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[MPMD]

i'll weigh in here, i think the OP is in pretty serious trouble.

whatever the circumstances, upbringing, prior sacrifices your wife is spending...

[MPMD]

not a lawyer

for your first case (anxiety) here is what i would do: i would decline to provide a written report and charge 2 days normal...

[MPMD]

not trying to be nasty but i truly don't understand this question.

when i graduated HS the dow was at 9k
when obama began second term...

[MPMD]

i'm not an accountant but the IRS guide on this seems pretty clear
in my personal experience when the IRS site is as clear as this there is no reason...

[MPMD]

all kidding aside where i used to live i got some aggressive/odd door to door people.
i think the prior owner was a soft touch who would give money...

[MPMD]

if it makes you feel any better i'm an ER doc at a major urban quaternary trauma/stroke/burn center and i find my work to be fairly unexciting most of...

[MPMD]

https://www.nytimes.com/2016/02/25/f...s-expense.html

this is my favorite article the Times has ever...

[MPMD]

a few i like:

what does an orthopod call the heart?
the ancef pump

what do you call 2 orthopods reading an ekg?
...

[MPMD]

variation that is a little darker:

how do you know that oncology is consulting on your pt?
there's claw marks on the coffin...

[MPMD]

if he isn't getting a commission and he's pissed you're not buying what he is selling then it sounds like you encountered a very odd and/or aggressive...

[MPMD]

i tend to subscribe to this view as well.

i also don't think that this means that you have to act super buttoned-up at all times either,...

[MPMD]

i don't think it's helpful to look at things like this with the mindset of "well if he's a car guy then maybe it's worth it."

if...

[MPMD]

i have credentialled at 8 hospitals in my career and have only ever been asked about settlements, judgements, or asked if anything is pending....

[MPMD]

i'm not saying stop being dumb.

i'm not calling anyone dumb.

i'm saying learn what actually happens.

doctors think...

[MPMD]

again, craft a workable policy.

and don't think about it as an annoyed doc, think about it as an angry parent.

i am seriously...

[MPMD]

mandatory retirement at 70 or submit to independent cognitive evals every year and release all results
sorry not sorry...

[MPMD]

i make plans based on being pretty mobile until 80, at which point i plan to sip extremely expensive coffee or scotch and read books in between naps

[MPMD]

the psychological impact and stress from being named in a lawsuit you had nothing to do with should be minimal to zero, if it's not you don't understand...

[MPMD]

i have

really enjoyed it

i appreciate wine esp reds and enjoy them, i just know that if i have 2 glasses i will feel like some...

[MPMD]

a few thoughts:

1. while it is highly annoying to be named in a lawsuit, i don't really think we want to live in a world where people can't...

[MPMD]

i'm really shocked that this didn't just turn into a convo about who drinks the cheapest moonshine they make in the spare toilet with leftover welch's...

[MPMD]

mod hat: be really really extra careful on this one folks

[MPMD]

correlation or causation.

i know plenty of people with no motivation who barely drink.

i know plenty of MJ users who are hyper...

[MPMD]

this was an actual LOL for me in my office....

[MPMD]

fair point but if they don't make legal min wage you are saying the restaurant has to true them up to... $7.25? which is also starvation wage?
...

[MPMD]

endorse

i don't really know anyone who feels that strongly about weed anymore, even super conservative people i know don't really seem to...

[MPMD]

was there another date?

yeah i don't always say anything. at the end of the day i'm a physician who waited what i perceived to be too long...

[MPMD]

i think the neighborhood informs this quite a bit as well. we live a pretty busy through street and have a high amount of sidewalk traffic for our area....

[MPMD]

would strike me as a good move for a host of reasons, particularly around termination/disciplinary action. i would put a bunch of things in there about...

[MPMD]

i think WCI has a good take on this (paraphrasing and hopefully not misrepresenting his views)

• clearly benefits some people
• optimal dosages/routes

...

[MPMD]

well, i wish everyone agreed it was bad policy. lots of people on my "team" sure don't.

the right (as you say) has a point, we...

