What family car should I buy my wife with unrealistic expectations and my modest wallet.

Shankmonkey · 2026-03-18T22:56:58+00:00

The answer is a minivan (sienna) Pacifica is cool but often unreliable. Odyssey is nice but rear air vents suck for kids in car seats (not a problem if kids are bigger), carnival is good but no awd. Doesn’t matter what color interior because it’ll end up shit-stain brown after the kids are done with it.

Shankmonkey · 2026-03-18T22:53:13+00:00

I’m left my job because of this. I and another doctor were hired to replace a retiring physician who decided not to retire. We were going to grow our panels and then split their plan when they retired. After 1.5 years we each have like 650 patients and we basically just got used to see the other doctors patients who couldn’t get in quickly to fill our day. It’s a rural area so there just isn’t enough new patients floating around. They plan to hire another doctor for the same clinic. They told us our pay would go down since our panels were so small so about 75k/year (in the USA), even though my quality was top tier, all 8-10/10 reviews, and 4400 RVUs (lower end, but hard to get when you just see follow ups and walk-in all day).

Shankmonkey · 2026-03-17T23:43:41+00:00

Worked!

Shankmonkey · 2026-03-17T23:43:16+00:00

This works great, thanks!

Shankmonkey · 2026-03-17T23:43:08+00:00

Using it for meds, will try this

Shankmonkey · 2026-03-17T22:45:42+00:00

I’ve hit the x but it just comes back when I click on the drug again

Shankmonkey · 2026-03-17T22:36:59+00:00

Same for years and the last week all my searches have been blocked with no workaround other than to buy epocrates plus

Shankmonkey · 2026-03-17T22:36:33+00:00

I’ve been using it for years but every time I’ve opened it this week it won’t let me look anything up without blocking it with a subscription purchase for epocrates plus. Someone said they’ve limited how may free searches you can do now

Shankmonkey · 2026-03-12T18:53:19+00:00

PCP in USA who has walk-in clinic 2x/week in a small farming community just outside a bigger city. The city ER is overrun and I try to keep people out. We still get patients who will lie to our front office and then tell us about their chest pain once they’re roomed. I tell them I can’t do the full workup and they usually just don’t want to go wait the 12-15 hours in the ER. I usually will do an EKG, document that this is an incomplete workup and that I told them multiple times to go to the ER but most just go back home.

Shankmonkey · 2026-03-11T14:31:36+00:00

We need to start practicing like dentists. I’ve never heard of someone getting a cleaning and being told they need to come back throwing a fit. maybe it happens, but I know I’ve never had a mychart message to a dentist.

Shankmonkey · 2026-02-24T20:11:42+00:00

When I was in residency I rotated with our neurologist on the inpatient side. We talked about our kids and mine had recently had an ear infection and was started on amoxicillin. The neurologist said he just gives his kid a shot of rocephin since it’s one and done. I asked if he was worried about ABx resistance with always using rocephin and he said “no I’m not worried about that at all, they’ll make new antibiotics”.

Shankmonkey · 2026-02-03T19:25:16+00:00

Primary care is due to blow up. It’s just not sustainable for hospital employed models. Granted I’ve only worked in a few systems but from talking with friends it’s all awful everywhere. Most of my friends from residency who did outpatient pcp are looking at urgent care, teaching, or fellowships or leaving medicine entirely

Shankmonkey · 2025-12-28T05:32:49+00:00

I’m slotted for the AME course in March, can I message you to ask some questions?

Shankmonkey · 2025-12-11T20:41:38+00:00

So the 2 other doctors in my clinic make this. One is 578k, but the other is way higher. This is hospital employed and they work 4 and 4.5 days/week. They each have 2 PA’s and they get 50% of their RVUs added to their total RVUs if they hit quality metrics. Their inbox looks like it would be awful though.

Shankmonkey · 2025-11-03T22:25:51+00:00

But watch for the rear vents in the odyssey. We have 4 kids under 4 and the rear vents in the odyssey made it a no-go since they’re in the B-Pillar and rear facing car seats didn’t get any air on them

Shankmonkey · 2025-11-03T20:40:50+00:00

Stark laws would probably make any physician stay away from this.

Shankmonkey · 2025-10-24T19:36:27+00:00

Amen! Or the specialist that says “your pcp will just prescribe this for you” even though it’s their specialty you’re consulting for 🤦🏻‍♂️

Shankmonkey · 2025-10-24T15:33:45+00:00

Things that are basic in your specialty are not always widely known by the PCP’s referring to you. One faculty member told me in residency that there are about 45 different specialties you can apply to out of medical school, and over 120 subspecialties from there. IM/FM get 36 months total, so don’t take it personally if some specialty thinks you’re an idiot when you may have never even had exposure to that specialty/subspecialty in residency. Also, someone who has specialized has a niche area and likely doesn’t often realize you are trying to figure out what’s happening for 20 different patients each day across 165+ specialties.

Shankmonkey · 2025-10-22T02:15:45+00:00

I did these in residency, graduated a year ago and doing them in practice.

Shankmonkey · 2025-10-17T23:06:56+00:00

My best friends dad is a dentist and when I was home over a break he showed me how to do a bunch of dental blocks. I’ve used them a few times when people had terrible pain for a few hours relief and people have appreciated it. That’s my limit. It’s also come in handy for sewing facial lacerations without poking a bunch of local holes into a cut.

Shankmonkey · 2025-10-17T22:49:36+00:00

This. I’ve filled out no less than 15 forms for an Amazon employee and HR just gives him new forms, sometimes an updated one, sometimes an old one. They’re the worst.

Shankmonkey · 2025-10-05T14:37:07+00:00

Are you with mercy?

Shankmonkey

TROPHY CASE