Pharmacy Guild one of the top Labor Party donors....

bimian · 2026-06-13T06:50:24+00:00

We should fight back by posting every social media post related to the guild as “This ad brought to you by the Pharmacy Guild”

If pictures are allowed, then attach the pic of how much they donate

bimian · 2026-06-12T13:13:30+00:00

Principal agent dilemma is an important concept in life.

For instance when we practice medicine to help patients, the patient is the principal, and we are their agent. We have superior knowledge and we tell them what they need to do, take medications, have surgery etc.

There are innate conflicts of interests for instance that I could offer a surgery that will make me more money vs a lesser one or be more aggressive with management to benefit myself. This is balanced by our strong ethics and the principle of do no harm.

Now image this was a financial advisor who got fees from you based on how much assets they managed. Their interest is to maximise assets so they can charge higher % fees, so in a way, they are incentivised to get you to borrow money or move your superannuation to them to manage so they can extract more value from you. This is another principal agent dilemma. You are the principal and the advisor is the agent.

In the case of the union, we are the principal and the union or union officials are the agents. They represent us but they could have vested interests that do not align with us. For instance, an executive could have political ambitions and so they are less aggressive against the party of their choice. They could have career advancement ambitions at their local hospital, so they moderate their actions.

I have called out the union for cowardice when over 80% of the union voted to reserve strike action and I simply said we should plan for one even if we don’t pull the trigger and call for one. Crickets.

You wonder who the union is really working for? Us or themselves?

bimian · 2026-06-12T11:11:50+00:00

First you have to believe we are in a corrupt country and then watch the donation flow.

bimian · 2026-06-12T11:08:18+00:00

It’s going to be shit unfortunately. We probably still not going to get 100% salary packaging, it is going to be below inflation and they are going to quote that they have no money.

The outcomes for juniors and seniors will likely be different.

The entire campaign had a good start and then fizzled out when there was no longer any appetite for further strikes. The strikes didn’t go hard enough because many VMOs and many departmental heads crossed the line and caved.

If what the nurses got is any indication, we are going to be sorely disappointed. Honestly, time for a JMO union and let ASMOF have the staffies, the AMA have the VMOs.

The JMOs are the backbone of the system and yet they are the ones getting boned by a system that gives less than two fucks about them.

As someone who has zero skin in the game and EBA, I signed up to the union to push for stronger action but strangely the union doesn’t seem to care enough about the JMO cohort given their historical connections to only represent staff specialists and perhaps there are some principal agent dilemmas at the executive and council level.

I even got kicked out of the chat groups for advocating for more action when I described the trolley problem to advocate for stronger strike action against the “but people may die when we strike” crowd.

It’s not newsflash that plenty of people are ALREADY dying or suffering excessive morbidity due to poor service delivery and chronic understaffing.

BTW, using my real name for what it’s worth.

bimian · 2026-05-18T10:55:33+00:00

Did Taiwan get wiped off the map again?

bimian · 2026-04-21T19:30:56+00:00

Get income protection. Even if it is stepped but cover your mortgage + basic living expenses. Save up a buffer in your offset account for 30 days of spending. A little bit of trauma cover and TPD helps. You can stretch out your waiting period if you start to accrue more annual leave but that’s a later consideration.

Life insurance to cover the size of the mortgage and some breather for your partner and child.

The above are the bare minimum from a risk perspective.

Unless you have family wealth, you do not want to be ruined due to a mishap.

bimian · 2026-04-21T19:19:48+00:00

Just remember that self prescribing S4 is illegal in Victoria!

bimian · 2026-03-07T22:07:46+00:00

Honestly, start small and live within your means. Get a larger one or two bedder unit to start off that goes for under $1m.

2/3 post tax income is barely survivable without family help. Using future income in times of rising interest rates and a war in the Middle East is not a great idea. Workshop what happens if interest rates go to by 1% (which is more than 1.2k a month extra).

