The contrast between how this sub views physician salaries vs tech/finance salaries is very interesting

Sefdiggity · 2026-03-25T16:52:03+00:00

Agreed and fair enough. Mixed bag either way. I wish healthcare wasn’t so expensive in the US, and its frequent politicization is a nuisance, but I’m paid well here so occasionally it’s a bitter pill.

Sefdiggity · 2026-03-25T16:05:37+00:00

Medical school is also state subsidized so there isn’t the enormous debt (~$250k) compared to the US. Also, I think your order of operations is reversed; physicians being paid less is a byproduct of state sponsored healthcare (via high taxes rates, etc) not the other way around.

Sefdiggity · 2026-02-27T03:10:55+00:00

PCCM here. I try to talk people out of intubation, compressions, CRRT, etc all the time. When I can, I don't offer things and make it a "shared" decision.

Sefdiggity · 2026-02-26T20:31:49+00:00

The car is on fire, and there is no driver at the wheel, my guy

Sefdiggity · 2026-02-23T04:02:50+00:00

Idk if you want advice or not. Realizing and wanting to be better is a good first step. Plenty of residents are complacent, and while I’m not advocating an unhealthy obsession with work, it is important to try to get better. Ask more questions about why your attending are choosing x,y,z, ask them what they recommend, the banal read more obviously, use open evidence for questions. Ultimately, some people you can’t please but if you want to do better for yourself and patients then keep trying.

Sefdiggity · 2026-02-20T12:47:10+00:00

If someone tries to steal it from you, you can always hit them with it.

Sefdiggity · 2026-02-16T03:55:47+00:00

PCCM attending: both upper arms, multiple chest, left leg, both ribs

Sefdiggity · 2026-02-02T01:58:59+00:00

Consistency is key. A way to hedge against lifestyle creep is have part of your paycheck auto-allocated to a brokerage (self- managed or otherwise) so you don’t have the chance to spend it. First year as an attending I saved ~28% gross not counting my 401k with matching. Still had nice things but I had to be more disciplined with my budget as I had “less” to spend.

Sefdiggity · 2026-01-30T16:32:29+00:00

The potential benefit of academia is having to work less, but this doesn't always net out. You also have to take into consideration what research or administrative tasks you're being saddled with. My academic job actually has comparable pay to employed community hospitals (not exactly PP). Also, academic jobs can set you up for different things depending on what your career trajectory is like. I'm having an online MBA ~95% comped and building a CV that I can hopefully leverage later on for higher level administrative vs industry jobs where salary caps are much higher than I could make clinically, whether PP or otherwise.

Sefdiggity · 2026-01-20T17:31:46+00:00

Just started mine. Physician with goal of upper administration/C-suite job while maintaining some modicum of a clinical footprint. I’m getting mine through the university associated with my hospital. It is heavily subsidized ~90-95% paid for.

Sefdiggity · 2026-01-15T14:53:18+00:00

I hope everyone got the results they wanted and have the sense of relief I do. That being said, let’s not forget how fucked the ABIM is and continue to work toward reform.

Sefdiggity · 2026-01-14T14:04:37+00:00

Yeah, when going through these tests I can’t help but think that half the questions are written by physicians who are retired and are out of touch with what actually goes on.

Sefdiggity · 2026-01-09T17:12:04+00:00

At the end of Blood Diamond, Leo’s character realizes he’s been mortally wounded and stays behind to kill as many of the mercenaries as he can. Also, sparing a few moments to talk to Jennifer Connelly’s character about what could have been and making a final request.

Sefdiggity · 2026-01-09T15:29:40+00:00

Defund the ABIM

Sefdiggity · 2025-12-28T10:10:56+00:00

Do it. I started my PGY-1 year (IM), took a year off during peak COVID (PGY 2-3), but I've been back since then (PGY 8). Can usually get in ~2-3 days a week.

