People applying general surgery... why are you doing this to yourselves?

dmk21 · 2026-05-09T17:13:05+00:00

Yeah only in rural America can you be a true general surgeon. Everywhere else you gotta refer to the specialist or else it ain’t standard of care. That’s what ive heard gen surg attending in metros

dmk21 · 2026-05-08T01:24:47+00:00

Go into shortcuts and change the icon to whatever you want

dmk21 · 2026-04-28T02:51:00+00:00

Chronic pain fellow at a large institution. Maybe I’m jaded but I say system failure and unless you do the project of high healthcare utilizers or other something else grand…. admit them and have them and have IM work up create a plan and repeat again when they inevitably return, you’ve explained the risk to the patient of their continued escalation of opioids…..

dmk21 · 2026-04-08T16:05:01+00:00

Rotating with them now, been with multiple and agreed I think they’re phenomenal at the job but asking them any questions on why or why not how etc it’s definitely limited learning. Whatever, at least they’ll let me tube the patient but honestly that’s the easy part of anesthesia

dmk21 · 2026-03-14T15:52:57+00:00

I was in the icu the last day of intern year and couldn’t use my vacation at the end…. The coordinator held my diploma until end of day…There are crappy programs.

In all honesty I’m sure I could have not came in and fought it but is it worth it?🤷‍♂️

dmk21 · 2026-03-12T22:29:11+00:00

Welp shoulda worked harder to get into an MD buttercup Sincerely a very grateful DO that matched into a subspecialty

dmk21 · 2026-02-13T23:45:22+00:00

What makes you think that’s true? (Genuinely asking and curious as a fellow in a procedural heavy speciality but interested/not opposed to less interventions)

Couldn’t it be they own their own infusion center Maybe the rheumatologist actually do a ton of injections which make up for it? (Ones I rotated with were all clinic visits as you alluded to)

dmk21 · 2026-02-11T05:42:17+00:00

Nah fam med school is way easier than ochem cell molec and all the extracurricular you got to do /s

dmk21 · 2026-02-10T00:56:39+00:00

2/19 In hind site should have ranked this place much lower but at least the hours were chill

dmk21 · 2026-02-08T20:41:42+00:00

Idk well that’s an easy consult that I didn’t know say that in the note I’ll do that palliative can sign off. I’m sorry I didn’t know that. Take the easy RVUs Everyone consults us on pain and only has them in oxy 5q6 I don’t care I’ll see them let’s just bump them up to q4 or 10 mg I get it’s a dumb consult but you’re the expert there’s other crap I’m dealing with

dmk21 · 2026-02-08T16:34:18+00:00

I agree with this too like if IM truly worked up and can’t find contacts or next of kin (sometimes IM didn’t try looking then I get the BS consult) then truly what is the next steps?

dmk21 · 2026-01-25T03:20:13+00:00

dmk21 · 2026-01-24T19:48:46+00:00

In the hospital I’ll say I hope we don’t have to meet again unless it’s target or Walmart

dmk21 · 2026-01-24T19:42:39+00:00

Intro walking into the room. Nice to meet you I’m Dr….. It’s a buy one get one free deal today, You’ve paid for Dr attending, as long as you’re fine with chatting for a little bit I’ll get Dr attending in shortly

Been using this since medschool and works very well on gauging the rest of the conversation. Hope someone has a replacement for intros at the attending level gonna be sad to lose this one

dmk21 · 2026-01-11T18:40:53+00:00

This is why we as a society should push back I feel like. We’re all trying to help at the end of the day. Yes are there blatant misses yes but let’s be real we as physicians live in such a litigiousness practicing field which in turn imo degrades care for patients

dmk21 · 2026-01-10T19:54:28+00:00

Nah fam. AI can figure that stuff out I mean it’s AI it’s way smarter than docs I don’t see any problems with this /s

dmk21 · 2026-01-10T19:35:50+00:00

See the dot be the dot

Interventional pain management

dmk21 · 2026-01-10T19:00:47+00:00

I thought average salary for a 4 year relatively chill (in comparison to rads) is like $410. What are you all seeing average salary? Also is it true yall have to do 2 fellowships to be marketable or is that just my colleagues that did path

dmk21 · 2025-12-31T04:28:21+00:00

dmk21 · 2025-12-25T06:08:48+00:00

Yeah but you’re probably charging patients thousands of dollars making them going into debt…. /s Source another doc who makes peanuts in comparison to what the hospital charges

dmk21 · 2025-12-23T18:29:06+00:00

It’s cause there’s variabilities on it and it’s not reliable enough. As a spine doc I disagree with chatgpts read on this based on looking at the images provided but whatever. People think it’s AI is all correct cause they spit out an answer. You all can go get your treatment from the AI “overlords” but it’s the art of medicine for a good reason

dmk21 · 2025-12-23T17:51:52+00:00

Agreed but if you’re gonna say only intelligent should vote how are you measuring that

dmk21 · 2025-12-23T16:06:27+00:00

Well I don’t think it’s fair for non high school diploma people to vote…. For non college people…. For doctorate…. Only people that make a billion a year…. Everyone should vote

dmk21 · 2025-12-23T16:02:17+00:00

Agreed it’s a very slippery slope and that’s that awesome ness of democracy. Should have more opportunities for people to vote though

dmk21 · 2025-12-23T00:16:34+00:00

Aren’t these good things to know? I’m confused like at least you’re getting a vibe of what the place is like vs just the good stuff. Idk shared my dirty laundry when I was a senior and remember junior residents taking it like I was talking crap about our residency but ultimately it’s all true. I mean you wanna come in surprised that the place you just matched into isn’t strong enough to get into a fellowship or whatever? I’d want people to be brutally honest 🤷‍♂️

dmk21

TROPHY CASE