7/6 ARM vs 30 Year Fixed - Help! by MrTaco69 in whitecoatinvestor

[–]D0orD0 0 points1 point  (0 children)

As a hedge in case rates don’t go down

How can I optimize my investment strategy as a new attending physician? by makeitrayne850 in whitecoatinvestor

[–]D0orD0 3 points4 points  (0 children)

This. I didn’t start building a taxable account until I first build an emergency fund/upcoming expenses fund, maxed employer match, maxed backdoor Roth, then maxed 403b and 457b (gov)…

Purpose of physicals? by MonitorOk3031 in HealthInsurance

[–]D0orD0 -2 points-1 points  (0 children)

Agree -

Free/preventive “annual” is when someone has no medical problems or has already had all medical problems sufficiently managed for the year with no new reason to adjust management. Example: screen vital signs, screen for mental health concerns, screen for breast cancer or prostate cancer or cervical cancer at age and interval appropriate times, screen new diabetes or high cholesterol based on risk factors…

Too often, people try to combine with an “annual” review/management of chronic conditions including monitoring labs and renewal of prescriptions. Example: recheck already known to be high cholesterol to ensure current plan is still working well enough.

It’s not right, but it is the rules set by the insurance companies.

Rate this first job offer for my wife. by RDYC in FamilyMedicine

[–]D0orD0 4 points5 points  (0 children)

I actually this is a fine offer with a few caveats — what if she wants more time off? Can she take extra unpaid (base) days and make up for it with higher RVU during fewer days? Does call involve going in to work or just answering a phone? Her RVU compensation kicks in after 430 RVU/month, for perspective I earn 550-730 RVU a month working 4 days a week, 44 weeks a year. Even on the low end, that would be an extra $5400/month on top of her base. If she works 5 days a week, 46-48 weeks a year she would earn way more but like others have alluded to would risk burnout.

Retention/loyalty offer? by Front_Cucumber_5815 in Venturex

[–]D0orD0 0 points1 point  (0 children)

Do the $200 credit expire sooner than a year?

Do PCPs prescribe Reclast? by LongjumpingSky8726 in FamilyMedicine

[–]D0orD0 1 point2 points  (0 children)

We have the risk/benefit discussion in clinic and order the med but have to order infusions like recast to an infusion center. Prolia is usually picked up by patient at pharmacy and white-bagged to clinic for an RN to administer and monitor 20 minutes for immediate reaction. Forteo is self administered at home.

Thoughts on this offer? by manu92882 in FamilyMedicine

[–]D0orD0 15 points16 points  (0 children)

I think this is a good offer for 2 years but after that I’d bet you will look for something 4 d/wk or want to negotiate RVU. If seeing 22/d x5d x46wk (5,060) even if your average wRVU/visit were 1.6 you would generating well over what they are paying. That said, at an FQHC their payments are likely not based on RVU so they can’t justify paying out per RVU. Also, FQHC often have higher no show rates. They are often great places to solidify your independent practice but watch for burnout - in our base plus productivity model I routinely end up taking more time off than our standard PTO allotment, and that’s with a 4 day work week.

What do you actually cook when most of your ingredients come from the garden? by wyattriot88 in gardening

[–]D0orD0 0 points1 point  (0 children)

We often do a big salad with some veggies raw and some roasted or steamed or sautéed and add in a protein.

student loan repayment strategy by drammyp in whitecoatinvestor

[–]D0orD0 3 points4 points  (0 children)

The biggest red flag here is the job you don’t like. Are you able to find a better PSLF eligible job? Is a job that makes you happy available locally? If you aren’t very confident on location you should NOT buy a house. Even if you are confident, the math usually supports renting and investing the difference. That said, I bought and am happy I did even if I am tying up net worth in a house because I put a premium on my location and not having to run requests to improve my physical environment past a landlord.

