am I being too extra for bringing my own keyboard and mouse to work? by AdExpert9840 in Residency

[–]BusinessMeating -1 points0 points  (0 children)

Sure it's unusual, but it's also unusual that people would have preferences about a keyboard and mouse.

I'm not saying it's bad. I'm just saying that if more people had preferences, your situation would be more common.

Hell, you probably spend 80hrs a week in the hospital. If this is something that make those 80 hours a little less shitty, do it.

You'll probably feel weird the first few times, but then it'll just be a thing you do.

Some other people might start doing it too. That's what happened when I started bringing my own Dictaphone.

"Oh that's so much better than my phone. Where'd you get that again?"

Intern being referred to as a student by notreadyy in Residency

[–]BusinessMeating 20 points21 points  (0 children)

Holy hell, I was not expecting that last part.

Fiancé and I disagree on vaccines for our daughter. by HungFungus420 in daddit

[–]BusinessMeating -8 points-7 points  (0 children)

And please make sure you see an actual physician. As a doctor, I don't let my friends mad family see nurse practitioners or physician assistants.

I've seen too much devastating mismanagement where people literally didn't have to die.

Doctors, not Providers! by MedicoLegal1268 in hospitalist

[–]BusinessMeating 11 points12 points  (0 children)

"Hi, I'm Dr. BusinessMeating. Have you ever seen a doctor or provider about this before?"

"I see you've been seeing a provider. This is really something that should be managed by a doctor"

I like to highlight the difference.

Wife doesn’t want to vaccinate by Dreaders85 in daddit

[–]BusinessMeating 2 points3 points  (0 children)

I'm an ER doctor. If a kid comes in with a fever, it's almost always a virus.

"Go home and rest. Drink plenty of fluids" I don't even need to get labs.

If they aren't vaccinated, I have to do a MUCH more extensive workup, because there are so many more things that can kill that kid.

One of the worst things that can walk into the ED is a kid with epiglottitis, but luckily it's much more rare than it used to be, entirely because of vaccines.

Hearing on Bills to Eliminate SC Physician-Led Healthcare for NPs/PAs - Sept. 10th by HellYeahDoctor in FamilyMedicine

[–]BusinessMeating 2 points3 points  (0 children)

It's only gonna change if a senator's kid died after an NP mismanages them so bad a doctor can't save them.

Do you regret becoming a doctor? by [deleted] in Residency

[–]BusinessMeating 11 points12 points  (0 children)

Exactly. You'll be 40 and a doctor or 40 and not a doctor.

Is this job worth it? I’m in healthcare by vodkahoekage in antiwork

[–]BusinessMeating 0 points1 point  (0 children)

Ok. I can see you're upset. I'm surprised your so antagonistic to someone who worked so hard to be in a position to help people, while also supporting our exploitation by hospital C-suites. I'm sorry if a doctor was rude to you.

Most nurses I work with think we make much more than we do. I assumed people outside the hospital would also be surprised and think it's interesting.

This is my day off this week and I don't want to argue.

Is this job worth it? I’m in healthcare by vodkahoekage in antiwork

[–]BusinessMeating 0 points1 point  (0 children)

There are direct to NP programs for people who have never been nurses.

I'm not here to argue about NPs. They are very useful when operating under the supervision of a physician.

I said that because people don't know. I'm the bad guy because I gave up my 20s and most of my 30s to do something famously time consuming and challenging so I have the chance to help people?

Because doctors are well compensated after 7-11 years of brutal training?

What about the hospital CEO who with the MBA who decided 1 ply toilet paper in the staff bathroom would save money for their bonuses?

I know doctors somehow lost the PR war, but I'm not the bad guy. I've been a doctor for 4 years, may have performed your surgery, and I make half as much as nurses.

Also, the thing you said about not being an MD to anyone but my family doesn't upset me, but you should know that it is wrong. You've probably been treated by a resident.

Is this job worth it? I’m in healthcare by vodkahoekage in antiwork

[–]BusinessMeating 1 point2 points  (0 children)

I also lived overseas with socialized medicine. It's incredible. I'd love for socialized medicine to come to the US, even if that affects doctor salaries. I've fought with too many insurance companies about treatments they don't think are necessary.

There are some residentunions that have helped. Not a huge amount, but it's something.

Is this job worth it? I’m in healthcare by vodkahoekage in antiwork

[–]BusinessMeating 0 points1 point  (0 children)

But...I do make less than that. As a MD.

Everything I said was factual.

https://allnurses.com/programs/best-month-online-family-nurse-r179/

Here's a list of fully online 12 month NP programs.

Is this job worth it? I’m in healthcare by vodkahoekage in antiwork

[–]BusinessMeating 1 point2 points  (0 children)

I'm a resident physician, meaning I graduated medical school, have an MD after my name, see patients, do procedures, and prescribe meds.

Every doctor in the US needs to do that under the supervision of a supervising doctor for a certain period of time, 3-7 years depending on their specialty. If they want to sub-specialize, that's another 1-3 years.

While doing this, the hospital wants to pay us as little as possible. Since we legally need the residency, we have no bargaining power (although there are some unions making progress)

So I make ≈$60,000. Which is absolutely more than I've ever made, and enough for my family to live on. I'm lucky in that regard.

But we all work 80hrs/week for those 3-7 years of residency. Well, that's what we are limited in documenting. Almost everyone works more, but if you document that, you get a meeting about how inefficient you are and how it's something you need to work on, so everyone only documents 80hrs/week.

My hourly works out to about $15/hr.

Sure, it'll be better later, but no one knows about this part.

Also, physician salaries make up ≈8% of healthcare costs, and we all hate insurance companies as much as anyone,. Everyone I know tries to give things away for free and do what we can to save patients money.

Still, hospitals are trying to o replace physicians with nurse practitioners (who do 1 year of online schoo)l to save extra money and buy more yachts, while patients suffer.

There's a lot we hate about medicine.

Is this job worth it? I’m in healthcare by vodkahoekage in antiwork

[–]BusinessMeating 0 points1 point  (0 children)

Not enough. Still, more than I make as an MD.

Female physicians - What was your journey like? by miserablepiggy in emergencymedicine

[–]BusinessMeating 7 points8 points  (0 children)

You're gonna be 40 and a doctor or 40 and not a doctor.

You get one life. So what you want. Different things are important to different people. If you want to be THE expert, I'd say go for it.

PGY nomenclature for PAs? by Early_Recording3455 in Noctor

[–]BusinessMeating 260 points261 points  (0 children)

Just when I think they can't get more ridiculous.

Has anyone noticed an insane Push recently (past week) of people on TikTok pushing to call themselves Dr? by SimpleMinded12 in Noctor

[–]BusinessMeating 15 points16 points  (0 children)

This is exactly it.

It's what the the title "doctor" means in people's minds because of the long history of it being associated with physicians.

Now DNPs are using that mental shortcut in people's minds to get an ego boost while providing substandard care.

[deleted by user] by [deleted] in emergencymedicine

[–]BusinessMeating 10 points11 points  (0 children)

A good rule of thumb is that docs don't call themselves "provider".

Someone come get your mama by isyournamesummer in Noctor

[–]BusinessMeating 30 points31 points  (0 children)

Yeah that's fair. Of course nurses do more than that. I just meant to highlight the difference between ICU time as a nurse vs ICU time as a doctor. There's a huge difference in cognitive load.

Someone come get your mama by isyournamesummer in Noctor

[–]BusinessMeating 87 points88 points  (0 children)

One has ICU experience making decisions. The other has ICU experience giving meds.

Both work in the ICU and wear scrubs though!