457 question

[HikingDO]

#12 - I was naive enough to believe all of the wonderful salary projections that my new employer said that I “could” receive.

[HikingDO]

Traveling to Norway in two weeks, fingers crossed it goes smoothly! 😬...

[HikingDO]

I’m completely confident crypto will go back up. I’m gonna hang onto mine, just like I’m hanging onto my beanie babies and tulip bulbs. Any day...

[HikingDO]

It’s better but definitely not optimal. If I have a choice, which I typically do, I tend to refer to specialists’ offices where an MD or DO will see...

[HikingDO]

There’s a GI here in town who basically does this. I stopped sending them patients a few years ago. If I need a specialist to evaluate my patient, I...

[HikingDO]

I know your political views and Dave Ramsay’s are polar opposites, but fraud is a strong word. What type of fraud has he committed?...

[HikingDO]

I’ve actually thought that myself, and I’m leaning towards yes....

[HikingDO]

Completely agree. We use them for everything....

[HikingDO]

I’m sure the Dutch in the 1600s were saying the same thing about tulip bulbs....

[HikingDO]

At least in a few years tulip bulbs will have some food value....

[HikingDO]

I moved my money into tulip bulbs. What could go wrong?...

[HikingDO]

Do you honestly think that the 4 pages of templated cut and paste EMR notes are any better?...

[HikingDO]

Just waiting and watching for the Bitcoin fanboys on this forum to chirp in….

[HikingDO]

Substitute the words “family medicine physicians” for “surgeons” and it’s still correct....

[HikingDO]

Oddly enough, I actually miss this...

[HikingDO]

My first two years out or residency in family med I did both I inpatient and outpatient, and some days/weeks were brutal. About 20 years ago, hospitalists...

[HikingDO]

The sad thing is, regardless of the wants and needs of surgeons and staff and risk of poor outcomes, if administrators could figure out a way to force...

[HikingDO]

Woohoo!!!! Just in time for our trip to Norway next month. The US government finally does something right.

[HikingDO]

Just think of the image of the old man waving his fist in the air yelling, “if I had to work 120 hours a week for crappy pay and no benefits, by god,...

[HikingDO]

I just left practicing full time family medicine last week and was never salaried. I had great relationships with my patients, some of which I saw for...

[HikingDO]

Now if only attending physicians were as smart as nurses and residents, we’d unionize too. But alas, we’re not.

[HikingDO]

It’s so hard for me to like your comment. I agree with it, but it’s hard to like someone who’s name is GoBlue. Go Green!...

[HikingDO]

Message received, I’ll let it go....

[HikingDO]

Yea, I’m sure you’re right, it’s probably purely coincidental that the worst inflation that we’ve had in over 40 years started at the same time...

[HikingDO]

Why do you think that in your 50s and early to mid 60s you won’t be able to play ball with him and hike? Like Satchel Page said, how old would you be...

[HikingDO]

The majority of posters in this forum will die with millions in assets. I have no intention of dying with millions. I’m going to happily spend 4+% percent...

[HikingDO]

It’s so odd that inflation started increasing in January 2021 and has pretty much gone up every since. Hmmm, I wonder what happened that month….🤔

[HikingDO]

We rarely use hotels when we travel anymore, almost always Airbnb or VRBO. It’s so much nicer to have the space to stretch out rather than being crammed...

[HikingDO]

I think the media is upset that we’ve all got covid fatigue and don’t care to read about it anymore, so you gotta write stories about the new boogie...

[HikingDO]

I agree and no raises really do suck, since I’m in the same boat, but this is definitely the definition of a first world problem. Just curious, why...

[HikingDO]

Probably true. They don’t want to wait for an MRI or cataract surgery in Canada , so they’re happy to pay cash for it here....

[HikingDO]

I see quite a few Canadian snowbirds here in Arizona, and this is definitely not what I’m hearing....

[HikingDO]

Same here. If I go first, I know my wife will have 0% interest in managing the finances, but she knows who to contact to do it for her....

[HikingDO]

Two points on this - first is not all physicians practice evidence based medicine. Some practice cover your ****************** do as many procedures as you can get paid...

[HikingDO]

Really? In all cases? I completely disagree....

[HikingDO]

Europeans nations freeloading again on the back of the US. Sounds a lot like NATO....

[HikingDO]

Exactly. Huh?...

[HikingDO]

True, but maybe you hurriedly seeing 20 patients in 4 hours may have had something to do with you sending in the wrong dosage of a medication. Something...

[HikingDO]

Depends the patient. If it’s one of my geriatrics and they’re recording it because they have memory issues or can’t hear well, I’d say go for...

[HikingDO]

Dr. Glaucomflecken has some hilarious videos on YouTube with physician stereotypes.

[HikingDO]

Ugh, both sound pretty miserable. Would have to go with sitting if I had to choose one only, mainly because my back will spasm up if I stand for long...

[HikingDO]

I’ve been an FM doc for 25 years. Seeing 10 99214s in 2 hours is not good care. I’m sure you’ll disagree, and I’ve worked with several FM docs...

[HikingDO]

That’s really nothing to be proud of....

[HikingDO]

Nah, I’m good, I prefer giving my patients more than five minutes of my time, but thanks anyways....

[HikingDO]

I’ve been doing family med for 26 years and I really don’t see how you could, but ok, if you say so…....

[HikingDO]

20 99214/99215s in 4 hours in family med? You sure you’re giving good care to those patients?...

[HikingDO]

I’d take a PA over an NP any day of the week....

[HikingDO]

Massive eye roll…🙄🙄🙄...

[HikingDO]

I won’t refuse to work with them, (I can’t since I’m an employee), but I refuse to supervise them.