[MPMD]

some good points.

my basic philosophy at this point is as others have said that $5 is a bigger deal to 99% of americans than it is to me....

[MPMD]

sure.

for joe and jane average you probably have to weigh credit card debt against that benefit but overall your point is well taken....

[MPMD]

i don't think they have any other options.

dem coalition is broad but doesn't vote, GOP coalition is narrow (especially now) but will turn...

[MPMD]

i think this is right
this to me is the essential benefit of the credit card.
if someone bangs out a $12k fraudulent transaction on my visa,...

[MPMD]

fwiw as the resident lefty i find blanket student loan forgiveness to be very bad policy unless it's married to some kind of omnibus which would have...

[MPMD]

i think yes/no isn't even the right framework here.

very tough to call a recession until you are obviously in one (at which point polls are...

[MPMD]

OP i guess you have your answer!

the 2 extremists agree!!

...

[MPMD]

i don't think i would have called you a quack.

i have always told pts that i don't argue with what works for them.

i think then...

[MPMD]

OP this is a mess.

sit tight and sell when you are ready to move.

as others have said this only works if you decide to actually...

[MPMD]

yeah so this is the mantra of the quack.

Oz isn't doing an RCT of whether or not raspberry extract helps you lose weight, he is selling extract...

[MPMD]

i agree especially with bedroom/bathroom...

[MPMD]

one of my old partners had a pretty good approach to this with his middle school aged kids who had phones:

1. it's not your phone, it's my...

[MPMD]

this has been endlessly tackled both in the press and in peer-reviewed journals.

your post strikes me as not being in good faith, it is so...

[MPMD]

regarding #2: yes, and i would probably hope that a doctor would talk to me instead of performing

regarding #3: i would not really call Oz...

[MPMD]

3 comments:

1. One of my all time favorite WCI (I mean Jim) responses was I think a comment on a blog post a few years ago when someone accused...

[MPMD]

ha no need to apologize!
i was just pointing out the $1M/year is a lot of money and nothing to sniff at!
i think one of the points of concierge...

[MPMD]

eh, you say that but i don't know if it's true.

i don't think there's any evidence that this guy's pts "think they are more important...

[MPMD]

yeah i know someone who does very elite concierge.

not celebrity so much as the most powerful people in the area.

he is actually...

[MPMD]

not only that but there have been several attempts already to create "free speech and open dialogue" social media. the results are predictable,...

[MPMD]

at one point i froze and forgot i had then had to have a credit check.
that was annoying.

[MPMD]

eh, it's a little weird.

but aren't all cases of CRPS kind of weird?

i didn't get the sense that she was on the make or having...

[MPMD]

probably one of the best podcasts WCI has ever done

[MPMD]

i would argue this is almost impossible to answer.

i think what 95% of people are doing here is just trying to save a ton and then sticking...

[MPMD]

e-bikes are pretty fun

mine: https://www.kuiu.com/products/ventur...40479927173278...

[MPMD]

full disclosure i have never seen this student's name, probably clues some of you in to the media outlets i consume, not that any regular would be surprised...

[MPMD]

you either have a very good setup or a very bad one.

if you like the gig this sounds like kind of a cool feature that could allow for extended...

[MPMD]

as a lifelong academic i definitely see this as an issue.

i used to keep a file of the dumbest stuff i saw posted to social media, my top...

[MPMD]

dude you weren't supposed to tell them about my run in with the ATF....

[MPMD]

no i don't mean that, which might be why i didn't mention him?...

[MPMD]

that's not what i'm saying.

what i'm saying is that all of the things that we take for granted that make employment tolerable is the result...

[MPMD]

pretty tight but probably won't sink you.

curious what city this is, esp w/ the anonymous name. i def live in a place like this, that said...

[MPMD]

i'm not impressed by people professing to be anti-union or making snarky comments about bernie, that's super easy and cheap.

i want to see...

[MPMD]

this made me laugh fairly hard....

[MPMD]

amen.

be nervous when others and aggressive and aggressive when others are nervous.

also i know it doesn't feel like this but...

