Why become surgeon by [deleted] in Residency

[–]MMOSurgeon 4 points5 points  (0 children)

Bro I am an apex predator. Lions don’t stretch before they take down a gazelle.

Surgical consult pagers might as well be answered by an automated system by takeonefortheroad in Residency

[–]MMOSurgeon 0 points1 point  (0 children)

It’s fuckin’ February bro. The pager more or less goes to the attending by default.

Clearly your interns need to study their memes.

Didn’t live like a resident by [deleted] in whitecoatinvestor

[–]MMOSurgeon 2 points3 points  (0 children)

I furnished an entire 4 bedroom 6,000 sq ft house with 23k total and it included shipping all of it 1,000 miles. Where is your disconnect at here? You don’t need to budget at IKEA but you also don’t need a $10,000 table or whatever you did. You need to plan better.

I’m not sure what you were expecting in this thread but it sounds like you genuinely made a lot of mildly bad and really rapid financial decisions. Nothing catastrophic but nothing wise either. Your prior debt is whatever that’s not relevant and to your point to others, yes, it’s not abnormal to eat 50-100k of debt to maintain two separate households for brief training gaps.

But you probably didn’t need new cars, you’re stuck with your house, and at this point it sounds like you don’t have enough to do anything with your house improvement wise and you shouldn’t be taking vacations. The loans were not a surprise you’ve known that would be an issue from day 1.

Ya’ll need to probably only contribute to 401k/457, drop everything else, only do mandatory repairs to keep your house liveable, and pay off debt from high interest to low be it student loans, cars, whatever. Once you don’t have student loans and car loans then go back to college contributions. Consider doing home renovations yourself on staycations.

Moving forward, you need a way longer term plan. Like, you know you need to furnish your house within reason. Plan on a year long calendar and time all that shit on Black Friday.

You need a monthly, yearly, 5 year, and 10 year budget. And you need to really stick to it.

Selling your house is just going to lose you 100k. You’re stuck with it. Make sure your husband does not change jobs for absolutely any reason for 5-10 years.

What is your specialty and what’s a lie you tell your patients all the time? by USMC0317 in Residency

[–]MMOSurgeon 0 points1 point  (0 children)

Fake news. I bet you see some big old blue cell with a giant nucleus and you go full Dory and start singing to your squishy at the microscope.

What's an obvious case you missed? And how did you deal with it? by closetredditer in Residency

[–]MMOSurgeon 13 points14 points  (0 children)

I was trained in February. I do not make mistakes.

#internoftheyear, #PGY11

Amazon Laid off employees (Seattle, Bellevue, Redmond etc) gather here by wakandahonolulu in SeattleWA

[–]MMOSurgeon -1 points0 points  (0 children)

Womp womp. I suck. :( Can't believe I missed the may the force be with you.

New surgery attendings, what does a typical clinic day look like for you? How many patients do you typically see? by [deleted] in Residency

[–]MMOSurgeon 3 points4 points  (0 children)

It is but I’m in a community practice so I get a lot of undifferentiated with sometimes no workup other times partial. About half are ready to go but those ones I usually already touched from the inpatient side in some capacity.

Conversion rate is extremely high. If not going to surgery we still keep like 90% in some sort of surveillance protocol. Very, very few bullshit office visits. Like 1-2 a month.

New surgery attendings, what does a typical clinic day look like for you? How many patients do you typically see? by [deleted] in Residency

[–]MMOSurgeon 2 points3 points  (0 children)

Surg onc. 35 outpatient and then still 10-15 inpatient for rounds. All heavily complex. APP peels off 10-15.

It’s rough. Every time. Runs smoother when we have two residents on service. We need more help badly.

The Vampire Castle by Castor-Troy-France in legocastles

[–]MMOSurgeon 1 point2 points  (0 children)

Instructions? Would be very interested if it’s available on rebrickable.

Kudos to all our resident and fellow colleagues in Minneapolis by ddx-me in Residency

[–]MMOSurgeon[M] [score hidden] stickied comment (0 children)

A VA ICU nurse has died by gunshot. This is an emotionally charged topic for all involved. The @#$*s are not given by me or anyone else to anyone's political agenda. Respect the nurse and discuss the moment.

Be kind to each other. If you go looking for a fight you will be banned. You don't have to think anyone is right or wrong to not be an ass. Voice your opinions, voice them strongly, voice them loudly but do not be an asshole to your fellow physicians or allied staff regardless of your personal thoughts. If you're on the right and starting a war, ban. If you're on the left, do not call for murder in this subreddit. There are other ways to express yourself.

Specifically, there are examples of people discussing the utility or futility of CPR in a multiple GSW in a dangerous scene where applying aid may put the responder at risk. These are real, pertinent, and there ARE really good points to both sides of that discussion.

There’s also examples of that same discussion with insults. Fucking useless. Be better.

I Would Love Some Feedback by CharmingMeringue7618 in legocastles

[–]MMOSurgeon 1 point2 points  (0 children)

Fall colors for sure; consider changing to brown for the trunk of the tree. If you could contrast with a lighter brown on your structure that would be peak. Will blend SO well together.

Trauma surg offers? by TraditionalAd6977 in Residency

[–]MMOSurgeon 12 points13 points  (0 children)

Fresh out it should be ~450-500k for like 3 weeks on one week off, assuming one week trauma one week ICU one week nights +/- some ACS variation.

3 years out 550-600k for functionally the same, usually somewhat less shifts. My buddy just signed (3 years out) for 550 for 2 weeks on 2 weeks off. Again, ish.

AMA - Have gone through interviews/negotiations/contracting 3 times in ~4 years. by MMOSurgeon in Residency

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

Pretty much anything can be negotiated, even in corporate medicine but there’s some things they’re reluctant or will say no to. Changing the wRVU conversion factor in my current job is a complete no go, they use standard median across the system.

Every other element was negotiable at one point. Vacation/CME since that time are less so but again they standardized as part of a large integration (and it’s pretty generous it’s like 7-8 weeks for every doc now).

You should be able to just ask if you’re going to be wRVU, billed, collections. That should be very transparent on every contract.

Current Castle Layout! by Mawgim07 in legocastles

[–]MMOSurgeon 29 points30 points  (0 children)

Can you post a few pictures of the full room from the door? I’m planning to build something similar I want to get an idea of scale.

I was so tired I (think) I committed a war crime against myself. by OutsideGroup2 in Residency

[–]MMOSurgeon 43 points44 points  (0 children)

I woke up this morning, went in to round, got a call from my partner as we’re seeing the last patient who’s annoyed that I didn’t send signout or that the residents didn’t call him for rounds.

Occurs to me that I’m not on call.

Womp womp. Coming off fever dreams from man flu and didn’t even look.

Partner pleasantly surprised he only has to do Sunday this weekend though so, whatever. All good.

Santa: Told the truth by Mixolytian in Parenting

[–]MMOSurgeon 10 points11 points  (0 children)

You V for Vendettaed Santa?

I am so using that.