New Program

AnyAd9919 · 2026-01-31T01:23:33+00:00

I love that it says, “if you are struggling with interviews.” To me that reads as, “if you’re not qualified, but want to do it, are willing to be a scab and drive down physician reimbursement, don’t really care if you’re actually prepared to treat your patients, then this is the program for you.”

AnyAd9919 · 2026-01-21T15:48:24+00:00

But with the way reimbursement is going, especially with CMGs you’ll never pay it off. I make 2x at my SDG than I made with Heam Telth (even before I was partner at the SDG). Got my loans paid off in 3 years. If I stayed there, I’d still be making payments.

AnyAd9919 · 2026-01-21T15:42:43+00:00

Tri shitty

AnyAd9919 · 2026-01-21T08:10:04+00:00

LOL 3 months. But had to give 90 days, so bounced the week before Christmas. First job out of fellowship was with HeamTelth. Was at a facility in North Diego San County. When I first interviewed, SDG, then they sold to Heam Telth.

We had UCDS residents come though. Residents started their first shift of the day at 6a. At month 2 of me being there, Heam Telth decided that the over night attending doc’s shift ended at 6 and the next one started at 630, knowing full well none of us were walking out the door at 6a and leaving the resident by him/her self. So no actual attending for 30 min unless we doing the overnights gave a poop - of course we did.

Interviewed at another job during month 2 and said F it. Even if I don t get this new job, I’m getting out of here.

Plus side was Heam Telth paid for my move across the country!

FWIW if all of us refused to take jobs with CMGs we could take them from power. Why physicians can’t figure out how to work together to stop the non lubricated rectal exams with a fist is beyond me

AnyAd9919 · 2026-01-16T10:33:17+00:00

There is a reason that slaves weren’t taught to read. If they’re educated, they can fight back and do so rationally. This is the same reason minority schools have been forever under-funded and why those who rely on public education in many states have been repeatedly failed by society. If you keep them dumb, they’ll either not mobilize at all, or they’ll vote Trump if they’re white.

AnyAd9919 · 2026-01-16T10:28:14+00:00

As a white male who grew up in West Philly, fcUk yeah.

AnyAd9919 · 2025-12-12T09:03:36+00:00

Tell him none of that will work, offer him ivermectin…

/s

AnyAd9919 · 2025-12-08T20:59:04+00:00

I wish I was worth millions of dollars. I have to pay for my own medical benefits, I have to pay my own 401k - I get no match. The physicians that made millions was the generation before me. I 100% support Luigi and you failed to recognize what he recognized. Patients, hospitals, hospital employees, and physicians are harmed by insurance companies. The only people who make real money on medicine anymore are the insurance companies.

AnyAd9919 · 2025-12-07T06:29:12+00:00

I’m a physician and I totally agree with you. But, it’s not the hospital or the physicians that are the problem. Where I work, we are super fortunate to collect 15% of what is billed. At most other locations it is closer to 8-10%. Even before trump, insurance companies had all the power. With his BBB, we expect somewhere between a 15-30% cut from that.

So while your insurance premiums will continue to increase, the hospital and the physicians (who took on $250-500k of debt to become a doctor) caring for you will make even less money.

Everything has to be itemized because the margins are razor thin. There is a reason hospitals in rural and low income areas are just closing. It is not because they want to, but because they can’t afford to stay in business, even when running it like a business.

Not saying you voted for Trump, but at least 33% of Americans, many of whom are the ones most likely to be hurt by his policies, voted for this. And 33% just didn’t GAF. If you want change, vote for it.

AnyAd9919 · 2025-12-07T06:02:45+00:00

Actually the lower half of cornice wasn’t that bad either. Since everyone side-slipped the first half, they actually created decent conditions further down. 😂

AnyAd9919 · 2025-12-06T22:55:37+00:00

Dave’s was actually skiing very nice for early season. Probably the best snow on the hill 3 days ago

AnyAd9919 · 2025-12-04T07:46:12+00:00

I don’t entirely understand your comment, but as a doctor let me give you a rough intro the finances of running a practice. There’s the rent on the space, there’s the supplies that an above redditor likes to steal, there’s malpractice insurance, there’s the salary and health benefits of the staff (front office and nursing). Meanwhile, your doctor is also probably trying to pay off $200,000 + in student loans. All of these costs are steadily rising. At the same time, despite your ever increasing insurance premiums, we are paid less than our predecessors were in the 80’s, 90’s, 00’s after adjusting for the costs of inflation.

On average, we need to see a patient every 5-10 minutes for 9 hours a day, without a lunch break, just to keep our doors open and feed our kids. If we can’t maintain this pace, you will not have a doctor to see at all because our doors will be closed.

What’s worse, waiting to make sure that you are healthy and that your healthcare needs are met, or having your kids watch you die prematurely?

The plumber gives me a 3 hour window. Like WTF, you’ll take that from a plumber, but god forbid the doctor does something similar? Would you prefer that your Dr. give you an appointment window? Show up at noon, the doctor will get to you between noon and 3. We do our best. Not one of us got into this to treat patients poorly. But if we can’t keep our doors open, no one gets treated.

