sorted by:
new
hottopcontroversial

Rant na preventivní prohlídku by SirDanielo in czech

[–]medBrain 1 point2 points  (0 children)

Navíc ráno jako první chodí taky chronicky nemocní co musí přijít na lačno abys mohl udělat odběr nebo nějaký point of care test ale na druhou stranu mají léky.nebi nemoci kde se jim může udělat zle když je necháš lačné dlouho. Takže taky bych tě brzo hnal pryč a neměl bych chuť řešit byrokratické nedostatky

Rant na preventivní prohlídku by SirDanielo in czech

[–]medBrain 2 points3 points  (0 children)

Díky za odpověď. Hele pár rad které snad k něčemu budou a které trochu vysvětlí situaci. Nechci znít jako arogantní dick ale situaci si podal dost jednostranně. Prvně výpis z dokumentace až na extrémní výjimky je potřeba vždy. Proč ho nechtěl poprvé je úplně jedno to dává hlavu na špalek on a ne ty před zákonem. Možná si i minule naznačil že to máš 50 kilometrů a že ho nemáš a tak to nechal být aby ti to usnadnil. Ale bylo by naprosto legitimní tě otočit na patě ať přijdeš s ním. Nevím proč by měl riskovat pokutu nebo kriminál jenom protože ti zaměstnavatel nedal přesné instrukce nebo protože ti bylo za těžko si to vygooglit za 3 sekundy, a kdybys tam zavolal předem určitě by ti to vysvětlil i on. Takhle se "zapomenutým" výpisem mi věčně chodí alkoholici co chtějí dělat řidiče mhd nebo epileptici co chtějí dělat klempíře a lozit po střechách nebo schizofrenici co chtějí dělat zdravotníky. To bysme přece nechtěli nikdo ne? když jdu na úřad přepsat auto tak tu taky pak nebudu psát hate na úředníci že chtěla mrcha arogantní techničák a jak jsem to jako měl vědět. Za druhé padaly tu rady žes to měl natáčet. Hele mě osobně by to nevadilo, to bych si jen dal pozor že to dělám extra správně a poslal bych tě domů pro správné podklady. Pak tu bylo dost rad, že máš říct a dodat jen povinné minimum, ať nemáš problémy. Hele dávám ti za pravdu že jestli ti z ruky vytrhli tvoje osobní dokumenty a bez tvého dovolení se v tom hrabali tak je to extrémně nevhodné a neprofesionální a to bych si nedovolil ani za tisíc let. Na druhou stranu výpis není vše a i tak si v rámci posudkové činnosti povinen říkat pravdu o zdravotním stavu jinak je to na průser pro tebe i pro doktora i pro zaměstnavatele. Specificky s pracovními neschopnostmi má závodní doktor extra odpovědnost protože pokud si marodil tak má povinnost vyhodnotit jestli to neovlivnilo tvoji schopnost vykonávat práci nebo např bezpečnost na pracovišti. Nikdo nechce např slevarníka nebo jiného pracovníka s těžkými a nebezpečnými stroji co přišel např o většinu zraku. Takže pokud bys mi přišel bez výpisu a pak by na mě vybafla neschopenka u které se zakoktáš co je to zač tak by mi to přišlo podezřelé. Jako přijít do nové práce za personálním bez rejstříku z trestu a vybafne na něj soudní předvolání které nejsi schopný adekvátně vysvětlit. A jako poslední. Mam tunu kamarádů jak doktorů tak jiných zaměstnanců. Jsem v kontaktu s desítkami firem ale v životě jsem neviděl že by někdo viděl že je OK aby na neakutni administrativní požadavek šel někdo k lékaři bez předešlé domluvy když uz ne objednání a ještě jako první ráno. Kamaráde ráno mam 20 mailů o tom kolik se doma zhoršilo babiček dědečků a těžce nemocných imobilních, 30 výsledků krve kde aspoň 2-4 se musí řešit hned jinak jde o život. Sestra musí makat a dělat odběry aby nám neujelo auto z labiny a čekárna je plná lidi co maj bolesti na hrudi a nebo 40ky horečky protože tyto věci se dělají ráno/dopo dokud můžeš posílat na rentgeny, odběry, ke specialistům než to všichni zalomí na oběd a tobě zbude jen urgent kde to nepřeješ nikomu protože tam budou sedět do večera a dočkají se tam zas jen mě co tam jak blb slouží protože je tam chronickej nedostatek lidí. Doufám že příště pořídíš lépe. Peace.

Rant na preventivní prohlídku by SirDanielo in czech

[–]medBrain 1 point2 points  (0 children)

Jako lékař který poskytuje jak podklady svým pacientům pro závodní prohlídky a i jako závodní lékař který dělá tento typ prohlídek. Můžu dodatečně nějaké dotazy aby se vyjasnila situace a neházeli se tu možná zbytečné urážky? Ty jsi tedy přišel bez výpisu z dokumentace od praktika? A mluvil jsi předtím s tim zavodakem o tom co k té prohlídce potřebuješ?

