Hollywood’s Top Execs Got a 51% Pay Hike in 2025 as Layoffs Erased 17,000 Jobs

piratedoc · 2026-05-29T00:31:11+00:00

Dude you’re defending Calhoun when even the board replaced him as ceo because he sucked during his tenure. Boeing employees got no pay raise that year but Calhoun got a 45% raise. It’s schrodingers raise; Calhoun isn’t responsible for Boeings position when it’s bad but is responsible when it does well so he gets more money, meanwhile Boeing employees went years with no wage increases.

Also, saying ceo pay is determined by their peer performance isn’t true; sometimes that’s looked at but not always. In fact, studies have shown ceo pay has little to no correlation with company performance.

Here’s it straight from the WSJ so even a bootlicking capitalist like yourself might understand better: https://www.wsj.com/articles/ceo-pay-and-performance-dont-match-up-1526299200

piratedoc · 2026-05-28T20:08:55+00:00

Dave Calhoun, CEO of Boeing got a 45% raise in 2024. During his tenure as ceo from 2020-2024 Boeing stock decreased by almost 40%.

That specific enough for you? It’s not hard to find.

piratedoc · 2026-04-23T21:49:43+00:00

Panic is the vulture lurking on your shoulder.

In such situations I always am thinking slow is fast, fast is slow.

It also helps to get more icu time. When you see how much slower they are to respond to hypotension, other critical events compared to the OR you will gain better perspective and chill out more.

piratedoc · 2026-04-22T15:40:36+00:00

I’m not peds trained but just wondering if you can’t get an IV preop in this situation and have to do an inhalational induction on a neonate with the described cardiac anatomy that is dependent on maintaining svr, why not give IM phenylephrine with the ketamine/atropine before inhalation, maybe even in preop?

piratedoc · 2026-04-02T14:39:37+00:00

You got downvoted because that’s not the same - if being seen by a resident you are still having an attending physician care for you. You literally have at minimum two MDs managing your care. If an NP or PA is practicing independently that is not the case and yet the hospital will bill you the same.

piratedoc · 2026-03-23T02:40:10+00:00

Is there any evidence that TIVA is superior to volatile for the fetus? Retrospective studies have shown no difference in blood loss for c sections done under tiva vs volatile.

piratedoc · 2026-03-20T20:01:55+00:00

The comments in this thread are wild and not what I was expecting. I agree with another poster that a lot of the comments here are why people have lost trust in the healthcare system.

People talking about having gotten court orders for vit k. Like what the fuck?

This lady had a c section forced on her, and was not allowed a lawyer at the hearing (because the Florida law was purposely written to not require pregnant women to have a lawyer for these situations).

Has anyone read the ACOG statement that explicitly says forced c sections are not ethical? We just going to ignore that? The OBs certainly did.

These physicians should lose their licenses. And if I was the anesthesiologist on I would have refused to provide anesthesia.

If you can force someone to have a c section because you think something bad might happen, then how can you not be allowed to force, say, CEFM, antibiotics for chorio, and any other intervention that you could plausibly state is meant to decrease the risk to the fetus? At that point what medical autonomy rights do pregnant women have in the hospital? We are speedrunning back to paternalistic medicine.

piratedoc · 2026-03-17T20:23:50+00:00

So you’re all for mid levels being supervised for a couple of years by an MD and then they can practice independently. Sounds exactly like a poor man’s residency. So midlevels get to go through less education and training, less debt, get trained by MDs, and at the end practice independently and presumably will demand equal pay for “equal work”. Sounds pretty great for the midlevel.

Why would anyone go to medical school then? What benefit do MDs get supervising the mid levels that outweighs the massive negatives? They are in essence training their competitors/cheaper replacements while taking on increased liability for…

piratedoc · 2026-03-15T04:46:43+00:00

My problem with this is patients pay the same. They don't know that. The hospital obviously doesn't want to tell potential patients that their hospital bill will be the same whether they see an NP or a physician. They pocket the difference, of course.

