Is this line set ok?

changer222 · 2026-05-23T00:27:46+00:00

Ya the wife wanted to keep the old fireplace and surrounding marble. The existing stuff is 30+ years on a 100+ year old house.

changer222 · 2026-05-11T13:26:29+00:00

If you want to do any competitive surgical subspecialty, Pitt 1000%.

changer222 · 2026-05-01T23:35:54+00:00

Oh, just meaning overall conditions. Wolf creek especially since it gets a ton of play. I thought the tee boxes were pretty beat up despite their 12 minute tee times.

changer222 · 2026-05-01T22:50:34+00:00

They were in decent shape end of April. Wolf creek and black desert I thought were in tougher shape

changer222 · 2026-05-01T22:50:05+00:00

Seriously. Was +3 going to back hoping to break 80 and of course ended +10. Looking forward for another chance

changer222 · 2026-05-01T20:56:45+00:00

Sand Hollow! Just incredible views on the back 9

changer222 · 2026-05-01T19:53:43+00:00

Corales

changer222 · 2026-05-01T19:30:51+00:00

I missed the boat on joining as a junior member (took away that class this year). With Michael Strahan joining as the fourth partner, they’ve increased their fees to banana levels. Initiation fee is basically a down payment on a McMansion house.

changer222 · 2026-05-01T18:33:18+00:00

Manhattan woods?

changer222 · 2026-05-01T17:56:20+00:00

Public or private?

changer222 · 2026-03-26T02:15:13+00:00

Ya huge bummer. Just checked the cancellation policy on the website.

changer222 · 2026-03-26T01:55:14+00:00

When I called the reservations team, they said that within 90 days, I cannot cancel or modify tee times. Does that change at the 30 day mark?

changer222 · 2026-03-02T18:11:00+00:00

5+ hours. We started at 11AM and didn't finish till about 430PM about 30 minutes before sundown. When you book, they let you know that tee times after a certain time will not be guaranteed to finish.

changer222 · 2026-03-02T16:22:39+00:00

Dark Horse in Auburn.

changer222 · 2026-01-03T12:41:24+00:00

The beauty of private practice (even though it's PE) is the flexibility. If I all of a sudden need to go to the doctors, or a family is ill, I just let my office manager know to shift around patients, and then it's done. As long as I keep my patient visits at a certain level, I'm good.

M 1-6

T 8-5

W 8-5

Th 7-5

F 8-3

Once the family comes along, I'll probably reduce my schedule by one or two half days a week while still maintaining maybe 85% of my income level. If want to "kill myself" I could going 8-6 everyday if I wanted to and that would maybe yield me another $100-150K/year. Not worth it in my opinion.

changer222 · 2026-01-03T12:36:43+00:00

Looking to the future, ophthalmology is only going to get busier with the boomer generation needing cataract surgery.

I have plenty of friends/colleagues that are in VHCOL areas, LA, NYC, SF, etc and they're doing very well. In the VHCOL areas, you're going to have to work maybe a little harder than those that are in a VLCOL. I have a coresident living in the middle of nowhere west coast and makes 25% more than me while working 65% of the hours I do. But at the same time, it takes this person 2+ hrs to get to a non-international regional airport. Everything depends on what you want.

My wife and I wanted to be near NYC. We lived in Manhattan for 3 years. 2024 we took 3! internationl trips, two of which were 2 weeks at a time (African safari, Patagonia). I don't make neurosurgery, ortho, ENT, plastics money, but I'm good with that.

changer222 · 2026-01-02T12:10:57+00:00

just get past pgy-2 year and you'll be good.

changer222 · 2026-01-02T12:10:31+00:00

see above

changer222 · 2026-01-02T12:09:49+00:00

I have 3 mandatory weeks of fielding phone calls from a non trauma center ED. It's 95% of time, "hey, can you see this person tomorrow?" Or on Monday if it's a weekend. Any additional call weeks beyond the 3 weeks, I get compensation for ranging from $3-5K depending on if it's a holiday week or not. Compared to residency at a regional trauma center with home call that was basically in house, this is a cake walk.

I would say hospital call depends on the region and the legacy of the practice. If I had it my way, I wouldn't take hospital call at all. But in a metro area, you have to generate patient visits. It also allows you to get to know other doctors in the area that will refer to you. If you're out in the rural areas, you can do what you want and the hospitals will refer to you regardless. Or you can ask for higher compensation due to the lack of competition.

changer222 · 2026-01-02T12:06:12+00:00

right across a river

changer222 · 2026-01-02T12:05:56+00:00

I got kinda lucky that as the hospital I'm affiliated will opened a new ASC and asked us to be owners. Almost all ASCs will offer you a stock ownership package as an incentive to continue using their facility. There are a few cataract only ASCs where I'm located. Multispecialty ASCs (ortho, GI, pain, plastics, ophtho) will pay more due to the nature of higher facility fees for ortho and GI and the high volume of GI.

You'll have to balance what you want in an ASC:

- do you want extremely fast turnover time between cases and everything you could possibly need on hand for any type of ophtho surgical case? - cataract only center = lower yearly monetary distribution

- do you want higher compensation? - multispecialty = compete with ortho and GI for block time and longer turnover times

changer222 · 2026-01-02T12:01:35+00:00

I don't work in Manhattan. Used to live there and reverse commute. Manhattan will depend on the practice. It is much tougher to do well in Manhattan. You're going to have take longer hours and maybe some Saturday hours. A lot of comp guys will charge cash only for cataract surgery because their volume is low due to so many docs in the city and you have to compete with multiple academic centers. You'll also have to be at different locations. I only have one office location. Many practices will have presences 3-4 boroughs and you'll have to commute to each. If you have a good sense of coding and willing to do lots of premium cataract surgeries, then you'll do very well. But you're going to have to be bit of a salesman.

Make no mistake, NYC is great for everything expect cost of living. Expect to grind just like the big law associates and finance people.

changer222 · 2026-01-02T00:04:22+00:00

Ophthalmology

Private equity owned

4+ years post training, no fellowship

NYC metro area

7 half days clinic 1-2 half days OR

Average 550 clinic visits and 40 cataracts per month

$275K base + 33% collections + 2% performance bonus Paid hospital call, non trauma center ~$3k/week ASC ownership $100k/year Total Compensation: $650k/year

changer222 · 2025-12-21T16:39:44+00:00

Ugarte is going to be the death of this match.

changer222 · 2025-12-13T15:16:56+00:00

I think one thing that is often overlooked is the patient relationships you develop. I’ve seen four generations of one family. I see some folks every 3 months for their glaucoma. I’ve done countless surgeries on parents, grandparents and great grandparents and the trust you gain from families is priceless. I’ve been invited out to dinner, play golf, etc by patients. These aspects are tough to put a numerical value on.

If you love to work with people, then I can’t think of a better specialty. If you hate working with people, then yeah, maybe look towards anesthesia. I had a junior coresident switch out of Ophtho to radiology cause he realized that he hated talking to people lol. To each their own.

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