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Maybe. Some patients if you sit them down will tell that when they make their decision they are trying to maximize their quality of life and longevity....

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This seems totally reasonable and quite different from some sort of "never take more than 3 meds" philosophy that you seemed to be espousing...

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Obviously, no one wants to be on more than three meds. But if your PCP tells you need to be on more than three meds and provides you with good reasons...

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Yeah, wars are difficult. I'm sure we can look at nearly every war ever waged and find some discrepancy in publicly stated objectives. I'm definitely...

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It's a little different when you have years of actions to judge versus a few months. This thing Ukraine just started. If we're fighting a proxy war in...

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Maybe I'm just paranoid. I do appreciate the transparency, but I'd reconsider listing where you've got accounts. If someone steals your identity, you've...

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I agree that's huge too. And they've got the oil....

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Another huge factor is that Ukrainians are white and Christian. Yemenis are brown and Muslim. One of those groups is naturally going to elicit more sympathy...

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Once again, I don't understand why you're putting so much stock in public statements like this. This is exactly the kind of morale-boosting, nationalistic...

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I don't know that "no one knows". I suspect that powers that be at the Pentagon and State Dept have some clear objectives in mind. There is...

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There are a lot of non-war things that could have been done way better with Yemen. Like maybe not actively helping the Saudis. Is that too much for ...

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I don't know about "far worse" but I'd say it's all in the same atrocity ball park, and for much longer. So I more or less agree. I think that's...

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I know when I dictate notes there is an opportunity to correct these before the report is finalized. I suppose I might miss them sometimes, but I do...

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I agree, but that difference is not due to the recording part. It's due to the fact that the image remains forever, as you point out.

And...

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That's not actually true, is it? If you had an unusual case you could show it to some colleagues and have a bit of a discussion and the only thing that...

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Not exactly sure what this response has to do with the post you're responding to.

Also sounds like someone has been reading a little too...

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You lost me right here. Who exactly are we talking about here? It was just the non-Russian Soviets? Is that what we're going with?...

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Sure. But no matter how it plays out you will always be able to imagine an alternative time line where things turn out better with the use of diplomacy...

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Yeah, this.

It's hilarious that flp keeps suggesting "diplomacy" as if it isn't being tried and as if it had a shot of working...

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You are correct that it's a balancing act. And we may even be too active in general. But in this particular case, I think assisting Ukraine is clearly...

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Yeah, that doesn't really prove your point. This one is quite a bit different from a lot of those things.

It's lazy and just plain wrong...

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What's Todd?...

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Nephron hit all the main points, but the most important thing is that you shouldn't be investing in stocks money that you want to use within a few years....

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The check on the system is that the attorney who brings the suit generally has to front the cost of pursuing it because these are often contingency cases....

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I still like the challenging stuff. Keeps things interesting. Also helps provide a sense of accomplishment. Many of them are things that colleagues...

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I've got to tip my cap to him for that one.

Nevertheless, I'd also go with a few no thank yous followed by me ignoring him and doing something...

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Anyone trying to pass this off is either incredibly stupid themselves or thinks that you are incredibly stupid and it is OK to take advantage of you....

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It's not obvious to me that mere recording is a HIPAA violation. It would only be clear violation if the recording was shared with someone who isn't legally...

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Which ones?

I'm sure you're right. I'm just curious about the details....

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There was a really good blog by an ophthalmologist who started his own practice right after residency and documented his challenges along the way. I'll...

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Well, that's pretty much everyone here....

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I haven't priced it out in a while, but that seems pretty reasonable....

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Sadly, there is a good bit of truth in that.

The other problem is that the things that you may be better at don't often show up in the stats....

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It also depends on the suburb. My location can pretty much only be described as suburban. Just a weird combination of factors make it not work where...

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Well this person does about 20 hrs a week of general housekeeping and other chores. So shopping is just one of the things that she does....

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I don't think I've every gotten a grocery order that was 100% correct with everything that was ordered even once. Also a lot of suboptimal produce that...

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Me neither. However, as you imply, sometimes it's just not possible....

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That advice is OK in a lot of circumstances. However, if you don't want to tip at a sit down restaurant, you really shouldn't go. It's basically an...

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Yeah, I was going to ask this same thing.

If 2010 to 2020 was a recession, I'll take a few more of those please....

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I'm fairly certain that all of these things existed pre-pandemic. Even the solicitation of tipping for carryout. As a result of COVID I think there was...

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I'd love to do or have done this. The problem is that you have to live in a neighborhood that's conducive to it. We're in a plenty safe area. But no...

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Yeah, definitely this. IIRC, most stats show that things are actually safer now than when most of us were growing up....

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Of course it does. It is an amount that no one would actually pay, but there is absolutely and amount of money someone could pay you to get you to clear...

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What they don't want is providers charging Medicare the full rate and then charging the patient an extra amount on top of that for necessary medical care....

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I don't know what thread you're reading. But I never made that claim. The claim I've made, which really should be crystal clear at this point, is that...

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This is my understanding too, but it seems a little surprising that some sort of creative lawyering hasn't created some sort of unorthodox business structure...

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The claim was not that a top DO student would not be competitive for ANY allopathic medical schools. Or even SOME allopathic medical schools. It was...

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Really? Not even close? Maybe it depends on how stringently you are defining "top"?

Even the top half of MD students would not...

