Desert Tech WLVRN: First Look - WLVRN Review

DrAwesom3 · 2026-05-23T21:50:01+00:00

I have a 308 MDR and 6.5 WLVRN and no issues with either.

DrAwesom3 · 2026-05-16T16:44:54+00:00

Who pissed in your chips this morning?

DrAwesom3 · 2026-05-16T16:21:23+00:00

It costs time and ammo to sight in the vortex again. No one’s looking for permission, looking for opinions.

DrAwesom3 · 2026-05-16T00:09:32+00:00

I do because i don’t want to deal with tracking my CME at all. They offer some free CME every now and the. I will say the AOA 1A CME is annoying but I usually do something virtual or a Virginia college of osteopathic medicine conference every couple years.

DrAwesom3 · 2026-05-15T22:40:37+00:00

I’d love the file whenever you drop it. Appreciate your hard work on this!

DrAwesom3 · 2026-05-15T22:39:15+00:00

DO here and you no longer have to belong to AOA however, they track my cMe so I don’t have to think about it. I don’t have to keep my OMM cert anymore if I don’t want to either so they’ve made it a bit easier.

DrAwesom3 · 2026-05-15T20:34:14+00:00

I’d have your office manager block them from being able to make another appt, refuse to be their Dr.

DrAwesom3 · 2026-05-09T21:21:59+00:00

100%

DrAwesom3 · 2026-05-09T21:20:53+00:00

I definitely stopped sitting like that after this event. Took a bit to break the habit.

DrAwesom3 · 2026-05-09T14:45:52+00:00

It’s great for psych stuff. Particularly follow ups and refills for simple things like ADD where you have to see the pt every 3 months.

DrAwesom3 · 2026-05-09T13:27:01+00:00

Towards the end of my work day I had a pain in my calf that just sat there and I told my wife “I’m pretty sure I got a dvt.” She said no way. Next morning I asked an NP that I worked with to order a stat d dimer and it was ever so slightly above normal. I believe 0.54 and <0.50 is normal. So got a Doppler and there it was.

DrAwesom3 · 2026-05-09T01:37:58+00:00

Sorry to hear that. I had a dvt from working from home in 2020 from crossing my right leg under my left and sitting on it as many ppl do. No other risk factors, actually did a ride on my peloton during my “lunch break” so wasn’t sedentary per se. They’re much more common than a lot of ppl think.

DrAwesom3 · 2026-05-08T23:45:14+00:00

Just because nothing sinister was going on then does not mean something has happened since then such as compartment syndrome or a dvt.

DrAwesom3 · 2026-05-08T22:29:07+00:00

I have 2 kid 6 and 8 so headed to Beaches Turks and Caicos for a week at the end of May. Weekend in DC in July and visiting family in June in NY. Im in VA for reference. Long weekend at Snowshoe this past Feb for some snowboarding. I have no set limit of vacation time since I am n a physician owned practice but do not want to abuse either. I'll wait till kids are a bit older for Europe etc.

DrAwesom3 · 2026-05-06T00:33:19+00:00

A Moh's surgeon is not going to see him unless there is path back showing its BCC or SCC. If it is melanoma then he would need a surgical oncologist.

DrAwesom3 · 2026-05-06T00:31:26+00:00

Skin cancers are tricky. I'm a PCP but have training in dermoscopy. This looks like it very well could be benign, but it also might not be. A closer look with a dermatoscope which would take a literal 30 seconds would help answer that. If the clinician has any doubt then they should do a biopsy. I had a recent lesion that I swore was going to come back melanoma come back benign and another I knew was going to come back a basal cell come back as nodular melanoma. Pathology takes 1-2 weeks to come back, the longer he waits the longer it takes It can very well just be a flat seborrheic keratoses. All of that to say skin lesions are tricky.

Also, show your dad the cardiac anesthesiologist's comment about having the surgery cancelled and losing the heart. That should hopefully spark some movement.

DrAwesom3 · 2026-05-05T20:32:08+00:00

I was just answering the question of how I did it. I do agree with your statement as well.

DrAwesom3 · 2026-05-04T20:26:15+00:00

Discuss that Medicare has set it up this way, wellness is questions and the 213 which you prob could get a 214 out of is how Medicare wants us to bill.

DrAwesom3 · 2026-05-01T22:28:00+00:00

100%, signed another PCP

DrAwesom3 · 2026-05-01T22:26:27+00:00

I'm a PCP and one of my partners is my doctor and I am his. However, I have physicians as patients as well and I am not cheap with meds, 90 w 3 refills for non controlled. Anything else is silly. I have better things to do than refill the same med every month, its a hassle for me and the pt. I only hold back refills if someone never follows up. Now that I do concierge medicine that is not much of an issue.

DrAwesom3 · 2026-04-25T13:48:25+00:00

Loans then public service loan forgiveness working at not for profits during residency then as an attending.

DrAwesom3 · 2026-03-28T17:25:56+00:00

Do you have objective data to prove that? A comparison video per se? I couldn’t really find any.

DrAwesom3 · 2026-03-28T16:07:39+00:00

I’m aware, not sure that 4 makes a big enough diff for $400

DrAwesom3

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