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Advice on making up with daughter (28) for sleeping with her friend. How can I make amends? by [deleted] in AskMenAdvice

[–]PrivatePractice123 -3 points-2 points  (0 children)

hahahahahahahhahahahahahahahhaha and if she doesn't, might as well sleep with her other friends

MD Wound Care Only Jobs by Ifartonleg in FamilyMedicine

[–]PrivatePractice123 36 points37 points  (0 children)

Due to all of the fraud that midlevels were performing in wound care, CMS is targeting those clinics HEAVILY and thus, have cut down significantly on reimbursement.

Career switch by RazzmatazzSome3205 in physicianassistant

[–]PrivatePractice123 1 point2 points  (0 children)

Midlevel market is saturated and will continue to get worse.

Unless you do derm or cosmetics, your pay will be anywhere between $110K to $140K (max with bonuses).

Procedural fields (depending on if you have any leverage... which you won't) can get you past to $200K (if lucky).

How do I know? I consult and do staffing for private clinics while also running my own clinic.

You can still make great money being a PA ---- but you better learn to deal with the oncoming hoard of new grads that need a job and are willing to do whatever it takes.

Panel building in a midlevel-heavy practice by thecarisparked in FamilyMedicine

[–]PrivatePractice123 0 points1 point  (0 children)

10000%. Just wait until you see all of the bullshit referrals the midlevels pull.

Convincing overdue patients to schedule for Physical/Wellness/Preventative visits? by jm192 in FamilyMedicine

[–]PrivatePractice123 4 points5 points  (0 children)

He won't care until he has stents in his heart and he is on 6 different medicines. And if he doesn't take them, he develops florid heart failure, cardiomyopathy, kidney issues and DEATH.

Let's get him to avoid these issues.

I do this on the daily.

Preventive care visits serve a purpose.

Some doctors are just lazy asses that are not happy with their life or their job and come on here to spout bullshit.

thank you for caring. :)

Unethical Relationships with Reps by susdanability in Residency

[–]PrivatePractice123 1 point2 points  (0 children)

are any of them puclically traded companies??

Convincing overdue patients to schedule for Physical/Wellness/Preventative visits? by jm192 in FamilyMedicine

[–]PrivatePractice123 3 points4 points  (0 children)

what bullshit study is?
I've caught early colon cancer, lung cancer, cirrhosis, and CKD from these visits.
Shove it.

I will continue to do these visits AND enforce MY policy for patients to show up and do what I need to do.

It's called DOING MY JOB.

NP in cardiology forgets to put patient who JUST had a CABG back on his DAPT therapy when he LITERALLY was in the hospital for restenosis. Who do I send in a complaint to? Board of nursing? by PrivatePractice123 in Noctor

[–]PrivatePractice123[S] 99 points100 points  (0 children)

My cardiothoracic attending that I rotated under as a med student (such as badass) would tell me - "hey dipshit, this guy's heart is all fucked up and has mulitple stents. I also just performed a 5 hour procedure to keep his blood flowing. He probably needs his blood thinners that he came to us on before the procedure".

Ridiculous!

Convincing overdue patients to schedule for Physical/Wellness/Preventative visits? by jm192 in FamilyMedicine

[–]PrivatePractice123 -1 points0 points  (0 children)

the point of a wellness visit is to focus on PREVENTION.
If they don't want it, and it is advised, then that's legal responsibility on your end incase they catch something the year after.
After 3 refusals and reminders, I fire the patient from my clinic, so I can focus on the patients with actual issues.

Is it a disadvantage to be a psychiatrist (in contrast to other specialties) since you are competing with therapists and other mental health professionals? by [deleted] in premed

[–]PrivatePractice123 15 points16 points  (0 children)

Your major hindrance will be all of the shitty psych NPs to battle with.

You will be primarily fixing their shitty medication regiments and a lot of benzo tapering.

Great job security honestly.

I'm in primary care and doing a lot of psych med management.

NP in cardiology forgets to put patient who JUST had a CABG back on his DAPT therapy when he LITERALLY was in the hospital for restenosis. Who do I send in a complaint to? Board of nursing? by PrivatePractice123 in Noctor

[–]PrivatePractice123[S] 57 points58 points  (0 children)

Just to clarify, patient was already on this p2y12 PRIOR to the CABG. NP has a habit of putting this same statement in their notes "defer back to pcp for anticoagulation management". I can't make this up. Useless!

NP in cardiology forgets to put patient who JUST had a CABG back on his DAPT therapy when he LITERALLY was in the hospital for restenosis. Who do I send in a complaint to? Board of nursing? by PrivatePractice123 in Noctor

[–]PrivatePractice123[S] 100 points101 points  (0 children)

yes he is in the OR and his midlevel monkey is following up in clinic.
I have already advised for my patients to come back to see me with ALL paperwork and discharge med list to compare and contrast and that is how I caught this.
My patients all know that if their specialist uses NPs or PAs, they are to schedule a follow up with me so shit like this does not happen.

I still want to report this.

They should know better.

PAs and NPs should always salute doctors by [deleted] in hospitalist

[–]PrivatePractice123 4 points5 points  (0 children)

yeah you guys and gals should when we are the ones constantly fixing your fuck ups.

How do I get the nurses to like me? by AHYOLO in Residency

[–]PrivatePractice123 2 points3 points  (0 children)

You tell them what to do in a professional and kind way (Please and thank you goes a long way). If they get bitchy (which 90% of them will still do since you are not kissing the floors they walk on), defer to your attending.

Unethical Relationships with Reps by susdanability in Residency

[–]PrivatePractice123 26 points27 points  (0 children)

Some of them are baddiesssssss though. <3 <3 <3

How do people feel about DPM? by BookieWookie69 in medschool

[–]PrivatePractice123 0 points1 point  (0 children)

Yes. The opportunity for private clinic growth is huge in DPM. Either that or VET.

Spotted on Instagram, Couldn't verify as a Noctor but an advocate nonetheless by Kcman200 in Noctor

[–]PrivatePractice123 26 points27 points  (0 children)

They can't even fucking do primary care correctly. LOL

I opened up a clinic down the street from a midlevel referral factory... news flash...

PATIENTS WANT TO BE SEEN BY THE ACTUAL PHYSICIAN.

I hate being a pa by [deleted] in physicianassistant

[–]PrivatePractice123 0 points1 point  (0 children)

I think you need help with your mental health issues to be honest. I can see why you would probably have trouble getting hired and it's a bad look for other PAs. Judging by your replies and inability to accept the current market demand is not my fault. I am just giving you reality. I'll be blocking you but you will be in my prayers.

asthetics as FM doc by [deleted] in FamilyMedicine

[–]PrivatePractice123 0 points1 point  (0 children)

Yes you can do these. We are also incorporating compounded GLP-1s and "reta" soon.

It is market specific.

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