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I've seen plenty of clips of his show, but never a single episode from start to finish.

It's definitely not hearsay. In fact there is...

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Depends on what you mean by directly. He was recommending snake oil, not cyanide. So, depending on your definition, probably not....

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I think is probably highly dependent on how young, single, and poor you are. In my 20s, 1 million would have been enough. In my 40s, 5 million sounds...

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Now that would be a fantastic article!...

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I agree it's not great. You got a better one? I put about 5sec of thought into it.

On the other hand it's entirely possible that real Dr....

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Let's say hypothetically the Dr Oz show had great advice all the time. However, every 10th show he picks a random member of the audience and murders them....

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Oh definitely more likely. I pointed this out earlier in the thread and I think WCI basically did himself.

Of course, I don't think it's...

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Oh, he is definitely worse than those. Generally the drugs have some evidence behind them which is required to go through the FDA approval process. As...

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I'm frozen. The main disadvantage is that even though unfreezing is not difficult, if you're lazy like me, it's annoying to have to do. But, to be honest,...

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I don't know what 100% negative view means. I think most everyone has a net negative view of him. Sure, there are some positives in there. Even without...

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Yes.

Also well before this point as you mention. I never was denying that. The two are not mutually exclusive. I was simply describing the...

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Yeah, I agree. But I think a certain amount of clickbait is expected at this point. Like you say, there is only so much material and only so many ways...

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It's funny that the article started with something like "No matter what you think of Dr. Oz...".

The author might have managed...

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I was just about to post exactly this. Good thing I kept scrolling.

The doc wouldn't even have to be forthright to be better than Oz. ...

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Are admins really not capped. Assuming that it's a non-profit org, I thought there was some rule that they had to be paid something like fair market...

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Over what period are they deciding that you can't be paid over market value? Presumably it's an annual salary. If that is the case just tell them to give...

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You're fine. Don't sweat it....

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He seems to be telling us that it says "Fair Market Value" without actually defining how it is determined....

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I'm not sure how. Were you not actually reading the posts?



Like I said, you should try to have real conversations with actual...

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No one said it is the main concern. Generally a physician's main concern about a patient isn't whether they address them as "Doctor" or even...

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I don't know what planet you live on, but when normal people have conversations talking about what their doctor said or did, they tend to use pronoun...

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Well, let's not forget that you're the one who called it a name tag.



This is really where you need to re-examine your inherent...

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Someone fearing a move to the South because they will be worse off financially is unusual.

The South is famous for having high salaries...

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You should have a look at your own name tag sometime. I assure you it has something on there other than your name.

I guess that makes...

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Not clear if you are/were also rethinking bolded, but if not, you probably should....

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Yes.

The real question is how much effort they put into it. It varies widely, but it's often more time and effort than anyone posting...

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You're not as lucky as you think. People can easily get fired for this kind of thing in just about every state....

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This is actually encouraged where I work (but not required). Could have been the same for her....

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Bolded is true, but it doesn't change the fact that doctoring is labor. So, I'm not sure what your point is.

Furthermore, the difference...

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You might need to write to Medscape, because I don't think that anyone in this entire thread is doing that....

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At least we agree on that.



Sure that's fine. And there are studies (definitely not this Medscape survey) that show this in...

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I don't think the evidence is lacking in some groups. But that is a whole other thread that we've already done. You can find it archived on here somewhere...

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Yeah, no one is talking about that. Because, as you say, everyone agrees it exists. So, on that issue, there is no disagreement....

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Spoiler Alert: ENT Doc will disagree with this.

In case it wasn't clear I'm talking about a gap that exists after controlling for confounders....

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So, what you're saying is that it is possible that a gap exists?...

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Predictable more than interesting, imo. The Leopards Eating People's Faces Party is a meme for a reason....

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I don't hate it.

I think the No 1 factor is stability of job. Do you like your job? If you like it and leaving is unlikely and compensation...

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Well the tech workers generally get some ownership (shares, options, etc.), but they still bounce around.

Also docs are labor.
...

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Great. Now all you have to do is elaborate on the reasons for the can'ts and we'll have the answer OP was looking for....

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Yeah, that's the question. Is it "can't" or "won't"?...

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Yeah, but I don't think the question is intended to be a general question. I interpreted it like, "Would you change from neurosurgery if being a...

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There are definitely mid levels that make more than some PCPs....

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Yeah, I wasn't really concerned with framing.

If you want to call it "Docs selling to PE groups is ruining medicine", that's also...

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But how do you define "mid career"? Half the people who post on this board could probably retire just fine in their 40s.

But...

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He won't just self-publish if no one picks it up?...

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It fits very well with the people who I know who have sold out.

But I suppose it depends on what you mean by "on the way out"....

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1. The people selling are ones who are on their way out anyway. If you're going to hang it up, why not get a big payday on the way out? Obviously, for...

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Agreed. The number of fields that can pull that off is pretty low, though....

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I don't think PE is defeatable. They are going to win. How do you even stop it?

What you've got is PE coming in and offering an older doc...

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Actually, not universal. I know of a doc whose fiance was a dancer for one of the of cirque de soleil shows in Las Vegas. She had tons of friends who...

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Maybe in general, but the problems I've had were easy

1. The installation was stupid, so the LED lights and warming drawer are connected...

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I've actually got the opposite problem. When we moved into our house, we kept our Weber, but had a built in grill. The Weber was in case the built in...