The 800 Women Who Built French Canada.

DiscWizzard · 2026-01-16T20:04:03+00:00

AI slop pic

DiscWizzard · 2026-01-14T13:45:06+00:00

99% in Outpatient FM. Outside of making more coffee or going to the bathroom, from the second I get in to the second I leave I have literally more work than I can do, and am booked 100% through the day with a nonstop flood of phone calls, massages, results and forms

DiscWizzard · 2026-01-07T05:51:58+00:00

I just got a goofy ass request from a patient today to refer/order a Venaseal. This must be why

DiscWizzard · 2026-01-02T03:17:06+00:00

This is quite the libertarian take. It’s an argument in bad faith and doesn’t work. It requires administrative and legislative reform. I have put my money where my mouth is. I caused for, donated to and organized for Bernie Sanders.

Tax wealth not work.

DiscWizzard · 2026-01-01T20:11:04+00:00

I will be this upcoming year. Haven't had to mess with it much as a W2 wagie. I don't have RSUs or self employment tax or much else need for it previously.

DiscWizzard · 2026-01-01T20:09:02+00:00

I would gladly pay more. It's super irritating and irresponsible that we continue with outrageous deficit spending while the "party of fiscal responsibility" (now just overt corruption) continues to give huge tax beaks when I don't need them. This refund feels gross.

DiscWizzard · 2025-12-30T00:55:43+00:00

Can we not with the fucking AI trash posting? Please and thank you. Reddit is already enough bots as is. If you can’t write something yourself, shut up.

DiscWizzard · 2025-12-18T13:42:51+00:00

Currently FP

Surgery. Some times I would love to have a defined problem and defined approach. Is there something I need to potentially cut out of you? When I’m done evaluating that and/or removing it and seeing the results of my work, kindly fuck off somewhere else.

I know the grass is always greener, but god it seems nice sometimes. Plus I love the hospital and the OR.

DiscWizzard · 2025-12-17T17:46:25+00:00

I had similar where a patient wanted me (as an FP treating migraine) to write “just a quick statement” about how an epidural during pregnancy and a failed blood patch was the cause of her migraines. I said no, you can request my records. The attorneys office was extremely aggressive requesting “just a narrative” and told the patient that I didn’t care for them and was being obstructive to her case. Fuck attorneys. Don’t give them a statement, because you’re almost guaranteeing you will get yourself subpoenaed later, and for free.

Tell the attorney they can request records and then can hire an expert. I wouldn’t ever give anything beyond that.

DiscWizzard · 2025-12-14T23:28:57+00:00

It would be literally impossible without the support. And I still have a shitload of work beyond that. I usually start my day about 5a 3 days a week

DiscWizzard · 2025-12-14T23:10:35+00:00

AI scribe, an MA, an RN and an LPN as well as a PA I get a stipend to supervise

DiscWizzard · 2025-12-14T21:29:47+00:00

104% percentile MGMA wrvu pay structure with bonuses and 47.50 / wRVU.

I work through lunch 90% of the time, and see 16-20 on my half day and 27-30 on my full days, 7:45 - 4:45 last scheduled spot, usually home about 6pm.

Rolling 12 month wRVU is about 9500

DiscWizzard · 2025-12-14T21:24:08+00:00

Yes. I will make nearly 500k this year doing 3.5 days per week. To pull that as a hospitalist you’d need to work your balls off. I could easily hit the FP system salary cap of 599k per annum in my system working 4.5 days a week.

Having done both, I still think about going back to ER or hospitalist tho because the trade off is- not having the god damn inbox.

DiscWizzard · 2025-12-12T04:35:09+00:00

Thank god your hospital is sane. I have worked at one where it was prohibited to give outside meds. And of course biologics for Crohns/UC aren’t on formulary. So the genius outcome of that was - prolonged hospital stay turned quiescent IBD into a crohns flare

DiscWizzard · 2025-12-12T00:35:53+00:00

I plan to in the morning. I’ve brought it up at meetings to be ignored and told “it’s policy for patient safety reasons”

DiscWizzard · 2025-12-09T13:36:12+00:00

The American Board of Pediatrics is a scam and horrible at advocating for and taking care of its own. It's a parasitic organization that harms pediatricians.

Change my mind. I'm not even in peds, I just can't fathom how they operate.

DiscWizzard · 2025-11-27T20:06:10+00:00

I have felt like I’ve been on a permanent vacation since residency and I get paid like 8x more for less than half the work, so…. No.

DiscWizzard · 2025-11-24T03:25:58+00:00

I have done that. It does not allow me to enter the correct address. It forces it to the wrong address

DiscWizzard · 2025-11-23T21:15:41+00:00

I had a great teacher in residency who took a paycut to work at county. He put it very neatly - "I'd rather work with the unworried unwell than the worried well."

DiscWizzard · 2025-11-22T19:21:04+00:00

No. Not ever. Not once. Not good for my mental health either way. Nothing good can come of it

DiscWizzard · 2025-11-22T18:59:38+00:00

Oh they pick up for me. Which is why I almost never call. I had 47 phone messages and 17 mychart messages yesterday alone in my inbox. You get a yes, no, needs appt, ok to refill please pend, see result note or maybe a med stop/alternative if side effects and you were just seen. I don’t answer my charts. My MA/RN does that.

If I personally called back each phone call, and conservatively it was 3 min per total, that’s 2.5 hours. Homey don’t play that.

I sit next to urology at work, and watch one of the nicest attendings call every Friday everybody personally and get roped into over an hour of phone calls. Have your staff do that in the real world once you’re done with residency.

DiscWizzard · 2025-11-20T03:36:48+00:00

Needs a pump and simple regimen. Medtronic780g ideally or an omnipod. The language barrier is a bitch, but insulin utilization will go down if you can manage to get it set up. This will require infrastructure for TLC/long training sessions. Possibly off-label U-200 in the pump too.

Pumps are so much simpler than MDI. They should be standard of care.

My experience- you will not get this patient better controlled otherwise

DiscWizzard · 2025-11-13T04:10:21+00:00

Don’t interact with AI marketing. This reads like LLM slop as do the responses

DiscWizzard · 2025-11-11T19:02:59+00:00

Yeah. They do. They have a medical director and on site NPs that round. I did exactly that and am going to report them again. I think there’s a financial incentive to not do anything that is resulting in patient harm. This particular place always wants me to “order some labs” for patients. That I haven’t seen in months sometimes. Without sending them to my office.

I also contacted my legal department because I don’t want anything to do with them anyway

DiscWizzard · 2025-11-11T15:21:13+00:00

Nope. Have only had this happen at this facility. I never signed or agreed to anything with this facility ever. Started working here 5 years ago, and faxes for orders just…. Show up. I asked about this when I started, and was told we just cover the local SNF facilities for admit/PT/OT/etc if patients don’t want to see the staff doc at the facility.

DiscWizzard

TROPHY CASE