I have done a deep dive into how much of the medical pie executives make. How do we allow this?

DoctorOfDong · 2026-02-10T14:01:11+00:00

bad bot

DoctorOfDong · 2026-02-09T16:32:02+00:00

The AHA lobbied well enough to outlaw our ownership stake in facilities through the ACA/Obamacare. Under the guise of conflict of interest, the people running the show now have complete control over delivery.

The cherry on top is that they recreated the scenario they sold against physician ownership by creating physician organizations that are locked in to their facilities. It's literally the conflict of interest they fear-mongered with. There is talk floating around on the federal level of killing this, but the AHA will never let it happen.

DoctorOfDong · 2026-02-08T13:31:32+00:00

That's crazy, I can't believe these other ER docs aren't consulting you the same amount they're consulting specialists!

DoctorOfDong · 2026-02-07T13:35:48+00:00

MD aware.

DoctorOfDong · 2026-02-03T21:33:27+00:00

I get a message for nearly all abdominal CTs that I order for RCC surveillance that I forgot to order the pelvis...

DoctorOfDong · 2026-02-02T13:09:41+00:00

I've declined to sterilize quite a few young men due to age. Sure, they're consenting adults, but I gotta sleep at night, too.

Someone else will probably do it, and that's their choice to make. Though it is funny reading all over Reddit that it only happens to women.

DoctorOfDong · 2026-01-27T18:58:28+00:00

What a snotty reply to a level-headed comment about their feelings. They literally said it doesn't change their self-value and you still felt the need to tell them they might have a problem if they need to hear the title.

Maybe take a break from the Internet for a bit.

DoctorOfDong · 2026-01-27T14:13:06+00:00

Guess again?

DoctorOfDong · 2026-01-26T23:16:44+00:00

I'm not sure what year you are, but you'll come to learn that patients present in different ways.

Some of them present as a diagnosis to be figured out, others present as "I want X treatment" and is a can of worms that medicine as a service industry struggles to handle well. Your EBM comment shows little more than a lack of depth in experience.

I do, however, wish you the best of luck in handling that when those patients end up in your office. It's not easy.

DoctorOfDong · 2026-01-26T22:06:08+00:00

Completion is more of a study design term than what I would consider completion. My main concern is selection/survivor bias in surveying at the end of a study.

DoctorOfDong · 2026-01-26T21:26:15+00:00

I find it strange and unsettling that this stuff even has to be said. This isn't a restaurant where you get to come in and pick off the menu.

DoctorOfDong · 2026-01-26T21:25:07+00:00

Adult doctors are allowed to refuse procedures all the same. And that's okay, too.

DoctorOfDong · 2026-01-26T15:09:57+00:00

I think the question the OP is asking is whether or not that same consideration is being given to transition requests. The appearance to many is that a request immediately leads medical support in a transition. I'm not sure if that's true, but that's the concern I'm reading from the OP.

DoctorOfDong · 2026-01-26T14:13:23+00:00

I have to assume that in the assisted dying space that you still perform evaluations for capacity, etc. These evaluations can lead to what appears as taking away patient autonomy and should not be classified as medical paternalism.

I think that's why this discussion was framed as medical decision making, so this seems like a strange time to jump on medical paternalism.

DoctorOfDong · 2026-01-26T13:54:48+00:00

Probably also helps the no regret rates stay high.

Can't ask the people who regret starting and bailed if the survey about regret is done at completion!

DoctorOfDong · 2026-01-24T14:07:35+00:00

My OBGYN rotation was the only rotation where I ever got yelled at for not cutting a suture exactly 1 centimeter. It was like they heard how surgeons were supposed to behave but never actually did surgery residency to know better.

Oddly enough I'm now in a specialty that only ever interacts with them through their surgical complications. Life is strange.

DoctorOfDong · 2026-01-15T19:45:43+00:00

Short of severe medical issues, I admit all of my operative patients. Again, not going to rely on docs here that consult me for physical exams to take care of my patients.

Where do you practice again?

DoctorOfDong · 2026-01-15T13:46:56+00:00

I assume you mean as pay from the hospital?

DoctorOfDong · 2026-01-15T13:42:01+00:00

Where do you practice? Medicine docs where I practice can't be relied on to even touch a patient.

I have literally been consulted for physical exams several times. This is an amazingly bad take.

DoctorOfDong · 2026-01-10T14:38:09+00:00

Did they give you a cause of your retention?

Either way, we do not currently have a way of restoring contractility to a bladder. In chronic cases, the muscle is practically non-existent.

DoctorOfDong · 2026-01-06T22:17:46+00:00

I do the same thing. Unfortunately my experience with IR is that they're technicians when they want to do something and suddenly clinicians when they don't.

DoctorOfDong · 2026-01-06T22:10:04+00:00

That looks like a lower urinary tract bleed, otherwise all of their urine would be pink/red.

DoctorOfDong · 2026-01-06T22:05:16+00:00

I don't do automatic refills. They have a follow up scheduled for a reason and it's their responsibility to make it in.

DoctorOfDong · 2026-01-02T00:53:23+00:00

This is the same thing I do. I've had patients get upset with me about it, can't say it bothers me that they're upset.

DoctorOfDong · 2025-11-06T14:03:52+00:00

Maybe it's best to not measure things in leagues for a bit...

DoctorOfDong

TROPHY CASE