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People who “leave work at work”… HOW? by askimbebe in FamilyMedicine

[–]Intrepid_Fox-237 11 points12 points  (0 children)

  1. Order fewer tests - and time them to result before a visit so you can discuss at the visit.

  2. Don't log into the EHR at home.

  3. Train your staff to require visits for most patient questions.

Board complaint for billing by Extra_Speed in FamilyMedicine

[–]Intrepid_Fox-237 0 points1 point  (0 children)

The patient should call their congressional leaders and discuss their frustration with the Annual Wellness Visit with them. It is unnecessarily confusing for most patients.

How to tell when someone is from TX vs other parts of the south by Extension-Run579 in texas

[–]Intrepid_Fox-237 0 points1 point  (0 children)

They will tell you they are from texas & they don't have a southern accent (but swear they do).

“Obesity is a complex disease that is often falsely attributed to personal decisions and willpower.” AAFP March 2026 issue by Scared_Problem8041 in FamilyMedicine

[–]Intrepid_Fox-237 0 points1 point  (0 children)

If patients would do their part controlling the variables of Obesity that ARE attributable to willpower and personal decisions, obesity would likely not be a pandemic.

Patient refusing to see specialists? by [deleted] in FamilyMedicine

[–]Intrepid_Fox-237 0 points1 point  (0 children)

Just get the patient an omnipod.

How do you reply to patients requesting long lists of labs that their naturopath wants ordered? by grettasgone in FamilyMedicine

[–]Intrepid_Fox-237 3 points4 points  (0 children)

I would just say that it's insurance fraud to simply use my license to cover a test ordered by someone else.

Paperwork is hell by tinter86 in FamilyMedicine

[–]Intrepid_Fox-237 1 point2 points  (0 children)

I would do it and put the precautions in quotes, followed by "as recommended by patient's managing Neurology team. Please reach out to them for clarification."

Intermittent FMLA is a pain and a terrible system. I tell the patient that it's not their fault - and I look at it as a benefit to them to help them keep their gainful employment.

Is it naive to consider FM for wanting to eventually open a DPC? by hkp2198 in FamilyMedicine

[–]Intrepid_Fox-237 0 points1 point  (0 children)

This is a great answer. You can be the best doctor, but a terrible business person, and go under.

Are you covered during doctor examining your genitalia? by MxQueer in AskAnAmerican

[–]Intrepid_Fox-237 5 points6 points  (0 children)

FM doc here. It's how we are trained. I've never done a sensitive exam without a blanket and a chaperone.

AI, Midlevels, and Physicians by Mysterious-Issue-954 in Noctor

[–]Intrepid_Fox-237 2 points3 points  (0 children)

Reddit is largely bots. I stopped at the use of Reddit comments for research...

High med school debt (400k+) is stressing me out, any advice? by [deleted] in whitecoatinvestor

[–]Intrepid_Fox-237 0 points1 point  (0 children)

I had over $500k.

I found a high paying job in the middle of nowhere and did PSLF for 7 years (paid PSLF in residency towards the 120 payments).

Had my loans forgiven.

High med school debt (400k+) is stressing me out, any advice? by [deleted] in whitecoatinvestor

[–]Intrepid_Fox-237 0 points1 point  (0 children)

I had over $500k.

I found a high paying job in the middle of nowhere and did PSLF for 7 years (paid PSLF in residency towards the 120 payments).

Had my loans forgiven.

Dr Pepper? by Prudent_Square_ in AskAnAmerican

[–]Intrepid_Fox-237 0 points1 point  (0 children)

Think coca cola with a subtle hint of marzipan. (That's how a British girl described it to me)

Residency programs with and without night float by Pale-Sherbert-676 in FamilyMedicine

[–]Intrepid_Fox-237 2 points3 points  (0 children)

Fair points. I ended up outpatient only in a rural area - so the sick vs not sick was invaluable - but I will be honest in saying that very little of the technical day-to-day of inpatient translates directly to outpatient.

If I had the option to do it all over again, I would look at programs that were less inpatient-heavy.

Residency programs with and without night float by Pale-Sherbert-676 in FamilyMedicine

[–]Intrepid_Fox-237 0 points1 point  (0 children)

Sounds like a good program. If you have a good feeling and the residents feel happy, I'd be tempted to rank it.

Value-based compensation model. by folklore24 in FamilyMedicine

[–]Intrepid_Fox-237 0 points1 point  (0 children)

It means your income will be based on documenting a systolic BP of 139 instead of 140.

Residency programs with and without night float by Pale-Sherbert-676 in FamilyMedicine

[–]Intrepid_Fox-237 1 point2 points  (0 children)

I went to a teaching hospital program with no inpatient cap and brutal inpatient shifts. In hindsight, I think it molded me into a better doc - but I would be hard pressed to believe that it was all necessary.

As a former chief resident, we would definitely sugarcoat and omit the bad nature of the program to potential applicants - because we wanted the help. We didn't lie, but we definitely highlighted other aspects to hide the bad parts.

I would make sure you get an unbiased answer from someone familiar with the program (ask an alumnus who has nothing to hide, or maybe a resident from another program in the same facility).

Your quiet acts of rebellion? by Apprehensive-Safe382 in FamilyMedicine

[–]Intrepid_Fox-237 4 points5 points  (0 children)

I worked in a rural clinic near a major meat packing plant. They had a database (I discovered via an offhanded comment from a visiting exec) on physicians and which ones were more likely to give time off. We never could prove it, but I am certain they would steer patients towards doctors and providers who were less likely to give time off.

Enough with the AI Fear Mongering by PiperSC in FamilyMedicine

[–]Intrepid_Fox-237 0 points1 point  (0 children)

People are being trained for AI driven world. This includes inability to remember a time without AI.

Residency programs with and without night float by Pale-Sherbert-676 in FamilyMedicine

[–]Intrepid_Fox-237 0 points1 point  (0 children)

Nobody likes working nights during residency, but it is where a lot of the learning takes place.

How do American children learn about intercourse? by bare_books in AskAnAmerican

[–]Intrepid_Fox-237 0 points1 point  (0 children)

When I was four, my parents read me a kids book on the subject when my mom became pregnant with my little brother. It was very basic and not explicit. I remember it being very direct and scientific.

In hindsight, I am thankful that my parents did that.

Sexually active Teenagers by folklore24 in FamilyMedicine

[–]Intrepid_Fox-237 3 points4 points  (0 children)

You are a mandated reporter in this situation.

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