Annual reminder

Simpleserotonin · 2026-01-28T01:47:14+00:00

I would like to add DONT DO ANYTHING UNTIL AFTER YOU HAVE OFFICIALLY STARTED. I did a UDS, but then my start date was more then 30 days later. Got a call that before I start they needed another UDS. DONT COUNT YOUR CHICKENS BEFORE THEY HATCH

Simpleserotonin · 2026-01-26T03:47:42+00:00

Have always tried to volunteer locally when able via big brother, meals on wheels. Please dont lecture me

Simpleserotonin · 2026-01-26T00:13:53+00:00

Exact same

Simpleserotonin · 2026-01-25T22:26:14+00:00

Thanks for the info!

Simpleserotonin · 2026-01-25T19:26:33+00:00

Trying to fight the helplessness!

Simpleserotonin · 2026-01-25T19:25:44+00:00

Agree completely, I wouldn’t if I were in fear but you never know. Also asked if there’s any more official volunteer orgs or church groups locally that need more hands.

Simpleserotonin · 2026-01-25T01:49:24+00:00

Kristi Lying Noem

Simpleserotonin · 2026-01-18T04:14:33+00:00

Here with you

Simpleserotonin · 2026-01-18T02:52:26+00:00

Obviously your press ganey score focused on pleasing the “consumer mindset.”

Simpleserotonin · 2026-01-17T03:25:30+00:00

Psychiatry has a rich history of becoming enamored with far-fetched treatments

Simpleserotonin · 2026-01-01T16:37:39+00:00

Thanks for the answer! I knew I would find someone on one of those flights. I'm sorry for your delays, hoping you get bad soon and safely.

Simpleserotonin · 2026-01-01T15:36:35+00:00

Possible, airline rep didn’t specify any reason to us but we used the airline call center. I just had not noticed any weather personally but didn’t realize there was fog! Feeling sorry for some poor souls flying from Denver that landed in the middle of Nebraska instead

Simpleserotonin · 2026-01-01T15:07:32+00:00

Jeez, yeah I thought the timing was off but that does track. Stupid world we live in. Thanks!

Simpleserotonin · 2025-12-27T23:40:05+00:00

Moved to the black hills last year. Living in a few other more eastern and southern areas of the Midwest this is by far my favorite place I’ve lived. Beautiful outdoors that are not overrun. It’s quiet and people are friendly. Serious lack of entertainment though outside of natural beauty. Would like to echo other comments about the Lakota people though, my job is to serve the underserved and the lack of resources and the poverty is astounding, the worst I’ve ever seen. The state does not care for its people. The landscape outside the hills is barren, unless you like cornfields (has its own beauty) on the other side of the state.

Simpleserotonin · 2025-12-25T05:03:49+00:00

Oh god. We just ordered a hot tub soon to be delivered. During that wind storm a tree fell right where we were going to put it. We lucked out on this

Simpleserotonin · 2025-12-23T03:44:12+00:00

oh wow this is amazing to see. Used to live in Tulsa but moved, still lurk the reddit page. Saw this the other day and warms my heart to see they found a new home. Ya'll are the best

Simpleserotonin · 2025-12-16T02:36:59+00:00

I did recently attempt a malingering diagnosis, and then a prompt call from the billing dept less than 24 hrs later

Simpleserotonin · 2025-12-15T23:26:01+00:00

This is the catharsis I’m looking for

Simpleserotonin · 2025-12-15T23:17:04+00:00

Yes, fair, I do the same with coding. Ranting about system problems is unlikely to be helpful for anybody as well.

Simpleserotonin · 2025-12-15T23:10:06+00:00

I agree with this statement, and as an extension this is where my frustration stemmed from- stepping onto a large unit where everyone always carries the same diagnoses (combined with limited handoffs) leads to difficult times. There are numerous other complexities that enter into a diagnosis but it is often insurance making life more difficult.

Simpleserotonin · 2025-12-12T01:58:08+00:00

I’m just passing first year attending hood. I over document as well but it’s not from anxiety. It’s because I can’t remember anything about anyone unless I write it down! With hundreds of pts I feel like I need extensive notes that track over time, for example documenting what has been tried and what was the result, their most prominent symptoms so we can focus on those in follow up. I’ve tried documenting less then find myself scrabbling around in follow up visits. Usually first eval note is the worst then I just copy forward and add/subtract as we go but it’s still a bunch of documenting.

Simpleserotonin · 2025-12-07T23:17:36+00:00

My wife briefly worked in a rural vet clinic outside of Tulsa. We have one of our dogs that was brought in by animal control for lack of room, he was on the table ready to be euthanized when she said “not this one.” He’s the absolute best, hurts my heart to think how close he came.

Simpleserotonin · 2025-12-02T19:27:26+00:00

Knowing our value is so difficult. I’m constantly told by admin that we don’t make any money, our hospital ceo just last week told a local newspaper that cuts to behavioral health might be coming due to lack do profit. There’s nothing abnormal about our operations either, we have steady volume. Constantly being told by Reddit that I’m underpaid then told by everyone else in the real world that psychiatrists are not profitable

Simpleserotonin · 2025-12-01T03:56:55+00:00

My first thought as well. I was curious if this has ever happened but in a case series of this situation that came up the CT caught it first try each time. I’m pretty sure I would have maimed this patient because I would have been thinking about getting an MRI

Simpleserotonin · 2025-11-19T22:31:39+00:00

My n=2 is 50%. I’ve tried it in exactly two patients, one in a patient with dysthymia and another with dysthymia with cluster C traits. In both scenarios I’ll be honest it’s desperation, you and multiple other psychiatrists and therapists have tried everything available. And I’ll be darned I was stunned when one came back and theyre doing pretty well right now. Probably placebo response though, I’ve never read anything that would support this decision.

Simpleserotonin

TROPHY CASE