Any primary care [outpatient mostly/only] doctors here ?

[nastle]

Thanks I'm sure I will have a bunch
stay tuned
appreciate your input...

[nastle]

yes lots , sorry I dont have all of them right now
but here are a few

do you manage insulin pumps ? can we be trained to do them...

[nastle]

MA fills out whatever is in the chart
I say ya or nay after that

some forms are automatic in referrals basket like disability evals...

[nastle]

Just misc issues some very minor , I would hate to start a thread for each one of them, that is why I suggested one thread

Thanks...

[nastle]

I was hoping if we can have a thread dedicated exclusively to problems /issues/challenges of outpatient primary care physicians

if there...

[nastle]

ok got it , thank you everyone really appreciate the replies...

[nastle]

tax benefits and more malpractice protection...

[nastle]

I was considering locums work ( as a PCP ) but was advised to start a single member LLC and getting employed through it
is there any real benefit...

[nastle]

How do you evaluate who is an honest and reputable home inspector ? Looking in central valley CA
Are online reviews a reliable source ? ANy specific...

[nastle]

forgive me I should have been more specific but I was lazy...

[nastle]

The point is german army in 1939 was far from the mechanized juggernaut as depicted in 3rd rate historical works like those Shirer

The fact...

[nastle]

when will politicians be held accountable like these criminal physicians ?
what many politicians do impact many more lives and for generations...

[nastle]

its reasonable for its take on rise of nazis
but most of the information on ww2 is just blatantly false like the "million man army on trucks...

[nastle]

European Theater of operations , the US term for war 1942-45...

[nastle]

agreed "better" is a relative term...

[nastle]

they should if they can
flat tax rate for everyone seems fair but interested to know the cons from economics specialist

cut welfare...

[nastle]

we need taxes though a lot of them esp on the top 1%
my issue is those taxes are wasted on things I think are pointless or unnecessary...

[nastle]

RINO and DINO should have their own blocks WITHIN their parties...

[nastle]

bascially outlines the similarities of major religions
mans need to invent religion and its usefulness
and to an extent the dangers of organized...

[nastle]

careful You will be sent to the digital gulag for writing this...

[nastle]

what about internet bill , PG & E bill will a portion of that can be deducted ?...

[nastle]

Can someone please explain to me why admin people would not be tempted to just replace ALL primary care MD/DO with NP/PA ? Because in their eyes they...

[nastle]

has anyone read "Evolution of God" by Robert Wright...

[nastle]

very true
not dissimilar to feuding warlords of a bygone era
always willing to cut a deal in the kings tent but more than happy to sacrifice...

[nastle]

why do you think rural areas are mostly red ? or cities blue?...

[nastle]

so the telemed company provided those guidelines ?
Can I ask which company this is ? you can dm me if you dont want to share it here
...

[nastle]

zealot by Aslan adds nothing to the scholarship I mean we all know these are more or less accpeted facts so why people are so triggered by it
...

[nastle]

even when national integrity is at risk ? rather than a melting pot , US is becoming a collection of ethnic /religious enclaves held togather by almost...

[nastle]

lots of very well intentioned people who are lovely human beings are so deceived by propoganda that they believe it mindlessly

I do care...

[nastle]

biggest male issue is suicide prevention IMHO esp veterans

problem is everyone thinks of awareness as zero sum game
if you talk about...

[nastle]

Anyho this thread was on how to maintain relationships with family /friends free of drama.I usually avoid political issues at all costs but seems like...

[nastle]

but if you pander to certain niche groups or causes than you are automatically labelled a racist or bigot...

[nastle]

#1 I generally dont have a strong opinion about issues that
a- dont impact me or interest me
b-I'm not very knowledgeable on

...

[nastle]

I feel like my political views are not consistent with with the party line of either democrat or republicans , so dems think I'm too conservative and...

[nastle]

any specific safety guidelines your company advises you to follow ?
Do they provide you tail coverage ?

thanks...

[nastle]

Can you please tell me about your malpractice setup...

[nastle]

Yes'm...

[nastle]

As long as USN is more powerful than the next 3-4 navies combined , the dollar is king...

[nastle]

thats what i do too
but utd says dont use coQ10
not sure why...

[nastle]

on a similar note , studies have found that almost 100% of the people who inhaled 21% oxygen and 79% nitrogen over the last 150 yrs ARE DEAD
Let...

[nastle]

I was wondering if anyone in primary care[ or other medicine specialties] here is still doing telemed ? and if so have you adjusted your malpractice...

[nastle]

How can housing prices ever correct in the current climate when big corporations are able to buy SFH for cash beating out any prospective home buyer who...

[nastle]

Primary care is what infantry is to military, not glamorous but absolutely necessary if you want to win a war.
While fighter pilots submarines and...

[nastle]

But not family medicine physicians?...

[nastle]

Sure when a RN is paid the same as a CNA
LAWYER same as paralegal
CEO same as the recruiter or random HR person
General same as a lieutenant...

[nastle]

Can a private and a brigadier be equal? I think not
even though they are both soldiers...

[nastle]

Too late to be concerned
greedy MDs who used them as physician extenders ruined it for everyone like 25 yrs ago

this will only get...

[nastle]

Lol
but they self identify as a fellowship , I didn’t pick the title of the program
“ fellowship” wink wink could be a lot less abrasive...

[nastle]

Intake psychologist and if I think they are not doing well I can get them into a tele psychiatrist same day ( since I’ll be freeing up a lot of space...

[nastle]

Am I the only idiot here who is not planning FIRE ?
here are my reasons
s$&@ happens in life and a steady paycheck is not to be underestimated...

