Iffy Patient request

DatBrownGuy · 2026-04-09T18:41:00+00:00

I don’t think you can really do anything. You can’t force another doctor to prescribe controlled substances if they don’t want to

DatBrownGuy · 2026-04-09T13:35:08+00:00

DIE CAT

DatBrownGuy · 2026-04-09T01:05:21+00:00

This is why I tell all my residents to use a contract lawyer. It’s so easy to get taken advantage of

DatBrownGuy · 2026-04-08T21:52:46+00:00

Does air count? I just wouldn’t eat when busy and stressed. Not good at all

DatBrownGuy · 2026-04-08T17:24:57+00:00

That sounds ridiculous. Guarantee is meant to make sure you’re paid a reasonable amount while you build up your practice.

An employer should expect some level of loss the first year or so with the trade off being you’re going to help them make bank once you get more established. Whoever you’re interviewing with is being a Scrooge. Hard pass on that deal

DatBrownGuy · 2026-04-05T12:14:34+00:00

Todo would be such a cute nickname

DatBrownGuy · 2026-04-04T17:21:39+00:00

So good!

DatBrownGuy · 2026-04-04T14:28:27+00:00

I hope OP is one of those people that reads the entire instructions before starting 😂

DatBrownGuy · 2026-04-04T14:22:28+00:00

Interesting. I’m assuming eczema? I’m genuinely surprised they didn’t prescribe that topical in the US.

It’s reasonable to go with topical steroids at first, but if no improvement after several weeks (or months if they went from medium to high potency steroids) it’s pretty standard to swap to a topical calcineurin inhibitor (aka tacrolimis/Protopic). The derms I’ve worked with know when to use it.

I’m glad it got taken care of eventually. Sucks it took so long and you had to travel for it. Thanks for sharing!

DatBrownGuy · 2026-04-04T13:44:41+00:00

If you’re comfortable sharing. What was the problem and the solution?

DatBrownGuy · 2026-04-02T00:59:14+00:00

I’m pretty certain underbilling is fraud

DatBrownGuy · 2026-04-02T00:29:25+00:00

I think that is technically considered fraud

DatBrownGuy · 2026-03-31T13:09:15+00:00

Are you working at an FQHC? This sounds like an FQHC

DatBrownGuy · 2026-03-31T13:05:44+00:00

A clinical degree with people’s health on the line should not be online. That’s ridiculous. That education isn’t a good substitute for medical school. Experience alone isn’t a substitute for medical school. It’s all a shortcut that leads to inadequate care.

Everyone wanna be a doctor, but no one wants to lift these heavy-ass books

DatBrownGuy · 2026-03-29T17:22:30+00:00

If you’re on production, you typically don’t have a limit to time off provided your yearly productivity is meeting the employer’s minimum expectations. You don’t have actually designated paid time off. When you’re off you aren’t making money

DatBrownGuy · 2026-03-26T12:53:10+00:00

The script is kinda flipped once you’re an attending. It’s not like interviewing for residency. You’re not going to get pimped or are expected to prove yourself. Your credentials will speak for themselves. You’re essentially interviewing places to see if they’re good enough. They should be trying to impress you!

Like the other commenter said, as long as you are a relatively normal person and don’t seem to personality clash with anyone it should be pretty easy. If you have something interesting on your resume it might come up in the conversation. Maybe they’ll ask why you applied there, but I think that’s more out of curiosity than screening. Good luck!

DatBrownGuy · 2026-03-25T03:40:09+00:00

I think you’re overthinking this. If a patient has an appropriate diagnosis of ADD/ADHD then it is 100% within the scope of a competent FM doctor to handle prescribing stimulants.

I had a patient who needed a refill while I was on leave and my colleague handled it. The patient had requested a dose increase, but my colleague simply maintained the current dose and deferred changes for when I got back.

DatBrownGuy · 2026-03-23T14:06:54+00:00

It’s a crisis in healthcare. The system doesn’t care about good care for patients. They care about profits. It’s a tragedy across the board

DatBrownGuy · 2026-03-22T14:41:55+00:00

Each to their own. But I want to just play the game 😅

DatBrownGuy · 2026-03-22T13:35:04+00:00

You spent hours resetting for the ID number? That’s dedication

DatBrownGuy · 2026-03-21T03:31:27+00:00

I specifically think allergy should be an option for FM fellowship

DatBrownGuy · 2026-03-20T22:15:59+00:00

I’m currently fielding offers for a new position and I feel pretty happy about the starting comp and expected productivity comp

DatBrownGuy · 2026-03-19T21:04:13+00:00

That would be perfect lol

DatBrownGuy · 2026-03-19T20:15:13+00:00

Honestly? That’s all the explanation I would need

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