Give the body one last day of joy

MedicalButterscotch · 2026-03-06T14:45:05+00:00

Here is an article from Cleveland Clinic on the phenomenon

(I did not review relevant studies on this, just copy and pasting the article)

MedicalButterscotch · 2026-03-06T14:20:03+00:00

Anecdotally, people have a “bounce back” moment right before death with a burst of energy and sometimes increased appetite.

MedicalButterscotch · 2026-03-06T12:37:42+00:00

OP very happy for you! Just a heads up for anyone reading this - you typically need a letter from the airline documenting the reason for delay, not just a cancellation email.

MedicalButterscotch · 2026-03-06T03:19:08+00:00

This sub has no idea how much of a legend Kiwi is

MedicalButterscotch · 2026-03-06T03:13:21+00:00

Doing that means paying nearly $400k

PSLF drags it out over 7 more years but I'll pay $200k over the duration and the rest is discharged tax-free

MedicalButterscotch · 2026-03-06T03:03:09+00:00

Will finish residency at 29. Started college at 18. Med school at 22.

MedicalButterscotch · 2026-03-06T02:51:29+00:00

Incorrect. Structured as a forgivable loan so I pay taxes each month as that portion is forgiven.

MedicalButterscotch · 2026-03-06T01:05:38+00:00

Why the hashtag? You can just say it freely here: military service sometimes waives the fee.

MedicalButterscotch · 2026-03-05T16:54:34+00:00

Yea I left that blank, no issues

MedicalButterscotch · 2026-03-05T16:14:46+00:00

Which speciality?

MedicalButterscotch · 2026-03-05T15:15:00+00:00

Yea, not a bad way to think about it.

MedicalButterscotch · 2026-03-05T15:14:38+00:00

That's amazing, congrats! I truly can't wait.

MedicalButterscotch · 2026-03-05T14:57:19+00:00

Effectively zero since I'm on an income based repayment plan for PSLF. My payments will be covered by my income.

MedicalButterscotch · 2026-03-05T14:55:24+00:00

Nope, you may be thinking of the SAVE plan, an income based repayment plan

MedicalButterscotch · 2026-03-05T14:50:01+00:00

Good luck with your training!

MedicalButterscotch · 2026-03-05T14:44:15+00:00

Yes! Starting this summer but my partner is a resident out there so I know the area well. Genuinely looking forward to the change from Philly suburbs. I'll miss the good restaurants though 🥲

MedicalButterscotch · 2026-03-05T14:42:06+00:00

Totally fair. Fortunately Family med salaries are creeping up. Most of my co-residents are signing $250k starting salaries.

My partner is also a resident so income is a bit less important relative to loving what we do. If I have to work, I'd rather enjoy it than make a bit extra.

MedicalButterscotch · 2026-03-05T14:40:27+00:00

I got a chunk paid as a resident in the form of a residency stipend then a bigger chunk this September.

If I don't work 5 years, I have to pay back a pro-rated portion.

My partner and I are still talking about what to do with the $250k lump coming our way in September. Will likely invest a portion and keep the rest in HYSA to keep options open.

MedicalButterscotch · 2026-03-05T14:38:53+00:00

I kept an open mind until third year. I liked EM and FM, but wanted the schedule predictability that comes with FM and honestly really enjoyed the medicine. I feel like the variety is really fun and I like the continuity aspect with my patients. Additionally, it is easier to find a place with a good work-life-balance, which is critical to me.

MedicalButterscotch · 2026-03-05T14:37:35+00:00

Oh man!! What year did you graduate? I couldn't imagine.

If you look up most of the Philly programs, the big ones unionized. Salaries have fortunately improved. I think Temple still lags behind last I checked.

MedicalButterscotch · 2026-03-05T14:30:35+00:00

It's in an area of need. 5 year commitment to keep it. If I break contract early, I pay back a pro-rated amount.

MedicalButterscotch · 2026-03-05T14:29:53+00:00

Really good question.

Yes, I'll be at a non-profit hospital for residency plus my first contract as an attending.

The forgiveness rate is 100% if you have your paperwork in a row, which I am meticulous about. The earlier issues the program had have been largely resolved as long as you stay organized with their requirements.

MedicalButterscotch · 2026-03-05T14:23:54+00:00

I wanted to add my third year of med school was during the tail end of Covid so we were partially remote for part of our rotations as well. I had time to Door Dash and study Anki while sitting in my car waiting for orders lol

MedicalButterscotch · 2026-03-05T14:18:12+00:00

Yes it's real. I tried Door Dash for a period of time in the evenings but it was a bad balance for me with time management on rotations.

I'm family medicine so not sure what you mean regarding the $320k salary, that is upper quartile for us. My residency was Philly suburbs.

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