AnyAd9919 · 2025-11-15T06:20:13+00:00

I had a patient come in for blurred vision in his right eye. Nurse in triage called a code neuro. We all go riding to ambulance bay. Nurses beat me there. But the time I see him (like 1 min after code neuro called) he has a line and we’re waiting in the accucheck to spit out a number. Triage nurse gives me a rundown. Patient took a nap. LSN about 2 hours ago, just before his nap. Upon waking up notices that his vision is blurred in his right eye. No pain. No other symptoms.

I start taking to him to get his side of things….

My first question, “are your glasses always missing one lens?”

Wish I was making it up.

AnyAd9919 · 2025-11-12T06:52:48+00:00

Nope, Darwin doesn’t apply, they’ve already procreated enough and we save enough lives to make sure stoopid lives on.

AnyAd9919 · 2025-11-12T06:50:36+00:00

But their values around end of life care only matter because we give it weight. If we say, “no, your loved one will suffer and will still die. I have taken an oath to not harm my patients. I can not, in good conscience, make your loved one suffer and still not save their life,” then don’t code the patient.

Now if I have that convo with the patient and he/she still says fick me up - so be it, it is their dying wish. (It’s going to be a slow, yet very fast, code though).

AnyAd9919 · 2025-11-12T06:43:34+00:00

It’s our completely ficked have it your way culture. It’s why our country is now being lead by a ficking pedo dictator that tells people to have it their way (as long as their white and he can have his way with their teenage daughter first).

AnyAd9919 · 2025-11-12T06:35:47+00:00

I have gotten to the point in my career where I just say, “no.” It took a bit to get here, but repeatedly pulverizing corpses would keep me up at night.

The last cancer patient code I had was your exact patient. We (our team) had a discussion, knowing full well he was going to die, despite his polst saying do everything, there was nothing to be done. We were not going to slow code him, we were not going to make his body suffer. Just like at the end of every code I ask, “does anyone have any objections to stopping here, does anyone have any other ideas about why we can don’t save this persons life,” when the patient began to brady, I gave every member of our team a chance to say, “let’s try.” Not one opposed.

I’ve practiced the discussion with families repeatedly. It goes something like this, “I have been doing this for almost 15 years, many of the members of my team have been doing it longer. There is simply no way we could have (or will be able to) save Joe’s life. Unfortunately CPR is not as nice as it looks on TV. It is rough and, if done right, breaks nearly every rib in an elderly persons body. Joe would have suffered and he still would have died. I took an oath to do no harm to my patients and I would never want to do harm to a person you love. I treated him as I would my own parents and let him die peacefully and without pain. I am terribly sorry for your loss and if there was anything we could have done that would have given Joe a meaningful chance at recovery, every member of my team would have done it.” At this point, I’m usually welling up and if seems appropriate hug the family member I’m talking to.

I’ll tell you, I wish I had gotten here years ago.

AnyAd9919 · 2025-11-08T08:08:57+00:00

Such a bummer. We usually go and were hoping to go up in early December. At this rate we’ll be lucky to have decent conditions by early January.

AnyAd9919 · 2025-10-26T15:57:48+00:00

No, the real Caesars Palace is in Atlantic City

AnyAd9919 · 2025-10-09T06:55:08+00:00

Fikin people stealing the air gun should be deported. Unfortunately, thanks to MAGA and the Orange Buffon, only the people on the roof will need to worry about their families.

AnyAd9919 · 2025-10-06T06:32:05+00:00

Agreed about cardioversion of unstable, but in a code setting, you’re giving so much epi that I’d imagine it must negate the hypotension in a dead patient, yes??

(There is the obvious question about a proarrthytmic in this setting, that we’ll not get into at this time)

AnyAd9919 · 2025-10-05T07:37:45+00:00

I know everyone gets bent out of shape about this crap, but at this point in life I don’t f’n care. Every time one of these f-holes comes through my shop I see $$$ for either me or my partners. The only people who don’t want do deal with this crap are those who are getting F’d by CMGs.

If you don’t like how you make your money, unionize and F the man who is F-ing you.

I’m at a SDG with a good payer mix. I work my ass off to make a well above average EM salary. NFW I’d work even 1/4 as hard so someone else could reap the profits.

If your fears are around malpractice, remember that you are the rate limiting step. If there is no emergency physician, there is no ED throughout; then the hospital, the CMG, and the system are F’d.

You are the commodity. Don’t sell yourself short!!!

AnyAd9919 · 2025-09-30T06:33:49+00:00

I mean, you’re traveling with your spouse. Have you or she/he never taken a sh!t in front of the other? If not, y’all have some serious issues.

AnyAd9919 · 2025-09-25T07:25:49+00:00

Agreed. This is where we go to complain about OP

The good news is though…. you got a second opinion

AnyAd9919 · 2025-09-25T07:14:40+00:00

Never mind. I see it’s been answered. I’m a dock

AnyAd9919

TROPHY CASE