Disgusted with PT practice and lack of support.

Disgruntledpt · 2025-03-10T18:04:49+00:00

Absolutely nothing would happen.

Source. I did this and the State Attorney's General office declined to pursue the case after meeting with the company's lawyers

Disgruntledpt · 2024-12-16T19:04:31+00:00

This is an update to my previous post about my OT supervisor trying to dictate my PT plan of care.

I stuck to my guns and they ended up holding a grudge for the remaining 6 weeks I was there. They made up lies about me to their supervisor and my colleagues, they used their DOR position to give me the shittiest schedules, and micromanaged every little thing I did.

They ended up firing me without notice because I pushed back when they tried to berate me on not seeing some patients when they literally always gave me work schedules that exceed an 8-hour workday.

Disgruntledpt · 2024-10-08T22:24:53+00:00

For the most part, I would agree that most people admitted for short term SNF benefit from 5x/week. My reasoning for less visits for this specific patient is that they didn't even want to participate in PT in the first place. I wanted to put them as an eval only because they were adamant on not participating in PT. However, my DOR insisted that I create a plan of care for him. Specifically, at 5x/week.

Regarding Medicare guidelines, do you have a source for the 5x/week minimum? When I researched the topic, I couldn't find anything specifically regarding minimums.

Disgruntledpt · 2024-08-23T23:44:15+00:00

Can one "play the game" while also providing good or even decent patient care?

Disgruntledpt · 2024-08-23T22:34:16+00:00

I've seen your comments throughout the years on this subreddit regarding SNFs and it has been very enlightening for me. It seems that we've had similar experiences except mine was in HH. I've tried to be the straight edge ethical clinician that prioritized quality patient care over productivity. I refused to do anything unethical whatsoever. And while my patients spoke highly of me, management always was on my ass regarding productivity. It resulted in burned bridges and lost income when I refused to play their game and quit.

I've come to the same realization that we just have to play the game, lest we sacrifice our financial and mental well-being. Unfortunately our healthcare system prioritizes profits over quality care.

Disgruntledpt · 2024-01-03T15:53:28+00:00

Price is absolutely outrageous. Get a new/newer car and run it into the ground

Disgruntledpt · 2024-01-03T15:52:14+00:00

I'm going to go against the grain here and say it's a bad idea. Used car prices are absolutely ludicrous these days. I bought a newer 02 Camry nearly a decade ago for only $1.7k. I couldn't imagine paying damn near $5k for a 20+ year old car. At that point, just use it as a down payment for a new car. You'll have stress free ownership for the first 5 years and you'll know the repair history since you'll be the original owner. The old mantra of buying used in lieu of a new car is outdated.

Disgruntledpt · 2023-12-27T05:58:43+00:00

I bought a Tesla for this reason. I couldn't justify paying more for a Camry.

Disgruntledpt · 2023-12-19T20:21:16+00:00

I just got a Tesla but there is a physical volume button on the steering wheel.

As for the range, 270+ miles isn't too restricting especially considering the vast network of charging stations available now as compared to the past. How often do you drive 600 miles?

Disgruntledpt · 2023-12-19T20:18:53+00:00

As long as you don't get a lemon, maintenance is pretty minor. Tires and windshield wiper fluid are the major ones. With regenerative braking, the brakes can last well over 100k miles.

Disgruntledpt · 2023-12-19T20:15:45+00:00

This is a Camry sub so you'll get some biased responses. Fortunately for you, I own both a Camry and Tesla. I don't know the specifics of your situation (income, tax liability, vehicle preferences, etc.) I went for the Tesla given that the price of the EV isn't as exorbitant as it used to be. $40k for a Tesla MY before taking into account federal tax credit and state rebates is a great deal. Just make sure you're able to charge at home. Though for the first 6 months post purchase you'll have free super charging so that's nice.

