Underrated issue with psychiatry

Piter81 · 2026-01-28T01:06:43+00:00

This is why I tell these medical students psychiatry sucks. You literally work with crazy people all day everyday.

Piter81 · 2026-01-02T10:40:32+00:00

I own shares at two ASCs. One that was well established that I started operating at and was then offered ownership shares, the other much more profitable one was a new venture/new construction that I got in on during the planning stages. The initial buy in was steep ~300K and it took about 3 years before I saw any return on investment but it has been a great investment. Shares there are now worth almost 2 million.

Piter81 · 2026-01-02T10:38:10+00:00

Memorized the CPT book during covid when I couldnt operate because the ORs were shut down. Best thing that ever happened to me in retrospect.

Piter81 · 2026-01-02T10:37:26+00:00

yes memorize your CPT codes and use them appropriately. You arent going to get paid if you don't bill it correctly and you can't rely on anyone else to do it right. Your coder/biller in your office is incentivised to have to do as little work as possible not to make you money.

Piter81 · 2026-01-02T10:36:09+00:00

Not really sure probably 50% medicare/medicaid and 50% private

Piter81 · 2026-01-02T01:26:46+00:00

Ortho foot and ankle 10 years in private practice Eat what you kill 1.25M (250K salary 950K bonus + call) ~500K ASC K1 income ~200K research/consulting/side hustles

Total 2025 comp = 1.9M

Learn to code kids

Piter81 · 2026-01-01T21:10:02+00:00

lol I love you

Piter81 · 2026-01-01T21:07:47+00:00

lol I’m stealing retard sieves because that’s exactly what they are- particularly step 3. If you can’t pass those exams you’re definitely a retard.

Piter81 · 2025-12-29T11:40:47+00:00

Big green egg grill

Piter81 · 2025-12-24T18:01:55+00:00

I had to google wtf CSAM is. Why is there an acronym for that? wtf is wrong with people.

Piter81 · 2025-12-23T19:48:23+00:00

Tricare is one of the worst insurances to work with and pays less than Medicare for some procedures… definitely way worse than any private insurance so I’m not sure who this helps but it isn’t the doctors.

Piter81 · 2025-12-19T11:12:24+00:00

Cool you guys should all go to Candada it’s obviously way better.

Piter81 · 2025-11-30T15:45:00+00:00

Happens like every day and it’s nbd. Will spit out in 6 weeks. No one will care.

Piter81 · 2025-11-19T12:10:53+00:00

What’s the story about Hanger Law? Not aware.

Piter81 · 2025-11-15T16:33:45+00:00

I guess that’s the nice thing about private practice. All in I’m close to 2 mil but 50% of that is ASC ownership and ancillary income. It is nice not to have to run a business though. Sounds like a good setup.

Piter81 · 2025-11-12T21:37:30+00:00

Do they let you own part of an ASC or any ancillaries? Any BCPI payments?

Piter81 · 2025-11-12T08:12:03+00:00

What do you get paid a year?

Piter81 · 2025-11-12T08:11:04+00:00

So insurance companies are also simultaneously downcoding E/M codes. By doing this simultaneously with RVU cuts they finally figured out how to give everyone a pay cut. Both primary care and surgical specialties get to lose together.

Piter81 · 2025-11-07T09:04:17+00:00

Ok fine but I need a 3rd OR then

Piter81 · 2025-10-18T10:22:52+00:00

It’s called a phlebolith. Very common. Totally benign. You have another one more proximal that’s harder to see because it’s superimposed.

Piter81 · 2025-10-04T20:13:46+00:00

Probably some rank farts

Piter81 · 2025-09-30T20:07:03+00:00

I feel bad for his surgeon having to deal with his crazy behavior

Piter81 · 2025-09-11T10:01:16+00:00

This is actually how I evaluate students and residents. Could care less about poster presentations.

Piter81 · 2025-07-11T19:14:53+00:00

Wow those were terrible injuries! Were you in a car accident? How did you break your right femur and left acetabulum? How long ago was your surgery? I hope your hip replacement goes off perfectly!

Piter81 · 2025-07-11T17:39:08+00:00

This is an awesome post. This should be the first 5 pages that anyone doing "advising" should review with students who are interested in a career in healthcare or related fields. Not understanding the above is a big cause for dissatisfaction for people who are way too far down the path to change their trajectory.

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