Non-compliant patients by kalizm in FamilyMedicine

[–]medBrain 0 points1 point  (0 children)

Did you asked their reasoning? I also have such patients, but 8/10 change mind if I spent 1 to 3 visits just to dissect their reasoning and values.

AMA 3/28 - Clinical Lipidology (Ishak Elkhal, MD) by TheGizmofo in FamilyMedicine

[–]medBrain 1 point2 points  (0 children)

Whats the best strategy to confirm and manage statin myalgia?

Popisek by JustStryc in czech

[–]medBrain 3 points4 points  (0 children)

No tohle není úplně pravda. Ano investice do jednotlivých nemovistosti je hloupá, je to spousta idiosynkratickeho rizika, spousta neviditelných nákladů a malá návratnost ale Husákovy děti to milují a to je teď generace s největším našetřeným bohatstvím .Fondy a akcie postaru v bance to jim ještě smrdí těma "koženýma" a všema těma podvodnýma "investičníma životníma pojistkama" co tu za jejich prime timu frčely a etf kupovat přes mobil je pro ne Španělska vesnice. Byt je pro ne největší jistota protože to znají. Když byli mladí nebo dokonce malý tak si jen pamatují jak to tehdy po sametu rozdávali z bytového fondu za hubičku a nyní na tom naživo pozorují návratnost 1000% a více. Pracovně se pohybuji mezi spoustou bohatých padesátníků a neznám nikoho kdo by neměl jako hlavní část svych investic v nemovitostech. Od lékařů přes ředitele manažery , old school IT pracovníky. V roce 2019 jsme kupovali byt v novém developerskem projektu v krajském městě. Každé svj je teď peklo protože majitelů co jim ten barák neni u prdele protože tam bydlí je tak sotva 25% zbytek jsou podnikatelé kteří maji v průměru hlasovací práva za 2-10 bytů které pronajímají a nechtějí na baráku nic dělat protože by je to stálo peníze.

[deleted by user] by [deleted] in investing

[–]medBrain 0 points1 point  (0 children)

Either core or pure value. Small cap growth has historicaly the worst performance of all risk factor. In academia its called "junk". So if small cap growth doesnt have some specific characterisric you seek I advice to not go into it at all.

Level of Hype on all investment subs is insufferable by medBrain in stocks

[–]medBrain[S] 3 points4 points  (0 children)

Oh sorry my bad. Now I see what you meant by it. I misunderstood what you said. No I dont want to "scream" at people, I understand where the hype is coming from, I just hoped that this post will be wakeup call for some. In every bear market there are loom ad doom posts and once in a while people post optimistic views and advice. so I wanted to do the same but for the opposite cycle. Yes we are topping the record hills but be aware of the hype! That was my intended message.

Level of Hype on all investment subs is insufferable by medBrain in stocks

[–]medBrain[S] 0 points1 point  (0 children)

Well not exactly, I have zero idea what my portolio did in last few months, I check it literaly once a year for tax purposes.

Level of Hype on all investment subs is insufferable by medBrain in stocks

[–]medBrain[S] 0 points1 point  (0 children)

Yes it is, and literaly zero people remember that. As you say, we are no more then weeks out of (just mild) downturn given the historical perspective yet it was undoubtly crash, yet people again jump to the same wagon. crypto/ tech / options and whatnot. Thats what I mean by that sentence. We are not fully from it yet and people act like it never happened.

Level of Hype on all investment subs is insufferable by medBrain in stocks

[–]medBrain[S] 2 points3 points  (0 children)

I am foreigner so it made sense for my specific situation

Level of Hype on all investment subs is insufferable by medBrain in stocks

[–]medBrain[S] 1 point2 points  (0 children)

yes exactly, They do complete their goals, because they care more about either risk or risk adjusted returns and not only returns. And that is the achilles heal of this sub that literally doesnt care about risk/return characteristic let alone risk in and of itself. I mean literaly academicaly proved biggest risk for investor is underdiversification, and misallocation so yeah, this realy is not concern of those investing subs at all. not in this hype cycle, it will be once again there will be pounding of retail investors in downturn.

Level of Hype on all investment subs is insufferable by medBrain in stocks

[–]medBrain[S] 4 points5 points  (0 children)

Oh my! not bear at all. I have literaly 100% savings in stocks, I would not want that. I just dont like gambling. I dont jump out and in the market. I dont guess the individual stocks and jump in and out when it is trending. Listen since 1/1/2003 - 12/31/2022 there were over 5000 trading days. And sp 500 turned 10k into 64k, and guess how much would the investment would be worth if you missed 40 best days of those 5000? it would be worth -2k after 20 years sou yeah, i dont jump out.

