Patient asking for child's antipsychotic medication from another state

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Yep, good point. I get paltry compensation for NP oversight and think I will stop doing it soon. Our PA on the other hand is pretty good....

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Voted for the option I'm hoping for - extension in $0 payments. Obviously partial forgiveness won't help anyone shooting for PSLF.

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^ I use discord to request specific guidance, to 'pick the brain' of trade workers and enthusiasts - 'doers' rather than theorizers. For example I've...

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16, probably. We'll see. Oldest is 6 right now. They've never been allowed to use our phones (except my daughter sometimes unlocks the camera to take...

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Bought a beat up motorcycle the same model as my other motorcycle, except this one had some major offroad upgrades. Intend to transfer the upgrades and...

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I'm in the never-shoes camp. I don't believe it's strictly a question of infections. There is a component to cleanliness that might be termed psychological,...

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I just get a consistent yearly 4%.

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*shudder*...

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I pay ~1200/year for liability, collision/comprehensive w 1k deductibles on 2 cars, 2004 and 2013. Also pay 220/year for two motorcycles.

...

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I've done it and I really doubt that by itself, sending non-scheduled meds out of state for an actual patient is at all problematic.

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Yeah 'patient' in the title of the thread was a slip. I meant to put 'parent'. As far as that child being my patient - well the kid was in the same practice,...

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Update: I declined. I got a very long sob story, interspersed with cussing and insults, but got hung up on when I asked what would happen a month down...

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I'm sure it's not in your worldview [insert smarmy eye rolling emoticon]....

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I mean, yeah, to me it does matter whether this is a genuine issue, and I hate sending people to the hospital and I'm usually quite understanding about...

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Nope....

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Child with autism put on antipsychotic by colleague, seen twice, ever. Colleague leaves, I refill over the phone twice, both times asking that parent...

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Yeah, how long have the loans been on hold? I've been 'forgiven' that many months x ~$1,200.

I'm grateful, but the joke's on them - I don't...

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You know, the irony of it is this: ideally, it should never have been an aspiring 'assistant to a doctor' that was attached to a doctor in his practice...

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how high?
...

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Other verbiage that annoys me - how suddenly everyone and every corporation has started to "pivot to" something. Ugh. Also, "optics"....

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I drink a glass of hot water in the morning, then about a liter of water while at work after lunch. I get thirsty mainly because I keep the office a...

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Get yourself a nice big sedan. 2012-2017 Lexus LS460.

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I do a fuller exam than most peds folks, I think. I do essentially the same exam on everyone 4 and up, so some parts are less relevant and in that sense...

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No one is examing the ideas implicit in these questions of implicit bias and what should be done about it.


First of all, implicit...

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"I know my child."

"He doesn't eat anything."

"She has a very high pain tolerance."
...

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When encountering an idea, the expedient thing to do is dismiss it by snap judgement of the person communicating the idea....

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https://www.wired.com/story/opinion-...-a-technology/

Jaron Lanier in Wired. I'd urge you to read any of his books instead...

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Waiting for Schwab to let Turbotax autofill my 1099s...

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You guys realize AI isn't intelligence, right? Intelligence requires consciousness. Algorithmic processing of human data, which is always a highly incomplete...

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Peds, so hired a dad who is a landscaper after his trailer burned in a fire and he was out of all his old clients. Don't regret it. Almost hired a dad...

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-15 yo who shot himself in temple, only to have the bullet travel along the braincase and exit
-after getting back up, shot himself under the chin,...

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I've had a lot of conversations regarding vaccines, and other aspects of the medical system, and the distrust that some people have of the system. I also...

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Do what you think is right. My policy regarding vaccines, for the most part, is the same as that involving patient care in general: I can only care as...

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I go to GC, but I'm just waiting to lose enough of my hair to justify shaving it off. I highly dislike sitting in the barbershop, and get very impatient....

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Do I need to inform the former custodian? Do I need to know specific dates for the withdrawal/disbursement? Do I then need to indicate this somewhere...

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Can I do this even if I just did a 6k backdoor Roth conversion?


Honestly sounds like too much trouble compared to just using the 200...

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It's only 200 bucks. Here's the text:





I didn't know about this 403b, but my question is, how come they performed...

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Yes....

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Hah. I'm not 40 yet, I work 4 days and week, and I love all my days off, and I don't get tired of them. There's always things to do: mountain biking,...

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Some places you are allowed to request alternate school as soon as you register. Of course if this is a metropolitan than there's already a waitlist for...

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I'd guess roughly 30. I read around 5 at a time and they go out of rotation approximately twice a month, so ~5+24.


There's no way...

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Anyone using MABs on kids? Vaccinated kids? BMI is a criteria and that would mean lots of kids would qualify - I don't know what's the status in terms...

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Definitely would not have held.

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Guys - I bought $100 worth of btc in 2013 or so, I had around 5 btc. Two of those I used to buy rugs on overstock for around $800. One more I think I...

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Can I just tell you guys that I had the viral illness from heļl and it wasn't covid?

Started with the kind of conjunctivitis that I've never...