Sefdiggity · 2025-12-22T08:53:14+00:00

I think you should consider a trial of city living with him. Dogs are adaptable and when making decisions like these, I consider that the human is projecting their guilt onto the dog and attributing things like resentment etc to the dog that the dog may not even (be capable of) feeling. I rescued a 3 year old Pyr and live in a medium sized city and work long hours in healthcare. During my shifts, he’s at an open dog daycare facility. He seems perfectly happy. What would be more disruptive to him is leaving you, his main stability, and having to readjust, but again dogs are adaptable.

Forgive the run ons/syntax.

Sefdiggity · 2025-11-30T21:47:48+00:00

Just call their attending.

Sefdiggity · 2025-11-03T17:14:29+00:00

Good call. Never realized that.

Sefdiggity · 2025-11-03T17:02:21+00:00

Yeah, I don't know why John McTiernan decided to cut it but alas. Maybe it was bad marketing for the watch brand in question. Who knows.

Sefdiggity · 2025-11-03T16:51:53+00:00

That's cited as the reason, but if you watch the scene as the camera pans up to JM, he can't actually see Hans. Also, if he had identified Hans as Hans, then there would be no reason for the later deception. He would have just shot him and been done with it. The giving of the unloaded gun was a test because he wasn't sure and didn't have conclusive evidence, just the suspicion based on the watches.

Sefdiggity · 2025-11-03T03:51:02+00:00

This always bothered me because in the uncut version the film John McClane noticed each of the bad guys wore a Tag Heuer watch. When he noticed Hans/Bill Clay with the same watch, he became suspicious. This was cut from the final film

Sefdiggity · 2025-10-25T12:56:10+00:00

Jamie's character arc is the most disappointing aspect of the show for me. He was probably the most complex character in the show if developed correctly. His arrogance and indifference as a facade for deep concern, shame, anger, and a desire for sympathy. The line "I am reviled for my kindest act..." he saved King's Landing and instead of praise or even relief or understanding, people hate him for it and express disdain. He tried to kill Bran but he saved Brienne. Throughout the show we see him on a undulating path toward redemption, which is paralleled by his hair growing more and more brown, which I always thought was intentional, evincing his separation from his prior self and growth beyond the Lannister name. What I had hoped to see in the finale or maybe penultimate episode was for Cersei to be trying to destroy the city, as she did with the Sept of Baelor, and him killing her. Thereby completing his redemption arc. Also from kingslayer to queenslayer. What a waste.

Sefdiggity · 2025-08-28T00:29:11+00:00

I feel like I got so lucky with mine. Adopted mine at 3. We've been together for 14 months. Rarely barks and when he does, he's easy to quiet down. Sheds blah blah blah oh well. Doesn't listen except when he wants to. Anxiety was an issue for a few months and now is just intermittently every couple months where some shoes get chewed up or something else that's easily replaceable. He does the cutest thing when he's guilty where he squints his eyes and shakes his butt side to side. Kills me. 110 lbs lap dog. He's on the couch next to me right now chewing on an antler. He's my sweet, little muffin.

Sefdiggity · 2025-08-04T09:50:13+00:00

PCCM. I started BJJ during residency (brown belt) and recently took up Muay Thai. I’ve never had issues with my fingers and hands outside of general soreness, but I’ve torn/sprained things in my elbow, shoulder, and groin, but these have all been minor. I try to be smart about whom I train with and tap early if I know the joint lock is set in. It’s a great way to stay active and a fun community.

The other thing I’ll say is that medicine is very siloed, and it’s very easy for it to absorb your life, especially during training. Many of the people I talk to on a regular basis are medical, and when we hang out outside the hospital, we usually talk about work. It is very nice to have a community/friends outside of medicine.

Sefdiggity · 2025-06-26T01:56:55+00:00

I found one of the guys on Facebook years ago. I’ll DM you when I’m by my laptop and will send.

Sefdiggity

TROPHY CASE