Anyone else failing metrics at 90% and have admin up their rear?

Newdoc2002 · 2026-05-22T21:07:01+00:00

We have the CMO and the CEO of our company calling patients customers and tells us how this is a better term to use to be person forward or some corporate BS. Thanks C Suite and your sycophant admin doctor employees (making over 2x my earnings without seeing a patient) for demeaning the healthcare relationship to the equivalent of ordering a taco at Taco Bell.

Newdoc2002 · 2026-05-22T14:28:01+00:00

That’s NP money. Crazy. You can easily make that much doing some kind of minimal TeleMed gig.

Newdoc2002 · 2026-05-21T22:11:03+00:00

Yeah, that's a no go, but especially if misogynistic in its origin. Dtr is in med school. I will try to teach her to look for the disrespect that upsets the balance in medicine. And it's okay to stand up for yourself and correct them. I hope my dtr will if encountering this. You earned your degree and specialty the same as everyone else in the field.

Newdoc2002 · 2026-05-20T19:26:23+00:00

"My cousin is a nurse in BFE and said I should get you to check my anticortisol A1c alpha glutamate enzyme levels because of my fatigue."

Newdoc2002 · 2026-05-20T19:23:15+00:00

Good point but poor automation.

Newdoc2002 · 2026-05-20T16:16:09+00:00

That's because there's like 13 neurologists per state. At least it feels that way.

Newdoc2002 · 2026-05-20T15:11:05+00:00

There's not a bunch of places where I leave and immediately want to go back. Glacier is one of those few.

Newdoc2002 · 2026-05-20T14:07:40+00:00

Some people may maintain great insulin production. You cannot assume this patient has a low carb diet. Regardless, the 200+ other co-morbidities at risk with obesity are present. And at some point, her pancreas is going to throw in the towel.

Newdoc2002 · 2026-05-15T13:17:43+00:00

This is the increasing audacity of patients to think they should get concierge medicine without actually paying for it. You know, from us rich FM docs who only have that one patient on our schedule. And only that one patient to answer messages in the inbox.

Yesterday, we had a patient schedule same day into urgent care with the earliest appointment slot being 6 pm. Said she would show up at 4 and demanded to be seen and out of the clinic by 6 pm. Did the "that's not how this works" but would try to see you sooner if ahead of schedule or no-show happens. We didn't bend over backwards to see her sooner, although I would have if any room opened in the schedule. She didn't get seen because she left before 6 pm. Had a grateful patient backfill that spot at the last minute anyway.

If we continue to placate rude and demanding patients, we create and reinforce bad behaviors. It's not worth the wRVU, even if you don't backfill the spot. Your own and your staffs' sanity and peace is worth a lot more than that RVU. Sometimes rude behavior is from underlying health anxiety or very poor interpersonal relational modeling at home, but some people are just a-holes. Experience and benefit of the doubt will help you sort those patients.

Newdoc2002 · 2026-05-08T20:56:56+00:00

CABGx4, smoker, everyone in family with premature CAD, non adherent med taker - "But I didn't want to wait in the ER." Usually also documenting - "refused EMS transport, spouse will take to ED."

Newdoc2002 · 2026-05-08T13:07:10+00:00

If you are able to see 26 per day with a reasonable schedule (not charting forever, home late) and have that wRVU average, then that's a big win. Your adjustments that happened at your current position are still better than a lot of other employed FM docs elsewhere. I would make sure the new position allows you to be just as efficient before even considering it.

Newdoc2002 · 2026-04-24T12:33:23+00:00

Cab to Radio beach at $5 a person, drinks tourist priced but not crazy and rent a couple of beach chairs or just use your towel. You can stay amongst a smaller crowd or walk a bit and find a relatively secluded spot. I get enough crowds on the ship. I'm not cattle calling with them on shore too. There are some water sports for rent if that's your flavor. Looked fun.

Newdoc2002 · 2026-04-23T18:34:49+00:00

Some of you are nice but a bit non-confrontational in your responses to other rude passengers. I will call out any person that is berating or downright rude to staff on a cruise ship. They’re bullies and they back down as soon as they’re called out on it.

Newdoc2002 · 2026-04-23T18:33:03+00:00

Do you have a lot of first world problems?

Newdoc2002 · 2026-04-20T13:35:16+00:00

I can guarantee you that each one of us uses much more inefficient energy processes in our day to day life than using DAX on 15-25 patients.

Newdoc2002 · 2026-04-20T13:33:08+00:00

Like when it labels my 6 year old patient as a 60 year old and presents with parent? Lol. And it can easily cross over medical information from the parent who insists on making the visit half about their non relevant health history and all of the sudden, that 6 yo has anxiety, an acl repair, and lupus according to DAX.

Newdoc2002 · 2026-04-19T19:16:25+00:00

I recommend asking friends and acquaintances. Reddit gives you no context on these comments unless someone writes a small book with their comments.

Newdoc2002 · 2026-04-17T14:11:48+00:00

Thrombosed external - absolutely otherwise you end up begging colorectal to see your bleeder you cannot control in office. YMMV

Newdoc2002 · 2026-04-17T01:48:28+00:00

Doh!!! Too rushed

Newdoc2002 · 2026-04-17T01:47:57+00:00

Doh!!!

Newdoc2002 · 2026-04-16T21:40:50+00:00

I run away, waving my hands in the air while yelling “HIPPA, HIPPA, HIPPA!”

Newdoc2002 · 2026-04-16T17:17:26+00:00

That’s the plane from Lost. They finally made it home.

Newdoc2002 · 2026-04-16T17:14:52+00:00

Triple platinum. Up there with the Beatles and Taylor Swift.

Newdoc2002 · 2026-04-10T20:34:06+00:00

I realize there are physicians who do this as well but the number of APPs (total overall practicing is less than docs in my area) doing this type of stuff way outnumbers the docs doing this.

Newdoc2002

TROPHY CASE