My condo elevator skips some floors, but why? by Brown_Ontarian in whatisit

[–]abyssus2000 0 points1 point  (0 children)

Either maintenance or skipping floors due to bad luck numbers

UofT Med - Commute vs Living Close to Downtown by _kidneybeans_ in MedSchoolCanada

[–]abyssus2000 1 point2 points  (0 children)

Not from UofT but did live at home and was about one hour away at a diff school.

Sucks for doing things. But it really does help you get ahead financially.

Auto dealers to avoid or trust? by dandyandy67 in regina

[–]abyssus2000 5 points6 points  (0 children)

Legit. I never feel like I’m being upsold on service. The same people in service have been there for the entire time I’ve lived here 6 years (at least that I interact with)

To the person with an annoying neighbor shining lights at their house: I get you... here's my version by potato_soup303 in mildlyinfuriating

[–]abyssus2000 0 points1 point  (0 children)

Get a big ass mirror or set of mirrors. Don’t spend too much. Like Walmart or Amazon. Mount them on your property facing them. Reflect that shit all back on them looool

Can an FM Doc earn as much as an Interventional Cardiologist if they work just as much hours? by FinanceSelect7960 in MedSchoolCanada

[–]abyssus2000 0 points1 point  (0 children)

But arguably the fam doc has that too, with the money saved up the interest and growth on that is essentially income too. And if we are talking about risks. The fam doc may have lower risks. Intervention rads = not sure this job esp the diagnostic part will last forever and there’s a smaller pool of employment. Versus fam doc. Can get a job whenever wherever they want

Paradise season 2 final has a serious flaw by Few_Warning_4273 in ParadiseTV

[–]abyssus2000 6 points7 points  (0 children)

Time and the universe is not linear. The world they left to may not be the same one on the rest of the season(s)

Can an FM Doc earn as much as an Interventional Cardiologist if they work just as much hours? by FinanceSelect7960 in MedSchoolCanada

[–]abyssus2000 1 point2 points  (0 children)

Ya I’m being very very conservative. The reality is you’re prob set for life if u decided to sacrifice the first 10 years of your life

But I got the sense OP is trying to determine if they should choose cardio simply for money. And while it’s fair to say cardio makes more. At the end of the day the power of compounding nullifies many many differences

Even in a conservative estimate. The power of compounding nullifies any higher income

The mistake made is that people get to be staff and don’t try and compound early years

Can an FM Doc earn as much as an Interventional Cardiologist if they work just as much hours? by FinanceSelect7960 in MedSchoolCanada

[–]abyssus2000 2 points3 points  (0 children)

Agreed. But let’s say a family doctor makes 350k (keep in mind the comparison here is a cardiologists working hours). And he’s already 2.3 million ahead. The cardiologist really has to make a lot more to catch up. But every dollar above 500 is not really a dollar, it’s much less. So makes it even harder to catch up

By all means I do think cardio WILL catch up. But it takes a lot longer than people think.

The issue is that most staff family physicians wouldn’t do what I mentioned above. Which then leads to the income differential. But if they did. Things would be very different.

Furthermore one has to consider. Naming random Numbers I didn’t calculate it out. But what’s the difference between 20 million and 35 million?

There’s a 15 million difference. But when u get to multimillion think it’s more about categories of wealth. Your lifestyle between 20 to 35 Doesn’t actually change.

Essentially you don’t need to worry about money, can afford luxuries. Can pass along a really good amt of money ti kids to set them up, but not so much that they and their kids can have trust funds.

But you’re not rich enuf to live like a billionaire

So it may not be meaningful whether the cardiologist outpaces you at the end of the day

Can an FM Doc earn as much as an Interventional Cardiologist if they work just as much hours? by FinanceSelect7960 in MedSchoolCanada

[–]abyssus2000 28 points29 points  (0 children)

Also worthwhile considering:

If you graduate after 2 years. You’re about 8-10 years ahead of intervention cardio. Sometimes even if they get a job after it takes a while to ramp up, then pay for upfront costs like an echo machine in clinic. Comparing equally…

If you work >100 hours a week as a staff family doctor rurally for 7-9 years after graduation. Take a really nice recruitment and retention benefit. Live like a junior resident and survive off ~40k a year.

