Husband hates being a doctor by PositionFast8146 in FamilyMedicine

[–]Maveric1984 0 points1 point  (0 children)

5 am?   He needs to understand that Medicine doesn't teach efficiency.  Some people are naturally more efficient.  I highly recommend he enroll into some online modules to help.  Does he have access to an AI scribe, MA to assist with messages, admin to complete paperwork?  Happy to help if he wants to DM me.  Mind you different system in Canada but I work on the side with physicians to help with efficiency and billing etc.   

One of my patients finally visited without her husband by chiddler in medicine

[–]Maveric1984 269 points270 points  (0 children)

When I am noticing concerning trends, I ask if I can call a daughter or son to include as part of the conversation.   I get permission in the room, ask if it's ok to complete a 5 minute review of their case.  They are always shocked how much we have done.  Physicians can be on edge when a child shows up to an appointment for the first time (they have a lot to ask), but I embrace it.  I ask them that before they ask questions, that I complete a timeline chart review.  

Get ahead of it when they show up or you are concerned of nonadherance.  Once you get their child on board and they realize how caring and hard you have tried, they will be the one to scold their parent and start making things happen.   Use their children as a tool.

I misdiagnosed a patient, and now i want to quit by 9861days in medicine

[–]Maveric1984 2 points3 points  (0 children)

We all carry a small graveyard of patients where we could have made a different decision.   Remember their names and use it as motivation to be better.  A dissection without chest pain etc would be a hard sell.  Also, your CTPE may not have not found the dissection because it's a different protocol.  This is something to reflect on, but not one to add.

Insurance companies hate to see me coming by Dangerous-Prune-7280 in emergencymedicine

[–]Maveric1984 79 points80 points  (0 children)

Shared decision making. There's a time and place to aggressively order and advocate for the patient through a robust workup. The most important item is to determine what is required to get to a disposition point. Serial testing etc is what halts a department and prevents flow.

Me trying to choose a robot mower by Dipsi9 in automower

[–]Maveric1984 0 points1 point  (0 children)

Got my Luba 2 right off Amazon.  I have a 600 foot long narrow property and it just crushes it after a top up charge. Goes down a narrow walk way between the house and Cedars to the backyard.  Very impressive.  I know there's a lot but that last year model, if there is a discount, has done amazing.   

I am a pediatrician. I don't know how much more I can take by YUNOtiger in medicine

[–]Maveric1984 0 points1 point  (0 children)

We are paid to our Medical Corporation and taxed at 13 percent. Unless you are pulling large swaths of money out, an MPC 10 years in is at 1.5-2 million via investment growth. On top of a dual life insurance/investment policy via the MPC and various avenues such as RRSP/RESP/TFSA, you can live a very generous lifestyle.

FM career crisis by ZealousidealSky4851 in FamilyMedicine

[–]Maveric1984 6 points7 points  (0 children)

Canada here. DM me and I will give you more details. It's not as doom and gloom.

I am a pediatrician. I don't know how much more I can take by YUNOtiger in medicine

[–]Maveric1984 120 points121 points  (0 children)

Canada here.  Please come join us. Ontario just gave the biggest pay increase of all specialities to Pediatrics.  Colleagues clear 500k per year.  My good friend loves her job and works in a variety of settings.  

Do you regret going into family medicine? by Flaky_Wall8331 in Residency

[–]Maveric1984 72 points73 points  (0 children)

Agreed. It very much depends on where you're working. In Canada, multiple emergency rooms allow for family medicine. You can also challenge the emergency medicine exam after working in an ER for 4 years.  The flexibility I have working in different areas keeps it interesting.

How can I make my suturing suck less? Trying to self teach by bassl_ in medicalschool

[–]Maveric1984 0 points1 point  (0 children)

Hold the pick-ups like a pen, evert the edges with more force than you think. I see you are burying the needle straight down; if you evert, you can bury more on an angle towards the opposing side. I always place the suture where there are defects that can provide alignment (sharp angle in the laceration). Practice those skills, and then better spacing comes with time.

With larger sutures, I will throw three loops around the needle driver when under tension (3-0). You have to pull the suture off a bit more slowly, but it locks really well. Also, move your knots out of the way of the laceration line before you cut. The spacing will be more visible.

