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[CordMcNally]

Where are they moving? I’d move the junk to their new front yard.

[CordMcNally]

I’m not sure right off hand but not to my knowledge....

[CordMcNally]

The Kentucky Derby is an experience. That's the nice thing about spending your own money, you don't have to have an answer as to why. Just because a recession...

[CordMcNally]

Did they mention what percentage of houses are currently rentals? This sounds like a completely arbitrary number. Either allow rentals or don't.

[CordMcNally]

You should utilize silent mode on your phone....

[CordMcNally]

There is no particular ruling that says anything about 401k or 403b accounts. There is IRS Revenue Ruling 2008-5 that speaks specifically to IRAs: Microsoft...

[CordMcNally]

Luckily, we haven't made any of the mistakes. Part of this is that I was interested in personal finance/investing early enough in my life and the other...

[CordMcNally]

As I said, things aren’t black and white. It’s like going to get your car serviced and they give you complimentary snacks instead of just giving you...

[CordMcNally]

Do you really book an appointment so you can tell them their labs are normal?...

[CordMcNally]

This type of stuff happens all the time in all industries. Just like if another physician calls the ED asking a personal question. I don't give them the...

[CordMcNally]

Fostering a relationship with the CEO is a bit different than some random patient....

[CordMcNally]

That’s why credentialing matters and it’s important that it’s accurate. The tricky part is that the ED doc and likely the specialist don’t know...

[CordMcNally]

If you won't say no then why complain?...

[CordMcNally]

Why don't you tell them it was a one-time thing? A simple reply could end that....

[CordMcNally]

You can file a complaint with CMS anonymously. Hospital admin has no incentive to turn themselves in if they don't have to or unless your admins are just...

[CordMcNally]

The CEO typically doesn't hire any physicians and they always have ties within the system. Regardless, this is somebody I would likely go out of my way...

[CordMcNally]

Isn't he your boss? Or your boss's boss?...

[CordMcNally]

Since you’re not a fan of your job, this is your chance to fast track being forced to look for a new one.

[CordMcNally]

They are but in the last several months your plans have been all over the place. Messy plans get messy results. I’m just saying to slow down, take a...

[CordMcNally]

You and/or your husband seem pretty compulsive with regards to decisions based on your threads. Everything from living the van life to building a house....

[CordMcNally]

I found that while it was annoying, at least the websites were pretty responsive on removing personal information once you emailed them.

[CordMcNally]

Mint lists everything on the left hand column. In the past it seems like sometimes they would list some accounts twice and you’d have to go in and clean...

[CordMcNally]

Yes, you typically have to contact the website to get that information removed. It’s because you’ve used your cell phone and home address for various...

[CordMcNally]

Like most things, depends. The acuity is largely irrelevant. Trauma centers and large motherships typically have very high acuity but they still accept...

[CordMcNally]

EMTALA just has so many layers. Many people would be surprised how they define ‘presenting to the hospital/ER’. It isn’t necessarily walking in...

[CordMcNally]

Most definitely, assuming they participate in Medicare. Any freestanding ER associated with a hospital with have it apply. Private ones may or may not...

[CordMcNally]

If they bring up the Stark Law as a reason for not paying more, then the OP should bring up Bird Law as the reason that they should pay them 95%tile....

[CordMcNally]

Many EDs have relationships with outpatient suboxone clinics/providers that can see the patient the next day for continued treatment....

[CordMcNally]

I honestly don't know about the situation you described. I know that COVID certainly made things tricky with regards to capacity issues and every ED boarding...

[CordMcNally]

If you don’t have the capacity then it’s not an EMTALA violation....

[CordMcNally]

You’d probably be surprised what EMTALA considers unstable. A hospital that can’t definitively care for a patient can easily meet this criteria. I...

[CordMcNally]

Hospitals in a certain area have a pretty good idea what capabilities each other have. It’s usually pretty cut and dry. “Hey, we’re sending a patient...

[CordMcNally]

You don’t have to consult your own specialist first. Most ED docs will have a good idea what services their hospital can and cannot provide. If it’s...