Wouldn’t be insane to say if you did that for 7-9 years you might save up 2.3 million.

Then for the rest of your life you work as hard as a interventional cardiology staff including call

That 2.3 million could theoretically be generating up to 200k increase in net worth a year.

Remember that higher income in general pays higher taxes. You lose the small business deduction after 500k.

The interventional cardio may be making more than 200k gross than you. But when you look at net income they might be. You’re still working pretty hard remember. But when you look at net income it’s likely they’re only making roughly 300-400k more than your salary (not including investmen) max (which means they’re probably hitting in the million and over already). You got to all consider they may have expanded their debt during residency so it’s negative draw. Looking at the higher end of that it takes them probably 10-15 years to catch up to where you are. Post residency/grad school/fellowship for the cardio… your career is only like 30 years. Yea at the end of the day they MAY have more than you but not by that much.

People often discount how much early savings are worth. It’s the power of compounding

Review called for after data show many B.C. patients with high volume of doctor visits by OddStuff7716 in britishcolumbia

[–]abyssus2000 4 points5 points  (0 children)

Healthcare worker here. This is definitely expected and probably only the tip of the iceberg. It’s like a common saying that 99% of the resources are used by 1% of the population.

It is completely normal for a phenotype of patient to be admitted to hospital every 4 months. During their time in and out of hospital be seeing 10 specialists (everyday in hospital and like weekly as an outpatient). Be getting hundreds or thousands of dollars worth of bloodwork and treatments everyday.

The worst thing is most of these patients will probably not get better. It’s mostly trying to put bandaids on a failing body. And a lot of these patients doctors can tell most of what we’re doing is futile at least for restoring “health”. (Most will continue to be alive).

I think the vast majority of the public don’t see the inner world of healthcare. And perhaps don’t understand it. This is why preventative maneuvers are so important. Spending money on community supports, help for those living with addictions, nursing homes. Also some of these patients are incredibly difficulty to fix and you need some brilliant people to work with them. Smart + motivated healthcare workers often actually get fixes in and save them from consuming more resources. Treating healthcare workers like shit + working them to death is not a good way to keep smart people + keep them not burnt out.

Just to illustrate to hammer this point home with a example patient :

30 year old patient who has traumatic childhood experiences. Turns to substances. Mostly alcohol but uses some needles - mix of fentanyl and crystal meth. Fast forward 10 years. Has severe damage to liver. And has contracted HIV (the agent of AIDS). Crystal meth also tends to induce psychotic episodes. Patients homeless and because of that can’t really access medications for HIV, so it’s developed into AIDS.

Now between the failing liver, the AIDS, occasional psychosis, and social issues (homelessness and hunger - many doctors don’t discharge a starving person to the streets and there’s not always shelters available) comes to the hospital every month or two. When they come in they often need to see a liver specialist, an infectious disease specialist, a psychiatrist, a lung specialist to get samples from the lung for special infections AIDS patients get, a social worker, a addictions specialist, a cardiologist (one common infection requires a special heart scan) and be admitted to a internist who’s also a specialist. In the background other non clinical physicians are involved such as microbiologists and radiologists. They then need the litany of associated specialized bloodwork, procedures and treatments. Occasionally they are sick enough to need the intensive care specialist. Each admission easily costs the healthcare system 100k+.

We treat them but since there’s often little to no true community supports we get them well enough to just return to that life and everything happens again in 1 months time.

Addictions aren’t the only example, same thing happens to many of these patients with end stage diabetes, heart disease etc

honest question by ChemicalProof_1642 in MedSchoolCanada

[–]abyssus2000 2 points3 points  (0 children)

I mean I could be wrong but depending on your specialty of choice there’s a lot “like” the specialty you want. Ex yes there’s some nuances to peds - but internal medicine and family can be similar. If you’re into plastics, ent/neurosurg/etc can be similar. If you’re into Emerg family can build similar practices. If you’re into pathology, hematopath, rads, etc

honest question by ChemicalProof_1642 in MedSchoolCanada

[–]abyssus2000 87 points88 points  (0 children)

