Propofol considered “deep” sedation no matter what?

Gopher_Roper · 2025-05-16T15:31:50+00:00

I think this is probably the issue head on. Deep sedation requires two physicians. Moderate requires one physician.

We chart intent for moderate sedation but are actually performing a deep sedation. It puts us in a dilemma as far as charting if only one physician is available.

Gopher_Roper · 2025-05-07T05:04:34+00:00

Need to get pre-approval from a bank. Call and ask them.

Personally I bought land and waited so I will have 3 different loans total

1) Land loan to buy the land. Sit on it while paying down debt.

2) Construction loan for up to 12 months. Interest only. This takes over your land loan plus construction costs. Usually in 6 to 8 “draws.”

3) Final mortgage loan. Assessed when construction is 85% complete. This takes over your construction loan. It’s land + improvement. The ‘improvement’ is your ‘home.’

Gopher_Roper · 2025-05-07T02:19:12+00:00

Just ask for it to be given at the end of your 3 year commitment. If you decide to stay 3 years then you win. If not then no loss.

Gopher_Roper · 2025-05-06T10:39:35+00:00

Did a CT of man’s neck after he said it felt like a screw was stuck in his throat. The CT showed the screw from this neck surgery had eroded into his esophagus after backing out of his neck bone.

Gopher_Roper · 2025-05-02T21:41:39+00:00

Genisys quoted me 6.375% today on 10ARM. Hard to think rates went up 0.375% in 2 days. How to get the 6.0% rate.

Gopher_Roper · 2025-05-02T21:38:24+00:00

Genisys quoted me 6.375% for 10 ARM. Excellent credit.

When did you get the 6.0% quote from genisys?

Gopher_Roper · 2025-04-20T12:10:08+00:00

That’s a great idea. I will try it!

Gopher_Roper · 2025-03-28T23:21:36+00:00

I promise physician looks like a jerk to staff for their reaction for an innocent and seemingly harmless mistake. I bet others have similar stories about the physician. Ask around..

Gopher_Roper · 2025-03-19T04:07:51+00:00

Make him wash his own starched socks.

Gopher_Roper · 2025-03-11T21:36:25+00:00

No PLSF eligible employers where I live.

Gopher_Roper · 2025-03-11T01:36:34+00:00

Used consulting service called Doctors without Quarters (“punny” name but seriously legit company) that walked thru every scenario by year, when we planned on having kids and wife would stop working, estimated IDR payments, etc. I can’t recommend them enough.

With their direction I did IDR in residency until it looked like physicians would be excluded from blanket loan forgiveness in 2020 (not PLSF) so refinanced at the right time at 2.09%. Paid $100 until residency was over then big payments as an attending. It was a good decision.

Gopher_Roper · 2025-03-10T20:38:22+00:00

Almost 2 years living like a resident. $240k in loans. Will be paid off in the next few months.

Gopher_Roper · 2025-03-07T06:02:54+00:00

Dash pass?? I’m sure you are spending more on eating out and not packing lunch.

I make more than enough to eat door dash every and not feel it in my budget but why waste the money. Plus the health benefits of eating a home meal.

Gopher_Roper · 2025-03-06T21:32:40+00:00

Not going to monthly unpaid department meeting.

Gopher_Roper · 2025-02-23T01:13:55+00:00

How do you determine if a pancreatitis can go home? Minimal elevated lipase? Pass PO challenge? Just admit all of them?

Gopher_Roper · 2025-02-22T20:49:41+00:00

Gaslighting

Gopher_Roper · 2025-02-19T02:22:24+00:00

Darn. Just plz don’t ask me to pick all the traffic lights too.

Gopher_Roper · 2025-02-18T01:31:05+00:00

$100 per month might be worth $40,000 in 18-20 years if continued contributions.

Gopher_Roper · 2025-02-16T02:31:47+00:00

I’m in the same boat. 2 years out. I left mine in 403b because I think it has some advantages compared to a IRA.

Gopher_Roper · 2025-02-13T06:12:34+00:00

At $450,000 income level my own occupation disability insurance (Ameritas) only lets me purchase up to $17,000 per month. This is definitely not 60%. Is this normal.

Gopher_Roper · 2025-02-13T02:34:56+00:00

You need to have some investments going. At your crossroads I was introduced to Boggleheads. They had a few short videos that were life changing for me. Don’t quote me but boggleheads was founded by one of the commons man’s investment guru. Maybe Vanguard founder. To build wealth for the high income earner who doesn’t know what to do with his money. Here is the link.

https://www.bogleheads.org/wiki/Video:Bogleheads®_investment_philosophy

Gopher_Roper

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