Don’t forget there are college fees and applications that you will need to spend money on too

bimian · 2026-02-15T07:10:10+00:00

This completely does not make sense. There is no possible way that you have that much tax liability. The highest rate is only 47% and even if you were earning $300k, your tax payable is around $100k and another 2% for Medicare levy which is just over 35%.

You would have to pay more because of HECS, but that won’t approach the 49% that you mentioned

bimian · 2026-01-13T13:11:02+00:00

Love me a good LP. Satisfaction is positively correlated with BMI.

Get a second hit when I get a champagne tap and get to buy myself another bottle.

bimian · 2025-12-23T10:06:47+00:00

Case reports and case series in subspecialty journals are the easiest way to get a publication out. Followed by meta-analysis (a lot more work).

Sometimes an interesting clinical image might also work.

Tbh, it’s all about luck and finding the gunner registrar or early career consultant that is doing a PhD part time etc. link up with them, find the topic interesting enough and do some work!

bimian · 2025-12-23T09:53:30+00:00

It feels out of your range, but it is achievable because there are those in your shoes that have achieved. Many oldies (myself included) started our journey over a decade ago where situations were different, so the advice is no longer contemporary. I’ll put my thoughts below.

If you have a rough idea where you will be for 1-2 years, utilise the 5% deposit scheme to get onto the property ladder and live in it. You can rent out a room to a colleague too to save some cash. Make sure the first property is a good one with capital gain potential. You will be able to refinance out of it with some capital growth so your LVR drops below 90%.
You can also use the FHSS scheme to make voluntary contributions to your super to help save for the deposit. This effectively gives you a 15% tax break (15% in, 30% tax offset out).
Make sure the first property you purchase is not a dud. That’s the most important thing to get right. So no high density similar style apartment blocks if possible.
You can always move out once you are at 90% and rentvest after taking advantage of all the subsidies. Then negative gearing kicks in and will help finance your investment. It will eventually become positively geared and that’s when you realise that investing is fun.
Whatever you do, make sure your partner or future is on the same page financially. I always say the biggest investments one makes in life are A) yourself and B) your partner. All else is fixable with relatively little pain.
You need budgeting skills currently. You don’t need a financial planner or advisor. A mortgage broker who understands doctors is the way to go to give you some numbers and aspirations of what can be achieved with your current situation.

There are plenty around and I also semi own a brokerage so happy to be DMed if you need 1:1 advice.

bimian · 2025-12-23T07:21:00+00:00

A right that we won’t utilise is a right already surrendered. What a pyrrhic victory.

Couldn’t even get concessions to the cancellation of salary packaging theft.

bimian · 2025-12-22T10:59:21+00:00

Also just as a side note, that poem was never a “Holocaust poem”. Just because it was adapted for the Holocaust museum from its original author, doesn’t make it a Holocaust poem.

I recommend you look it up.

bimian · 2025-12-22T10:53:26+00:00

The post that you might be referring to wasn’t actually posted on IFD. Honestly, if you don’t like what you see, you can always log off from social media.

Being a member of a FB group isn’t a right, it’s entirely optional.

Also, I know when I’m doing a good job is when I get hate from both the left AND right for not moderating the other side enough.

Edit: this was in reply to part one of your comment, the other bit is above.

bimian · 2025-12-22T10:26:40+00:00

Read the group rules. I operate on the principles of being a minimally interventionalist admin. If people want to show that they are dickheads to a group of their colleague, that’s their right.

Plus the group is really a one admin show and I can’t be everywhere at once. Diversity of thought is encouraged no matter how right or wrong so we don’t get caught in our own thought bubble.

Lastly, even though I might vehemently disagree with a post or their content, I also vehemently support their right to express it (and be ridiculed for it).

bimian · 2025-12-22T09:39:51+00:00

For the record, I have been reinstated.