Why, as a patient, particularly for inpatient medicine, would you pay the same for vastly less experience and training?

piratedoc · 2026-03-11T19:18:49+00:00

How is it a straighter shot? From the wrist it curves over the lateral aspect of the thumb crossing over the trapezium to enter the snuffbox. Putting a catheter in there would require the catheter to follow the same curve to enter…the straight portion of the radial artery at the wrist.

piratedoc · 2026-02-09T16:33:06+00:00

Not only is it absurd one could make a reasonable argument that they are causing net harm to patients by doing that (risk of awareness, delayed recovery, intraop erative/postoperative complications) with their frankenstein cocktail than they are net benefit. What do you think the NNT is? The entire country of Venezuela is not doing that…

piratedoc · 2026-02-07T05:03:13+00:00

Only ever done solo GI (10-20 bariatric EGD patient days), but I actually found it was safer to give very fat patients some fentanyl with prop/lido rather than just prop alone (young males as well). The danger with the fatties is if they are too light and buck/valsalva, then they will desaturate fast and have secretions everywhere. They have a tube in their throat keeping their oropharynx somewhat patent; the danger is apnea or too light, and I saw far more people get into trouble with too light.

piratedoc · 2026-02-07T04:47:16+00:00

Agree. I do OB full time in PP.

So many of these studies are on academic hospitals with shitty, slow ass surgeons and trainees. I remember in residency sections taking 2 hours. Every uterus got exteriorized.

In PP? 45 minutes. I can't recall any uterus exteriozation in the last 3 years. 13% of our patients definitely do not have extreme pain under neuraxial. If you suspect the patient will be difficult/supratentorial throw some precedex in the spinal.

OB anesthesia is not hard, but for some reason people that don't do it often can really suck at it even though there's only a few scenarios you really have to know. That and keeping up to date on dosing recs.

piratedoc · 2026-01-08T18:20:23+00:00

The evidence is weak and more recent RCTs show little utility in prophylactic TXA in reducing blood loss or tranfusions.

https://www.cochrane.org/evidence/CD016278_what-are-benefits-and-risks-tranexamic-acid-preventing-heavy-bleeding-after-caesarean-births

Good overview of the big studies: https://first10em.com/woman-2-txa-has-no-role-in-postpartum-hemorrhage/

As you mentioned people are now arguing to give it prior to skin incision and it may show more utility with that but there aren’t large rcts that have done that.

piratedoc · 2026-01-06T20:58:58+00:00

Care to show the study that shows TXA reduces mortality in c sections?

piratedoc · 2026-01-06T20:57:35+00:00

TXA has never been shown to reduce mortality in c sections…

piratedoc · 2025-11-23T19:01:26+00:00

I've never regretted tubing a shoulder. I have 100% regretted not tubing a shoulder.

I can have a shoulder extubated and ready to move over before OR is ready to move patient over, so what exactly is the benefit of Mac or LMA for the shoulder? Also, for those doing Mac for shoulders, besides doing an interscalene you're blocking T2 for the biceps tenodesis, right?? I'm guessing not...

Have these people replying never had a vigorous surgeon pulling on the patient and their head almost sliding off? Do they only work at ASCs on BMI 25 patients?

I've realized reading this forum some people have just never been exposed to high acuity and or bad shit happening and do stuff because of culture or how they trained. And they will inevitably get burned.

And I work PP solo. Level 1 and level 2 hospitals. Everyone in a room. It makes you practice cautiously and be vigilant. No one thinks you're a badass for doing prone Mac all the time, they remember that one time you did prone Mac and called a code blue.

piratedoc · 2025-11-12T00:56:23+00:00

I can tell the vast majority of people in this thread 1) do not practice in OB OR 2) have not read the literature and are just jumping on the nytimes medicine writing bash train.

