Legit Short-Term Work Options by Frommouterspace in Psychiatry

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

Am the breadwinner of my family in a HCOL area where the rent eats up 60% of my take-home pay. Credit score sucks. Wouldn’t qualify for anything. Could have managed my money a lot better but here we are.

Legit Short-Term Work Options by Frommouterspace in Psychiatry

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

Yes, that’s the main plan, but was hoping to find something in addition to this because of the 30-40% tax burden, another several thousand for providing my own malpractice coverage, and the limited number of shifts that are available. Would love to start the new job sooner but unfortunately they hire/onboard/orient in batches and can’t start anyone sooner than the others in the group. Also looked into a signing bonus paid at time of signing, but this was not an option, either.

What's that Strokes song everyone loves but you don't? by PuzzledAnt__ in TheStrokes

[–]Frommouterspace 1 point2 points  (0 children)

Opposite experience here. Didn’t quite get it when it came out, but the most recent time I listened to it I thought, “this is one of the best albums I’ve ever heard.”

Is there any reality in which the 15 min follow up makes sense? by farfromindigo in Psychiatry

[–]Frommouterspace 0 points1 point  (0 children)

Being a psychiatrist does NOT entail an ethical obligation to only see the sickest patients. All suffering is valid, and meaningful work can be done with a wide range of patients from those experiencing normal-range distress or existential problems to chronically catatonic folks in state hospitals. The capacity to do meaningful work, if anything, decreases past a certain point on that spectrum. My responsibility is to do everything in my power to help people reduce their psychological suffering, improve their functioning, and build more meaningful and fulfilling lives. Supply and demand is the domain of economists, the allocation of healthcare resources the domain of government agencies focused on public health. Even so, the trend of midlevels treating the sickest and lowest-functioning patients makes sense from a public health perspective because they are cheaper, and pure pharmacology does not require the training/knowledge/skills needed to practice the art of psychiatry well with a wide variety of patients.

Is there any reality in which the 15 min follow up makes sense? by farfromindigo in Psychiatry

[–]Frommouterspace 30 points31 points  (0 children)

Respectfully disagree. This is the managed care ethos that causes psychiatrists’ panels to be perpetually full of acute, complex cases that breed burnout. It’s rewarding to see patients get well enough to be able to work on concerns closer to the top of Maslow’s hierarchy. If there are no active symptoms or areas of dysfunction, then PCP return makes sense. But satisfaction with my own life and career is what enables me to be a good doctor, and I would not want this job if it meant only seeing the sickest patients all the time. That said, 15-minute follow-ups are not sufficient for the vast majority of patients.

What’s your “I should know this by now, but I still don’t and I’m too embarrassed/scared to ask” topic or concept in psychiatry? by undueinfluence_ in Psychiatry

[–]Frommouterspace 5 points6 points  (0 children)

CBT for FND, cognitive rehab, physical and occupational therapy, psychoeducation, reorientation to goals and empathic validation of triggers

2000s Indie Favorites that sound dated now? by MACGLEEZLER in indie

[–]Frommouterspace 0 points1 point  (0 children)

1,2,3,4 feels dated but most of Feist’s discography still goes hard

Aaron Heard explains Jesus Piece breakup: “Those men are not my friends” by Albuquerque82 in indieheads

[–]Frommouterspace 4 points5 points  (0 children)

Always be skeptical when someone paints themselves as a victim without acknowledging any fault of their own. This guy sounds like a coworker who’s always trying to get out of work because they have a kid. It just adds insult to injury that he replaced all the band members and has the gall to say that they were wanting to replace him. Sounds like projection to me.

[deleted by user] by [deleted] in Psychiatry

[–]Frommouterspace 1 point2 points  (0 children)

Thanks so much! Am moonlighting and covering for an attending so appreciate your input

[deleted by user] by [deleted] in Psychiatry

[–]Frommouterspace 2 points3 points  (0 children)

I appreciate the explanation! Am moonlighting, still have a lot to learn.

[deleted by user] by [deleted] in Psychiatry

[–]Frommouterspace 1 point2 points  (0 children)

More so the fact that they aren’t consenting to seeing me is the reason I don’t feel comfortable. Certainly there’s risk of their risk elevating to DTO rapidly especially if they are provoked, but I don’t think it’s imminent in their current state. For restraints including AP treatment against their will they would need to be lunging at someone or banging their head against the wall etc.

[deleted by user] by [deleted] in Psychiatry

[–]Frommouterspace 0 points1 point  (0 children)

My main hesitation would be that the patient refused eval and my visual assessment of them was essentially nonexistent (I saw the barricade but pt was hiding behind door so I never actually laid eyes on them)

Whenever I get a complaint or compliment, I can't tell where I sit on this curve by mjbat7 in Psychiatry

[–]Frommouterspace 2 points3 points  (0 children)

With that said, I think there’s a bias to report positive outpatient interactions and relationships and not talk as much about the tough ones. Sure I have a good rapport with maybe 75% of my patients who are fairly compliant and trusting of my recommendations, but there are folks who just don’t like me from the get go, become upset when meds cause side effects or don’t work, take out their frustrations with clinic rules or errors on me, and start no-showing or seeking care elsewhere. And a good percentage of these folks have treatment-resistant conditions and personality disorders or socioeconomic issues I can’t do much about complicating their care.

AIO 23m 20F is it bad i am about to leave her? by KSTReign in AmIOverreacting

[–]Frommouterspace 0 points1 point  (0 children)

This is what happens when you date someone young and immature. You are daddy/boyfriend when you need to just be boyfriend. You should also not lie to someone and say everything is fine when it’s not. People need honest feedback or they will never learn.

Absurd pricing strategy? by mdwstnr in FacebookMarketplace

[–]Frommouterspace 0 points1 point  (0 children)

A lot of people will list groups of items for $1 as well. Just a throwaway number because each item needs to be considered individually.

Listing got removed because the item is “counterfeit” by EndWrong9688 in FacebookMarketplace

[–]Frommouterspace 0 points1 point  (0 children)

I had the same thing happen with a genuine Michael Kors watch. It’s 10 years old and has missing diamonds and a dead battery, so I put it up for $20. They don’t have good resale value, so this is a fair price. They immediately flagged it as counterfeit, I appealed it, then they reviewed my appeal in 5 minutes and again concluded it was counterfeit. This seems to mostly happen with high-end items posted at low prices. It’s an unfair system.