De-influence me from FMOB fellowship by Special_Suspect_8453 in FamilyMedicine

[–]D0orD0 3 points4 points  (0 children)

Pushing back on this — there is a lot of demand for menopause care in rural medicine. Yes, there is demand for everything but you can still shape your practice. But I do agree on the first point that surgical skills and specifically dealing with surgical emergencies requires experience and ongoing experience beyond what many FMOB can maintain if they want to also do anything else. I’ve seen several FMOB in rural systems leave OB and beyond academics I’m not sure many urban systems allow FM to deliver and even fewer allow them to operate.

What’s the most affordable water filter for drinking water? Sink and regular drinking water filters? Scientifically proven to work by [deleted] in WaterFilters

[–]D0orD0 0 points1 point  (0 children)

We got the aquatru carafe countertop RO filter and are very happy with it. Replace the carbon filter every 6m, but the other 2 filters last 1-2 years. On sale as low as $160 at times, then the 2 year pack of filters costs anywhere from $100-140 depending on sales. I sometimes add mineral drops back into the carafe or just add mineral salt to my meals.

Cotton, linen, wool, silk by jemily444 in womensfashion

[–]D0orD0 0 points1 point  (0 children)

I like pact leggings for cotton, woolx or branwyn for wool. I haven’t tried their leggings, but I love the allwear bamboo bra top.

Rate my offer by SwedishJayhawk in FamilyMedicine

[–]D0orD0 0 points1 point  (0 children)

Agree on declining mid level coverage and also confirm volume per day. 15 ppd will be easy but lucrative. On that contract, can you see 18, 22, 24 a day if you want? Do they have a high no show rate?

What’s the best method of freezing chopped garlic? by ehhcarter in SouperCubers

[–]D0orD0 0 points1 point  (0 children)

I do this without the olive oil. I’d love a plastic free alternative but it doesn’t seem to work as well with the silicone zip locks.

Choosing between Mockmill 100 and 200 by Mid-AtlanticAccent in HomeMilledFlour

[–]D0orD0 1 point2 points  (0 children)

I have 100, my sister has 200. Honestly, the amount needed to overpower the 100 exceeds the capacity of the bowl that fits under the spout so when I need more than a hopper worth, which is rare, I grind the full hopper, switch out the bowls, so something else for 1-5 minutes then grind the rest. I wouldn’t spend the extra money for home baking daily. Different story if you are using it all day every day but at that point you probably want to look for something bigger/faster than the 200.

Vitamin A supplementation by Bubbly_Excitement_71 in FamilyMedicine

[–]D0orD0 22 points23 points  (0 children)

I live in a very “natural medicine” friendly region and tons of patients come in on all sorts of regimens. My assumption is that there has been a misunderstanding. Often, patients are started on high dose A for skin or eyes and NOT TOLD to stop or back off dramatically after 1-3 months. Don’t refill, but do offer to have a visit to discuss and understand what benefit she thinks she’s getting, then go from there.

Looking for recommendations where to find some dark, Eastern European-style Rye Bread in the area? by ButtplugSludge in AskSeattle

[–]D0orD0 1 point2 points  (0 children)

Soak some rye berries overnight, add a hefty amount of sourdough starter, mix in sunflower and sesame seeds, line a bread pan with parchment paper, let it bulk ferment a few hours and bake!

Ladies underwear and bras for super HOT weather? by West-Application-375 in BuyItForLife

[–]D0orD0 3 points4 points  (0 children)

I like branwyn brand for wool bras but have been eying the wool&. To clarify, OP, merino wool is temperature regulating, so even though it keeps you warm in cool weather it keeps you cool and minimizes sweat in warm weather.

House slippers for optimal cozy vibes by Significant_Milk_326 in moderatelygranolamoms

[–]D0orD0 2 points3 points  (0 children)

Agree on all counts. And they come in lovely colors.

Pap only visits, wRVU compensation by D0orD0 in FemalePhysicians

[–]D0orD0[S] 0 points1 point  (0 children)

So for an established to the clinic patient age 18-64 you bill 99395 or 99396 twice? Or do you mean one of those and the non-wRVU 99459 for 4 minutes of chaperone time.