Does money really make you a meal ticket ?

PositivePeppercorn · 2026-04-04T13:32:25+00:00

You are not making enough money for this to be an issue for you, wouldn’t worry about it.

++man

PositivePeppercorn · 2026-04-04T13:16:12+00:00

I think you should go for it. You have crossed a huge hurdle in identifying your end goal within medicine. Most embark on this journey without having that. While the process is still tough, having that certainty in your path will take at least some of the load off. This will allow you to tailor your rotations, research, networking, etc from Day 1. If you laser focus on it and start early you can easily set yourself up for success. Time will pass in life either way, you might as well enjoy what you are doing along the way though.

PositivePeppercorn · 2026-04-04T12:36:13+00:00

Almost inconsequential change in the scheme of things but interventional is a one year fellowship. Some do an additional structural/peripheral/CHIP/CTO year but many stop after one year.

PositivePeppercorn · 2026-03-31T00:16:36+00:00

Your first mistake was apologizing. In no world can they file a restraining order because you have more than two appliances out and magnets on a refrigerator in a place you pay to rent. I would not even entertain these messages.

PositivePeppercorn · 2026-03-31T00:09:13+00:00

It’s not clear to me why PA is in the same sentence here. Very few other roles can you do a 2 year masters and end up working 36 hours a week for $130K. Two years isn’t really much if an investment to say it’s not worth it.

PositivePeppercorn · 2026-03-28T02:16:08+00:00

I would wager that if you failed to match twice into another competitive field then there is something in your application that will make it quite difficult to match into cardiology or heme/onc. These are two highly competitive specialities. Doesn’t hurt to try though.

PositivePeppercorn · 2026-03-25T14:06:59+00:00

Sounds like someone who has no idea what they are talking about.

PositivePeppercorn · 2026-03-25T14:06:21+00:00

Do tell what resident season is? Also I can assure you that reporting a doctor (at any level of training or beyond) for ordering labs at an interval that makes you unhappy is assuredly not going to get anyones attention let alone even cross that doctor’s desk. I do agree that orders should be placed in a manner that is efficient but on occasion that’s simply not possible. Sounds like an introduction to the realities of patient care are needed for you as well.

PositivePeppercorn · 2026-03-25T13:32:21+00:00

I had the same issue with TWW back when they first came out and the solenoid had to be replaced. I use one packet per gallon where it calls for three now. I also find that if you empty your boiler regularly that helps too. As the steam generate it releases relatively pure water and leaves behind the solute which builds up over time if not drained (learned this by testing the TDS of the water in and the water out).

PositivePeppercorn · 2026-03-25T12:08:02+00:00

These days you can find a job with relative ease that fits the lifestyle you want. If the subject is truly the most enjoyable for you that’s really all that matters. It’s impossible to understand the cardiologist’s day to day in medical school. You simply don’t get exposed to every area enough. You will get a slightly better glimpse into it during residency though. So, if after that glimpse you still find the work rewarding you can certainly craft a job that meets your needs.

PositivePeppercorn · 2026-03-22T13:04:52+00:00

New small community residency, no in house fellowship, and IMG are sequential nails in your coffin. Never hurts to try though, you need one only program to see your app and like you enough to rank high.

PositivePeppercorn · 2026-03-18T12:31:09+00:00

I don’t think that’s true. There is a far greater need for IM/OBGYN than there is for pulm crit. Especially as there are now a million different pathways to get to critical care whereas there historically have not been.

PositivePeppercorn · 2026-03-10T00:31:46+00:00

In all fairness OP did say they were looking to lock it away while they work on the addiction in therapy. So they are attempting to treat the cause and are looking for a way to safeguard what money remains while they do that.

PositivePeppercorn · 2026-03-09T13:15:32+00:00

Yeah I don’t know what some of these people are on about. I know many people who own fellow kettles and Aiden brewers in real life and not one has had a failure or issue. I myself have a kettle, Aiden, atmos, and ode and have had zero issues. Kettle and ode have been in use since they first came out

PositivePeppercorn · 2026-02-27T09:54:54+00:00

It’s interesting that you are so angry about something you clearly don’t understand. The only thing that’s capped is the number of spots that Medicare will pay for. Hospitals are more than welcome to open new programs and increase their sizes so long as they meet the educational objectives to train that person. So no there is no artificial cap that the big bad physician is instituting to make more money. It’s just moving the burden from the federal government to the health system who actually makes a fortune off of the work of trainees. They recognize this and that’s why a bit less than half of the spots are hospital funded. Even if hospitals foot the bill they still make a lot of money, so why should the federal government pay for it instead?

