Recent comments in /f/vermont

Curious_Buffalo_1206 t1_j7l5a0n wrote

It’d be interesting if this meant psychiatrists were allowed to send prescriptions for certain controlled substances with critical shortages over state lines. It probably won’t happen, because the DEA created those shortages intentionally, but it would sure be nice.

Now that probably raises alarm bells to some, but that would be part of integrating mental healthcare across state lines. Several controlled substances are critical in psychiatry.

That telehealth aspect makes me a lot less supportive of this whole thing, TBH. Empirically speaking, telehealth for mental healthcare has been kind of a disaster. BetterHelp is a gross scam. Done and Cerebral were running a nationwide pill mill during the rona. Telehealth should be more regulated, not less. You should have to see the provider in person occasionally IMO.

I thought this was about transferring licenses, not practicing in 19 states simultaneously. The only people that sounds good to, are Silicon Valley grifters trying to commoditize mental healthcare.

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8valvegrowl t1_j7l45oi wrote

As in a cooking stove? If so, is it also a gas oven? Or like a gas insert for heat?

I have a 4 burner gas cooktop/electric wall oven combo that has a pilot system (no electronic ignition in the 50's).

I have a 200lb tank, it holds just under 50 gallons; I calculate my average consumption over the past 3 years to be ~33 gal/year or about ~2.8 gal/month. I get twice a year delivery to top it up.

I love my vintage cooktop, it's a Chambers and built far better than anything today, totally rebuildable, and is a joy to cook on; but I'm curious about it's overall efficiency compared to a modern gas range.

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Full_Whereas_2694 t1_j7l39nw wrote

Interesting points for sure. Mass isn't anywhere near signing onto the compact, so for now it's a bit of a moot point. I think the bigger question is telehealth-practitioners won't actually have to move to serve clients in other states. Or it's possible that professionals in urban areas will move here for a better quality of life but continue serving their clients who live elsewhere. It's a huge unknown. I'd love to see some better data. Here's the link to the states who are in process or have already signed onto the compact: https://counselingcompact.org/map/ I think counseling is unique from a telehealth standpoint and this type of massive interstate market doesn't really exist for other types of healthcare yet, so there may be unintended consequences. I'm not saying it's a negative, just an unknown.

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thebeaglebeagle t1_j7l16ja wrote

We have a well-insulated home of just under 2000 sq foot of heated space. We are very conservative, keeping thermostat around 62 for 16 hours a day, bumping up to 64 during day in a room when we are home. We used ~1100 gallons a year, which included heat, hot water, clothes dryer, and cooking. We have new heat pumps now… so looking forward, who knows? We’ll see.

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odkevin t1_j7kzov1 wrote

Not sure the purpose of your post, so I don't know if my case is relevant.

When our gas water heater died a few years ago, we switched to electric. Now our stove is the only gas appliance so we dropped our gas company and switched to 100lb tank. It lasts about a year, (runs out at some point every winter)

So 100lb tank is roughly 23 gallons I think. Divide by 12, just shy of 2 gallons/month

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hamburgerbear t1_j7kutdy wrote

A lot of local people own the places that are on air bnb. You can contact hosts and ask them their story. If you are simply interested in supporting locals then this is an a option, even if it means air bnb getting a cut. Going through a local agency is just as likely to get you a place owned by an out of state landlord as it is a local.

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Curious_Buffalo_1206 t1_j7kl3jq wrote

Insurance reimbursement rates don’t vary that much by state. It’s why the SF Bay Area has absolutely abysmal access to mental healthcare, despite being so phenomenally wealthy. Who in their right mind would work there, when you’d make 90% of your salary in Sacramento and be able to afford a house?

I don’t see how this wouldn’t be a boon for VT. MA is right there across the imaginary line in the sand, minting new mental healthcare professionals with gargantuan debts who’d be eager to find a lower cost of living.

I’m not convinced that many will move to VHCOL areas in search of patients paying out of pocket. The 1% don’t have issues with shortages. The demand for that market is already satisfied.

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vt_mountain_mama t1_j7jrdoo wrote

I had a scheduled c section in Sept! My first was in Nov 19 before everything happened (not a c section).

Obviously we wore masks during preop, in the OR, and right after. Once we moved to postpartum, my husband and visitors wore masks when the nurses/docs came in, but there were times I did not (you will be covid tested upon admission). I had absolutely wonderful nurses (like in 2019), with the exception of one who was awful. I had a reaction to something and was vomiting and it was like she couldn’t be bothered. I did, however, mention it to another nurse and she rolled her eyes and remarked that it was beyond time for that nurse to retire - haha.

Overall, the care seemed like my 2019 experience and the nurses were true blessings. I still think of my L&D nurse from 2019 often (she was a god send!) and one of the overnight nurses in postpartum during my most recent birth. They both helped me through some tough stuff and were genuinely caring and compassionate women.

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