[CordMcNally]

My experience is that basically no physicians outside of the ED have any grasp of EMTALA and most EM physicians don't either.

[CordMcNally]

What do the three partners want to do? My guess is that there is not an agreement at this point. It’s going to get messy creating an agreement at this...

[CordMcNally]

It was real cool they made you do 8 hours of training to apply for the X-waiver then all of a sudden they got rid of the training requirement....

[CordMcNally]

I don’t refill these meds. It’s much easier to say no to everyone than pick and choose who you write refills for. Whoever prescribed the meds are...

[CordMcNally]

It sounds like she missed her appointment instead of the specialist just cutting her off....

[CordMcNally]

I’m not sure what part of the country you’re in or what kind of project it is but hopefully you’re already on the hunt for a contractor. It seems...

[CordMcNally]

They’d never see it coming....

[CordMcNally]

Considering she called her PCP I assumed it was very mild withdrawal....

[CordMcNally]

From an EM standpoint, advising your patient to go to the ER for this is not the most optimal use of resources.

[CordMcNally]

My superficial guess would be that they're slightly different with slightly different returns because the funds are all slightly different. They're almost...

[CordMcNally]

Congratulations and well done! This is something you won't ever regret.

[CordMcNally]

If you're in Doge, XRP, etc. then you're in full on speculation territory and your portfolio will react accordingly. Most of these various altcoins will...

[CordMcNally]

I agree. I can see a much higher sign-on bonus for a specialty that would be a new service line, allows a hospital to get a higher trauma designation,...

[CordMcNally]

Some of the big issues where I grew up with wind turbines is that once somebody dies, the ownership of the land gets split up amongst heirs. Depending...

[CordMcNally]

Yes and no. I would guess most people that utilize a HELOC weren't in a position to pay with cash....

[CordMcNally]

How much time does this position require?

[CordMcNally]

There's still typically ways to vote a partner out. It'll likely require a super majority but if things take a turn for the worse and fat needs to be...

[CordMcNally]

I have it on pretty good authority that the pythons will take over south Florida a la Planet of the Apes....

[CordMcNally]

This is my own personal curiosity but where in the US would be considered the best place to move if they're worried about climate issues?...

[CordMcNally]

It was Chris's but then Ruth bought it and it became Ruth's Chris....

[CordMcNally]

Most of the hate comes from the likely fraud/scams he perpetuates. You can dislike someone for embellishing stories. I could care less about his personal...

[CordMcNally]

I'm sure that's probably the same tone you use during these phone calls....

[CordMcNally]

It's a tough situation, I understand. The OP is on call and I'm assuming is likely being compensated for that. It was a hospital in their health system...

[CordMcNally]

Sure, but if it's pretty cut and dry like your femoral fracture example then there's no good excuse not to....

[CordMcNally]

It isn't necessarily about being a trauma center, it's about a patient being able to get the care they need. If a facility can take care of a particular...

[CordMcNally]

I doubt they were calling you because they wanted to. They were likely calling you because you were the closest facility that had rooms and could care...

[CordMcNally]

Did I say it was not significant? I did ask what you consider a lot. Producing EVs still produces CO2. There are still a lot of issues with EVs and I...

[CordMcNally]

There's probably a happy medium in here with regards to recommending every patient getting transferred and giving some basic advice over the phone (i.e....

[CordMcNally]

I try not to get into short term trends. The long term trend is up....

[CordMcNally]

Personally, I'd rather just pay for it and be done with it and not have to mess with a HELOC, etc. Then again, having to mess with things like that irritates...

[CordMcNally]

It wouldn't be very neighborly to shoot nuclear waste into space at our alien neighbors......

[CordMcNally]

From what I can tell CO2 doesn’t contribute to the smog you were talking about. You were talking about the skies clearing up. Maybe I’m wrong but...

[CordMcNally]

I can’t even take you serious anymore....

[CordMcNally]

Only to be replaced by another....

[CordMcNally]

I thought we were talking about CO2, not smog. Or are you just talking about pollution in general?...

