable now Like even as a guy with only two years experience and only one year in urgent care less than that even it's just like There's so much stuff. That's just autopilot. It's just so comfortable It's like swimming in like a shallow warm pool instead of like the rapids It's Do I really want to shift gears and change again and be stressed again Literally and like I know all the all these outpatient medications. I know how they present. I know how they interact I know how they make people feel now. I have to learn all this stuff. That's like injected and drip versus push and like I don't know any of this crap Want to but like I kind of do It's a huge struggle to have to make big changes. I Guess it's just nice knowing that you have that option as a PA. Yeah, you always have the option But realistically, are you gonna want to yeah, do most people do that? I don't think so. I don't think so no one does Almost no one. I mean, I've seen it like for instance one professor. I had in PA school who was doing our This like modular learning we think we did where we had a lot of visiting professors were like kind of part time She was a gynecology PA. She she worked women's medicine And she worked for like the last 10 years And here I am as like a PA student thinking like wait someone spends 10 years in the same specialty That doesn't make any sense What PA would do that and then the more experience you get the more PA's you meet you're like, oh, wait. No, they all do that They all do That's just your life because you know so much about it. It's comfortable Now you don't have to stress so much about your job. It's just coming in and doing mostly the same stuff Talking to the same people. It's just it's comfortable Instead of just constantly reinventing the damn wheel I always told like I use that in my personal statement Everyone I feel like you called me out there. You're let's say everyone got our mobility thing I use that in my personal statement and now that I think about it. I'm like, oh wait, I'm actually only geared towards one thing Which is it's funny because like a lot of people who just like Fell in love with the PA profession on paper They're like what a hundred k in two years. That's cool. And then they just like backwards rationalize why they want to do it Besides just the lifestyle and the salary They're just like, oh, this is unique about the profession. I'm going to latch on to lateral mobility But then like the people who seem to be honest are the ones that are like, no, I had this great experience with Neuro or whatever and they're like, no, I just really want to practice neuro as a PA. I love everything about that job Those are the people I believe No lateral mobility is cool in like theory But very few people actually take like a lot of advantage of it I think I had one of my my professors or one of the Alumni from my program. I think did that she worked in the hospital like a critical repair and then try to go into Plastics got an awesome job in plastic takes so well Yeah, but then I think after a month like she went back right back to the hospital because she's like so out of my element But the thing is if she stuck with it for like two years, she'd have a new element Oh, yeah, that's true. But that's that's a hard two years Yeah, just like a doubt and like you said be the new guy again. I I can see why it'd be difficult Yeah, that's why I'm thinking like man I don't know. It's a tough choice Because like I go for a dang fact. I'm not interested in primary care right now. I hate all the paperwork I don't like having to 24 7 You know what? I mean like I like the whole shift work. I don't like the nine to five Like so I get so many different like job offers and like little job like listings and whatnot at least in my email And when I see like eight to four nine to five, I just immediately shudder like no, I can't do that again I can't do five days a week. I love three days a week It's just so nice So like first off you're spoiled with like a certain schedule And then it's just I'm not going to go into why I don't want to do primary care anymore But the point is like I'm so comfortable with this urgent care thing And I know I can I'm like I'm only kind of focusing on urgent care and maybe ER jobs if I ever move But then like all this other stuff comes up and it will be like it will be so cool to do like Uh, like plastics you mentioned plastics Plastic surgery or dermatology or I'm even looking at like injections like cosmetics are getting really big now Oh, yeah, I always need like providers like lip fillers and Botox and it's getting so popular and it's cash So it's just it's a really cool like little subset of medicine to get into and I'm thinking like that'll be kind of cool to do But like if you really want to get good at it, you got to do it full time for a while Oh, yeah, that has to be like your specialty Basically at that point that full time then you forget all this other stuff and then you go back to real medicine and you're like I don't know anything Which is what I'm I'm scared I'm scared of that happening to me because I know right now I'm a sponge And I'm gonna sponge everything through baseball, but then once you really like Go broad Sponge everything up and then narrow down like how much do you really retain for like All the other stuff to where you actually keep it at the end, you know If you don't use it you lose it, but at the same time it also gets way easier to learn something else Mm-hmm, you know because human bodies are human bodies So like for instance when I was working in gastroenterology as a medical assistant We had a girl Amy Who's a nurse practitioner who spent like 10 years in cardiology? And then she's like no like this particular practice pays very well and they pay you per hour And for whatever reason she just really liked the practice so she switched the gastro And you know like the learning curve was big She only started seeing like six people a day and then she ramped up to like 10 people a day And you know after a year or so she got you know, she was keeping up with a lot of the other PAs 12 15 20 a day But it was very stressful for her But she like whatever reason just really liked the lifestyle. She liked the company and she's like it's worth, you know six months or a year of a star a sheet A steep sharp learning curve to Like get this lifestyle that I want You know, so like you learn things quicker than like a new grad Has someone with me even in a different field You know and you you'd still get paid. Well, isn't that that? Yeah, you're you're getting paid like it's all It's it seems stressful to someone who's like been in a cushy PA job to like Be slightly less cushy for a while, but like as a new grad you're like, dude, that's that's so easy compared to what I'm freaking dealing with here So it's just