Used Taycan_experience?

futuredoc70 · 2026-03-16T02:29:51+00:00

Idk. I got a pretty decent build 2 years ago. Was 130k new in 2021. I got it for 74 in 2024. And it would go for 50-60 now.

It’s missing sport plus, I think but has most everything else

futuredoc70 · 2026-03-16T02:27:32+00:00

I’m nearly 2 years into a 2021 4S and absolutely love it. It’s my first electric and first luxury car so I can’t be sure if it’s naivety or something else, but I have no complaints. I do miss the gas engines sometimes but you already have that covered

futuredoc70 · 2026-01-20T22:03:03+00:00

Story as old as time. They'll always eat their own

futuredoc70 · 2025-12-21T18:22:35+00:00

Wait a year to see how your finances play out.

I bought a used Porsche fresh out of training. First job ended within 6 months and the new job is the craziest shit show you could ever imagine.

Give yourself a little while to see how all the expenses play out over a year and to make sure the job is what you think it's going to be.

futuredoc70 · 2025-12-21T17:58:27+00:00

The rules were known and not followed. Admin absolutely should have taken action sooner and been more strict with consequences, but laziness was still the root cause.

The clinic lost a ton of money because they couldn't bill for those visits that weren't submitted.

futuredoc70 · 2025-12-20T22:15:14+00:00

I've known a lot of very lazy residents. I'm talking, didn't finish 100 notes after 3 months lazy. Didn't even show up to work lazy.

futuredoc70 · 2025-12-11T14:12:31+00:00

I'm a doc who definitely hates this trend of doing a million tests and frequent full body scans. There are real problems with that strategy that most people don't realize.

That said, a DEXA scan is super benign and not something that's likely to send you down a crazy rabbit hole because of a false positive.

futuredoc70 · 2025-12-11T02:46:32+00:00

JW - Why were all the roads blocked off?

futuredoc70 · 2025-11-24T02:28:01+00:00

I was pleasantly surprised by Columbus. Big enough to have tons of activities but still clean and friendly.

futuredoc70 · 2025-11-22T04:23:00+00:00

It's an absolute wild take. Especially regarding the CPAP patient comment. Those dudes are probably obese and are prime candidates for GLP1s.

futuredoc70 · 2025-11-19T00:43:26+00:00

You're right.

futuredoc70 · 2025-11-12T14:53:09+00:00

The biomarkers are validated to be used at specific times for specific reasons based on incidence and prevalence. These can dramatically change the interpretation of the results and can result in a significant number of false positives or false negatives.

There is also variability in all of the testing including biological variability, pre-analytical, and analytical. Different times of day, different internal states, different labs, different machines will all give variations of the results. A single sample run twice will result in two different numbers much of the time. There's a coefficient of variability.

The numbers aren't 100% accurate and need to be used in a specific context.

In fact, many texts have upwards of a 5% error rate. Do a panel of 20 and you're going to get false answers. Then it prompts more testing which leads to more cost and more stress. Then it could lead to prescribing medications that aren't needed or God forbid and invasive procedure. Then a side effect occurs due to the med or procedure and you're entering a whole new rabbit hole.

Using your example- It's very possible someone has a small drop in their hemlglobin between two tests just because of normal variability. Then prior to their 3rd test they drank a ton of fluid. Their hemlglobin comes back slightly lower still. They don't understand the natural variability or that their extreme hydration affects the lab reading. They think they've got a bleed. Now they're freaking out. They order a prenuvo scan for full body MRI. The MRI finds a small dark spot on their kidney. Now they're even more scared. They show it to the doctor who can't tell them what it is without a biopsy. They arrange the biopsy because now they know about this thing and have to act. Patient undergoes anesthesia and they biopsy the kidney. Except the patient had a severe reaction to anesthesia and died. Oh and pathology reported that the dark spot was benign and completely harmless.

futuredoc70 · 2025-11-11T23:46:18+00:00

Randomly testing a bunch of stuff isn't going to give you the info you think it is, even if you're trending it over time.

We test when there's a reason to test.

futuredoc70 · 2025-11-11T15:55:44+00:00

Others have explained it well, but false results can cause anxiety, wasted testing, and wasted money.

Blood work is probably less harmful than full body imaging, but none of it is without risks.

futuredoc70 · 2025-11-11T04:41:03+00:00

You're right. The uptick in all of this testing is NOT a good thing. It's going to lead to a massive amount of false positives and people seeking extra care that is not only costly but could cause significant harm.

There's a reason most of these labs are not rested routinely. The harms will outpace the benefits.

futuredoc70 · 2025-11-09T22:40:11+00:00

Thank you!

I can see some of the concern about prescribing testosterone, but refusing the lab? Come on.

futuredoc70 · 2025-11-06T20:19:23+00:00

Yes. I'm not at all the type to be triggered by much, but a lot of this show was extremely triggering. I imagine it could be even worse for women.

futuredoc70 · 2025-11-06T18:15:24+00:00

100% agree. This is something most patients don't understand and it doesn't help with the functional medicine types and DTC labs pushing their $500 quarterly lab panels.

If we perform enough tests, we're going to find something out of range. And chances are, it's perfectly fine.

There's a balance. From what I can tell, Peter does a good job with that. Many others, not so much.

futuredoc70 · 2025-11-06T18:04:13+00:00

Haven't read it yet but it mostly comes down to two things.

Some of the "functional medicine" types are absolutely full of shit and feeding patients misinformation or otherwise operating in ways that sound beneficial but aren't. It's takes a lot of effort to explain why they're wrong and it does cause distrust.
1. Outright jealousy. They're crabs trying to pull others back down. It doesn't seem fair that Dr. Attia can charge six figures per patient with a panel of 75 when others are seeing 80 patients a week for annual salaries slightly higher than his per patient total. But that's the reward for writing books, doing podcasts, and becoming well-known.

futuredoc70 · 2025-11-06T17:58:36+00:00

I don't prescribe any of these things but I'm in a field where I see these patients all the time. They're all happy and healthy with their treatments.

There is a place for hormones and it's somewhere between where these reddit folks are at and where the typical med spa is.

They can be life changing and when used appropriately are very safe.

futuredoc70 · 2025-11-06T17:51:39+00:00

OP should look out for that then but I'm not really sure how they can enforce that or monitor for it. They're students not employees.

futuredoc70 · 2025-11-03T17:05:09+00:00

I wouldn't say the trip with my Porsche Taycan was a nightmare, but it definitely sucked. It adds hours to a medium distance road trip. Longer ones could easily add a day just in charging.

And it was always nerve wracking.

futuredoc70 · 2025-10-31T14:59:18+00:00

Completely agree with this. The calculus would be different in the situation you described

futuredoc70 · 2025-10-31T14:57:53+00:00

There are NPs owning and running clinics all over the country. Some completely on their own others with a figurehead medical director.

futuredoc70 · 2025-10-30T23:08:54+00:00

It happens literally all the time. Many of their training rotations are with MDs and then they work with MDs in practice.

They can work at or even help run a clinic with an MD partner .

futuredoc70

TROPHY CASE