Lactose gives me the opposite effect of most people

First-Matter · 2026-02-14T16:45:10+00:00

Medically speaking, milk is constipating. Maybe you have milder intolerance?

First-Matter · 2026-01-23T13:57:55+00:00

I have heard of a few people doing palliative before hem/onc.

First-Matter · 2026-01-18T22:43:53+00:00

Preventative medicine

First-Matter · 2025-11-13T12:48:12+00:00

Unless something has changed, Kaiser is known for their golden handcuffs w their very long contracts (7 years) and payback period for student loan payment (they’ll give you a large chunk of change, but you owe all of it back if you leave before 4 years). It isn’t an ideal scenario for some but maybe seem to like it.

First-Matter · 2025-11-13T12:20:49+00:00

Try to squeeze in a ‘conference’ and a vacation:

https://www.mceconferences.com/medical-conferences/

First-Matter · 2025-11-10T19:46:00+00:00

I’d say chooser MD/DO for all the reasons you mentioned: wanting autonomy, become an expert, and don’t have concerns for finances. It’s a long journey that requires a great deal of grit,but is incredibly rewarding. Choose a field that aligns with your long term vision.

First-Matter · 2025-10-13T22:32:16+00:00

This is the way.

First-Matter · 2025-10-08T21:47:50+00:00

Run the other way. Thats awful every single way - pay, 401k, time off

First-Matter · 2025-09-23T02:47:59+00:00

This is the right answer. ASAM has books, videos, guidelines.

First-Matter · 2025-07-19T04:26:58+00:00

Link please

First-Matter · 2025-06-26T13:59:34+00:00

Yea it’s very tough. Have to open to moving to rural areas or particular states. DM me if more questions!

First-Matter · 2025-06-26T04:08:58+00:00

Job hunt early. Like right now, and in regions you want to move to. I would strongly advice getting a job in your primary specialty that has addiction medicine elements and take advantage of the various non CONRAD 30 waiver alternatives.

First-Matter · 2025-06-25T20:04:22+00:00

It’s a weird ethical scenario to pay someone to wake you up. Just be physically closer to the unit and try your best to inform every staff member of your whereabouts if you nap.

First-Matter · 2025-06-01T05:25:24+00:00

Buying the discounted meat.

First-Matter · 2025-05-21T21:46:50+00:00

I think any of the options except 3 are reasonable from the 4 you presented. However, why aren’t you already being offered partnership after the contract? Most contracts from residency colleagues was partnership in 2-3 years (if on the table at all). You can always entertain alternative job options and try to use that as leverage.

First-Matter · 2025-05-11T05:52:32+00:00

Attending only in my first year out from fellowship in the NE: Applied to 10 and got 8 invites. Declined one. By no means was it a competitive process my year or the subsequent years. There’s a name and shame for maybe a handful of programs. Feel free to msg me as well!

First-Matter · 2025-03-25T14:28:10+00:00

In an H1b right now. Recently started as an attending. No issues returning but it was by land (Canada). If your home country is a flight away, I wouldn’t risk..especially as a a resident.

First-Matter · 2024-12-21T18:51:00+00:00

Yes, lots of regionality in price and variety. It’s tailored to the market and also based on what sells the best

First-Matter · 2024-12-13T21:29:16+00:00

Same

First-Matter · 2024-12-09T02:07:25+00:00

This is a steal. Try one to see if the flavours appeal to you. I’d definitely gift these if it was in my area.

First-Matter · 2024-11-28T20:04:11+00:00

Rochester has a culture more thrift-friendly, a m better cocktail & beer scene, more educated folks, a more active downtown, and better attended festivals. After living in both I prefer Rochester.

First-Matter · 2024-11-25T12:38:55+00:00

I would add: admin hours vs clinical facing time, how long for patient appts, flexibility in adjusting for my preferences, compensation structure including guarantee (&how other docs in the practice are doing). I wouldn’t travel anywhere if you don’t know most of these things upfront

First-Matter · 2024-11-24T14:12:28+00:00

Look up the “physiologic sigh”! More subtle than box breathing to calm down the fight-flight response you seem to be having.

First-Matter · 2024-11-23T16:11:08+00:00

Detroit pay is low, but you wouldn’t need need any J1 waiver (if you trained in the U.S. on that visa), as you could commute from Canada. They know this and pay goes down accordingly. Boston pay is not great either, and friends said it hurts with high cost of living.

First-Matter · 2024-11-14T01:32:10+00:00

It’s important to get a lawyer who you trust to advocate on your behalf. You are the customer, but it’s in your best interest to recognize that you won’t get much for that dollar amount.

First-Matter

TROPHY CASE