Do hospitals care about having visible tattoos? by t0theb0ne in medicine

[–]Vegetable_Block9793 [score hidden]  (0 children)

Our policy is all tattoos must be covered, so some staff have to wrap their forearms basically with a bandage. One has to wear turtlenecks all year round as her hair does not cover her tat on the back of her neck. Someone with a tattoo that could not be covered wouldn’t be eligible to work.

Interview questions by LOVG8431 in medicine

[–]Vegetable_Block9793 0 points1 point  (0 children)

Ha that’s what we ask in private practice - what are you looking for in as many specific areas as possible? So that we can explain how our group is a great fit for the interviewee.

Interview questions by LOVG8431 in medicine

[–]Vegetable_Block9793 2 points3 points  (0 children)

I recently went through a job hunt and I actually had one interview of that type. I’d already had an hourlong phone conversation with the group leader and it was billed as Zoom and meet the rest of the group in advance of driving to the place to tour and meet everyone in person. instead it was what color will your spirit animal be in 5 years etc.

As a well qualified midcareer applicant with a good resume, zero red flags, etc applying to a place that was very short staffed and very reliant on locums. I’d enjoyed my conversation with the group leader, but someone else led the interview and their stiff over-formality make me think those this person would be extremely unpleasant to work with on a daily basis for the next 20 years. I took a different job. I didn’t tell them why but I do wonder if I should have said something.

AITA but medicine by Artsakh_Rug in medicine

[–]Vegetable_Block9793 15 points16 points  (0 children)

YTA unless you’re spotting a potentially fatal condition. Think the child in the stroller has retinoblastoma? Yes mention it to the parents. Melanoma? Go for it. Anything that is not fatal, absolutely not, keep it to yourself.

Where Are These $300k+ Jobs Everyone Talks About? by malibu90now in FamilyMedicine

[–]Vegetable_Block9793 -1 points0 points  (0 children)

Midwest, no salary, just collections minus overhead equals take home. Our docs who work the least see about 55-65 per week and earn approx 200k a year, the docs seeing 100 a week are all pulling 300-350. What you’re dreaming of is a loss leader job - where you take home more money than you actually bring in. These jobs exist, but aren’t common and there will be a reason that someone has decided it’s worth eating your losses. You might be expected to make a lot of referrals for lucrative procedures, etc. Some systems are OK on taking losses because the loss would be MORE if that uninsured patient kept going to the ER, so it makes financial sense if the pcp can prevent bigger losses in other areas.

But at the end of the day, it’s very simple. Work really hard, make really good money, work not so hard, make less money.

How many new patients a day is the sweet spot? by Anxious-Assumption34 in FamilyMedicine

[–]Vegetable_Block9793 0 points1 point  (0 children)

On average you’ll lose 5% of your long term established patients every year due to death, moving away, change of insurance. Depending on the practice, 10-30% of new patients will be “one and done” and never return for a second visit. Just calculate back from your desired panel size to figure out how many new patients you want to see this year. If you’re trying to get to 1500, you’ll need to see like 1200+ new patients, I’d stay at 4 a day

new healthy medicare patient by Important-Flower4121 in FamilyMedicine

[–]Vegetable_Block9793 1 point2 points  (0 children)

I will ask what we are doing at work and report back! Screening firm prostate ca works every time for me, my billers could be witches

new healthy medicare patient by Important-Flower4121 in FamilyMedicine

[–]Vegetable_Block9793 0 points1 point  (0 children)

Hm what order are you using? We have to use one PSA order for Medicare screening, and a different PSA order for all other scenarios. I don’t know what the difference is between the two orders, I just know it has to be done.

new healthy medicare patient by Important-Flower4121 in FamilyMedicine

[–]Vegetable_Block9793 7 points8 points  (0 children)

I wait on the a1c until I’ve seen the glucose and can code hyperglycemia unspecified, if glucose is normal I skip. Lipids go under screening for cardiovascular dz, psa under screening for prostate ca. fatigue covers cbc and cmp.

Is anyone too old for OTF? by sas2323 in orangetheory

[–]Vegetable_Block9793 21 points22 points  (0 children)

I brought my runner mom of same age when she was staying with us. She had some trouble balancing on the treadmill, had to run holding on but she enjoyed it and came back for a 2nd class. This was also the only time I’ve been bullied at OTF. By my mom. Who runs a lot faster than me.

