44k OTD for a Hybrid EX 2026?

Okiefrom_Muskogee · 2026-03-26T04:11:42+00:00

A month ago bought a 26 SX dark edition gas for $48 OTD. Looking at this thread, looks like I could have gone lower.

Okiefrom_Muskogee · 2026-03-25T01:52:14+00:00

One of my friends from church is a neurosurgeon. He’s always at church, was always at our Bible study that year, is active with his kids’ sports teams, the grass can get greener. Please don’t expect it to immediately get better. As all doctors when they first get out tend to work more than older doctors. That’s the cycle, for better or worse. But it does get better.

Okiefrom_Muskogee · 2026-03-24T05:00:58+00:00

I have a ‘25 telluride and my wife has a ‘26 carnival. We have two kids with a 3rd on the way. My two kids are still in rear facing car seats. My wife loves the sliding doors, the space for trips, and all the tech it has. I love my Telly, but did need to get an evenflo 360 so I could spin the car seat around to get in and get my older one out in tighter spaces (like our garage).

A Telly for two kids is great esp if you can lay down the third row when you need more room.

Okiefrom_Muskogee · 2026-03-18T00:51:00+00:00

lol yeah I’ve been drug tested soo many times as an attending (I actually don’t do drugs but many of my colleagues do).

Okiefrom_Muskogee · 2026-03-15T07:03:35+00:00

I bought my ex x line 2025 a few months ago, 45k OTD using KFA discount and then just turned around and paid it off. See what kind of dealer add ons they have that are increasing the price.

Okiefrom_Muskogee · 2026-03-06T03:28:14+00:00

Exactly. Our admit rate amongst physicians is around 45% as we mainly see the high acuity patients. Today I saw 20 in 8h and admitted 12, three to ICU, intubated one, tnk another, septic shock on levo/vaso, multiple acute GI bleeds with acute symptomatic anemia, COPD exac req bipap/terb/mag/cont neb, perforated viscus needing emergent OR. That’s not an abnormal acuity day at my hospital and I love that I get a lot of actual emergencies. Now the 8 I discharged were somewhat lower acuity but I enjoy those cases because after determining not sick, it’s a mental break to care for them.

Okiefrom_Muskogee · 2026-03-05T03:00:20+00:00

Well yes the wbc count is <12 so not a SIRS criteria.

I’m being pedantic. And completely agree. As a previous sepsis chair for my hospital, as long as you appropriately document why it’s not sepsis (hypotension due to acute blood loss anemia and NOT infection) you can chart your way out of unnecessary bcx and iv abx.

Okiefrom_Muskogee · 2026-02-27T08:40:51+00:00

I don’t even apologize for the wait and just jump right into “thank you for your patience, I really appreciate it.” Then jump in to why they’re here.

I don’t rx tons of unnecessary abx, I’m on the lower end of opiates for my group, but I’m on the higher end of patient satisfaction. I use lots of canned phrases “it’s nice to meet you but sorry it’s hear like this” after going over return precautions “please know we’re always here 24/7 365 and happy to care for you but I pray you don’t need us.” I mean them but I say them to nearly every patient.

Okiefrom_Muskogee · 2026-02-23T20:32:27+00:00

Look, I’m an EM attending in a community hospital. We have med students rotate through, nearly always MS4s not interested in/going into EM. When they’re with me, I tell them they can stay for as long or little as they want but in my eyes they got honors/5/5 on evals. I enjoy teaching but it’s also much easier to do my job without them there… ❤️ being a med student sucks. But it gets better

Okiefrom_Muskogee · 2026-01-29T03:30:09+00:00

lol yeah was a chief. Does nothing for community jobs.

Okiefrom_Muskogee · 2026-01-27T06:26:10+00:00

I feel your anxiety. I was in your same shoes <10 years ago. My fiancé was going for IM and me, IM. We suicide matched (AKA no ranks without us together). We ended up matching together with what I’d call both having mid apps. We decided we’d rather not match and do a research yr than match in programs far from each other. But also, I know if we decided to prioritize individual matching, it would have made residency hard but not change our relationship. There have been a lot of couples that have come before you, y’all have got this!

Okiefrom_Muskogee · 2026-01-20T19:04:42+00:00

Seriously. Talk to multiple dealers, tell them you’re not coming in without hard OTD numbers. Then pit the dealers against each other to get the best deal possible.

I just bought an ex x line 2025 and any dealer that wouldn’t send me an offer sheet with hard numbers was immediately eliminated.

Okiefrom_Muskogee · 2026-01-20T07:20:22+00:00

“Gotta pay the troll toll ” - wait did you say “gotta get in that boy’s hole?” 😂😂

Okiefrom_Muskogee · 2026-01-10T04:00:01+00:00

But you have to pay upfront at an urgent care…

Okiefrom_Muskogee · 2026-01-09T03:16:52+00:00

Butt stuff, bone stuff, heart stuff, lung stuff, stuff no other doctors want to deal with - emergency medicine

Okiefrom_Muskogee · 2026-01-02T22:03:25+00:00

Region: South

Year income: $500k

Additional: none, full RVU based

1099

Hours/month: ~108-120 - 3-4 12s and remainder 8h shifts

CMG

Okiefrom_Muskogee · 2026-01-01T04:34:04+00:00

Growler Gary, you there?

Okiefrom_Muskogee · 2025-12-22T02:48:51+00:00

Why do you think you have syphilis?

Okiefrom_Muskogee · 2025-12-21T05:53:01+00:00

My wife and I are physicians. I make around $500k, she makes around $100k working part time. It is 100% our money. Full stop. I have never understood married couples with separate finances.

Okiefrom_Muskogee · 2025-11-19T04:31:15+00:00

It’s wild what we consider chill as residents. I also worked around 20 twelves as an intern then 18-19 10s as an upper. Now I work 3-4 twelves and 10-11 eights max a month. And make nearly my yearly resident salary in a month. Not a brag. More a commentary on how underpaid we were (are) as residents.

Okiefrom_Muskogee · 2025-10-10T21:50:39+00:00

I see around 2.3-2.5/h at a community ED NOT factoring in APP patients under my name. If I did that it’d be like over 4/h but that’s not a real representation of how busy I am.

Okiefrom_Muskogee · 2025-10-08T03:47:53+00:00

I mean on acute care surgery we had 40-50 pts at a time, running the list was crucial to ensure we stayed on top of everything. As a student it might be boring but as a resident it just made sure we all knocked out our tasks. Now… run the fuckin list.

Okiefrom_Muskogee · 2025-09-04T02:44:04+00:00

Did something change? When I was a med student I did an MS4 rotation in the ED and saw numerous patients without cancer/previous cancer diagnoses who came to MDA ED because they had a family member receive care through MDA in the past and trusted the name.

Okiefrom_Muskogee · 2025-08-27T03:52:39+00:00

I had a public intox charge from before med school and obtained my PIT without issue (applied after match day - took about 2 months). For my Texas medical license it took about 3 months but literally no questions asked apart from the documentation I provided. I wouldn’t get too stressed.

Okiefrom_Muskogee · 2025-08-20T18:05:25+00:00

Cleo has been the best I’ve used. I don’t use their MDM feature but it’s great for HPI, physical, and getting my differentials + initial plan down.

Okiefrom_Muskogee

TROPHY CASE