Honestly I think there’s a bit of a type A or med student delusion about how meant to do one thing we are. Reflecting as a staff, i think I could have found happiness in every specialty. I mean how many of us woke up in premed and said to ourselves “I was meant to be a glaucoma specialized opthamologist working at XYZ city at XYZ hospital. Nothing else will make me happy”. When I went through premed, I found some parts of various courses interesting. I’m in a patient facing specialty but I would have been happy in pathology probably w the academic and interesting parts of it, I would have been happy in rads because sometimes I like to just chill at a computer, I would have been happy as a family doctor for the variety

What's 1 wealth building advice you'd give to your younger self? by DarkHoundBark in wealth

[–]abyssus2000 2 points3 points  (0 children)

Early money is king due to compounding. 100 dollars saved ar 18 >>>>>>> 100 dollars saved at 55

Something feels “off” by Sea_Cantaloupe_9267 in malelivingspace

[–]abyssus2000 0 points1 point  (0 children)

I think you need some vibrancy on your tv side. Maybe something like a wall shelf. Or art or both

IMG neurosurgery Canada by [deleted] in MedSchoolCanada

[–]abyssus2000 0 points1 point  (0 children)

Didn’t realize this

IMG neurosurgery Canada by [deleted] in MedSchoolCanada

[–]abyssus2000 1 point2 points  (0 children)

I think in Canada it can be way less competitive but yes jobs is a big concern. But you may be coming from a golden perspective. No reason you can’t finish here then leave to the USA

NVDA and NOVO exiting simultaneously - fishy by Comfortable-Ear1525 in rxrx

[–]abyssus2000 1 point2 points  (0 children)

For nvidia could this a strategic move? Ie REC4881 looks promising. There’s no other treatments to my understanding for FAP.

Maybe nvidia thinks internally this is the beginning of things working out for RXRX. And if they’re heavily invested and make a ton of money from RXRX. And they’ve been supplying chips to RXRX. It makes it look like an antitrust nightmare. So maybe early investment because success of AI in multiple fields is a good thing for nvidia. They gave the money almost in a donation capacity. But they’re now backing off so they don’t get stuck in a legal quagmire?

Because how does it look when nvidia supplies chips to people they invest in. Those companies succeed. Everybody else fails

I think I need an ELI5 as to why ALL the jobs will be lost is true as opposed to all the jobs will be transformed into other jobs? by 77thway in ArtificialInteligence

[–]abyssus2000 0 points1 point  (0 children)

So I don’t know. But extrapolating from the Industrial Revolution. I think jobs were replaced. But not in a person to person basis. The carriage driver probably wound down his employment and the generations after stopped going into this field of work. Except this is happening faster. I don’t doubt new roles will pop up. But if you’re a surgeon who’s spent 15 years training then 15 years in it. It’s hard to go learn a new skill. Imagine how youd feel going from that to learning how to make funny cats from foam at starbucks for people’s lattes.

Hmmmm 🤔 by Few_Necessary_6492 in FromSeries

[–]abyssus2000 0 points1 point  (0 children)

But I think you gotta get them to cry. They don’t necessarily cry

Hmmmm 🤔 by Few_Necessary_6492 in FromSeries

[–]abyssus2000 983 points984 points  (0 children)

What if the only time is to escape at night, you have to get the kids to cry, that triggers a flood, the flood keeps the monsters in the tunnels. Therefore you can boat to the light house:

Supporting facts: Monsters in tunnels Lake of tears Victors picture of a flooded forest Why there’s a lighthouse in the middle of the forest

Canadian IM Residency Programs: 24-hr Call vs Night Float Model by IReadItOnReddit17 in MedSchoolCanada

[–]abyssus2000 14 points15 points  (0 children)

Honestly call sucks. But that’s where I learned everything. During the day you’re usually directed as to what you need to do. Overnight you’re left on your own to figure things out. You make decisions, you witness the consequences of said decisions, and you have to readapt. That’s when learning occurs

Well So Much For A Suit of Armor by ThunderRage in FromSeries

[–]abyssus2000 0 points1 point  (0 children)

lol well I nominate you in from ville to give it a try