[HikingDO]

Or just be like the sucker that I am. I paid off my own student loans, I paid for my kids college educations, and now I’m going to pay higher taxes...

[HikingDO]

Ugh, looks like I fed a couple of trolls in this thread. I must be slipping, I’m usually better than that.

[HikingDO]

Dying with $50M would make me really sad. It would mean that I worked a lot longer than I should have....

[HikingDO]

How can you possibly make a claim that osteopathic students are less competitive for these top allopathic schools compared to any other students? What...

[HikingDO]

In 2020, the average MCAT and GPA for students entering US allopathic programs were 511 and 3.74. The average MCAT and GPA for students entering US osteopathic...

[HikingDO]

This isn’t even close to being accurate....

[HikingDO]

Exactly. Many won’t admit it, but I’m sure some of the hatred comes from jealousy....

[HikingDO]

Their stock price and profits aren’t as high as they’d like....

[HikingDO]

I’m sorry, but this is a really horrible analogy....

[HikingDO]

Personally, I’d decline to work for free for a med school that charges $50,000/year. That $100K that the school collects in the students 3rd and 4th...

[HikingDO]

I did this once many years ago, don’t remember the name of the airline. It took me over an hour on the phone, talking to several people and supervisors...

[HikingDO]

and the alt-left too, including actual communists. Both polar ends of the political spectrum are equally to blame....

[HikingDO]

If you’re going to Zion and Arches, definitely go a little out of the way to Bryce Canyon, it’s worth it!...

[HikingDO]

Either France or Italy, or both, can’t decide! Probably a trip to Michigan to see my parents new house, hopefully a lot of overnight camping trips,...

[HikingDO]

I’m leaving my job (Yay me!!!) in 6 weeks, taking 2 months off, then going back to do only some prn work, so I’m not really retiring, but semi-retiring....

[HikingDO]

More stupidity in medicine. Administrators can make as much as they want, there’s no cap, but we’re limited to “fair market value”, no matter...

[HikingDO]

No, I would not sign...

[HikingDO]

Time for a new job...

[HikingDO]

I bought a gallon of gas yesterday. I was going to buy 2 gallons but I didn’t really want to tap into my home equity to do it.

[HikingDO]

“Or” is definitely the correct wording here....

[HikingDO]

Honestly though, and as a family medical doc like me, you know that a decent amount of family med residency is a waste of time. After delivering dozens...

[HikingDO]

Not needed? So 25 years ago when I was a resident and I worked 36 hours straight for $23,000 a year, society caught on a century ago that this wasn’t...

[HikingDO]

I couldn’t disagree more. I guess by this logic, unions a century ago should have never formed, since working in a factory or a coal mine for long hard...

[HikingDO]

I just laughed so hard that I spit out my milk.

[HikingDO]

Chatty person isn’t a problem. Wait for a break in the conversation and pop in the ear buds. The other two are equally annoying....

[HikingDO]

6K per year with 4 vehicles and 4 drivers, 1K deductible. Having two kids covered under your auto insurance isn’t fun.

[HikingDO]

FLP is like a chupacabra, we just think we see him, then he’s gone…...

[HikingDO]

Progressives are all for free speech, as long as you agree with what they think....

[HikingDO]

Maybe Musk can save the cesspool that is Twitter. It can’t get much worse....

[HikingDO]

I know. I think your sarcasm meter is not on tonight....

[HikingDO]

The Twitter estimate? Yep, I agree....

[HikingDO]

Twitter’s value is estimated to be $13.3 billion, and Trump’s net worth is estimated to be $2.5 billion, so he actually could buy almost 20% of it...

[HikingDO]

I literally laughed out loud at this post!...

[HikingDO]

I literally clicked on this thread hoping Fat little pig was here. Oh well…

[HikingDO]

Meh, maybe so. Maybe most of us are, honestly....

[HikingDO]

Not picking on this post in particular, but why do some people believe that just because you were born smart or became smart as a child you have an obligation...

[HikingDO]

If you think doing geriatrics is zero stress you’ve never done geriatrics....

[HikingDO]

In my opinion, getting called into the hospital at 2am at any age is pretty bad....

[HikingDO]

It’s not in my contract, we just split non paid free slave labor call with the other physicians and midlevels who are currently working in our clin...

[HikingDO]

If you want to practice only outpatient, choose family medicine. If you want options, choose internal medicine.

[HikingDO]

Wow, I must be slumming it, I’m in the 500K-750K bracket...

[HikingDO]

Wow, I thought family med was bad, you make ER sound like ************************....

[HikingDO]

Winner, winner, chicken dinner....

[HikingDO]

In negotiations, the first person who speaks loses. Ask them what their offer is first, and go from there.

[HikingDO]

I’m pretty certain that I know the answer to this question, but I just want to ask since I can’t completely verify the answer. I have a non-government...

[HikingDO]

From a purely financial standpoint, it doesn’t. We’re a dying breed....

[HikingDO]

Wait, what, orthodontists need to pay for their residency? What kind of sick twisted person makes someone pay to be a resident?

[HikingDO]

Nope, didn’t age well at all! Oh well, if I could go back in time I’d make the same prediction, the invasion didn’t and still doesn’t make alot...

[HikingDO]

I use the BetMGM app. Nothing big, just some $25-$50 bets during the football season, makes the games more fun. Let’s just say I won’t be retiring...

[HikingDO]

When I was a resident 25 years ago, to get to the hospital we’d walk uphill, against the wind, in the snow, with no shoes on, and no one complained!...

[HikingDO]

Speaking for myself, I greatly prefer that if you as a specialist wants the patient to see another specialist for you to refer them yourself. Notifying...