[CordMcNally]

Put it all in and don’t look back. Or spread it out over 3-6 months if it makes you feel any better. In 20 years you won’t remember/care.

[CordMcNally]

Say there’s two elephants in the room and you take one away. You’re still left with an elephant in the room....

[CordMcNally]

A decade before what? Have you learned nothing from all those sensational headlines over the last 40-50 years?...

[CordMcNally]

Wind and solar provided a third of the energy in Texas. How does that make it the most stable form of power? Ask Texans what wind and solar did for them...

[CordMcNally]

It’s a fruitless endeavor if other large emitters aren’t doing their part. A lot of things in this worry’s produce CO2. It’s like trying to cool...

[CordMcNally]

It depends what you consider a lot. The most recent data I could find shows that road transportation accounts for 8-9% of CO2 emissions. EVs still require...

[CordMcNally]

I haven't seen the Reddit subs lately but I think I a lot of them are learning a tough lesson on diversity....

[CordMcNally]

To me, there's a difference between your PCP referring you for a screening colonoscopy, etc. and they schedule you and you meet the endoscopist the day...

[CordMcNally]

It's a 24/7 market. They're published everywhere....

[CordMcNally]

This sounds like a hip new night club....

[CordMcNally]

There is no rich dad. He's a liar. Sometimes it's that simple....

[CordMcNally]

It’d be tough for me to pay off a 2.25% mortgage currently.

[CordMcNally]

Anyone can run their practice however they want. Some of the biggest issues will be folks who are referred to a specialist and want to be seen by a physician...

[CordMcNally]

Feel free to google 'Robert Kiyosaki fraud' or something similar. He likely makes the majority of his money (when his company isn't going bankrupt) by...

[CordMcNally]

Your proposed plan looks very reasonable.

You had one strike with having a financial advisor (not necessarily a bad thing for people who...

[CordMcNally]

I had hoped that he had fallen off the face of the earth. Many people would be better off if he wasn’t out there spewing his drivel.

[CordMcNally]

Or they were ‘experts’ who said what the attorney wanted them to say and sounded like they could be convincing....

[CordMcNally]

When I think of time in the market I usually think decades and not a year or two. It's almost always usually better to have bought an index fund (or a...

[CordMcNally]

I don't know what else they expect you to do. Sometimes advice can be given over the phone and sometimes it can't.

I'm always happy to see...

[CordMcNally]

It’s clear the plaintiff’s expert witnesses don’t work in a rural non-trauma center. I assume that’s because the attorney couldn’t find someone...

[CordMcNally]

I’d probably get rid of your car loan and invest the rest. It’s always a good time for investing if your investment horizon is long term.

[CordMcNally]

She lost money (from her original investment) selling them but the number of stock that she immediately rebuys at a different brokerage is the same number...

[CordMcNally]

There’s a 100% chance a job posting like that is going to have awful pay.

[CordMcNally]

What are they paying? I assume what they are paying is pretty close to what it's worth to somebody.

[CordMcNally]

The number of shares doesn't change unless you buy or sell (or if there's a stock split). It's the price of each share that changes....

[CordMcNally]

If you have a particular area in mind then you can always reach out to the hospitals yourself and try to avoid a staffing company from taking their percentage....

[CordMcNally]

I forgot you had posted some information back in April. If your income is still around $475k then deductions, etc. should get you into the 32% marginal...

[CordMcNally]

It doesn't sound like a huge deal but I would have a collegial chat with the other doctor. How come the phone call didn't come to you?

[CordMcNally]

If you aren't in the highest tax bracket this year and next without the windfall then spreading it out will likely be more advantageous but there is also...

[CordMcNally]

There is a percentage of people who are just bad people and no profession is immune from this....

[CordMcNally]

That they know of. I would guess that some people probably have some natural immunity and that others have had very mild cases....

[CordMcNally]

Tell her to look at the money. She sells for $x and then buys for $x. If she focuses on the share number ask her if she’d rather have 1000 M&Ms...