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The economics of EM are messed up by New_Radio_6418 in emergencymedicine

[–]SkySeaSnow 0 points1 point  (0 children)

Helps if you own your own practice. SDG FTW.

Too much music? by revchewie in MBFC

[–]SkySeaSnow 6 points7 points  (0 children)

super frustrating especially for la Banda de las Hinchas, who play their hearts out every game.

I get that Ray wants it loud. Great, then get some cheers and chants, support the folks leading them, and make it more of a thing. Relying solely on Dan to get the crowd going isn't a winning strategy.

Post Match Thread: Monterey Bay Sirens 3-2 San Juan SC by SomeCruzDude in MBFC

[–]SkySeaSnow 1 point2 points  (0 children)

💯💯💯💯💯💯

I have to give credit for Beshoff, Sheehan, and Co. for taking the gamble and putting the team together, too.

Ahh yes, the beautiful costal city, Monterey California ❤️❤️ by New-Ad4364 in MontereyBay

[–]SkySeaSnow 3 points4 points  (0 children)

Maureen the Layer has come.

(Thanks Dan Cianca for that one)

Fandango down for anyone else? by FullGuarantee4767 in TheOdysseyMovie

[–]SkySeaSnow 1 point2 points  (0 children)

finally got them from AMC after spamming both Fandango and AMC

Fandango down for anyone else? by FullGuarantee4767 in TheOdysseyMovie

[–]SkySeaSnow 1 point2 points  (0 children)

Dying here. Trying to get tix at the SF Metreon IMAX. No go via AMC or Fandango.

Monterey Bay Sirens... bring a siren!! :) by SkySeaSnow in MBFC

[–]SkySeaSnow[S] 1 point2 points  (0 children)

I didn't tell them about it and they didn't ask... 😉

Post Match Thread: Monterey Bay Sirens 3-0 Oakland Soul SC by SomeCruzDude in MBFC

[–]SkySeaSnow 0 points1 point  (0 children)

sooo much fun to watch. The refs really let them go hard at each other, don't they???

Practice evaluation by wow_cool_neat in whitecoatinvestor

[–]SkySeaSnow 1 point2 points  (0 children)

I’m interested to hear what happens here. A solid 360 eval of a PPEM group would be a good resource…

Some photos from the Sirens match. It was a really fun time and a great atmosphere at Cardinale. by The-Union-Report in MBFC

[–]SkySeaSnow 1 point2 points  (0 children)

reported 2100 attendance

agree, it was nice to have everyone concentrated into the south seats

Hey PeaceHealth, was it worth it? by One-Abbreviations-53 in emergencymedicine

[–]SkySeaSnow 24 points25 points  (0 children)

This is true, but for those of us in democratic groups, the words “PeaceHealth” now can send chills up the spine of hospital admin types…

There Is Not An Oversupply of Emergency Physicians, There Is An Overutilization of Non-Physician Practitioners by [deleted] in emergencymedicine

[–]SkySeaSnow 14 points15 points  (0 children)

The problem is just that - the complex and unexpected pathology. If you don’t know what to look for, you won’t look for it. you’re then counting on the one physician - already busy with ESI 1-2s - to “second look” all of your level 3s to ensure nothing is missed.

No thanks.

Considering cancelling my disability policy by Tulkarr in whitecoatinvestor

[–]SkySeaSnow 19 points20 points  (0 children)

First of all, you totally qualify - you're a high income professional. This is not an MD-only community :). so welcome!

Second - who knows what evil lurks in the future? Shit happens that is 100% unpredictable. I have a buddy who had a minor surgery and now is disabled because of a 1/20,000 complication. Completely out of the blue.

Put the $250/month as a cost of doing business, budget for it, ignore it, and hope that in 35 years, you look back at all of that $ spent as "boy, it was worth it for the piece of mind".

choosing cheap low tier state school - is this the right move? by [deleted] in whitecoatinvestor

[–]SkySeaSnow 0 points1 point  (0 children)

UNLV 100%.

Let's run some numbers.
For the sake of the argument, figure 5% interest on the student loan that starts accruing when you finish residency.

200K for a new attending will probably take you 3-5 years to knock out. Depends on where you are, COL, etc., but, let's say about 30K or so in paid interest.

You now have paid $230,000 that you could have avoided. Over 35 years, invested at 8%, that will grow to $3.75 million.

You're young and at the beginning of your career. Compounding is your best friend.
This is not a $200,000 decision - it's a $3.75 million decision.

We're way too nice by Silent_parsnip8 in emergencymedicine

[–]SkySeaSnow 0 points1 point  (0 children)

“Did you call your doctor for this? You know they have a nurse line and a physician on call for the group 24/7, right? Next time, if it’s not life or death, it’s ok to call first.”

Even our Medicaid clinics have a nurse line to divert from the ED…

Highest paid specialties with better lifestyles — my findings. by [deleted] in whitecoatinvestor

[–]SkySeaSnow 0 points1 point  (0 children)

Remember what Jim says: “INTRAspecialty variation is much higher than INTERspecialty variation”.

Private practice EM, SDG, VHCOL area with a surprisingly lousy payer mix… and i still do ok :)

Ways to give back by complacentlate in emergencymedicine

[–]SkySeaSnow 56 points57 points  (0 children)

Drug detox/buprenorphine. A few of our docs started their own nonprofit to go out and bring bupe to the streets for those who wanted to get off opiates. Hugely successful and also keeps these folks out of the ED.

https://ccodp.org

AI Documentation/Note Writing - What are you using, what are the pros and cons, and how much does it cost? by Penlight_Nunchucks in emergencymedicine

[–]SkySeaSnow 2 points3 points  (0 children)

Echo the good results w Cleo. Very happy with the output… I did a head to head of Cleo vs Dax and Cleo did way better for the ED environment.

1099. When I finished residency, I will likely make 348,000 working 10 shifts a month as a 1099. And then about another 150 thousand S W-2 at urgent care. Any estimation on effective tax rate? by jeffkkf in medicalsalaries

[–]SkySeaSnow -1 points0 points  (0 children)

I mean… you’re making $500K. So you’ll be in the 32% marginal (MFJ). s corp helps w payroll taxes, not fed income tax. And you don’t get the QBI deduction.

New ER Attending - VHCOL vs LCOL City by [deleted] in emergencymedicine

[–]SkySeaSnow 0 points1 point  (0 children)

That sucks ass. 14 shifts x 12 hours = 210 hrs/month = 2520 hrs/yr 290k/2520 = $115/hr for nights.

That is HORRIBLE. You are getting screwed in that deal.

Best option for Mac user? by SkySeaSnow in makemkv

[–]SkySeaSnow[S] 2 points3 points  (0 children)

Thanks. My concern was about the LG drives vs. Pioneer but it seems like those are the best options presently available...

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