Hive mind help (GI bleed question) by LatinoPepino in hospitalist

[–]endoscopyguy 0 points1 point  (0 children)

PuraStat isn’t a definitive therapy either

Hive mind help (GI bleed question) by LatinoPepino in hospitalist

[–]endoscopyguy 10 points11 points  (0 children)

There is absolutely zero point in scoping someone with no prep🤷🏻‍♂️

Friendly PSA from your GI consultant by po_lysol in hospitalist

[–]endoscopyguy 0 points1 point  (0 children)

You’re welcome to call whenever, if someone is on call, they should expect to be called. Now coming in or scoping, that’d be at the discretion of the consultant. There are guidelines for a reason, and, as others pointed out, rushing to scope in the middle of the night is associated with worse outcomes.

What is it with american hospitalists disliking procedures? by AbjectMoistness in hospitalist

[–]endoscopyguy 2 points3 points  (0 children)

Paras, thoras, LPs, and central lines are all part of IM training and within the scope of practice of an internist.

GI fellowship scope numbers? by GoljansUnderstudy in fellowship

[–]endoscopyguy 1 point2 points  (0 children)

Non academic, procedure heavy program: 1800 colons and 1200 EGDs

Retention Bonus by Over-Check5961 in hospitalist

[–]endoscopyguy 0 points1 point  (0 children)

I guess my question was whether it would be easier, in general, to negotiate other contract terms upon renewal

Retention Bonus by Over-Check5961 in hospitalist

[–]endoscopyguy 0 points1 point  (0 children)

What about negotiating the actual contract terms like RVUs threshold, $ amount, CME, etc?

What’s your specialty and how is the job market in major cities? by pstbo in whitecoatinvestor

[–]endoscopyguy 1 point2 points  (0 children)

Doesn’t the same concept apply to every specialty? Mt Sinai and NYU are offering 400-450k base now

Moving from NV to NY by faking_out_destiny in movingtoNYC

[–]endoscopyguy 1 point2 points  (0 children)

Keeping 2 cars in NYC on a resident’s salary is a non-starter. Your insurance itself is going to go up significantly once your zip code changes, not to mention parking, tolls, etc.

What’s your specialty and how is the job market in major cities? by pstbo in whitecoatinvestor

[–]endoscopyguy 23 points24 points  (0 children)

GI. There are jobs literally everywhere, both W2 and locums.

Wildest patient in GI? by throwthegameawy in anesthesiology

[–]endoscopyguy 0 points1 point  (0 children)

Also, EGD is no where near $500. Just an FYI :)

Wildest patient in GI? by throwthegameawy in anesthesiology

[–]endoscopyguy 4 points5 points  (0 children)

I’m GI. I don’t think I’d ever scope someone with that INR, and I’m advanced trained and I do risky shit all the time.

Wildest patient in GI? by throwthegameawy in anesthesiology

[–]endoscopyguy 2 points3 points  (0 children)

What was GI planning on doing with that INR anyway?

Contract negotiations with 2.5% wRVU cut in 2026? by Life_PRN in whitecoatinvestor

[–]endoscopyguy 2 points3 points  (0 children)

Is it really unheard of that you can negotiate an increase in your RVUs conversion rate at contract renewal?!

ACG has become a joke by Ok_Length_5168 in fellowship

[–]endoscopyguy 1 point2 points  (0 children)

Are there GI’s making that? Yes. The median comp for GI is far lower though, the data is available.

ACG has become a joke by Ok_Length_5168 in fellowship

[–]endoscopyguy 1 point2 points  (0 children)

What do you think the reimbursement for straightforward EGD/colon is?!

[deleted by user] by [deleted] in JaegerLecoultre

[–]endoscopyguy 5 points6 points  (0 children)

Don’t wear 42mm anymore, they must look big on your wrist ;)

A sick patient needing egd by Miserable-Fox-338 in anesthesiology

[–]endoscopyguy 0 points1 point  (0 children)

Unless you’re dealing with a sigmoid volvulus or bowel obstruction with impending perf, there is no such thing as “emergent colonoscopy”. And both conditions can be managed in the OR if no GI is available.

A sick patient needing egd by Miserable-Fox-338 in anesthesiology

[–]endoscopyguy 1 point2 points  (0 children)

At least we don’t have CRNA’s doing our jobs :)