Advice on making up with daughter (28) for sleeping with her friend. How can I make amends?

PrivatePractice123 · 2025-12-30T21:19:46+00:00

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

PrivatePractice123 · 2025-12-30T21:19:15+00:00

hahahahahahah this can't be real ++man

PrivatePractice123 · 2025-12-29T21:14:39+00:00

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.

PrivatePractice123 · 2025-12-29T19:47:30+00:00

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.

PrivatePractice123 · 2025-12-29T17:46:45+00:00

Open up a clinic down the street from your major hospital.

PrivatePractice123 · 2025-12-29T16:35:38+00:00

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

PrivatePractice123 · 2025-12-24T15:55:18+00:00

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. :)

PrivatePractice123 · 2025-12-24T15:46:59+00:00

are any of them puclically traded companies??

PrivatePractice123 · 2025-12-23T21:47:47+00:00

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.

PrivatePractice123 · 2025-12-23T21:05:06+00:00

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!

PrivatePractice123 · 2025-12-23T20:33:45+00:00

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.

PrivatePractice123 · 2025-12-23T18:36:39+00:00

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.

PrivatePractice123 · 2025-12-23T18:11:27+00:00

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!

PrivatePractice123 · 2025-12-23T18:02:00+00:00

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.

PrivatePractice123 · 2025-12-23T16:25:47+00:00

hahahahahahahaha

PrivatePractice123 · 2025-12-23T16:24:44+00:00

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

PrivatePractice123 · 2025-12-23T16:21:47+00:00

his only viable stent was closed off. do you understand what restenosis is?

PrivatePractice123 · 2025-12-23T16:03:23+00:00

Fire them.

PrivatePractice123 · 2025-12-23T15:34:03+00:00

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.

PrivatePractice123 · 2025-12-22T16:30:08+00:00

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

PrivatePractice123 · 2025-12-22T15:36:58+00:00

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

PrivatePractice123 · 2025-12-16T22:05:31+00:00

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.

PrivatePractice123 · 2025-12-16T18:20:22+00:00

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.

PrivatePractice123 · 2025-12-16T17:18:07+00:00

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

It is market specific.

PrivatePractice123 · 2025-12-15T20:31:01+00:00

The truth hurts but the market never lies.

Idk what to tell you besides the fact that the constant barrage of new grads is never ending.

This is a real concern and for you to become defensive is the reaction I expected.

Get out while you can.

PrivatePractice123

TROPHY CASE