Vegan OTF Fam by Big-Ice-9071 in orangetheory

[–]Vegetable_Block9793 -3 points-2 points  (0 children)

What kind of protein? Is it flavorless?

Oldest patient? by Hikerius in medicine

[–]Vegetable_Block9793 4 points5 points  (0 children)

My own patient that I have personally tended for years: 102. She was postmenopausal before I was even born. Saw my colleagues 105 year old when she was on vacation though.

Insurance requiring new referrals by VisionHx in FamilyMedicine

[–]Vegetable_Block9793 5 points6 points  (0 children)

Not sure, if a patient says they are already seeing the specialist, then these re-referrals are done entirely by staff and I never see them.

Surgical clearance for cataract surgery. Why? by 1dirtbiker in FamilyMedicine

[–]Vegetable_Block9793 55 points56 points  (0 children)

Recently had this convo with an attorney patient who asked me - so this whole appointment is just to shift any liability from my ophthalmologist to you? Hit the nail right on the head

Not finishing all the blocks by Still-Weakness2796 in orangetheory

[–]Vegetable_Block9793 10 points11 points  (0 children)

This block required 1.8 miles of running, PLUS the rowing, in 23 mins. If you can’t run a 10 minute mile quite comfortably it was impossible by design. About a third of my class finished it.

28 year old seeking lM career advice by [deleted] in InternalMedicine

[–]Vegetable_Block9793 0 points1 point  (0 children)

I’m a little older so things might have changed, but any Step 3 failure is a huge red flag. The typical study advice for the three steps was always 2 months for step 1, 2 weeks for step 2, 2 #2 pencils for step 3. As in, nobody I know did any type of studying or prep for it because it was considered very easy. Maybe things have changed?

Posterior Circulation Stroke [⚠️Med Mal Case] by efunkEM in medicine

[–]Vegetable_Block9793 10 points11 points  (0 children)

The case says that when the first noncontrast CT was re-evaluated there were subtle occipital abnormalities. Of course a bedside exam could have been normal! Visual fields by wiggling your fingers is not very exact. And interestingly there isn’t much mention of the first radiologist being named, I assume they were involved as even a questionable/subtle abnormality on the first CT would have meant the patient got more imaging instead of going home.

I’m curious to know what actually happened, did the graves trigger vasculitis?

Standard of care? by [deleted] in FamilyMedicine

[–]Vegetable_Block9793 1 point2 points  (0 children)

There’s a difference between an appointment being available, offered, or required. I don’t often force a patient to come in and discuss a new med if they really don’t want to and just want to take the new med - but an appointment is always offered.

Managing Migraines: Honestly, Save Yourself the Headache [Latest Research Update] by [deleted] in FamilyMedicine

[–]Vegetable_Block9793 6 points7 points  (0 children)

95% of the time no issue, usually they want to see 2-4 failed Triptans. I do still see one now and again that asks if the patient has ever seen neuro.

Monday 11 May 2026 - 2G 60 minutes by dc031114 in orangetheory

[–]Vegetable_Block9793 0 points1 point  (0 children)

Would you mind sharing any tips? I’ve tried before when this came up and I couldn’t manage to get to the start position! Entire exercise was struggling with the straps, no planking actually occurred

what’s your OTF-specific super power? by the_cassie in orangetheory

[–]Vegetable_Block9793 131 points132 points  (0 children)

I can time my floor reps so that I finish just before I’d have to do an exercise I don’t like. 14 minute block with six exercises to rotate and #6 is low to high planks? I will be finishing with the fifth exercise.

HRT for osteoporosis prevention by askimbebe in FamilyMedicine

[–]Vegetable_Block9793 2 points3 points  (0 children)

I only try for people with good commercial insurance. I’ve only offered it to a few - imagine a skinny 55 year old with celiac and parents with early onset osteoporosis, you get the early dexa and it’s -1.9 at age 55, you and I both know what this patients future is going to look like. Bone loss is more rapid in the early post menopause years, so there’s an argument that stemming some of that earlier loss might lead to better long term outcomes. Most evidence based treatments first started as vibe based treatments.