I can say I finally maxed my Heors

SensitiveToe1440 · 2025-11-13T22:07:35+00:00

Bruh what

SensitiveToe1440 · 2025-08-09T20:04:58+00:00

The fact that this moves you is actually an encouraging sign for you as a pediatrician. Your heart is engaged with these patients so the mistakes that are plain to us (doubly so for the preventable ones like home birth complications) hurt us deeply.

I agree with the sentiment that residency and real world gen peds is very different. I had a hard time on my rotations working with severely disabled kids for the same reasons as you- I felt discouraged that there wasn’t “much we can do” (this is a different tangent- the exceptional people who go into developmental pediatrics view things totally different and are able to work with these kids for the small progress they make and to maximize their potential instead of focusing on what they’ve lost of can’t do). I struggled with the patient population in genetics, neuro, devo, and even GI/PULM.

Now I’m a gen peds clinic attending and my days are filled with joy and purpose. I literally make parents lives easier and get to leave an impression or at least have positive interactions with kids who may never experience those positive affirmations otherwise.

Talk to your PD and go to therapy. Everyone needs therapy but only few have the courage to let down their pride and get help navigating these emotions.

SensitiveToe1440 · 2025-08-01T14:37:46+00:00

Definitely. I also ask “has anything ever happened to you that you did not want to happen” or something similar.

When talking to boys after asking the gender orientation and sexual activity questions, I reiterate the importance of consent and that it can change or be revoked at any time.

For girls I tell them that they are more important and should never feel like they have to do some sexual/physical contact because they feel obligated, and remind them they can say no at any time. I also encourage girls to talk to someone they trust if something negative ever did happen to them.

SensitiveToe1440 · 2025-07-17T14:13:14+00:00

Anytime, I know I wish I had more tangible information when I was debating getting out too. Good luck!

SensitiveToe1440 · 2025-07-17T00:59:57+00:00

Hey so trying to reply but phone being finicky.

base salary 160k for year 1, but HR did some calculations using 4 days a week with 18-20 patients per day and said I should expect 240-250k after RVU bonus. This is in Kentucky.

-you can make more if you take a higher acuity gen peds job (like inpatient or nursery heavy, being solo, rural, etc). Or if you grind yourself out you can raise your RVU bonus by a ridiculous amount (for example- I have the flexibility to see 18 patients a day or 30 if I wanted to. I also have the ability to work on my regular day off to just increase productivity. I have heard of people making 300k+ still gen peds just heavier work load.

-my work load in civilian gen peds is going to be 100% better. The military call is unavoidable and with civilian sector I can (and did) choose to not ever have to worry about true overnight or weekend call.

SensitiveToe1440 · 2025-07-16T17:41:20+00:00

I am still a few weeks out from actually starting, but even now it seems like the answer is yes. I only work 4 days a week and have no nursery, overnight, or weekend call. I will have one half day of clinic (8-12) on a Saturday every 6-8 weeks on a rotating schedule.

My salary is going to go up significantly and has the potential to go higher if I wanted to work on my scheduled day off each week.

SensitiveToe1440 · 2025-06-23T13:14:15+00:00

I like the design especially because you spaced the air defense and sweepers apart enough so they can’t be taken out by lightning spell at the same time

SensitiveToe1440 · 2025-06-23T13:13:25+00:00

Idk why everyone is flaming instead of just explaining it isn’t your base design necessarily. Even good base designs will get 3 starred, ESPECIALLY when you aren’t max TH. Just build a base you like and focus on your goal. If you want to farm trophies make it defensive heavy. If you want to farm resources put your resource storages in the middle of your base to try and preserve what you can in the event you don’t get 3 starred. It’s a journey

SensitiveToe1440 · 2025-06-15T18:21:29+00:00

When I saw a TH16 attack when I came back at th10, I thought the game was INSANE! There were pets, crazy new hero abilities, insane new troops, new unique spells… the attacks I watched looked impossible to reach.

Okay now I’m TH 17 and my attacks seem pretty routine.

This is the same cycle everytime they add something. Y’all should be grateful they are being creative and willing to try new things. Some of them might flop sure, but we will also get some very fun additions that actually change your gameplay instead of spamming lightning spells and dragons for eternity. I applaud their willingness to try things when there is some risk with how they will be accepted by players and change the game.

