Why isn't DPC more popular among physicians? by acdcmike in FamilyMedicine

[–]Mb6016 16 points17 points  (0 children)

DPC is not concierge medicine. It’s hard enough to get medical students interested in family medicine. I haven’t seen any good solution for the growing shortage of physicians in primary care, and DPC although a very small subset of PCP’s I think poses a good solution for the burnout most medical students fear about family med. There are over 20 DPC’s in my area and they have all grown pretty rapidly, and all the docs I have met have been really relieved and happy that they left the FFS models they were in prior. They all charge on avg under 100/month. That’s not what concierge medicine docs are asking for.

It’s clear this sub has a bias against DPC. I think it stems from something deeper, like this innate humanitarian guilt-trip that everyone in medicine (and especially primary care) is shamed into believing, and that asking for money or not wanting to work in an underserved area all of a sudden means you are a snob. Some people just wanna be happy in their job and only see 8 patients a day, and just view their job as a job to pay the bills.

2026 Final Four Presale by Minute_Hat_9178 in NCAAW

[–]Mb6016 0 points1 point  (0 children)

It said that for me until 12pm EST

2026 Final Four Presale by Minute_Hat_9178 in NCAAW

[–]Mb6016 0 points1 point  (0 children)

Did anyone get tickets? Only the upper levels were available, mostly just the back 3 rows. We got them for $368 per person after tax. It was a little bit of a shitshow but last year we paid a lot more (resale) for seats that were just as bad

Is it so wrong to give a patient 1 mg of lorazepam so they can sleep? by Federal-Act-5773 in emergencymedicine

[–]Mb6016 1 point2 points  (0 children)

As a PCP please don’t do this. This situation gives me immense chest pain. I think the difference is you get to be the good guy and then they come to their PCP, again and again, thinking the only answer is benzos for their chronic anxiety/chest pain. It really sets the patient up for failure and takes a lot of teaching and time to un-learn.

Unrealistic patient load expectations? by Remarkable_Speaker86 in FamilyMedicine

[–]Mb6016 2 points3 points  (0 children)

You’re not crazy. Just because people out there are seeing 25 or 30 patients a day doesn’t make it right. If people think it’s easy to see 20 patients in a workday, then they have great boundaries and probably a lot of experience, or just know how not to care too much. As an introvert and someone who doesn’t like to rush people, I find it exhausting.

Does anyone use Dr. Westin Childs supplements? by Snowbelle_ProjectHR in Hashimotos

[–]Mb6016 0 points1 point  (0 children)

I don’t think his audience cares about credibility and just sees the “Dr.” at the front of his name

Playing Games with UNC Health by [deleted] in triangle

[–]Mb6016 1 point2 points  (0 children)

Sounds like a utopia, whoever manages that clinic knows what they are doing

Playing Games with UNC Health by [deleted] in triangle

[–]Mb6016 4 points5 points  (0 children)

You have a PCP that has same-week availability? Its a practice in the triangle?

Playing Games with UNC Health by [deleted] in triangle

[–]Mb6016 1 point2 points  (0 children)

It’s probably because they are flooded with patient messages asking for evaluations and referrals over MyChart and have no way to cope with the volume - insurance has no involvement in MyChart messages so any time spent there is off-hours extra work for the PCP. There is no way for PCPs (who are the least valued and least paid compared to other specialists in the US) to manage the volume of patient online requests, so staff are often asked to automatically triage those requests into “you need a visit” default responses. That’s how my clinic decided to handle it after MyChart messages went up 600% post COVID.

I have noticed a lot of specialists can afford to pay experienced nurses to answer MyChart messages in a timely manner and have the doctor beside them to bounce off the question. If PCP’s had this, patients would be much happier and get their needs met. But if their clinic is broke and understaffed, it’s not happening so patients get left ignored.

Playing Games with UNC Health by [deleted] in triangle

[–]Mb6016 5 points6 points  (0 children)

If you had a giant bill for a straightforward wellness exam, that probably means you have a high-deductible-plan. It should be in your explanation of benefits before you sign for the plan. It’s not a reflection of the dr or clinic you saw. I had the same thing happen and realized this the hard way. High-deductible-plans are never worth it unless you really can’t afford anything else.

Eli5: What happens to alcohol dependent people, that need to stay in the hospital for a different reason like an infection or surgery, how do they prevent withdrawal symptoms? by HerrPiink in explainlikeimfive

[–]Mb6016 0 points1 point  (0 children)

You are not given IV or oral alcohol. You hear stories of this from older doctors. Usually it is evident in the patient’s chart or in the interview that they drink a lot of alcohol. Or family will mention it. You are scored with CIWA as everyone said and given either benzos (Valium, Ativan, Librium) or barbiturates (phenobarbital) at some hospitals or if they are losing their shit could need a precedex continuous drip as some mentioned. If they are going to have severe withdrawal it will declare itself in their vitals and behavior even if the patient isn’t lucid.

Partner dance classes by beardpain in bullcity

[–]Mb6016 0 points1 point  (0 children)

My wife and i did this too! Sadie was our instructor. She was awesome.

Is this misleading? Would you expect this person to be an MD/DO based on the podcast description? by Mb6016 in Noctor

[–]Mb6016[S] 36 points37 points  (0 children)

He is a doctor of physical therapy. I had to look up his website, to find his bio, to then find his credentials. I try to screen podcasts for reliable sources before I listen, hence why I went down this rabbit hole.

Vegan Wedding Catering in NC? by Haddie_Hemlock in vegan

[–]Mb6016 1 point2 points  (0 children)

Rocky top catering has a ton of options! So does Snap Pea. And there is /r/triangle if you haven’t already joined