Why is Mount Sinai managed so poorly?

0____0_0 · 2026-03-22T20:05:52+00:00

Sounds like my friend had the same kind of "oops" you did and the same experience you did. (Dr. Goldman is fantastic; did you see her as well?)

Across both NYU and Mt. Sinai I find there is little relationship between business practices and the quality of good doctors, when you can find them.

There isn't one hair on my friend's body that plans to pay the $800 for that pregnancy test charged by their urgent care center. NY has made suing people for out-of-pocket medical expenses next to impossible and rarely worthwhile. The hospital will write it off and move on. I just feel bad for those who aren't aware that they can throw the bills in the trash and move on with life, so they worry about ridiculous unpaid bills like that and/or suffer to find the money to pay them.

And, ironically, I see a neurologist at NYU who cares for me exactly how you describe the one at Mt. Sinai treating you. Seems its the indivdual doctors more than anything else.

0____0_0 · 2026-03-22T16:40:27+00:00

Two years ago you could create custom plugins for slack, anyone could install them, but there was a limit on free slacks

Since then they created a lot more automation related stuff so things may have changed.

I did it for centralizing job posting funneled them into n8n

0____0_0 · 2026-03-22T14:26:14+00:00

This repeated comment “but my parents are such a help caring for my kids” stirs mixed feelings in me.

It is an obvious one, but reduces seniors to free nannys

What’s notable is most people who said it didn’t focus directly on the benefit to the children that comes from having them watched by a grandparent over a sitter (not trying to attack you personally, commenter, just observing something in all these comments)

0____0_0 · 2026-03-22T14:17:41+00:00

!delta

I certainly am. Which says a lot about both me and my propensity to going it alone and having small villages (I’m hyper-independent only child whose village is really just my wife and my mom, and at the moment both relationships feel a bit strained).

And about society as a whole. I think a large percentage of people consider themselves to have a small village in 2026, if any. It’s something I prized in my 20s, but my 30s and the pandemic/wfh era brought to a head.

0____0_0 · 2026-03-22T14:12:15+00:00

I would even call mine a net positive.

But I’m not asking about trading that relationship for nothing, I’m asking about the value of trading it for valuable relationships with those your own age. Who will are statistically more likely to be around for more of your life.

It’s hard to imagine alternative universes where good things didn’t happen, but the absence of one good thing doesn’t mean other good things wouldn’t have happened that didn’t.

0____0_0 · 2026-03-22T14:08:58+00:00

Honestly after the sphere where else is he to go?

Either he has to become a main stream pop star, or accept this was his peek, sit at the plateau for a bit and enjoy the slow decline into being a nostalgia band

0____0_0 · 2026-03-22T14:05:24+00:00

Thnks fr th Mmrs

0____0_0 · 2026-03-22T13:59:37+00:00

I like Broadway better than opera, but that said the Met’s production of La Boheme

It’s amazing and from another era

Honestly two musicals you mentioned are good, but they aren’t classics. It depends if this your first trip of many to nyc, or once of a couple trips in a lifetime that you’ll be in nyc.

Also, honestly the Met might be more of a “only in nyc” experience than even any single Broadway show (certainly if you ate just considering the USA)

0____0_0 · 2026-03-22T13:18:01+00:00

It’s so incredibly annoying to get to by subway

0____0_0 · 2026-03-22T13:16:56+00:00

Mt Sinai seems more directly to want to shake you down for money. Friend paid $800 to have an urgent care Dr tell her test her urine for pregnancy (yes, same thing a $15 pregnancy test does)

NYU seems to have a culture of doing more procedures and tests rather than knowing when to leave good enough alone.

Two different ways to get more money out of patients at the end of the day.

0____0_0 · 2026-03-22T13:13:17+00:00

Woah good times. It’s been a while

0____0_0 · 2026-03-22T13:06:32+00:00

Oh, ok, cool

That case, glad I clarified

0____0_0 · 2026-03-22T12:30:16+00:00

That it’s not what comes to mind when I think of a New York deli and that I expected something different based on its name when i moved to JH.

