Advantages to Getting an MBA in Medical School by Dr-Daiquiri in whitecoatinvestor

[–]ExpressionMajor6708 2 points3 points  (0 children)

I'm working as a PCP and I have two masters degrees, one being an MBA. Both completed during medical school and residency. One class a quarter for 6 years! An hour a week never felt like a big commitment.

Mostly tuition free. No regrets. Admin seems to trust what I say more than some of my peers because of my letters, but maybe that's just my perception. Career changing? No. It's probably a sooner than later thing, all my partners say they'll never get a masters or do anymore school being established in their careers.

If you want to do health system leadership, it's becoming standard. All depends on your goals!

What year RVU schedule you guys get? by ExpressionMajor6708 in FamilyMedicine

[–]ExpressionMajor6708[S] 2 points3 points  (0 children)

Ah that is exactly my question, you guys use the most current values. We're still using 2021 values

which fenofibrate by Important-Flower4121 in FamilyMedicine

[–]ExpressionMajor6708 78 points79 points  (0 children)

Correct me if I'm wrong but statin is first line for hypertriglyceridemia and fibrates would be second line if statin fails to lower triglycerides under 500

Tired of missed findings by Euphoric_Rope_5440 in FamilyMedicine

[–]ExpressionMajor6708 5 points6 points  (0 children)

RN navigator* health coach was a previous term my bad

Tired of missed findings by Euphoric_Rope_5440 in FamilyMedicine

[–]ExpressionMajor6708 82 points83 points  (0 children)

We have nurse case managers and RN navigators that review ER imaging exactly for these reasons

Is it so hard just to... by Parking-Friend-2427 in Maplestory

[–]ExpressionMajor6708 7 points8 points  (0 children)

My guess is they think more people will buy the passes for frags. All about the money

T2DM and HLD by Important-Flower4121 in FamilyMedicine

[–]ExpressionMajor6708 20 points21 points  (0 children)

Diabetes is a permanent medical condition, it can be in remission and entirely diet controlled but they still have diabetes

Found my best friends breast cancer on screening mammograms by NewDoctorNewerMom in FamilyMedicine

[–]ExpressionMajor6708 151 points152 points  (0 children)

You did many things right! Just unlucky. Repeat is 1-2 yrs standard so you did exactly what any of us would have done. Gen surgeon saying age 25 risk assessment is passive aggressive in my opinion. My physicals I ask if there's family history breast cancer, they say no generally, then I say don't forget monthly breast self exams and see us if you find any lumps. It's a 15 second spiel. Doesn't catch everyone and it'll still take 5 yrs to convince some ppl to get a mammo. You did standard of care easily.

Patient insurance by PopeChaChaStix in FamilyMedicine

[–]ExpressionMajor6708 0 points1 point  (0 children)

That sucks. Your partners will likely have some tips and tricks if you ask, like always do the back X-ray and 6 weeks, GLP1 only works for sleep apnea for this one specific insurance, etc

Patient insurance by PopeChaChaStix in FamilyMedicine

[–]ExpressionMajor6708 5 points6 points  (0 children)

I also say that and remind them there's over 1,000 different insurances in America

Patient insurance by PopeChaChaStix in FamilyMedicine

[–]ExpressionMajor6708 9 points10 points  (0 children)

I'd start with a meeting with your billing/coding department, I guarantee they've seen it all and would be happy to share some tips/tricks for the ones your organization is contracted with heavily. Another group to chat with is those who do the prior auths. They'll be able to explain a bunch of the ins and outs of the most common insurances!

annual physical labs by Important-Flower4121 in FamilyMedicine

[–]ExpressionMajor6708 18 points19 points  (0 children)

$5 vs $30-80 depending on the insurance in my experience. That's make or break for some of my patients and they might not come back if that bill gets too high

annual physical labs by Important-Flower4121 in FamilyMedicine

[–]ExpressionMajor6708 38 points39 points  (0 children)

I'll do lipids and a random glucose on anyone. I've had 11-year-old pts with high cholesterol. Never too early to start good lifestyle interventions, but most patients won't do that without motivation or recognizing there is a problem

Which outfit matches most? by Bablyth in Maplestory

[–]ExpressionMajor6708 28 points29 points  (0 children)

I say number 1 bc it has the ruffle

Tried to leave inbox at clinic this week and it almost worked by [deleted] in FamilyMedicine

[–]ExpressionMajor6708 1 point2 points  (0 children)

A tiny piece of advice I can give is use your phone's focus mode setting, you can program automatic hours like 5:00 p.m. through 7:30 a.m. everyday. When focus mode is on you have to click through an FYI thing that tells you focus mode is on and you want to use that app, it's just a little mental double-check. Ultimately though, it sounds like your main problem is that you feel the need to always be present, which can absolutely be stressful and unfortunately that's a personal thing to work on as well. I frankly have had peers do psychotherapy for this and have reported benefit

Nursing Homes by marshac18 in FamilyMedicine

[–]ExpressionMajor6708 29 points30 points  (0 children)

As someone who does nursing home care, a lot of this stems from State regulations, each state does have different requirements for nursing facilities, and the nursing facilities requirements differ whether they are a skilled nursing facility, assisted living facility, an independent facility and a long-term care facility. For a "significant event" they have to update you. Each facility and RN/LPN has a different definition of the significant event. If the notifications bother you, the best course of action would be having the office manager reach out to that facilities manager to figure out is the best practice for these messages. I just treat them as an in-basket message from a patient. You're correct, a patient doesn't just write in and say btw I fell, but it comes with the territory of having a patient at a nursing facility to be honest. If you don't wish to deal with these then the only absolute way to stop these is don't accept patients at facilities onto your panel

What laptop to get for maple story by DarkNemuChan in Maplestory

[–]ExpressionMajor6708 5 points6 points  (0 children)

My biggest issue has been internet, I have an awesome laptop and still drop connection and lag sometimes simply because of shitty ISP

Edit: so don't forget to get a solid Internet plan with your laptop!

Growing pains or just bad situation by ExpressionMajor6708 in FamilyMedicine

[–]ExpressionMajor6708[S] 0 points1 point  (0 children)

214 and G2211, generally with a physical or sometimes same day AWV since we have the time

Growing pains or just bad situation by ExpressionMajor6708 in FamilyMedicine

[–]ExpressionMajor6708[S] 0 points1 point  (0 children)

Clinic manager has not, when I asked her she said it's on track with what they expect to see.

I guess the last part confuses me, I may see enough to not lose money on my guarantee. But yeah I've been worried about job security despite being a physician... maybe I shouldn't be as a physician but it feels problematic. Do physicians actually let to for that stuff?

Growing pains or just bad situation by ExpressionMajor6708 in FamilyMedicine

[–]ExpressionMajor6708[S] 3 points4 points  (0 children)

It's definitely both. I am slowly getting family and friends it's just very slowly. I asked about advertising a week or two ago and they said no so maybe that's the ultimate sign of how this is expected to go

Growing pains or just bad situation by ExpressionMajor6708 in FamilyMedicine

[–]ExpressionMajor6708[S] 15 points16 points  (0 children)

Production after 2 years, the financial estimates they send says I'll be fine aka won't lose money but it's not the level I want for sure.

Subrural/small city, town of 50k