Biotech paths - any insights?

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Planned obsolescence. My mother just got a sewing machine with the same crappy experience. Next they will start doing this to big stuff like cars, fu...

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Startingover2019 wrote: One can have a “crazy ex” without being ever married. Sadly I grew up in a third world country and know a few women stuck in verbally and or physically abusive ...

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Startingover2019 wrote: Why all the discrimination against divorcees? We are all human and make mistakes. Sure beats being in a horrible marriage. Is this a religious thing? Do people beli...

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Yes, dating has been difficult. Early 30s guy here. Pickiness is certainly contributory. Trying to circle the square, so to speak, reconciling religion...

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Why not pay off the student loan debt before buying a house? Seems to me to be the safest option, plus opens up a lot more cash flow so things are less...

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ENT Doc wrote: It’s not hypocritical to put your assets into a trust. That is done for several reasons, the least of which is to avoid this whole Medicaid issue. I am planning to have enough asse...

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I also hope that all those who are puzzled by the angst of the woman in the article who is going to lose her home after having provided full time care...

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MrsIMDoc wrote: trebizond wrote: Just so we can reframe the discussion, perhaps others who are in the know will be able to reflect on this. Is my impression correct that it is only SNF and dementia c...

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Just so we can reframe the discussion, perhaps others who are in the know will be able to reflect on this. Is my impression correct that it is only ...

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Nobody could say that Medicaid funding issues could be blamed solely on undocumented/illegal immigrants. All I can say is that I took care of a patient...

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Well aware of this and we are dealing with this presently. My mother is fighting tooth and nail not to have this happen. She is my father's 24/7 caregiver...

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I would not go with the 2nd option by any means, i.e. building a house on the property that you then can't sell or split off. Besides which 2100 sf is...

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We never did the tooth fairy, Santa, Easter bunny, etc. We were told from the earliest age that Santa Clause was fake, that there would be no Christmas...

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It's signaling, not education. The high priced tuition only makes sense for name brand type places such as the Ivies, Stanford, MIT, Berkeley, UChicago,...

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I actually do believe in spontaneous regression and resolution of cancers in some instances. Probably whatever hurdle was preventing immune recognition...

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I would recommend clarifying the tax situation of your loans and if a payment is made directly towards them whether it is taxable the way the 200,000...

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I don't care what the law says. I'm not having a pitbull - whether on a leash or not - in my home or office. A close family member of mine was mauled...

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Apparently my mother's former primary care doctor has changed up his practice into a pseudo-concierge type model where every new pre-patient is first...

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And I will say that it was very disheartening seeing repeated cognitive mistakes, labs ordered and never followed up on, new meds started at discharge...

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No stories of a switch, but sympathize. I knew multiple people who did 3-5 years of hospitalists and then became fellows in competitive specialties, i.e....

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Outdoors wrote: As someone who went through the match this year, I just wanted to point out from above that Rad Onc is significantly less competitive now, with quite a few unfilled spots and unmatched programs this year (see ...

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What are the available biotech paths for physician-scientists and what are the potential career trajectories and incomes? I'm interested in R&D....

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I vote path or rads. Also consider rad onc (very competitive though). Consider IM hospitalist but again some shifts can be chaotic and there are plenty...

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Not just primary care but hospitalist medicine as well. The repercussions for mistakes are not nearly what we think they are. There is a huge disconnect...

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Agree with White Beard, many of our medical interventions and probably a good number of surgical interventions are of very marginal benefit. The mechanism...

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Asking this on behalf of my sibling, a public interest lawyer who is currently making ~45K. Debt: 38K public, 44K private. Public is <2% interest, p...

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Probably a good idea to compute what the federal pension comes to. After prolonged service, i.e. 30+ years at a salary of 300+ (that's what the senior...

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All valid points but as someone with a family member with horrific osteoarthritis and spinal stenosis pain (who incidentally does not take pain meds because...

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That's malpractice. But you're right, we aren't paid to be the best doctors, we're paid to move the meat.

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My recommended Charleston itinerary: Patriot's point: visit the battleship and aircraft carrier. Also can go to Ft. Sumter (well worth seeing) from here ...

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Concur on both Charleston and the general principles you lay out. I will say I have never regretted any vacation taken in nature, especially with my other...

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legobikes wrote: trebizond wrote: The reason it’s a problem is because the mother will see those labs and read “abnormal” or “positive” and then – regardless of what you say – she will subc...

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fatlittlepig wrote: Infinity wrote: Totally agree with FLP, my Nikon D850, will be my last SLR.  Mirrorless is the way to go in the future.  The problem is,...

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There are a lot of moving parts that need to be fixed and that require a change in mentality. 1. I'm not sure where the decision to pursue critical ca...