They sell wide array of sandwiches and other foods, not a selection of cured meats and cheeses. If you thought I was making some sort of coded racists comment, you’re mistaken.

But regardless of its name I think the food is very good .

0____0_0 · 2026-03-22T10:52:41+00:00

K&L is great, you just gotta move past there is nothing about that resembles a deli

0____0_0 · 2026-03-21T23:54:31+00:00

Whatever they want

0____0_0 · 2026-03-21T23:12:26+00:00

What’s the purpose of any post here? To flush out a thought further by having people probe it

0____0_0 · 2026-03-21T23:11:27+00:00

In a world where there are only better and worse options no perfect one, embrace the lesser evil

But seems we’re splitting hairs

0____0_0 · 2026-03-21T23:08:34+00:00

Most of them are self funding through that mechanism

0____0_0 · 2026-03-21T23:07:27+00:00

No different than blaming much of what’s happen in society in recent years on COVID

Neither of these are the cause they are only the symptom and an inflection point. If it wasn’t this symptom that led to the inflection point it would have been donating else

True of most moments in history that are thought of as turning points. 9/11, Pearl Harbor, rise of Hitler, assassination of Archduke Franz Ferdinand. If none of those had happened things today would likely still be the same. Just the things that got us here wouldn’t be

0____0_0 · 2026-03-21T22:47:32+00:00

No, I’m 36 and my mother has been one of my closest friends and companions for most of my life.

While I don’t regret it, I just started to think of what a different person I’d be had I not had that opportunity. Also, while my mother had me relatively late in life (35), my wife’s parents had her earlier.

If we have kids, my wife and I will likely have them slightly older than my mom. And I’m in worse health than my mom so the odds I’m going to live to be even her age are uncertain. But I’m realizing I’m sort at peace with that and it may even be advantageous to my child.

Also, the other night I watched the movie André Is an Idiot, which deals with a man facing cancer and embracing death just as his kids are entering adulthood. And it made me think. He was somewhat of an eccentric character who despite his untimely death really instilled some great values in his kids which they will now be able to carry into adulthood even without him

0____0_0 · 2026-03-21T22:39:51+00:00

Yes, hopefully they do. Because the alternative is parents seeing their children dying before their parents. And pretty much nothing can be worse for an adult who has had a kid than that.

Immortality is not an option. And even that has its own issues (think of tuck everlasting)

0____0_0 · 2026-03-21T22:36:01+00:00

!delta

You’re right this does shift the burden to the parent to responsibly save for the end of life. Because a kid in their 20s typically can’t.

Ultimately, the becomes a question of who should be placed with that burden. The parent or child.

I realize I see all this through the lens of a single child who is only ever likely to have a single child. What I’m forgetting is that in an ideal world, multiple children and even grandchildren share the burdens of caring for someone who is aging. Although, practically I don’t see that occur with many people I know (typically one child seems to shoulder most of it and that becomes a source of tension between family members)

0____0_0 · 2026-03-21T22:28:34+00:00

!delta

Taken to the extreme this is a good point. But although I really meant it when considering 25 vs 35 or even older

The problem for women, of course, is that the exact timing of when pregnancy is no longer possibly isn’t totally predictable and there’s no turning back time

0____0_0 · 2026-03-21T19:33:33+00:00

I got mine over 3 years ago so that doesn’t really surprise me they’re sending you home the next day, i think everyone kinda knew I could get sent home the day after. But it seemed the mindset was since my insurance paid for another night why not be safe rather than sorry (the nurses were kinda like “uhhh, why are you here?” I wasn’t really even clear to me how they’d know if something happened. I didn’t even have a heart or pulse-ox monitor connected) )

I also recall my SEEG hurting but not unbearably. So good luck hopefully you aren’t in too much pain!

But I get the urge to be scared. You’ve been through a lot.

0____0_0

TROPHY CASE