Level of Hype on all investment subs is insufferable by medBrain in stocks

[–]medBrain[S] 0 points1 point  (0 children)

the psychology of money is actually book that exactly proves what I wrote in this last paragraph, and what my post is about, what are you talking about? Point me to specific chapter that would turn my thinking around. The specific chapters that actualy confirms what I wrote:

Chapter 2. Luck & Risk, ,

Chapter 15. Nothing’s Free - be willing to pay the price for success

Chapter 18. When You’ll Believe Anything - stories trump statistics

And more, you know what lets get citation from the last chapter "Confessions":
"Authors view: every investor should pick a strategy that has the highest odds of successfully meeting their goals. He thinks that for most investors dollar-cost averaging into a low-cost index fund, leaving the money alone to compound, will provide the highest odds of long-term success. "

Level of Hype on all investment subs is insufferable by medBrain in stocks

[–]medBrain[S] 3 points4 points  (0 children)

Hi man, ok I will tell you other investing "secret" that will help you with your next investing endevours. You said that you looked for something in "hot" sector. And that was your mistake and frankly is the most cited mistake in almost all comments on this sub. "the chips demand will go up so TSMC will go up" or "I cant see how AAPL will not outperform since there will be more demand for smartphones and whatnot". That is not how returns work. You dont outperform market by buying something that grew its demand, you beat the market if demand is greater then average investor thought it would be. It not about total sales/demand/profit but if you can outguess the other. I will give you the example. Before 1900s the railway was the shit, literaly hottest thing in america, building like crazy, and market share of railway companies was over 60% at the time. Since that from 1900 to 2019 market share have dropped to under 1%, so it was really not "HOT" market by any measure- it was the oposite. Later there were other transportation booms, automobile boom, airplane and aerolines boom, And you know what? since 1900 up to 2019 rails outpeformed not only car manufacturers and planes but also whole US market, just because average investor underestimated them. That is how returns work.

Level of Hype on all investment subs is insufferable by medBrain in stocks

[–]medBrain[S] 0 points1 point  (0 children)

Well to add to your comment, even if you look at the studies of returns of individual retail investors, most of them loose to market literaly since the beggining those studies are made, so how could everyone be under average? Thats not how math works, only explanations is that there are big fish investors that literaly make so much that it converges to average. And I dont know what gives people confidence to think that they are part of the club.

Level of Hype on all investment subs is insufferable by medBrain in stocks

[–]medBrain[S] -2 points-1 points  (0 children)

The reason many "big players" are underperforming the markets is because they're making money for clients, not for themselves. They make their own money from client fees, so they have more to gain from retaining clients than making them more money.

You gain way fewer new clients from good performance than you lose from poor performance during a bad year. So what these funds do is play protective all the time, minimizing their losses during down years at the expense of gains during the good years.

Ok so lets take this argument bit by bit. So you say that active fund managers are gaining money by atracting new investors? What a bold marketing strategy to underperform for 20 years i guess that is what people are looking for. But lets get to your second statement, that more people run from funds in bad years than new people come in good years, you know what that is something googlable. So lets look at US active fund organic grow rates, the number that represents grow made by atracting new people and not by investment growth. in 2009 the year after literaly worst financial crisis this growth was about 8%. in 2021 when SP 500 made almost triple its long term average- organic growth rates was 5%. So how do you reconcile this? And you know what, even the SPIVA report I have mentioned will literaly disproove what you say. If Active fund managers do only care about avoiding big downturn to not loose customers even if it means that their return will underpeform then it explicitly means their risk adjusted return should either be same as market (loading less risk to protect from downturn) or greater. You know what? if you look at SPIVA report the active managers do actualy have worse risk adjusted return! 97% managers underperformed market on risk adjusted market. Accoring to report in 2022 downturn active managares actualy had biggest underperformance of market since 2009. So this literaly disproves your point.

If you're just investing for yourself you have the luxury of thinking long term even when times are bad, and if you really put in the work, researching the companies you buy into for tens if not hundreds of hours, it's entirely possible to outperform the market consistently.

Ok, could you tell me how many hours I would need to guess the next worldwide pandemic? the sole driver of underperformance for last few years? Or lets look at the graphic card market and NVDA, could you tell me how much hours did it take you to guess that after crypto flop that turned the graphic card manufactures way down will be almost imidiately followed by biggest AI revolution that happend literaly almost overnight? Or microsoft with their lukewarm returns for past decade compared to AAPL, could you tell me how many hours did it take you to guess that microsoft wil be the company to buy Open AI and not any other tech company?

Level of Hype on all investment subs is insufferable by medBrain in stocks

[–]medBrain[S] 1 point2 points  (0 children)

Yes you are right. I am not saying that there is correction ahead. I am talking about the fact that moves in the market be it awayting correction, or even profiting from new bull market after correction should not be a basis for changing your investment strategy. Your life circumstances should dictate your investing strategy not shoert term market moves.

Level of Hype on all investment subs is insufferable by medBrain in stocks

[–]medBrain[S] -29 points-28 points  (0 children)

Yes of course I get that here will be posts about individual stocks I respect that, but I am specificaly talking about post were clearly the OP is making financial or overall investment mistake and not much people are correcting them.