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legobikes wrote: trebizond wrote: I don’t think there’s an ethical problem per se with IgE testing. I shy away from panels because they are overly broad. The one exception is environmental/aeroaller...

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Oops, liked the wrong post my own. I do think it’s reasonable to order labs if we know what we’re doing with them. Don’t think there’s an ethical ...

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I don't think there's an ethical problem per se with IgE testing. I shy away from panels because they are overly broad. The one exception is environm...

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Nope, travel is not overrated. I think people could enjoy the travel more if they did some additional research so they understood how unique a place they...

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My parents are in retirement both in their 70s and live on a tight budget. They still have ~120K to pay off of their house (I know, long story). My father's...

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The only way I can see this working is with locums and homeschooling the kids. But that's a different model of raising your kids....more like an itinerant...

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hightower wrote: stellardoc1 wrote: WCI folks ! Looking for recommendations for 1 week solo adventure trip anywhere (esp. South America). Any prior experiences/recommendations? Companies that...

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Miserable ripoff but given your finances you can afford the 400 extra. Sounds like NYC or SF or something. The in unit laundry is a big plus, and so are...

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FLP has a good point that there is a *great* psychological benefit to paying off all those loans through an aggressive payment plan using your income(s)....

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Attitude reeks from OP(s). Good luck to them with their soon-to-be 1.5 million dollar debt...

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What are the 3 funds in this portfolio? And what are the corresponding Fidelity funds - or can we just purchase the Vanguard ones in Fidelity?

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White.Beard.Doc wrote: trebizond wrote: It’s a lovely house …. Click to expand… Do you really think so?  I would be uncomfortable to sit and read in a 2000 square foot room that feels as cold as ice…. Click to expa...

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Sorry, I'm not too sympathetic, or envious either. As we all reap the consequences of what we have sown, so shall he. It's a lovely house but an absurd...

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octopus85 wrote: Outdoors wrote: I’d like to pay for most expenses with debit card, check, or cash to build up good financial habits starting out (Dave Ramsey got to me). Click...

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AR wrote: Anne wrote: But have you guys considered that both sides can be right? Caloric equilibrium matters, but it is very difficult to maintain calo...

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Panscan wrote: fatlittlepig wrote: As physician it is so easy to look down upon obese patients, stereotype them, groan about them, Fatlittlepig will be honest and say that FLP d...

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It's unclear what your salary and your spouse's salary is. What is your combined income? How much are you having left over at the end of the month? I...

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The 19K cap - is that for an entire year 1/1/20XX-12/31/20XX, or runs to tax day of the next year? I'm asking because I get annual pay raises in July eac...

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To be a perhaps lone dissenting voice, it seems like you no longer love or respect this person and it goes well beyond finances? If you think there is so...

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The student loan is low interest but you can pay it off all in one fell swoop and thus free up some cash flow. It would also be psychologically beneficial...

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Rough situation. It seems like there's been a lack of insight on managing finances throughout. I think hope is not lost, however. You'll have to fil...

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ZZZ wrote: “That said, new debts (but manageable) are always around the corner, such as recent 1K in car repairs and next year’s board exam of 2.5K+.” Those aren’t debts, those are expenses. If those are turnin...

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Thanks guys for all of your advice, very helpful, I think I'll try to starting with maxing out the 401K and pay off the 5% student loan, then build more...

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Clinical fellow here who with anticipated pay raise next year and moonlighting (fixed, scheduled, and distributed into monthly pay), I am anticipating...

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Based on your post, I would first discharge the truck loan ASAP. Yes it's 1.5% but it's cash flow and it'll start a debt snowball. Any credit card debt? ...

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You're looking too much at procedures and compensation and not also at the patient population, breadth, diseases managed, etc. These are all very different...

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kdeva wrote: Update: Day 5 and six poops later, still no glass. https://bit.ly/2UMhWj2 This article has provided an algorithm for suspected foreign body ingestion in a clinically stable c...

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Concur on watch and wait. I don't think a CT will be helpful because it's almost certainly moved out of the stomach. Finding the glass anywhere else is...

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Let me also add that I would be hard pressed to believe many (any?) general peds primary care attendings or hospitalists would feel comfortable with being...

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I am trained in IM and peds and there is nothing that scares me more than a crashing neonate, especially one that's slippery, cold, blue, and apneic right...

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It's sad to see the obtuse responses that think working the day after delivery is normal. I thought we had evolved somewhat from the "dark days" when...

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I'm currently in training and covered at my program for the duration of while I'm here. My question relates to the timing of obtaining (external) disability...

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Do derm. It's not just because of the compensation, which is an important part. I was torn between medical oncology and a different lifestyle friendly fi...

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I'm not at Stanford, I'm at NIH. The funding structure is very unique in that there are no grants. Funds are given out after the work is done, if the...

