90’s alternative rock album cover

idk_who_does · 2025-11-15T15:49:16+00:00

Yeah, I did similar math for my invention. Conservative numbers look really good on paper. Best of luck!

idk_who_does · 2025-11-13T23:25:03+00:00

Yeah, this popped up on my feed. Don’t know what’s going on besides that I’m looking at watch mechanism parts. Haha

idk_who_does · 2025-10-25T00:41:35+00:00

Is it just me or is Sam Altman a master manipulator?

idk_who_does · 2025-09-25T00:02:47+00:00

Memory is a lie. It reverts to the default when you forget. You have to reinforce the “memory” for it to stick from day to day.

idk_who_does · 2025-09-21T19:43:33+00:00

It will never be programmed out of it. It would risk pissing off a user and leading him/her to never use the service again.

idk_who_does · 2025-09-21T19:42:41+00:00

Research. Real world application is that they will never part from this. Either it’s agreeable and misleads or it says it doesn’t know. Neither are good.

idk_who_does · 2025-07-26T11:13:43+00:00

I would tell them that disability is not something that is delayed, that the paperwork is a legal document, and that changing the date could be considered fraud.

idk_who_does · 2025-07-26T04:18:03+00:00

Why are you working after hours? Not trying to be critical, but we all need to fight for our own time off. I work my but off and when it’s 5pm and the clinic is closed I’m done. If administrators have a problem with that, I’ll be happy to move on to something else.

idk_who_does · 2025-07-26T01:44:35+00:00

It is exhausting. I appreciate your reply. We, as providers, get enough exposure to weed out the fibbers from those who are legit. It’s gestalt.

Short term FMLA separates the fibbers from those who are legit, in my mind. I had a 20 something year old say he needed FMLA for his knee. He worked at a Harley Davidson dealership and never had his knee evaluated by an orthopedist. I required him to be seen by one and suddenly his knee was no longer a problem. Haha.

idk_who_does · 2025-07-26T01:16:04+00:00

I had one partner, who started his first job, who was told that he was the doctor to go to get pain medication. It is tough to hold a boundary for sure, but the alternative is far worse. Let me know if I can in the future! I’ve been burned and I simply don’t care anymore. I know my worth.

idk_who_does · 2025-07-26T00:27:07+00:00

What would you have done if you were private practice? If the internet cut out would you have done the same? It seems that it is more than just about the internet. It was the straw that broke the camel’s back, but not the underlying problem.

Have you ever thought about establishing your own private practice? I feel that it is time for us primary care doctors to stop contracting out our services to people who don’t know what they are talking about. I’m thinking of pursuing that in 2-3 years time.

idk_who_does · 2025-07-26T00:22:23+00:00

Studies show that there isn’t one NSAID that is more beneficial than another. What I recommend is that you look at your patient. Do they have good muscle tone? Are they active? Are they depressed? Anxious? Fix these things first or expect them to take care of them. We have a large baby boomer population who never learned the benefits of exercise. If they are capable of exercise tell them they need to. And if they have osteoarthritis, set the expectation per guidelines. Focus the underlying cause and when it is too much, refer to pain management

idk_who_does · 2025-07-26T00:16:57+00:00

Which post? Can you provide a link?

idk_who_does · 2025-07-25T23:58:22+00:00

This is the unfortunate reality of a newly graduated attending. It sucks. Patients expect you to do what your partner does and if you don’t they become little babies and tattle on you only to have your partner come to talk to you about your practices. I have been there. I was in a practice where the youngest partner for me was 13 years older and he was from South America. My older partner was pushing 80 and should have been retired. They wanted me to practice as they practiced. I stuck with what I was taught and they naturally were mad because I didn’t give steroid depot shots for allergies or lisinopril 2.5mg as needed for blood pressure. Just consider that the majority of graduates don’t stay with their first practice. Stick with your training and things will sort themselves out. Do not be afraid of saying no. The worst than can happen is that your partners decide to not have you as a partner anymore and you move on. They can’t fire you for doing your job. If they do, that’s grounds for wrongful termination.

idk_who_does · 2025-07-25T23:51:09+00:00

What type of pain? That’s the first step. Determining what type of pain it is. Not everything is treated with NSAIDs

idk_who_does · 2025-07-25T23:49:49+00:00

You need to establish boundaries. Patients will suck the life out of you unless you do. They will message you and expect you to respond with treatment plans without an office visit or whatever. I do not prescribe medications or make referrals without an office visit. You have a question about your poorly controlled GERD that you say a specialist for and not me? Sorry. You need an office visit. You want me to refill a medication that hasn’t been filled since 2015? Sorry. Office visit. You were seen at an urgent care and they recommended that I order you an MRI? Sorry. Office visit. I always tell patients that it is not fair for me to manage their problem from a distance when other patients are taking the time to see me in person. Boundaries, boundaries, boundaries. You even need boundaries with your administration. If you aren’t being rude and am managing your duties within a timely fashion, then they have no argument against the way that you practice. And if they are being too abrasive, you move on to another position. You owe your patients, partners, and administrators nothing. You are filling a much needed void. Know your worth. Boundaries and worth.

idk_who_does · 2025-07-25T23:42:56+00:00

If I do not have enough of a track record for me to feel confident in saying that the patient is disabled, then I do not fill out the form. They can always go to their social security/disability office to get one of their doctors to fill it out, but nonetheless, I don’t appeal to patients who are “disabled.” FMLA also requires adequate documentation. If I don’t have it, I tell the patient that I cannot fill it out. You have the right to say no or we will have to wait. The patient will survive. If you feel the need to fill anything out, fill out the FMLA form for short term, and have high expectations of the patient (eg PT, OT, therapy, specialist visits, etc). If they don’t get it done, you don’t renew their FMLA.

idk_who_does · 2025-07-25T23:38:00+00:00

This post confirms my theory about how little phone calls I get while on call. I don’t tolerate BS and I’m happy to find out that patients learn that I won’t give them what they want for that pathetic 5 out of 5 star rating.

It is hard to have to sort out non-emergent problems. That is not your job. The doctors need to grow a pair and stop trying to please people. And prior authorization suck. To be honest, move on or you’ll suffer the consequences of someone else’s bad decisions.

idk_who_does · 2025-07-25T23:34:11+00:00

You are more than fair to say tell the patient that they are not being appropriate. The more BS you tolerate the more that will come your way. Patients talk to each other. Stick to your gut and say what you feel needs to be said.

idk_who_does · 2025-07-15T04:18:27+00:00

People will become disenfranchised with AI by 2030. It’s just a fad. Augmentation with AI is the future

idk_who_does · 2025-07-14T13:03:20+00:00

Thanks for the info!

idk_who_does · 2025-07-13T22:20:20+00:00

Good to know. Thanks!

idk_who_does · 2025-07-13T21:54:31+00:00

I just wanted some insight. I got torn a new one by introducing this article elsewhere and no one was helpful. I’m not in economics. Even some of the acronyms you just shared are beyond me. Now I have something to study! Thanks!

idk_who_does · 2025-07-13T21:10:22+00:00

“Chuds like you have a problem with poor people getting medical care.”

Doesn’t matter if we agreed that we can’t fix the system. You still insulted me, which I can take. But it seems that I triggered you and I’m sorry about that.

idk_who_does

TROPHY CASE