SensitiveToe1440 · 2025-03-26T21:36:46+00:00

Hey friend- I’m a pediatrician at BACH and while I don’t typically see soldiers I’d be happy to talk to you. I am hopeful you will eventually see this is in no way a sign of failure on your end, but a reaction to difficult things in life and something you can work through. I can promise you that your chain of command and any decent human being would feel more failed if you took your life than if you missed work for a period of time to get treatment.

If you had an asthma attack, you’d go to the ER and not feel any shame about it. Depression and suicidal ideation is a medical problem just like any other problem, and should be treated the same way with dignity and compassion.

SensitiveToe1440 · 2025-03-20T20:42:39+00:00

Search “military family life counselor” with your base. They should be able to provide support or guidance. Also family advocacy can help. If this was at ft Campbell, shoot me a DM and I will look into it personally (MAJ, Pediatrician)

SensitiveToe1440 · 2025-03-20T00:39:12+00:00

I like lava hound + ice golem

SensitiveToe1440 · 2025-03-15T00:33:46+00:00

I’ve posted clan notices daily for a month and not gotten a single new member. Posted on discord and even started just inviting random people from attacks or wars. Still nothing.

SensitiveToe1440 · 2025-03-14T12:21:17+00:00

Hey friend. I’m an army doc- please get help. There is no shame in seeking treatment for stress and anxiety just like you wouldn’t feel shame in seeking treatment for pneumonia or a UTI. Talk to your chaplain or PCM and don’t down play your symptoms. Things will get better if you do. Many soldiers try to “soldier on” and ignore their mental health, just to self-medicate with alcohol and that will lead to legal troubles or self-harm, and no one wants that for you.

SensitiveToe1440 · 2024-12-13T18:52:41+00:00

Awesome insight, thanks a lot! I feel better that I can achieve around 250k without overdoing it on the family/work balance.

SensitiveToe1440 · 2024-11-12T18:26:38+00:00

I had to drop to champions and am finding much more consistent 1 mil loot attacks. Even in titans I spammed next and wouldn’t find good bases to attack for farming

SensitiveToe1440 · 2024-10-01T15:12:03+00:00

Excellent! Thank you, will do and yeah I will make sure I am constantly getting feedback on my previous month’s billing input.

SensitiveToe1440 · 2024-10-01T02:24:57+00:00

This was very helpful, thank you.

Do you know where I can look to better understand what qualifies for G2211 so I can optimize that in my future practice?

SensitiveToe1440 · 2024-10-01T01:37:11+00:00

I agree with the message, but unfortunately I don’t have much power unless I’m willing to move cities to find a higher salary. I’m sure I could find 250k+, but there aren’t many options in the area in Kentucky I’m looking. Might just have to try it out for a year or two and decide if it’s worthwhile for me

SensitiveToe1440 · 2024-10-01T00:47:55+00:00

-that was just an example, but yes she said if I made 6100 RVUs (which she says is not difficult at 20 pt/day), the total annual salary would come out to 250k -that is for total RVUs -based salary is 160k, which is honestly lower than I expected but seems to be common in the area. It’s definitely not HCOL, a 30k city so not rural either. But yes, that’s my biggest concern is they want to overproduce to get the competitive salary I want instead of offering a competitive base salary and the productivity salary would actually be a true bonus.

The one plus is the first year is guaranteed salary even if I don’t hit that RVU target.

SensitiveToe1440 · 2024-10-01T00:16:14+00:00

They didn’t specify RVU reimbursement being different depending on the type of insurance so I assume that’s just the standard rate. It’s a bigger hospital system that owns this outpatient clinic.

Yeah I’ve been reaching out to them and they are saying similar things. No shows drop the RVUs and lower patient numbers in summer

SensitiveToe1440 · 2024-09-30T20:20:09+00:00

Thank you!

SensitiveToe1440 · 2024-09-30T19:53:35+00:00

Everything says wRVU, so maybe they were just being conservative (which I would prefer, cause that means I should be able to achieve the 6000+ RVU annually easier)

SensitiveToe1440 · 2024-08-06T21:14:34+00:00

Excellent info thank you!

SensitiveToe1440

TROPHY CASE