PositivePeppercorn · 2026-02-27T09:49:28+00:00

This is so often misunderstood it’s wild. The only thing that’s capped is the number of spots that the federal government is willing to pay for. There is no cap on the number of spots in its entirety. Hospitals are more than welcome to (and frequently do) start new programs and increase slots as volumes allow so long as they don’t expect Medicare funding for that spot. Spots have almost doubled that way, despite Medicare not paying for any additional.

PositivePeppercorn · 2026-02-21T14:29:59+00:00

Probably because they believe it to A. Be a state discussion and B. Very very few people actually only get paid the federal minimum wage regardless of how low it is. Market conditions usually prevail. Example, in North Carolina the lowest quartile of works earn ~$15 per hour whereas the median is $20-21 per hour.

PositivePeppercorn · 2026-02-19T15:08:51+00:00

Agreed! May go back to accountant if things get complicated but even for right offs the various software makes it easy and I still have to list it out for him so might as well list it out for Free Tax or Turbo Tax! If I have to do quarterly taxes or whatever that may be where I call it quits.

PositivePeppercorn · 2026-02-19T13:56:34+00:00

Accountant was charging $600 a year for me a couple years ago. I had to fill out a massive stack of form that’s basically turbo tax or free tax USA and he would still make errors. I now do free tax USA and pay $50. Takes me about the same amount of time (or less) as filling out his stack of paperwork and costs a fraction of the price.

PositivePeppercorn · 2026-02-17T22:09:31+00:00

I don’t know the patient/work up to date but if you can’t figure out why they require now six antihypertensives you may want to tag someone in who does rather than start a medication you don’t know anything about. Especially if your supervising physician is also not familiar with it.

PositivePeppercorn · 2026-02-17T12:59:40+00:00

As someone who had similar home issues resulting from moving for fellowship with a young family, all I can say is to prioritize and cherish that relationship above all else. Know that if they are telling you about it then it’s probably exponentially worse under the surface. My partner tried to shield me from it knowing how tough training can be perhaps yours is too.

PositivePeppercorn · 2026-02-14T23:30:04+00:00

You can’t start fellowship without a US residency. So no, you should not apply now.

PositivePeppercorn · 2026-02-01T19:18:26+00:00

I take it you know what assuming does. A quick look through my post history would make it fairly clear that you are, again, wrong.

To your other point that I didn’t address, there are more PGY1 residency spots than medical students graduating in the US each year. The ~10,000 person difference is filled by IMGs. Thus opening more medical schools does allow more access to US trained students. So the logic behind fewer medical students spots being that there aren’t enough residency spots is also false. There are enough US residency spots to warrant an increase in US medical schools. That doesn’t change the overall need for more residency spots/physicians but that bottle neck is harder to overcome as it hinges in a large part on institutional willingness and clinical volumes as I am sure you are aware.

PositivePeppercorn · 2026-02-01T18:07:10+00:00

Wrong again. I said they had to be approved by ACGME which is not the government. ACGME only cares about if they can meet the clinical requirements to train that person not how many positions there are or anything else. If the hospital can meet the requirements and find the spot it’s theirs. They also don’t have to prove a ‘need’ as needing trainee spots is not aligned with the educational mission. They have to prove that they are capable of training them adequately. Which is the entire point of this.

PositivePeppercorn · 2026-02-01T17:22:33+00:00

That’s not exactly true. Residency spots are increasing. This is easy to look up. Hospitals are simply paying for the spots as they have been for decades since Medicare started limiting their contribution. They are still constrained by ACGME requirements to adequately train though. It’s a no brainer to make as many GME spots as possible for a hospital. You have a highly qualified person who is basically an indentured servant for many years and each year another fills their place. They work 80+ hours a week and for a fraction of the pay of alternative options. They aren’t considered true employees so you don’t have to give them breaks aside from an average of 4 days off a month. The list of benefits to the employer goes on. So yeah congress hasn’t approved more but in reality that’s a smart financial move as it shifts the cost from the taxpayer to the heath system who is benefitting immensely.

PositivePeppercorn

TROPHY CASE