[MPMD]

financially it's not a bad idea, just complex.

however if you go from an $18k used car to a lease (almost by definition new) that will be...

[MPMD]

tread lightly
go slowly
ask a ton of questions
be wary of anything that seems evasive or incomplete
figure out what "partner"...

[MPMD]

amen.

and also while often not disclosing to new partners and associates that this was the plan.

doing to others what they would...

[MPMD]

well i guess we can all be glad we are in such good hands....

[MPMD]

exactly

it's a weird hill to die on if you ask me

also for those who are fans there is a great episode about this on S1 of Curb...

[MPMD]

i think we should all wish to live in a world where we never have to care when any individual billionaire is doing unless they are donating large sums...

[MPMD]

3 thoughts

1. i really don't get this, if my shoes are dirty i take them off, if they are clean i don't worry about it

2. the...

[MPMD]

yeah i think that's the biggest thing -- not to overvalue things.

your old dress shirt is worth about a dollar no matter how snazzy you...

[MPMD]

this is what i do as well.

full repeat fee for rescheduled dep within 1 week of schedule.

you have a sacred duty to care for...

[MPMD]

brah you should meet my wife ...

[MPMD]

why would there by anything wrong with this?
it's what they did in Home Alone and no problems there obviously.
seriously though, i am part...

[MPMD]

this sentence makes me very nervous, i always get spooked by identity based financial advice.

her house is paid off at 35? doesn't sound...

[MPMD]

not to derail, but i think this would be worth a call to the EMS quality officer if your region.

if they didn't follow the SOP someone should...

[MPMD]

i'm not a legal expert but i don't think you need a state license to rx meds in that state, might be different for controlled.

as others...

[MPMD]

can confirm....

[MPMD]

as others have said understand that the concept of business vs hobby is a pretty legit thing for the IRS.

my layman's understanding of this...

[MPMD]

i agree with Tim

as an outsider it sounds like this person is not going to sell this to you so i would not put your eggs in this basket...

[MPMD]

what i would add to this discussion is this piece which is short and worth your time: https://www.nytimes.com/2022/01/20/u...ices-surging.h...

[MPMD]

eh, i don't know.

i definitely grew up in a smaller town where there was a subset of doctors who everyone knew and respected. they had a...

[MPMD]

eh, i don't know.

surgery is pretty cool.

i definitely had really good friends in medical school who i think just found the...

[MPMD]

absolutely do not do this
a bad outcome in this situation would be indefensible

[MPMD]

high level points from when i talk to students about specialty selection (i do this a lot)

• have to decide if you have to operate, some do (notice this

...

[MPMD]

just FYI this is not fake news.

rough year for EM and a bit of an uncertain future.

not catastrophe, but changes for sure....

[MPMD]

not needed

complaints or action based on expert witness testimony are vanishingly rare

definitely it is not the case where an...

[MPMD]

does mutual consent just mean you resign and they accept?
i agree the language is strange but it also would seem very odd for a hospital to fight...

[MPMD]

i will pick the wine
White.Beard.Doc is paying...

[MPMD]

hcola/ultra desirable area, as crazy as it sounds i believe my Zestimate.

[MPMD]

IM is a great field, challenging and lots of options.

i do a ton of counseling on specialty selection fyi.

one of the best pieces...

[MPMD]

assuming you have reasonable relationships with your bosses i would keep this as classy as possible.
hand written thank you note (totally separate...

[MPMD]

a very reasonable answer to this question is that you'd like to be in the upper 30-40th percentile for comp for docs in a similar position.

[MPMD]

one of the most demoralizing experiences in medicine for sure...

[MPMD]

i've had the same experience.

remember once a resident had a family emergency mid shift and had to leave, it wasn't that busy, was trying...

[MPMD]

i agree entirely.

all of us have worked sick.

but at the end of the day that's a bug in medicine, not a feature.

...

[MPMD]

great article

my thoughts:

1. if your dean or advisor tells you you need a parallel plan, listen to them. the landscape on this has shifted

...

[MPMD]

can't really imagine this is going to save you much money while it sounds like it's going to add a decent amount of complexity.

i know i'm...