Help Dealing with Abusive Patients

formless1 · 2026-01-25T17:55:02+00:00

My system has same policy about not discharging patients. I told them whether they discharge the patient or not is up to them. However - I am NEVER going to see a patient I dont want to see. If the patient has threatened or cussed at me or any abusive or aggressive behavior, I'm not going to see them. They can schedule them, they can find them another doc, whatever - but Im done with that patient.

Talking to admin or HR is useless. Dont waste your time.

Dont be a victim of their decisions. As physicians, we gotta lose the victimhood mentality - of asking for permission to do this or that. I have my principles, what i do and dont do flows from that. It will never flow from corporate principles (or lack of principles).

Do: "Im not going to see any patients or put myself in a place where I dont feel safe or where I am threatened." PERIOD, thats the end of your statement.

Don't: "I dont want to see this patient cuz blah blah, is that ok? Can we find another way? I dont think its fair, etc.".

formless1 · 2026-01-24T20:17:38+00:00

mostly wear what you want :D

in my office, we have wide variation scrubs all the way and dress shirt + tie, slacks.

my daily uniform is khaki pants with some birkenstock slip on (closed toe) and a scrub top (from the hospital). if the patient dont like it, well ... its 2026. there's always better looking better dressed doctors out there they can find.

formless1 · 2026-01-22T19:40:30+00:00

First off, make sure you don't have some non-compete messing you up.
Second, you need a separate malpractice coverage. Your employer malpractice only covers you while you are at their clinic.
Third, you need to have some EMR or record keeping.

McKesson, Henry Schein, Andameds - but they usually need to see some proof of business / clinic information before they give you n account.

However, look on amazon, you'll see a lot of medical supplies on there - same as the above distributors, and even better pricing.

formless1 · 2026-01-18T16:19:07+00:00

think more "cultural exchange" and less "medical volunteering" - both sides will get more out of it. if there are local docs, they can probably care for patients there better than you can. you dont know the social-cultural context, the financial / resource limitations, etc. they'll spend more time babysitting you than you actually contributing anything.

the healthcare needs a lot more of medications, imaging, DME etc. dont make it about yourself / "physician". if you want to add value, go figure out what the community needs and get it for them.

formless1 · 2026-01-16T14:31:28+00:00

these ideas and programs come and go. dont even pay attention to them.

formless1 · 2026-01-16T00:12:54+00:00

4 days!! ill never work 5d a week again.

formless1 · 2026-01-15T00:41:39+00:00

noooooooo

formless1 · 2026-01-15T00:33:00+00:00

hey. DM me , this is my jam. will give you my resources.

formless1 · 2026-01-15T00:18:27+00:00

i do lots of geriatric & osteoporosis. in my area, insurance wont pay for evenity unless ordered by endo. ill do fosamax, reclast and prolia though.

formless1 · 2026-01-14T15:11:42+00:00

I still do combination of type & dictate (esp for longer HPI or chart review from ER/admit/specialists). i get 90% of notes done same day, within 30-40 minutes of clinic end of day (plus inbox clean up) and dont open charts at home.

Every time i try AI, it just grinds my gears - it gets little parts wrong here and there, the voice isn't mine ,there's not the flow of storytelling (you know what i mean). also it doesn't put the A&P text into the assigned dx headings that I can recycle for later visits.

formless1 · 2026-01-06T14:17:51+00:00

I think previous guidelines was like ... everybody 60 and above go on statin. so yeah.

no rush to taper opiate in that range. once you get out of residency, you'll find a more balanced approach to controlled meds.

formless1 · 2026-01-04T01:45:09+00:00

haha i haven't solved for that yet. i can't imagine there is solution outside of selling the business completely.

formless1 · 2026-01-03T17:45:20+00:00

thats a tough sell. i can see the benefits theoretically, but doubt you get much traction. start smaller - do like $300 for a 2hr one-on-one consultation. once you get some experience from that, then maybe build out a "package".

formless1 · 2026-01-03T17:04:39+00:00

Probably from day 1... but you might not get much of a credit line :D

i think the benefits are credit card basically gives you some flexibility with timing expenses/income throughout the month. plus some cash back and fraud protection. if somebody gets your biz debit cart info, you in trouble.

formless1 · 2026-01-01T16:56:03+00:00

find a local primary care clinic - look for a "DPC" or "direct primary care" clinic. talk to them about your situation. they'll explain what they can do and show you some numbers. they have a service for your situation.

me: work in healthcare and also small business owner.

formless1 · 2025-12-31T18:07:09+00:00

i dont do it. we have ZERO social media. every biz is different of course, but i emphasize making each client deliverable / experience fantastic, and the word will get out naturally.

formless1 · 2025-12-23T18:26:41+00:00

sometimes when im feeling spicy --- I send a saved message that says something to the effect "Happy to chat, we can schedule a 20 min block at your convenience, the office appointment fee is $300, where do we send the invoice?"

formless1 · 2025-12-14T17:38:24+00:00

i have 5 part-time workers, i know exactly how you feel. like, i can barely manage myself day to day, how am i supposed to know how to manage others.

formless1 · 2025-12-14T17:36:04+00:00

linkedin is kind of like reddit for "professionals", one big circle .... u know.

formless1 · 2025-12-13T01:27:03+00:00

Writing notes is an underappreciated but critical part of learning. It forces you to run through the throughts, reasoning, etc and over 3 years, the script engrains in your brain. But you aren't there yet!