[nastle]

It is a glorified CME
it’s called fellowship as it sells better and psych who teach us can probably market themselves better
I don’t market...

[nastle]

Appeal is I always liked psych pts , I have done it fairly well even with minimal training so far so bit encouraged by that.
yes they are easier...

[nastle]

My boss has made it clear these psych spots will strictly be just for that , anything acute they will be sent to our walk in clinic
win for me no...

[nastle]

Thanks
we do have psych backup but they are booked out for months and many pcp won’t refill meds even for stable pts
i plan to bridge that...

[nastle]

Yes that’s the extent of my ambition...

[nastle]

“Risk” the one from Napoleonic wars era
“ battleships “ but needs to be upgraded to FAC DDG FF corvettes SSK and maybe a LSD
Ships...

[nastle]

The way this world is I want to get a Howitzer for self defense with some AP HEAT ammo...

[nastle]

Specifically is there any future for primary care physicians ( not PA NP) ?

[nastle]

So this is a prelim pass and means most likely I passed ? Or just means result is pending ?...

[nastle]

I do all the time
the feelies , Sex Pistols , violent femmes and Morrissey currently...

[nastle]

Ok thanks I was just confused sorry. It does say “pass” nothing else and then a paragraph of disclaimer...

[nastle]

So it’s a preliminary pass or pending ? Still does not solve the issue...

[nastle]

So got my Abfm exam results says preliminary pass , does that mean in final results in December it can turn into a fail ? Does that happen ?

[nastle]

ten thousand thundering typhoons I didn’t either ! I read them all too I think flight 714 and land of black gold were my favorite, all except that black...

[nastle]

Ditto I’ve been trying to explain this to my siblings for a long time ( as we are all same roughly middle class) but they don’t get it...

[nastle]

Ok if you are thinking HI your level is Star Trek and mine is little house on the prairie lol...

[nastle]

Sounds like Tintin in “cigars of the pharaoh “...

[nastle]

For those of you working there do you plan to retire in CA ?

[nastle]

Where did you find That California prohibits it , On the website there’s a lot of hospitals listed that they say accept their certification...

[nastle]

Does anyone know if NBPAS A valid board certification for family medicine? Comparable or alternative to ABFM
Thanks...

[nastle]

In the middle close to Fresno , feels like the armpit
good schools though and weather is pleasant...

[nastle]

Ofcourse it’s not equivalent but it’s definitely more than the 1 month of psych training in 3 yrs of residency
I’m not saying this will make...

[nastle]

So I’ve been given a chance to participate in a psych fellowship ( I’m primary care)
its 3 weekends in person workshop ( in the yr) and 4 one...

[nastle]

I moved to Central Valley not too long ago , any advice for me ?...

[nastle]

Or should I try to do the unthinkable I.e wait few more weeks...

[nastle]

Some CDs just matured should I dump it all into VTI ?
18 yrs or so from retirement...

[nastle]

Any primary care docs here from Kaiser ? Please share your perspective
pros and cons about working for them
esp cons...

[nastle]

Nobody here from Kaiser primary care ?

[nastle]

AI operated washing machines alerts “ pill in your pocket”
next alert “goddammit remove your laundry … do I need to page your prescriber too ?”...

[nastle]

Any primary care docs here from Kaiser ? Please share your perspective
pros and cons about working for them
esp cons

than...

[nastle]

I found out 8 months later so I have only 4 months to put away 20k
is that a problem for matching ?
I mean I can without taking too much of...

[nastle]

Can you please explain the last part ? “Less than 10% match in that account” part
thanks...

[nastle]

My retirement planner at my present job told me that I’m eligible to contribute 20k pretax to 457 and 403
thats 40K/ yr ? Does that sound right...

[nastle]

Even if you think her case is genuine I would be strict
otherwise she might show her gratitude by recommending you to another person who is also...

[nastle]

Is the husband getting them too ? If so his meds are fair game...

[nastle]

Why not ?
who are the right minorities ?
I think Asians esp of Far East are generally law abiding , industrious and enterprising...

[nastle]

And liberals are ok with this ? No 21st century John brown leading an intellectual attack on them ?...

[nastle]

My kid is only 7 but did I read that right, colleges can legally prefer applications based on color and ethnicity? To the detriment of white and Asian...

[nastle]

Yeah even dollar menu isn’t dollar anymore
isn’t not euro menu either that was tanking too...

[nastle]

I know I missed the deadline for that
was just distracted with some family issues...

[nastle]

I did check
re entry
process starts after 3 yrs of lapse of certification...

[nastle]

Jack of all trades here , i tell them to schedule an appt to discuss that specific issue
I’m not addressing it with all their other stuff in...

[nastle]

My family medicine board certification is expiring end of year
I was thinking of just taking the exam in April next year as this yr is so busy...

[nastle]

IMHO don’t get married if you are thinking of a prenup
there is too big a gap between your income and hers

your assets before marriage...

[nastle]

Russia golden yrs were 1950 to 1990
they are in free fall
the best scenario for them is to stab PRC in the back and ally with Europe but...

[nastle]

Killing young men of Eastern Europe, that is the policy of western leaders unfortunately
putin obviously doesn’t care about his own losses e...

[nastle]

Haha you can read my mind !
it’s the ultimate diversification

i pity the fool who will be named “back door Roth”...

[nastle]

Thanks , I’m very fortunate to have parents who helped me during college yrs and they lived me until they passed away.
So they could have named...

[nastle]

Ouch !...

[nastle]

More staff support ( 2 MA s )
better patient population ( more grateful, less offended at EVERYTHING )
slightly better compensation
...