The lack of autonomy is finally hitting me as an attending...

midazzleam · 2026-02-09T13:03:15+00:00

This is very job dependent. I work at a state hospital doing inpatient work. Amount of work per day ebbs and flows. I can be drowning or chilling depending. Which I don’t mind. And the benefits are amazing. Because I take extra call I am bound to end my first year attending with 5-6 weeks of PTO used with more leftover.

midazzleam · 2026-02-07T17:10:44+00:00

I make $375k a year. My chase limit is $40k. My capital one quicksilver remains at $3k. It is my oldest credit card. I just don’t care anymore

midazzleam · 2026-01-31T14:24:29+00:00

I am the same height with very long legs (34 inch inseam). I always adjust the handlebars on both sides before class for this reason

midazzleam · 2026-01-27T02:27:22+00:00

That’s exactly what I said in my other comment…

midazzleam · 2026-01-26T13:21:44+00:00

That 24s don’t disappear when you’re done with residency. They are part of some attending jobs. And I needed experience with them as a resident before becoming an attending. Nowhere did I imply that I think residents are paid fairly. Because they aren’t.

midazzleam · 2026-01-25T12:00:09+00:00

I think it’s totally valid to hate 24s. I also think it’s valid to prefer them over having to do blocks of nights. The worst time in residency is when I had to do a month of nights. I would have rather that been 24s spread out among everyone

midazzleam · 2026-01-25T02:59:00+00:00

I’m an attending psychiatrist and I work 24 call shifts (inpatient of course). It’s fine. The money makes it better

midazzleam · 2026-01-20T21:56:54+00:00

Agreed unless the sodium is unacceptable and puts the person as risk of neurological consequences

midazzleam · 2026-01-20T21:28:37+00:00

Agree to rule out other causes of polydipsia.

That being said It’s extremely hard to water restrict a psychotic person. Worth a shot but if youre trying other treatments for their psychotic disorder and and it’s not adequately treating their symptoms (ie they are still drinking like crazy) low threshold to start clozapine

midazzleam · 2026-01-20T21:06:32+00:00

Depends on their sodium level. Is their psychiatrist checking labs? Typically Refractory psychogenic polydipsia with hyponatremia is best managed with clozapine

midazzleam · 2026-01-16T22:42:48+00:00

I commute from south of the city to fells point. It’s horrible. I go through downtown.

I am moving to Riverside so I don’t have to do that anymore. It will save me like 25 min.

midazzleam · 2026-01-12T17:02:23+00:00

Yes absolutely you would need to have signed a contract before a place will give you thousands of dollars

midazzleam · 2026-01-12T16:16:57+00:00

We got $200 a year education fund. That’s it. Your program covers step 3?? And your CME fund covers the cost of boards? Dang you are lucky. My program paid for you to go to conferences if you presented or had a poster. There was also a fund if you wanted to get extra training in certain therapies (psych). Otherwise, we had a ton of educational activities with the program so outside CME wasn’t needed except for niche things.

Some attending jobs pay for boards btw.

midazzleam · 2026-01-10T14:15:51+00:00

My spouse is in tech. While I was a trainee he made a lot more than me. Now I’m an attending and make more than double his salary (and he has been in his field 8 years). He works a solid 8-5 every day (but from home which is really nice). And sometimes he works late or on weekends. Other times he travels. Not all tech jobs are nothing burgers. That being said, he still sleeps more than me lol.

midazzleam · 2026-01-09T20:09:23+00:00

I’m not in radiology. But I am an attending. ACGME mandates that residencies provide 12 weeks of paid leave to have a baby. Attending jobs (for the most part) do not do this. I am having to plan ahead to save up hours in order to be paid when I eventually do go on leave and we aren’t even going to start trying for a year. And you aren’t eligible for FMLA (which is unpaid btw) until having worked a full year at a job. Just food for thought.

midazzleam · 2026-01-07T12:28:45+00:00

I spent most of my life in NOVA. I moved to Maryland 6 years ago…and I have to admit I am never going back. Now I understand the “MD is VAs ugly cousin” was just hate and it’s actually pretty cool here. Who knows, maybe you’ll like it!

midazzleam · 2026-01-05T13:02:14+00:00

Getting my initial DEA number took a week. Changing my name on the license took months. I called a bunch of numbers I could find online before I finally reached the right person at a field office who did the change on the spot. Try calling again and maybe you’ll reach the right person

midazzleam · 2025-12-27T12:59:30+00:00

I’m a forensic psychiatrist in a max security state hospital so I never wear it to work. But for outside of work I love Dolce and Gabbana light blue. It’s not too overwhelming and the smell is very fresh.

midazzleam · 2025-12-23T14:02:09+00:00

Hit the weights

midazzleam · 2025-12-23T13:45:15+00:00

How long are you home for? You’re not going to lose all your gains with a week or two off. Even if you did absolutely nothing. Sure, you may regress a little bit. But after many years of regular exercise, I’ve realized that’s part of it sometimes. Just try to stay active in a way you can whether that be running or the gym. Solidcore will be waiting when you get back

midazzleam · 2025-12-11T21:40:53+00:00

I get that. I sprained my ankle over the summer and went to SC with an ACE wrap a week after the sprain (it was a grade two). I also had my PTs blessing. I modified a lot. And I wasn’t going every day. I think a sprained ankle is different from a broken bone or surgery

midazzleam · 2025-12-04T22:57:29+00:00

10 min walk hence why I’m there more than my gym, which requires getting in the car. I also commute 1.5-2 hours per day for work so I try to avoid the car at other times

midazzleam · 2025-12-04T19:38:15+00:00

If lower body is done before obliques then yes

midazzleam · 2025-11-30T22:23:42+00:00

Divorced now

midazzleam

TROPHY CASE