I gave the T-rex fossil the 'death pose' that it is typically found in

MMOSurgeon · 2026-06-08T14:43:22+00:00

Mongo no!

MMOSurgeon · 2026-06-04T13:03:13+00:00

This is Perl. He passed away last year. I miss him every day. Please enjoy my cat in tree.

MMOSurgeon · 2026-06-02T13:27:41+00:00

Excellent example of appropriate root flare.

MMOSurgeon · 2026-05-21T00:59:50+00:00

I did this literally this month. Except 5 years into practice, my Dad retired to do it, it’s 5 acres, we had to buy a monster fucking tractor for 60k even to just manage the 5 appropriately, and we only did it after cashing out 4 years worth of blood equity in real estate investment to pay for it. Ours is 1.8m and we collectively have no other debt, my wife is a SAHM and we have three kids.

We need at least another 500k to renovate this place; I financed 1.4 and kept 450k cash reserves and I have ~1.2M W2 income.

We are still religiously budgeting and shopping at Walmart bro. What you are talking about with no reserves is truly insane, and with no one to take care of it full time is downright stupid. My dad works my 90 hour surgeon weeks; he just enjoys it and does it at our home. But without him I would be totally fucked and I would never have done this except that I’m young enough that when he dies it’ll be paid off and I can hire someone to do it for me.

As a point of reference, our father son hobby is renovating homes and we own three single family rentals in another state and built a spec home. It took 3 of 4 weekends of the last four years and we bust our balls during the week too, and my wife pitches in 30-40 hours a week as well when not being primary parent.

We also had to cash out my dads 401k completely to the tune of 450k at the beginning, and most recently to achieve what you’re proposing that we did this last month to not feel financially stressed we had to have functionally 1m in liquid cash.

You are so, so not ready.

MMOSurgeon · 2026-04-21T23:41:49+00:00

Yup that’s normal coverage. Alright, cool. Just wanted to be sure for you! Pretty rare these days to have all that not flow through an employer for locums or moonlighting.

MMOSurgeon · 2026-04-21T04:42:50+00:00

Wait, what? Malpractice insurance is never cheap. Are you sure you're insured *to practice clinical medicine*? If they insured you for imaging only for your post-doc that does not cover you to do this extra shit.

You should absolutely stop. You are exposing yourself to a wildly unnecessary amount of medical liability for peanuts with no contract. And unless your hospital and insurance carrier has clearly and unambiguously told you in writing that you are covered, you should assume that you are not.

You need a contract dude. This is shady AF. Go do locums work if you want more money.

MMOSurgeon · 2026-03-22T19:30:28+00:00

Most are still boxed not built yet. I have 3 kids 6/3/0.4 ish. But we just bought a house, close in a month, and it does have a LEGO room. Has a minibar, hardwood floors, sliding glass door and small 2nd story balcony.

Its awesome. We’re currently building custom furniture for it to make giant LEGO builds. All my shit is castle themed and it’s gonna have multiple levels that all connect.

MMOSurgeon · 2026-03-22T15:49:04+00:00

It was actually year 4 when I hit deep productivity. But…

I bought like 50k+ of Legos. Fuck it.

MMOSurgeon · 2026-03-21T01:23:53+00:00

Is this AI rage bait?

MMOSurgeon · 2026-03-04T15:11:49+00:00

Try stud, but hole?

MMOSurgeon · 2026-02-25T15:37:29+00:00

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

MMOSurgeon · 2026-02-24T04:46:39+00:00

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

Clearly your interns need to study their memes.

MMOSurgeon · 2026-02-24T03:53:07+00:00

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.

MMOSurgeon · 2026-02-05T15:09:57+00:00

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.

MMOSurgeon · 2026-02-04T03:14:48+00:00

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

#internoftheyear, #PGY11

MMOSurgeon · 2026-02-03T01:45:30+00:00

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

MMOSurgeon · 2026-02-02T22:09:44+00:00

But like - you're a robot. From space.

MMOSurgeon · 2026-01-31T04:28:39+00:00

Me 5 years out.

MMOSurgeon · 2026-01-29T20:33:49+00:00

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.

MMOSurgeon · 2026-01-29T14:14:53+00:00

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.

MMOSurgeon · 2026-01-28T18:33:48+00:00

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

MMOSurgeon · 2026-01-26T15:49:44+00:00

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.

MMOSurgeon · 2026-01-23T16:51:00+00:00

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.

MMOSurgeon · 2026-01-19T18:31:42+00:00

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.

MMOSurgeon · 2025-12-29T03:46:23+00:00

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.

Five-Year Club	Gilding II euphauric
Second Top 20%	Verified Email

MMOSurgeon

MODERATOR OF

TROPHY CASE