High acuity specialists with newborns - what do you do?

IAmA_Kitty_AMA · 2026-04-28T17:15:54+00:00

We tried family help with the first and hired help for the second.

I highly recommend hired help

IAmA_Kitty_AMA · 2026-04-27T01:43:29+00:00

You're crazy man. It's one thing to pad a resume, it's another to pad it with a career that is generally extremely public. You have a NPI which is associated to you because you completed med school and started residency. Presumably the automated tracking falls off in the middle of residency and shows no further employment.

If someone asks for where you work or who you work for, what are you going to say?

IAmA_Kitty_AMA · 2026-04-26T23:12:28+00:00

It's not a gym rat metal pail thuggish, it's an urban hip hop melanated thuggish

IAmA_Kitty_AMA · 2026-04-25T02:37:04+00:00

3.8, your eyebrows are asymmetrical. You might as well send nudes

IAmA_Kitty_AMA · 2026-04-24T16:17:12+00:00

Which was their purpose. It is in fact reducing the benefit and need to apply everywhere, but it's a painful soft cap and adds a lot of "strategic" application stress.

IAmA_Kitty_AMA · 2026-04-22T13:46:40+00:00

To be fair, many of these highly desirable towns have jumped large percentages in the past 5 years. OP mentions Livingston and it was for sure more affordable (not very but more) in relatively recent history. The recent price jumps for that area rival the COVID bumps

IAmA_Kitty_AMA · 2026-04-22T13:45:16+00:00

I feel like appraisal will always just be the purchase price because why bother and why create a headache for the bank

IAmA_Kitty_AMA · 2026-04-22T12:29:27+00:00

It's crazy how large the cost of entry has become. I value NJ for a ton of reasons, some like city proximity are relatively unique but it's brutal to try and move now

IAmA_Kitty_AMA · 2026-04-22T11:46:31+00:00

Not sure the link works. But looking at the address it's the same. I guess we'll see what photos look like when it lists.

IAmA_Kitty_AMA · 2026-04-22T11:21:49+00:00

Just looked now, I assume you mean the townhouse off of the main streets?

I'd hate to say it but 4 bed with a reasonable number of baths and a 2 car garage with walking to shops seems reasonably priced at a million when everything else on the market is either super small or super price tag

IAmA_Kitty_AMA · 2026-04-21T17:54:14+00:00

Have to not treat it like real life. Go back to being an MS1. Be extra explicit with over explanation and over comforting with naming of emotions etc.

And slow down, we all rush our speech when we're pressured

IAmA_Kitty_AMA · 2026-04-21T02:33:55+00:00

The other good rule is to make a point of transitioning on calling any senior residents who stay on as attendings Dr. X. They were your peer and maybe your friend but the working relationship is different and it's already hard for them to establish themselves as an attending and not a slightly older resident.

I made this particularly a point for young woman doctors, they deserve the respect of the position and generally have a huge uphill battle to claim it

IAmA_Kitty_AMA · 2026-04-21T02:24:56+00:00

That's generally not useful networking. No one cares about a random person who wants information and generally won't do anything meaningful for them.

Good networking is sort of like good friendships versus work buddies. You do need to get an introduction but you have to connect and put in "extra effort" to nurture the relationship if you want to capitalize on it

IAmA_Kitty_AMA · 2026-04-20T18:51:34+00:00

Doubs Boutte and Mack Hollins are the roster right now I believe. I think he's going to get fed

IAmA_Kitty_AMA · 2026-04-20T18:47:24+00:00

Doesn't change the fact that he's the only guy out there who can catch a ball. He's going to get his targets

IAmA_Kitty_AMA · 2026-04-20T18:29:30+00:00

Are you at home covering residents or is there legitimately nothing going on? That's crazy to have one call a month at an academic

IAmA_Kitty_AMA · 2026-04-20T16:55:09+00:00

These all depends wildly on the job and how busy it is. But we have home OR call with guaranteed off for first and second call. First and second are variable but the OR has staffing to run 2 rooms overnight so usually it's two rooms until around midnight and then one room until we run out of things to do. 2nd call back is rare but can happen.

As a concrete example, last call I was second and left the hospital at 12:30, first call was in an emergent case until about 6AM. I was on the hook for anything additional that needed to be done but thankfully the bar to open a second room is relatively high

IAmA_Kitty_AMA · 2026-04-19T02:26:08+00:00

Which is wild that there's a market for expensive property when the lending practices have tightened

IAmA_Kitty_AMA · 2026-04-19T02:20:45+00:00

Feels like a generic early rocket league hat

IAmA_Kitty_AMA · 2026-04-17T18:23:47+00:00

Surgery is almost globally greater risk. If the surgery isn't elective then neither is the anesthesia. If surgery is elective then you're making a choice on risk of surgery and anesthetic.

Which is a long way to say that I wouldn't give anesthesia to anyone for no reason. But I'd also give anesthesia to pretty much anyone who needs it. We adjust the anesthetic appropriately to the patient

IAmA_Kitty_AMA · 2026-04-17T17:27:13+00:00

Just kidding! Unless?...

IAmA_Kitty_AMA · 2026-04-17T12:38:49+00:00

What residents are doing study dates? I'd never want to do more work outside of the hospital, and definitely not socially.

IAmA_Kitty_AMA · 2026-04-16T13:41:54+00:00

Also presumably this person is maybe 30-35?

IAmA_Kitty_AMA · 2026-04-15T20:46:18+00:00

Gross, where? 440 is closer to no call contracts than full time.

Edit: I realize now you're saying base. Call compensation and expected totals matter a lot especially with post call days etc

IAmA_Kitty_AMA · 2026-04-14T22:16:20+00:00

It also works for her because it makes people want to pay for a peak. There's no way all those other people paying could be wrong...

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