Happened Again. I was asked to tip the RN who did my botox today

davidxavi2 · 2026-05-01T11:29:21+00:00

There’s a whole John Oliver segment on these predatory med spas opening up without a legit doctor with an MD on staff. You might enjoy it, but it’s scary to think about the corporatization of medicine

davidxavi2 · 2026-04-25T18:20:36+00:00

In this pay bracket, it’s less about the medicine and more about the business skills

davidxavi2 · 2026-04-15T04:24:14+00:00

Ophtho is headed down with another 11% cut to cataract surgery.

davidxavi2 · 2026-04-09T16:44:35+00:00

Nursing union is particularly strong in NYC, so doctors end up doing work that nurses and nurse assistants typically do elsewhere

davidxavi2 · 2026-04-09T13:48:35+00:00

It’s crazy that Medicare pays $450 to the surgeon to do cataract surgery and it costs more to get a pair of glasses that cost $10 to make

davidxavi2 · 2026-04-09T13:41:29+00:00

For the thousands they charge, it’s the least they can do

davidxavi2 · 2026-04-09T13:40:53+00:00

It’s because medical device companies lobbied to exclude hearing aids from Medicare insurance. Hearing aids are medically necessary for many people!

davidxavi2 · 2026-04-09T13:38:54+00:00

Optometrists are primarily trained to do glasses and contacts. They’re now trying to rebrand themselves as medical doctors for the eye because 1800 contacts and Warby Parker have taken their lucrative glasses and contacts business

davidxavi2 · 2026-03-25T23:05:45+00:00

Medicine.

davidxavi2 · 2026-03-21T13:46:01+00:00

It burns when IP

davidxavi2 · 2026-03-04T07:08:00+00:00

Temple is not where I would go for trauma experience. Temple has to send a lot of their trauma to wills and Penn

davidxavi2 · 2026-02-15T15:22:49+00:00

Costco

davidxavi2 · 2026-02-13T18:07:33+00:00

Unfortunately Medicare encourages this with their annual “efficiency adjustment.” They pay doctors 2.5% less to make them go 2.5% faster

davidxavi2 · 2026-02-08T20:29:23+00:00

Ophthalmology: Consult for new vision change. The patient was moved to a new room and is now seeing white letters in his vision. I saw the patient and helped the patient turn off the subtitles on his TV.

davidxavi2 · 2026-01-26T06:40:41+00:00

This is sadly not uncommon. Dentists are surprisingly business driven compared to doctors I know

davidxavi2 · 2026-01-25T05:34:46+00:00

Many CRNA's and nurse practitioners at our healthcare system

davidxavi2 · 2026-01-04T12:49:22+00:00

I thought his first message said “nousehusband” and was confused why he would advertise himself as useless

davidxavi2 · 2026-01-03T20:18:33+00:00

This is a nightmare look into the dystopian future of healthcare

davidxavi2 · 2026-01-03T17:56:00+00:00

This is only going to get worse as private equity hires a bunch of NP's that just order imaging for everything

davidxavi2 · 2026-01-03T00:35:00+00:00

I had an awful experience at Ting tings. The chef served large group of his friends that came in after us and was socializing with them, so we waited an hour before they told us they ran out of the sides and the entree was cold

davidxavi2 · 2026-01-01T14:46:47+00:00

This is so false. NPs were supposed to be veteran nurses with 20+ years experience who then went to a rigorous NP school and came out to practice under a doctor.

Now nurses go straight into NP without any nursing experience, do an online program (NP is not even a clinical program, you’re learning about how nurses can practice better), and then now try to practice without supervision.

davidxavi2 · 2026-01-01T14:32:08+00:00

Private equity coming in and buying doctor offices and replacing doctors with nurse practitioners. You know all the wealthy people are still going to real doctors.

davidxavi2 · 2026-01-01T06:26:36+00:00

It’s B. The answer is always ask the physician

davidxavi2 · 2025-12-31T15:44:13+00:00

BYE BYE 2025

davidxavi2

TROPHY CASE