you get spoiled I guess my point is you get spoiled and you don't want to do lateral mobility anymore I want to be spoiled already I know it's like well, do you though because then like the world is is not your oyster anymore Now it's like this tiny little part of the world that you're just operating in Oh man, I've been waiting to be trauma since I left my last job and I can't stop thinking about I look I like kind of go a little bit above and beyond and I like watch videos on like chest two placements and like During art lines in and I'm just like even the trying to Re familiarize myself with like the material that I used to grab for the PAs Like things like that like just like knowing like what you need in a kit for like a chest tube I think it's like things that'll help me in rotation. So I'm still trying to keep up on that aspect on top of The semester that's going on. So oh man I mean, whatever you need it, it'll snap back quick You don't have to worry about it. If I use it, I lose it like literally if you need it for a week, you're gonna know it I hope I remember You literally will and if you don't it's gonna be very easy to relearn You know, um, like one of my professors in PA school called it the lattice It's like the like the bone structure of your knowledge And when you're like a new like PA student, you don't have anything And then you learn a few like different diseases and treatments and you're like, okay There's a little bit and then you learn something else that's kind of similar So it builds on top of that and here you learn something similar to this and it builds on top of that And so the more experience and knowledge you get the more things are just easy to just place on the shelf instead of building the shelf Right So like if you just want to put in that little bit of effort changing fields isn't going to be nearly as hard For someone with experience as opposed to like a new grad who doesn't know, you know, very much I feel like that Mentality rings true even in my first semester. I feel like in the beginning it was so hard to learn And then now like towards the end I was like, okay, these classes are kind of building up on each other It's all kind of trying together. Yeah, it's awesome Yeah, it's like it gets harder school gets harder as you go along Because the question at least my program the time they give you per question went from two minutes to 90 seconds to Like a minute 15 to a minute just like it is on the pants So like the time per question went down. So it was harder to take the exams The material and the complexity went up But everyone's grades went up and it seemed like it was getting easier because you're just used to it Right, you know, just get used to the abuse Used to the abuse is one thing. Uh, that's definitely true But also just used to learning really fast and just used to just learning medicine. It's just It's not new for you anymore You know, you're just like, okay, I need to learn this much of the physiology for this to make sense I don't have to learn all of it and then I have to know like three or four common presentations slash emergency like life-threatening presentations And just a couple of treatments and the main side effects the end Like that's what you focus on and you like just don't think about everything else on the slides Great, you realize. Okay. This is all I really need to know So it's like You get more surgical and less you use a sniper rifle rather than a grenade Right a lot It takes more skill But it's way less energy to pull the trigger one time and hit like a one inch thing as opposed to just like Let's hit kill everybody. Let's figure it out. Uh, like it's way less stressful way less chaotic. You're just like, no This is what I need to do the end So even as a student, yeah, you just get more specialized And I don't know why I just like brought in a freaking war metaphor, but no the analogy made sense. I got it I love what you saw. I got it. There you go. I'm just not trying to trigger everybody, but Yeah Yeah, it's it's funny when there's like Like a veteran or whatever in medicine because they're so opposite fields You know taking lives versus saving lives. It's just so dichotomy It's so weird when that happens Patrick is actually a I think active duty right now. He um, what what do you mean? He's active duty Well, no, no, I think reserves. Sorry. I think he's in the reserves right now the guy, uh My my my close friend in preschool the one with study methods that I talked told you about. Yeah, he's uh, I think he's in the reserves He crazy thing this guy's amazing. Not only did he almost get like straight as um, but he uh Works the six-figure salary. So I forgot what he does Yeah, yeah, like he like He he does something on the side and it's like a salary job and like he's still like earning six figures and Work and he's working and doing PA school and I'm just like, oh my god, this guy's like wait He's still working full-time I I wouldn't say it's full-time like he's working and he's getting the job done, but it's like salary paid What I don't know I I don't know what he did. I have to ask him again Get him on the podcast dude I'll ask him. Yeah, that'll be cool I mean he doesn't have to obviously if he's not like camera shy or he doesn't want to talk about his life Like not everyone wants to broadcast everything You know like me and Elijah do but also I think it helps people just People going stuff that you want to go through but yeah, not everybody wants to be on this I'll actually ask him about it because he he's been more interested in like I think doing things like this Oh, yeah, there's dude. It's shocking. How many more like PA influencers and like people helping people get in and stuff there are Mm-hmm. It's like when I was going through there was like six Maybe Yeah, there was like and a lot of them stopped like most of them quit Uh, but now there's so many so so many Oh, yeah, the views are kind of like spreading amongst all of them now Yeah, like there's not like one that's just you know, um Yeah, it's just amazing how many people there are the the mexican pa. I forgot his His name, but me and him are working on a collab Uh, hopefully sometime in the next couple months But like he just came out of nowhere and he's like climbing real quick And then I saw he's posting that he's like advising people and they're getting in and it's like wait a minute. This looks familiar I'm doing the same thing So there's just so many options right now for people to get help Yeah, I brought you a couple of his videos. I um, uh, because he's uh from His school is in the same state. I used to live in it's in California. I think he goes to um Cal State something. Oh, no, no, no you see something I'm not sure I forgot which one it was but he goes to like university out there. I think he just graduated