Aloha_Snackbar357 t1_jbepg39 wrote

Yeah I was in a 1000 sq ft 1 bedroom 3 story walk up in Brooklyn for 2200 per month, and when I looked, a lot of the apartments were about 1700-1800 per month for around the same size.

I can’t honestly say I know what the prices are now, but I’m guessing they are similar. I do know they are building a couple new complexes near the hospital, but they probably won’t be done for a year or so. Maybe competition will drive the price down!


Aloha_Snackbar357 t1_jbch2o0 wrote

I bought a house in Eastman and commuted, which financially worked out very well for me, but was very socially isolating. The upper valley was shockingly pricy for renting when I was starting out (circa 2017), but that’s because they know there are few options for the nurses, residents, and students at Dartmouth College.

The whole area is very safe, and I know a lot of my colleagues rented at Timberwood before transitioning to Emerson Place in Lebanon. Both were very nice, clean apartments, but were, and likely still are, pricy. Everyone had a roommate and split the rent, so you may want to reach out to others in your residency class and make friends early. I know of others who were married or in serious relationships that rented homes in the Lebanon and Enfield areas, but its all going to be dependent on availability. Only a couple people lived in WRJ. The downside to living in Vermont is you have to pay state income tax on your resident salary, whereas you don’t in New Hampshire (as we don’t have a state income tax).

My commute from Eastman in Grantham was about 25 mins door to door. Enfield was about 15 mins. Essentially any of the apartment complexes are five minutes or less away.

Feel free to DM me if you’d like more information or recommendations. I really loved the upper valley and miss it quite a bit. I enjoyed my time as a DHMC resident and felt that I got very good training (in the Internal Medicine program). I hope you have a similar experience with Dartmouth and welcome to NH!


Aloha_Snackbar357 t1_jasrise wrote

Article title is surprisingly not misleading, but has essentially nothing to do with changes since Rowe v. Wade. The woman self induced an abortion at 25 weeks and 4 days (in October of 2021) after taking abortion pills without the oversight of a physician which violated preexisting 20 week abortion bans and self induced (non physician monitored) abortion bans.

South Carolina has draconian and dystopian laws pending and working their way through the legislature currently, but this particular incident is not the beginning of the hellscape we know is coming.

The fetus was passed the point of viability outside of the womb and you can argue about the morality of what she did endlessly, but at the end of the day she was arrested for breaking old and established laws within the state.


Aloha_Snackbar357 t1_jajd34b wrote

This problem isn’t just young people experiencing a mental health crisis, it involves the elderly awaiting placement in a geriatric psychiatry unit as well.

I work in a Hospital in NH and there have been multiple times where 30-50% of the ED beds are occupied as “psych holds” which puts an unbelievable stress on the ED. Usually it’s 2/3 young people and 1/3 elderly patients. Many times those elderly patients are unceremoniously dropped there by their families “because we can’t manage him/her anymore”. Other times they are sent in because of “altered mental status” from their home nursing facility. Frequently these patients are genuinely dangerous to be around or are a genuine danger to themselves due to progression of their cognitive impairment.

Often these patients have end stage dementia of one sort or another (god forbid Lewy body) and are unfixable. You can quell the symptoms sometimes with antipsychotic medications, but more often than not, you are just sedating them. Even if they move out of the ED and into the hospital for one reason or another, it just moves the problem to a new venue.

I had one patient spend close to 90 days on a general medical floor as their family just refused to take them back home. We ended up having to wait for public guardianship and long term medicaid to place them in a facility for the rest of their life.

This is a society-wide problem, and giving hospitals a month to come up with a plan is laughable. Unless they call out the Army to permanently fully staff a dozen new long term care psych units, this issue isn’t going to go anywhere.


Aloha_Snackbar357 t1_j3oxtr3 wrote

Highest volume ED in the state is Elliot in Manchester (at least for the last couple years), and they are building a brand new ED currently. DHMC in Lebanon is where I did my training (am currently a Hospitalist). ED residents could be pretty weak, but I can’t speak to the nursing experience.

DH was beautiful and in a beautiful location, and I got excellent training. They did have an incredibly high nursing turn over rate, however, because nurses felt there was little to do in the area, and a long commute burned people put


Aloha_Snackbar357 t1_iytxx69 wrote

I’m a Hospitalist that works in a NH hospital. Our ED wait time is ridiculous.

There are no beds. None.

Our hospital is operating at 105% capacity. We have patients in the hallways upstairs. Admitted patients, on a medical floor, in a hallway. We’ve had patients in the library before.

Your wait time in the ED isn’t because the staff is inept. It’s because half of the ED is admitted patients waiting to get upstairs (usually overnight). Recently there was a 19:1 patient to nurse ratio in our ED because of shortages and call outs. Every single unit in our hospital is down LNAs and RNs compared to what the staffing matrix should be.

We are doing our best. Please bear with us.


Aloha_Snackbar357 t1_itfyb8w wrote

I would lose my license, be personally sued into oblivion, and never allowed to practice medicine again if I did even half of what these officers did. I understand a Hospital is a different environment with different focuses, but the complete lack of even cursory examination of the patient is appalling. Given how often police officers are present at or are apart of medical emergencies, they clearly need enhanced training in basic medical assessment.

I’ve worked with a treated dozens of prisoners in my career, and I have definitely seen faked injuries or conditions for secondary gain, so I can understand skepticism, but a full cervical spinal fracture with impact on the spinal cord leading to paralysis is dramatic and should be damn near impossible to miss.