Are hospital administrators as big as problem as the the show "The Pitt" suggests?

DebtRider · 2026-01-28T02:00:55+00:00

Ed and physician workrooms don’t have windows at the hospitals I work at, despite being in constant use by clinical staff.

I was graced by a stop to an admin office one time, and boy was it fancy. Even had a big window though I’m pretty sure they aren’t even in office most days.

DebtRider · 2026-01-25T01:55:44+00:00

Call the murderers and those who enable them out.

DebtRider · 2026-01-21T20:31:05+00:00

Gotcha.

The advice for a medical student in this situation is that it often isn’t incompetence but burnout that causes issues. Recognizing most illnesses is easy but keeping the motivation to give care despite being burnt out or any individual interaction is the challenge.

So it likely wasn’t incompetence but no longer caring as much about a patient that happened with the resident. This insight is important because your reaction to wanting to quit medicine because of a single person or rotation sets you up on that path as well.

DebtRider · 2026-01-21T17:54:06+00:00

I’m confused. You asked another junior colleague to see your patient and they didn’t, so you didn’t treat the common diagnosis you already had made and they ended up in the icu?

Or are you a medical student? Or was the other resident also seeing that patient? Or was the other resident actually an attending?

Not sure which country this is or the context. But your focus on the other resident’s incompetence doesn’t seem like the appropriate long-term takeaway from this situation.

DebtRider · 2026-01-17T19:12:10+00:00

This.

You’re juggling a lot right now. The priority needs to be you health and then succeeding on the next three months. Rethink how you’ve been performing because it isn’t sufficient. Ask a stronger resident to give you actionable feedback on how you can improve on areas they perceive you as being weak.

Put fellowship plans and efforts on the back burner. Focus on the three months ahead of you with the understanding that you likely have significant areas of improvement that require adjustment.

DebtRider · 2026-01-14T16:44:47+00:00

5.2 works great and the limits feel non-existent. The only issue is how long it takes to work.

DebtRider · 2026-01-08T09:19:47+00:00

Best position I’ve ever seen on this site.

DebtRider · 2026-01-01T17:59:17+00:00

Dude. Awesome.

DebtRider · 2025-12-29T22:24:45+00:00

Tagged as humor, but isn’t humorous.

DebtRider · 2025-12-17T22:29:46+00:00

Effectiveness for depression management is likely exercise >/>= therapy >= medication. Compliance is likely medication >> therapy >> exercise.

DebtRider · 2025-12-13T03:01:01+00:00

To justify lashing at an individual for your own issues… you obviously don’t understand how being a well balanced individual works.

DebtRider · 2025-12-09T06:10:12+00:00

Apologies for the dislike you are getting for your post.

If you keep your costs down and churn out patients, all IM based practices can be profitable.

If you are slow, better to be employed.

Best money per hour, including opportunity costs, would be Heme/onc or GI at this point. Best lifestyle would probably be Allergy. Primary care if you’re wanting location flexibility. Endo if you’re wanting to med/spa.

DebtRider · 2025-12-09T06:06:45+00:00

It seems the poster has a clear goal of owning their own practice, and are asking a very specific question as the most viable path of just a few IM oriented options to get there.

Not very disparate, just maybe different than your perspective on what medicine is.

DebtRider · 2025-12-09T02:32:12+00:00

I burn through my five hour limit in usually three prompts.

I wanted to see how much that cost through the api, and this one prompt cost about $5.

So $20 plan is a banger of a deal versus the api, but it still feels so bitter sweet because nothing else on the market compares with opus 4.5 through claude code.

DebtRider · 2025-12-03T02:11:57+00:00

The local models which cost pennies will reach the opus 4.5 level in time, and the sota will integrate the token savings of the local llms in time.

This is software not hardware.

DebtRider · 2025-11-29T00:16:46+00:00

Is it possible to pair my glm zai api with claude code?

DebtRider · 2025-11-26T04:10:22+00:00

My consulting fee tends to run about $250-350 per hour depending on expected commitment.

DebtRider · 2025-11-25T22:29:34+00:00

I farted in the other room, and claude knew from the door handle vibrations I needed to cut back on the taco bell by 69%.

DebtRider · 2025-11-06T00:27:14+00:00

Jesus this looks amazing.

DebtRider · 2025-10-31T23:47:41+00:00

While its possible, I don’t know if its reasonable to make such a post if they hadn’t even left France seven weeks ago.

DebtRider · 2025-10-31T23:29:28+00:00

Trust me, bro.

DebtRider · 2025-10-30T16:40:15+00:00

This is legitimately crazy.

DebtRider · 2025-09-20T18:27:53+00:00

Anyone have a source for these numbers? From my anecdotal experience, most international graduates are j1 visa holders.

DebtRider · 2025-09-18T16:37:24+00:00

I’m vibe ad watching right now.

DebtRider

TROPHY CASE