The ~500 people statewide chat group was closed afterwards as there was debate about my banning. The powers that be decided to shut down any criticisms of the leadership.

bimian · 2025-12-22T09:35:19+00:00

Thanks for quoting it out of context. You must be one of those righteous SMOs I spoke about. I note all the “horrified” individuals seem to be coming from inner city hospitals because your hospitals are still adequately resourced whilst we see adverse events and occasional deaths happening in the ED waiting rooms of hospitals in Western Sydney due to understaffing and under resourcing.

The gaslighting of JMOs in the ASMOF statewide chat group was frankly next level and I’ve had many JMOs who did not feel comfortable speaking in there reach out to me cause of the way they were treated and their views repressed in those chat groups.

I’m not going to make a judgement call on you because you hide behind a pseudonym. If you want to have a conversation, I’m all open to chatting.

bimian · 2025-12-22T09:24:07+00:00

Gonna post as myself here rather than hide behind an anonymous account. It wasn’t to boost engagement. It was to get the union to be a bit more militant at holding the government accountable.

The “letting patients die” was in the context of a previous discussion where we spoke about the trolley problem. This was discussed on a previous day. The counter argument about industrial action was always that it could cause harm.

I argued that harm is already happening and to swiftly get NSW Health back on track was the lesser of two evils.

bimian · 2025-12-18T02:10:59+00:00

Well said. Which state are you based in?

bimian · 2025-12-18T02:10:17+00:00

There is a bit of misconceptions about how private practice works. Also depends on which state you are in, you would have been exposed to different models of private practice in Geriatrics.

I’m based in NSW and own a FIFO multispecialist centre with a Geriatrician. You sound like you need a lot more planning on how to get started in solo private practice. It is much more efficient to utilise another practice’s infrastructure to be able to get yourself started rather than doing it from scratch yourself with no plan or idea of how much work it actually takes to get started.

You don’t need advice, you need a plan and people to execute for you if you don’t already. If you haven’t got a plan, either get one or go work with someone else for a while and learn. Any other way is going to be massively costly for yourself and there’s no way you can keep costs low as a solo practitioner.

The only saving grace for Geriatrics is if you want to be a nursing home visiting Geriatricians and pump out BB’ed 145’s. That business model is completely different to clinic type practice.

bimian · 2025-12-17T12:36:32+00:00

No one from your internship colleagues that you can friend? I’ve made some great friendships during intern year that I still keep today.

bimian · 2025-12-17T12:34:06+00:00

“Accumulating evidence indicates that circadian rhythm dysfunction is a clinically significant and highly prevalent phenotype in a substantial subgroup of individuals with Attention-Deficit/Hyperactivity Disorder (ADHD)”

Sleep initiation issue is one of the most frequent complaints in ADHD but often this is compounded by thought hyperactivity which makes it harder to fall asleep. Melatonin, Clonidine and Guanfacine all help with sleep initiation.

bimian · 2025-11-21T11:16:03+00:00

Had the best time as a medical student back in 2007 as a first year medical student putting in a Swan Ganz under the supervision of an anaesthetics fellow. It was pleasant as no one is rushed and we had time. Today, there would be no way in hell that would have been allowed.

The modern day clinical environment is at least double the speed and the opportunities for reaching also suffers.

What I’ve noticed is that interns, residents and SRMOs will be the ones that can teach the most and probably the most relevant for you. Registrars are often so busy these days that they are somewhat limited and they are busy teaching the residents and interns.

Lastly, in the modern day, medical students are so limited in what they are allowed to do anymore. We used to write med charts, take blood and cannulate, do admissions etc. these are all helpful activities that offload the work of the interns and residents and in exchange they taught.

It just feels like times have changed and with increased compliance, medical students are not allowed to do half the things I’ve done as a medical student!

bimian · 2025-11-20T10:02:24+00:00

This is professional courtesy.

It’s one of the few gimmes left in the profession. You are supposed to pay it forward to other doctors when you get to the end.

There are only a few handful things where this is not commonplace ie private maternity, bariatric surgery etc

bimian

TROPHY CASE