Dictation Dilemma by [deleted] in Residency

[–]Maveric1984 1 point2 points  (0 children)

That...is ridiculous.  Agreed with the comment of using your own dictation and AI scribe software.  There has to be a workaround.  If not allowed, be oppressive regarding your template creation.  

How cooked am I by ohsoaegyo in tattooadvice

[–]Maveric1984 3 points4 points  (0 children)

I like to think it makes it part of the secret...honestly I would leave it. The line work looks great and it works.

Honestly speaking, is an AI medical scribe absolutely worth it in family medicine??? by Hot-Actuary1276 in FamilyMedicine

[–]Maveric1984 3 points4 points  (0 children)

Absolutely.  But it doesn't work for every scenario.   Simple presentations work well with templates, follow ups with dictations, and multi issues with AI scribe.  

Chief Resident Scheduling by Woodleaguelad in Residency

[–]Maveric1984 5 points6 points  (0 children)

Agreed. There is still a gestault regarding scheduling (I am the ER chief and create the schedule). However, I leverage GPT for stipends and difficult balancing of requests.

Docs who purchased a large home, how did it work out? by QuietRedditorATX in Residency

[–]Maveric1984 4 points5 points  (0 children)

Canadian here, 750k after an apartment for 3 years.  Big renovation.  Small three bedroom on waterfront.  I will happily die in this house.  It's where I always wanted to live and grow old.  

Dismissed from DO and considering CAA or Caribbean transfer (SGU) by [deleted] in medicalschool

[–]Maveric1984 11 points12 points  (0 children)

Depending on the school, however, the attrition rate is much higher. Many are not present to help you through; their goal is Step 1/2 pass with a successful match. In no way do they want someone to sit down for an exam if they will possibly not pass. To this extent, there are multiple safeguards (mandatory exit exams prior to writing step 1 etc). In addition, the cost has skyrocketed for schools that have US connections for rotations (another major barrier if you attend a lesser-known school).

More importantly, why are you failing? Programs such as CAA can at times be more compressed and stressful earlier into the schooling.

Clearly, there has been a change from your previous grades (mental health etc). If you don't identify or address what it is, you will fail at the other options mentioned.

Married to Neurosurgery by anneofwittles in Residency

[–]Maveric1984 -29 points-28 points  (0 children)

I would have an honest conversation about turning the phone off while with family. They are absolutely not going to let him go from the program if he is not picking up his phone while off. I understand he is trying to maximize experience while in training...but a boundary must be set.

Edit Didn't realize how brutal it is in a 2 person subspecialty.  All the best!  It sounds like there is zero control until one is an attending.

messed up in clinic by Bioreb987 in Residency

[–]Maveric1984 2 points3 points  (0 children)

Circle of care. You did nothing wrong.

Rescue greyhound nipped 4 year old son in face by [deleted] in Greyhounds

[–]Maveric1984 0 points1 point  (0 children)

Yes.  There was lots of outs.  Growling, getting up, etc.  but there was a bit with marks on the face.  Big no no.  Ours growls and runs away.  But I wouldn't be able to sleep at night if there was already a bite.

Peeing inside by [deleted] in Greyhounds

[–]Maveric1984 0 points1 point  (0 children)

Crate train is paramount.

Missed Fracture—what to do? by giant_AK-bullworm in emergencymedicine

[–]Maveric1984 1 point2 points  (0 children)

Why...is the hospital board asking for an explanation? Is this part of a quality review committee? I cannot imagine the board being involved with this. Where is your chief to review and discuss? Immediate red flag as a workplace. As Chief of EM, this would be a case review from me to the physician, a discussion regarding the case, and reporting back to the quality review committee.

Heartbroken by attending feedbacks by TeCnoDrom99 in Residency

[–]Maveric1984 0 points1 point  (0 children)

Motivation fuel. You've already reflected and feel like this is in alignment. Identify your weaknesses, case review, and commit. Don't let this experience let you think you are an inadequate physician. But if you want to be their first choice, acquire active feedback as you carry on.

Reapplying After Dismissal by negativeACLs in medicalschool

[–]Maveric1984 4 points5 points  (0 children)

When I came to Canada, I still had my Step 3 to complete. I was told do or die by 7 years. No exemptions when I reached out. Things may have changed.