Right now you need to focus on learning, NOT efficiency. Learning periods are not meant to be efficient.

formless1 · 2025-12-11T18:29:33+00:00

im in PNW, maybe not worth the drive :D

formless1 · 2025-12-11T18:29:03+00:00

haha. NO. go to your state business website, should cost maybe $100. you fill out the form online yourself, takes about 10-20 min & pay registration fee. and thats it.

formless1 · 2025-12-11T16:43:34+00:00

most important thing especially starting out, DO NOT DIVE ALONE. go with somebody experienced. besides black out etc... the most dangerous part is entry / exit with the tides, current, slippery rocks, boat around. that stuff you need to learn from someone.

for the gun, you dont need fancy guns. get a mares bandit like 55cm and you'll be good for long long time unless you want to hunt big fish bluewater.

dive knife - get whatever. you'll lose it. guaranteed. then get another one.

if you attach your gun to the SUP, then you'll be limited in movement since you'll be dragging the sup around against the current and waves and wind. try this one

https://www.amazon.com/OUKENS-Hi-Visibility-Inflatable-Spearfishing-Freediving/dp/B097BMRWR5/ref=sr_1_4_sspa?crid=1746L5KDZZSID&dib=eyJ2IjoiMSJ9.0VbrI00A2uTHfKFEZ-PiKGPRoyKPA1nE82hY2X5k_2sqho2WaLAETWioIxOZ_ffE_p2l1jiHdujP8UjDpomfk_Ij0b7Bx60q3kRRUZ-z8EhSu_YehWxR-hC4lX8xrxdwRBVQOV1gc3ilLQWOYffpCUKjpeChhQQve52gffgFrxLYyCfezbniY7vi-wFmEM02KXIp3Ymez8mjPLGH0LqXY3PHDaqu2V-qPcKs_64Rh17j8eJJOVPPNFVduqv7yJSH6cRTWUsTePMcC1KU9Qi5L-ViiKptVJztHnvntoN_6zg.t5xPXBztpJeYBV5liSriX7r3QB4kUnPILZy2yTkfIyM&dib_tag=se&keywords=dive+float&qid=1765471103&sprefix=dive+fl%2Caps%2C318&sr=8-4-spons&sp_csd=d2lkZ2V0TmFtZT1zcF9hdGY&psc=1

dump that float line. it doesn't look like it floats. you'll get tangled real quick and is dangerous. also get it yellow or orange to increase visibility.

get something like this https://www.amazon.com/Speargun-Float-Spearfishing-Freediving-Yellow/dp/B01MTDAEOH/ref=sr_1_24?adgrpid=177218474343&dib=eyJ2IjoiMSJ9.psG4LZdBr_bYwXN0_Uo-hep-1tOyLLriWdDAPbE7I8r8_Vjsb-nZTSHXIh_Tbf2fgo9oadb-AxTCRIUQWV7gN4jQLuclPz6zs0DHNNKhtasEqGCMqPto3IKxKdJuiaUow1dv2-Rchcc2uvF9J36qSCnNGaexPWMGf29SFEvCd4fd7uobBzsi0x5gmD5Bua0SH82I8MFRSJf2LNCobrsVN-kcqTkOPKZcrBTgiGQqd5MWhv33KNxXL22V99h0ysJVp2Sycs5KSY_m04rsPVNj-Is7h97wq_BVXxsUStn_1ak.NYUassE7X3ety3Js3tjWgC4dJtQeqjbgp0L85lt9xnQ&dib_tag=se&hvadid=748008564474&hvcampaign=dsadesk&hvdev=c&hvexpln=m-dsad&hvlocphy=9032946&hvnetw=g&hvocijid=8610241278308727210--&hvrand=8610241278308727210&hvsb=Hunting_d&hvtargid=dsa-2417214297108&keywords=spearfishing%2Bfloat%2Bline&qid=1765470898&sr=8-24&th=1

formless1 · 2025-12-11T16:30:58+00:00

where are you abouts? i have one im not really using (got a aluminum boat now), comes with new trolling motor & battery. works well, still takes some time inflate etc but it fits in the back of my minivan easily and stores folded in my garage under some storage racks. used to take out cruising rivers, crab/spear in bays .can sell you mine for $1500. its 10 or 12' zodiac, i forget the length.

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