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Imagine taking chocolate capsules instead of eating chocolate....

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Yes I'm confused as well - mine said 15 payments! My first thought was, are they just tallying up the payments I've made since the last time I certified...

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i dunno. ~ur so vain u thought these posts r about u~...

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He probably means this, no?

Agree with all your criteria for clothes I wear at work....

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I have a very limited set of clothes that I wear, and I sometimes buy multiples:
-Same white undershirts for work, same white shirts, same brown...

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.

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But my coffee has creamer in it...

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Resuscitating to say I got called an A hole today because I wouldn't write an ESA letter. Great parenting.

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Don't you have a button on a lanyard for this sort of thing? Help, I've asbestoed and I can't unbesto.

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Oh, have another.

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Every time I see this thread title - https://www.youtube.com/watch?v=2tqOgAIg0gA...

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At roughly -600k.

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Reposting this excerpt from Money and the Meaning of Life:

Money can buy almost anything we want--the problem being that we tend to want only the things

...

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I picked 500k+. I'd still probably finish up PSLF. And then I'd probably take a sabbatical and travel with family. Come back part time forever.

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Dude if you're getting an older Lexus, stick with the LS. The flagship is a huge jump up from the other sedans. I got mine for $10,750, and that was after...

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Lexus LS430 - mine's a 2004, found it with less than 70k miles, literally driven by a little old lady.

Be forewarned that it doesn't drive...

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This thread is fun.

I was met with disapproval on these forums when I floated the idea of buying a used luxury car, and then I bought an...

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0.8 FTE, salary prorated, same with vacation time, but fulltime benefits. Work 4 days per week, 8-11:15, 12:45-4:15. I have a 1.5 hour lunch, easily pushed...

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I work 0.8 FTE, and salary is proportionally 80% of what it would be full time for peds. We save ~20% pretax and another 15% percent post. Mortgage was...

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Only since the start of the industrial age!

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Ahem, ~ladies~

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They're all girls so I'm being so nonbinary right now by implying they're the opposite gender.

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I don't think we need that kind of non-communication on a (or this particular kind of) forum. I'm with the boomers.

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Thanks it helps to know I'm not the only person having people do things that are inconveniencing. Just the nature of the situation now.

Same...

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I'm getting a lot of calls / telemed visits - 'hi my kid has a cough and runny nose, can you tell the school it's a seasonal allergies.'

...

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Seems clunky. But then again I type way faster than I speak. We recently switched to the worst EMR I've ever used, eClinicalWorks. It's very mouse-intensive...

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stat mask exemption please

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cuanto...

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I remember ranting about this in residency.

When everything is stat, nothing is stat.

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I wonder if eventually, given repeated immunizations or repeat infections, or both, the rates of serious side effects will go down so that it's profile...

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Yep. Are you Emergency?...

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whoa whoa easy there buddy...

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GOLD

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That wasn't an error. In my experience my fellow subcontinentals are the most money-minded in any given group of physicians or other professionals, and...

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And I never have any ragrets....

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I was in the same situation as you with my employer - except it was even worse with no options less than 0.75%, 5% load fees, and an additional 0.5% ER...

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I work at an FQHC and I would be fine if my kids received care under MediCal. I've also thought about this strategy for later in the game.

...

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Been seeing a few of these lately. Because of course.

I've been strict about denying exemptions just because your kid has asthma, I had another...

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Yeehaw.

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Must be weird. I'm in peds and we get vaccine reps. They're not allowed to talk to me.

I see the ones for IM/FM hanging around the nurse's...

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Thanks for the advice folks. Going to call him up and ask him what the plan is, because I will only be willing to do this temporarily. Boss is also a...

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Pretty comfortable at my job, been here for six years. Employer has multiple clinics in the region, one per town/city. As of this month, I'm the only...

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I want to hear a theory about being pretentious, though I doubt it will impress someone of my intellect.



I sometimes don't...

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Haha I know I brought this up before but I'm in the same situation re: certain dissatisfactions with my employer but overall pretty much married to them...

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250 sounds good.

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I applied to something like 15 and got in to three or four. Unfortunately I picked the most expensive one with the most depressing weather.

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Premium for family is $2200 and employer pays roughly $1000 of that.

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How many years do you need to not have an income to qualify? Just wondering, how many tax returns will they check?

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I was thinking something like 100k. We're pretty frugal and aside from our mortgage, we only spend about ~40k total per year. Also my current saving rate...

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Indeed.


Due to this thread I pulled up a retirement calculator to see if 55 is a reasonable age to retire (even though I am technically...

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Gramps always joked the weather channel was MTV for old people....

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Oh man. I have a set of stretchy white dress shirts from Uniqlo and a set of brown dress pants. And I wear them every single day at work. It's great,...

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Speaking as a immigrant late 30s pediatrician who's probably more conservative (on an actual scale and not within the narrow band of opinion that polarizes...

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Man nothing makes you lose faith in the power of the internet more than when your strongest opinions are not mirrored in it. Capn Crunch was the correct...

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Yeah I agree with this.

In other news, today is the first day of the new EHR, we're at half schedule, and it's infuriating.

...