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As someone who has trained both in IM and peds I can say that the salary discrepancy between the respective adult and pediatric subspecialties is shocking....

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I find myself at a career crossroads, and was wondering if people here had advice on how to go about weighing the pros and cons, if they had any input...

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fatlittlepig wrote: Up at 430-500 sometimes earlier. Go to gym, bed to elliptical time about 23 minutes. Elliptical 30 minutes, weights 20 minutes. A healthy and fit Fa...

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I do not believe in tithing but do believe in being generous in our giving. I was a more consistent church attender some years ago. I did give nearly...

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hightower wrote: akwho wrote: I think as the younger generation’s start figuring out this we will lose more and more excellent potential doc’s to the tech and finance industries.  The compar...

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CordMcNally wrote: What’s your goal asset allocation? That looks overly complicated.   I’d take the losses and get into a better fund. Click to expand... I honestly...

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Question about the diversification of my Roth IRA. I feel like I somewhat unwisely put my money into ETFs as follows: VDC: internationals, up 1.92% V...

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fatlittlepig wrote: Western wolf wrote: fatlittlepig wrote: LOL, if you had to post on a forum asking whether signing out against medical advice from a hospital after your wife gives birth is a good idea to save mon...

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I think if your decision making were more couched in wanting to get home sooner because you guys have the experience to do it and home is more comfortable,...

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My understanding is that insurance will pay despite AMA but readmissions for any or possibly specific reasons may not be covered. Not sure if God forbid...

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jhwkr542 wrote: Nothing else has the tax advantages an HSA does. Roth accounts are taxed up front. Traditional contributions are taxed on the back end (plus taxes on the gains) plus fica. Neither t...

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ENT Doc wrote: Eagleeyes wrote: I think your point of view on this and most things is pretty laughable. Feel free to hide your bigotry behind long paragraphs and pretty words. We see you. Click to expand… ...

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I'm new at this but I believe in short term market timing. If I see that stocks are presently dropping, and I have debt at 5%, I am going to put the money...

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There are a number of careers where the prestige and social networking helps. Business, law, but also a number of science disciplines. Becoming a professor...

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There have been some medications where even specialists feel that there is a real difference between the generic and brandname. I've heard Synthroid vs....

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Yes and no regarding overtesting in the ED. I will say that having rotated multiple times in both the adult and pediatric EDs, where the cultures are...

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bean1970 wrote: fatlittlepig wrote: bean1970 wrote: Problems with with chart surfing : 1) charts full of cut/paste info that is erroneous 2) erroneous info all together that is not c...

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Umm, you're the parent, so you get to set the rules, within reason, until they are an adult. I rarely watched TV when I was growing up. Only on summer e...

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CordMcNally wrote: It must have been God’s will for her to have that Lamborghini. Lucky lady.   Without trying to start any kind of argument, I don’t think I could, in good cons...

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I would agree that career unfulfillment is something that's analogous throughout all lines of work. My father was unfulfilled as a physicist, my mother...

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What a psychological game. When do we actually use the funds to accelerate debt payment and improve cash flow than continue to invest what little we h...

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Pick up other hobbies. I have more than enough interests to fill a lifetime even if the job becomes "just a job." Learn a new language - or a few. Read...

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Just travel more. A lot more. Take sabbaticals. Request 1-2 months of vacay if need be with a pay cut and get your "mountains" needs out of your system...

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Look at future call responsibilities, the acuity of the patients, practice models, time off, and compensation. Look at how happy various specialists are...

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It also depends on the nature of the specialty. Psych is essentially an esconced single system specialty with minimal expectations regarding IM and neuro...

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octopus85 wrote: trebizond wrote: Also, from a long term career perspective, is it better to aggressively moonlight in years 2-3, which can create issues with timelines...

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I live in a very HCOL area, working as a clinical fellow paid low 80K and the rent is taking up ~50% of my net income (and I got a very good deal for...

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fatlittlepig wrote: Fatlittlepig is running several times a week, weight lifting and strength training several times a week Vital signs Resting HR low 50’s, BMI 23, BP 110/70, no smoking, etoh...

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Why is a non-MD/DO making these decisions? An MPH alone has no conception whatsoever of what direct patient care is like. And she’s not an objective...

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angeladiaz99 wrote: HikingDO wrote: Don’t forget about the 50% decrease in reimbursement for procedures done on the same visit as an E/M code when using a -25 modifier. Grandma wants that AK...

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SValleyMD wrote: Has this been finalized? I thought it was just a proposal so far.. Click to expand... Don't worry, it will be.   What I will say though, is that intensive documentation i...

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I'm an internist and pediatrician and looking into a career in basic and translational research. I didn't look at future salary potential much when I...