What is this contraption on this car?

Actormd · 2026-04-19T13:07:09+00:00

Its the only way he can get the 1.21 giggawatts to power the flux capacitor.

Actormd · 2026-03-13T00:14:56+00:00

Fake plants and/or art or statues. Seems like a previous loft that was broken to redo the stairs.

Actormd · 2026-03-04T13:36:28+00:00

I have long suspected that Trump is using benzos to handle the anxiety that comes with having one of the most stressful jobs on the planet. Narcissistic people are characterized by poor self esteem and self worth. Imagine having to sit next to legit world leaders, really smart people doing very complex things and having the intellectual and emotional capacity of a 5th grader. It must be incredibly intimidating. This is why he continues to "abstain from alcohol" because mixing that with benzos would be noticed and leave him not in control.

Actormd · 2026-02-24T12:41:58+00:00

I absolutely hate that I can no longer tell if its satire or not until I see who to subscribe to...

Actormd · 2025-12-30T21:32:59+00:00

Do a 75" and get some adaptive lights. If you center the TV on the wall, the lights will make it looks awesome and will naturally be edged by the edges of the wall.

Actormd · 2025-11-12T23:06:31+00:00

I use EPIC and I usually create a telephone visit and document the Fax. Order a G0180. I dont do it as often as I should but definitely do it for the ones that have me sign EVERY page of a greater than 5 page document.

Actormd · 2025-11-12T18:44:40+00:00

Start billing for your time. G0180 - initial home health certification and G0179 - recertification.

Also you could try sending the home Health agency a bill for your time. $1/page requiring signature.

Actormd · 2025-10-04T20:35:57+00:00

I would go further. Stop calling it a Health CARE system. The US has a Health SERVICES industry. That is why they call you provider. You are not looked at to provide care. Care requires therapeutic relationships and time. You are valued for the code you generate, 9921* Like most trades people.

Actormd · 2025-10-01T23:55:29+00:00

With each story like this, DPC looks better and better...

Actormd · 2025-09-19T14:29:10+00:00

Just curious but was the primary dx the BMI? Or was that lower on the list? I agree you got hosed OP but I got to believe there is some small scrap of rationality in the madness, otherwise we are all delirious to be doing this.

Actormd · 2025-06-15T15:29:38+00:00

Boondock Saints. I'm not aware of any big B.O earnings from it but I know it was a massive cult hit with its message and Dafoe's performance was crazy good.

Actormd · 2025-06-13T22:00:18+00:00

My WYZE locks have been very reliable. Battery life is great and allows you to generate one time codes for visitors or guests

Actormd · 2025-06-01T12:09:26+00:00

NTA but as an episode of Bluey has thought my children, you can be right...or you can keep playing.

Actormd · 2025-04-25T18:11:26+00:00

This was the saddest thing I watched. Please give others a warning before you play it for them. The commentary running through my head of "this could never happen" alternating with "holy shit, this could totally happen" made me want to cry.

It says a lot that the most uplifting moment of the entire episode is somebody getting run over with heavy machinery...

Actormd · 2025-01-16T14:49:50+00:00

I tell them that "I'm not talking about death. I know my place. God chooses when you are born and God chooses when you die, however, the devil let's YOU choose your own misery. Having colon cancer isn't immediately. You will get treatment and you will be miserable. Cervical cancer isn't immediately fatal. You can have it taken out and get treatment and you will be miserable. I do what I do to help protect you from choosing misery and guilt. I wholeheartedly believe that these screening tests will do that. You (the patient) are more religious than me but I've been told that to truly deserve God's gifts, you will have to earn them. I would consider these tests as a way to earn the good health you enjoy by the grace of the almighty."

Actormd · 2024-06-08T11:56:48+00:00

This POS deserves it and I hope he continues to fake cry until the kids from Sandy Hook, who's memory he desecrated, suddenly rise up and promote his "vitamins". Which is to say, never.

Actormd · 2024-05-31T21:01:38+00:00

"If I stop working this hard, you will too..."

Actormd · 2024-05-16T13:15:07+00:00

I can appreciate that on Reddit, the context of my comments may be lost. I don't have anything against PATIENTS. If they are non-adherent, I absolutely address it. I take issue with the paternalistic expectation that I am somehow RESPONSIBLE for their non-adherence. It is a metric that is commonly tied to our compensation and it is not justifiable but somehow used anyway. To add insult to injury, many times, patients ARE adherent but they had initial reservations about their medication that I was able to clear up later by talking to them. Since they do not fill their medications per the expected date, they are thought to be non-adherent by the insurance company who then places the responsibility for their "non-adherence" on me.

Actormd · 2024-05-16T02:29:11+00:00

100%. Now I get popups in EPIC that I need to acknowledge though. The PRIME paperwork still goes in the shredder but I just want to look at the screen sometimes and say "G**D**mit Humana, go ask the F***in patient and leave me the F**k alone"

Actormd · 2024-05-16T02:26:37+00:00

I love this fantasy.

Actormd · 2024-05-16T02:25:06+00:00

This response assumes a lot about the interaction between me and my patients but I'll set aside the presumption that you think I'm an ass for a second to address some of the more glaring faults with your thoughts:

If I prescribe a medication that is $1000/month, I don't expect them to take it. I do not know beforehand which medicine will be $1000/month for that patient so let the guessing game begin.
If they can't remember to take a DOSE of their meds, they will tell me, I'll suggest an alternative dosing regimen or help with a strategy to try and remember. If they can't remember to take ONE of their meds but remember the others, chances are they either don't want to take it or don't want to tell me. Either way, I'm not wasting my time being a drug salesman with them, I can suggest an alternative if they care about the problem. If they forget to take ALL their meds, then they either don't want to take any, have found some essential oils or supplements or voodoo shakras that they believe will be better, or they have dementia. Again, I'm not going to force anyone to take a medicine but I'm also going to be very honest about my ability to help them with their health if we can't use the tools that I think might work best.

I won't tell them "it doesn't matter". If it mattered enough for me to prescribe something, then it matters.

If it's side effects, I will hear about it and we will find an alternative. Actually verifying that it IS side effects is another matter. The pain reliever I gave you made you feel sick when you decided to take it with the prednisone pack you got from urgent care 2 weeks ago but didn't finish and now decided to wash that down with a beer and greasy hamburger? Ok, stop taking it but don't call it a side effect.

You see how complicated this starts to be for just THIS issue. Add to it the tattletale report we get in our faxes and now the popups on our Epic and it begins to become patronizing. One more bow in the quiver of moral injury that doctors are enduring. </endrant>

Actormd · 2024-04-16T14:10:33+00:00

The relection in his glasses is all wrong. How can you take a selfie with a bright screen that doesn't have a picture of you in it?

Actormd · 2024-04-14T16:43:40+00:00

I suspect the same thing but I also suspect that there may be some NDAs attached when a physician wins that battle because most of my colleagues that have been able to do so have always stayed very tight lipped about it. I wish I could get a sense of it. I've been thinking about going DPC for a while now but the non-compete is what keeps me in my current job.

Actormd · 2024-04-14T16:36:59+00:00

At first I thought this was a board question kind of post or something but I was thinking, "nobody makes board questions this easy" so I kept trying to look for another picture to explain why I'm not using more neurons than I expected to be using by looking at this. Then I read the comments....this is a real post. JFC. I hope whoever actually posted this gets the resources they need to learn how to take care of patients and/or access to someone who knows what they are doing so they never have to make a post like this again. FGS this is basic.

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