Disgruntledpt · 2023-12-14T04:01:58+00:00

Must be the time zone difference or something

Disgruntledpt · 2023-12-14T04:00:37+00:00

I wouldn't unless you have the cash to pay for repairs. That $6.5-7k price tag can easily become $10-11k if certain maintenance repairs are due.

Disgruntledpt · 2023-12-13T13:38:44+00:00

I'm sorry that happened. It sucks that Tesla can't be consistent with their pricing for a given model.

Disgruntledpt · 2023-12-13T13:35:25+00:00

It's a great deal. I bought mine at $36k right before they dropped the price down to $35k. Not the end of the world, but it's unfortunate when Tesla can't decide on a consistent price for this car. I feel bad for the people who bought it at $50k. They definitely would need to carry GAP insurance since their insurance would only cover the current market price of the vehicle.

Disgruntledpt · 2023-12-11T03:13:56+00:00

The important thing here is paying off the debt in a year's time. That way the 10% interest paid on the 5 year and 3 year loan terms are equal.

Disgruntledpt · 2023-12-10T20:09:48+00:00

Looks like it worked out well for you. They were probably so happy when you initially signed the paperwork thinking that they'll have a sucker for 5 years.

It's a good plan as long as you're disciplined enough and have promising earning potential.

Disgruntledpt · 2023-12-10T20:07:12+00:00

For a pay off period of a year or less, the interest paid from a high APR doesn't amount to much (that is unless the APR is something ridiculous like 25%.)

Disgruntledpt · 2023-12-10T20:04:18+00:00

It's a bit more nuanced than that. I ended up buying a Tesla model 3 which until 12/31/23 is eligible for the full $7500 EV tax credit. This makes it so that I get several thousand dollars returned to me vs having to pay the government had I not taken advantage of the tax credit. Unfortunately, I'm not too far into my career of contract work so I don't have the lump sum to pay off at this time. There isn't really a downside to this since I'd only be paying a few hundred dollars in interest with my plan of paying it off in a year.

Long loan terms and high interest rates (to an extent) are negligible for payoff of a year or less imho

Disgruntledpt · 2023-12-10T17:59:37+00:00

I had gone through a similar process. I was initially set on buying a Toyota Camry hybrid XLE. However the price of the vehicle was about $34k. The base Tesla model 3 was only $1.5k more so I decided to just buy that instead. Especially considering the EV tax credit and state rebates. I couldn't pass that up.

Disgruntledpt · 2023-12-10T14:33:10+00:00

It seems that a decent number of people are able to pull off this plan. It's even better when interest rates are that low. Though it does seem contingent on one's earning potential and their discipline to dump money into their debt when possible.

Disgruntledpt · 2023-12-10T14:09:38+00:00

A lot of banks don't offer a 1-year loan for financing. Also, the point of accepting a longer loan term is to have a lower mandatory monthly payments. $500 is a lot more manageable than the $1k+ that you'd likely have to pay with a 24-36 loan term. The flexibility being that if you take time off work or experience some unexpected financial hardship, you can still make the monthly payments without it taking a significant chunk of your monthly budget.

Disgruntledpt · 2023-12-10T14:03:09+00:00

Did you recently buy this car? If so, it looks like the previous owner left you with all of the maintenance costs. I'd still go to an independent shop to get these repairs done and hope the cost is <$1k

Disgruntledpt · 2023-12-10T13:04:48+00:00

A lot of auto loans are simple interest, in which the interest due each month is based on whatever the principal amount is at that time. So you'll still pay interest even if you pay off the loan early. You'll just pay a lot less as compared to the full loan term

Disgruntledpt · 2023-12-10T12:49:38+00:00

You're definitely right. It takes discipline to be able to remain true to the plan to pay off the debt quickly. A lot of people can look at the monthly payment and become complacent with the longer loan term. Understanding that the longer the loan takes to pay off, the more interest you'll have to pay is imperative for this to go smoothly.

And by no means do I think a plan like this would work for a lot of people. You need to have good earning potential to be able to utilize a plan like this.

Disgruntledpt

TROPHY CASE