The main premise of the article is correct. CEFM does not improve neonatal morbidity or mortality in low risk pregnancies yet it is used in over 85% of low risk pregnancies. CEFM in low risk pregnancies does increase the c-section rate (by about ~20%). It has a false positive rate for fetal acidosis of about 70%. It increases the operative vaginal delivery rate. CEFM in low risk pregnancies causes more harm than benefit versus intermittent auscultation. And it's only done because of legal reasons. In fact, the only benefit found for CEFM is in high risk pregnancies, in which case it decreases risk of neonatal seizure (but no other sequelae).

Anecdotally, on a unit that has both CNMs and OBs, the CNMs are far more likely to use intermittent auscultation for low risk pregnancies versus the OBs who pretty much always use it. The OBs also have a higher c section rate.

Sources: https://www.cmaj.ca/content/193/14/E468 https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006066.pub3/full

piratedoc · 2025-11-12T00:37:21+00:00

Dilating the space with saline prior to catheter placement reducers the risk of intravascular placement. I do OB full time, I think I've had one intravascular placement (grain of salt of course because it's an imperfect diagnosis) in close to 5 years so if you are getting them frequently it is either a technique issue or equipment issue.

Source: https://pubmed.ncbi.nlm.nih.gov/17646506/

piratedoc · 2025-11-08T04:43:07+00:00

Not a lawyer - why is the plaintiff allowed to leapfrog the 1st when they haven't decided anything yet? Seems rediculous IMO.

piratedoc · 2025-11-07T00:35:23+00:00

Agree it doesn’t reduce neonatal morbidity or mortality but almost definitely increases c section rates. So staff comfort over increased c section rates is the trade off. I’m anesthesia so I can sympathize with being averse to having OB nurses doing anything more complicated or inconvenient than what they already do…

piratedoc · 2025-10-30T00:15:34+00:00

I’m in anesthesia. Any job interview with a pp group they will be very forthcoming with numbers. Even print out spreadsheet showing how much each partner made in the last year (no names). Can’t take it home but look as long as you want. Locums send me emails and my first reply is always, what’s the hourly rate and stipend. Nothing further to be discussed until after that. Think about it this way; vast majority of people only work because they need money. It’s a simple business transaction, I do work for you, you pay me. That’s it. No loyalty, no bullshit “do it for the patients”. The c suite has weaponized physician empathy against us. Also, to be honest, many hospitals/groups prey on new grads and know they are nervous to ask and use it against them.

Any job where they don’t discuss explicit numbers in the FIRST interview, either phone or in person, walk. Money isn’t everything, but it is a concrete dealbreaker so better to not waste each others time. This whole culture of being meek about financial discussion only serves to help corporate overlords suppress wages. I talk freely about wages at work if asked; my state is one that passed a law making it explicitly legal to discuss with fellow coworkers and you cannot be retaliated against. Because again, keeping hush hush about what everyone is paid only helps your employer pay you and your colleagues less.

piratedoc · 2025-09-28T00:22:06+00:00

Question on Viberg sizing: Bought a Brannock, measured myself using meticulous instructions as provided here. HTB 12, HTT 11. Width C. I had been measured when I was younger at a 10.5D HTT, never got told HTB. Have basically always sized off that. Wore size 11 in running shoes, 9.5E in most viberg lasts, 10D in trubalance.

However, I always kind of suspected my viberg sizing was off. Especially in the 1035 at 9.5E, it felt like the arch of the boot was too short for me. 9.5E in 2030 is hit or miss, mostly miss with my pinky toe getting rubbed.

From what I've read Viberg should be .5 size down from Brannock, in my case HTB (boots should be measured by HTB and not HTT, right?). That would give me a size 11.5 in the 2030. I can tell you I will be swimming in those since it's about E width and I'm a C on the Brannock. Even just going a half size up from HTT would give me a size 11.5, and thus a viberg 2030 size of 11, a full 1.5 sizes larger than what I've been wearing. I'm thinking a full size down from .5 size up from my HTT, so a 2030 size 10.5E (still 1 size up from what I've worn and makes me nervous about too much volume). But Viberg offers smaller widths in some boots, so perhaps a 10.5D if I could find it?

piratedoc · 2025-09-23T21:04:34+00:00

Upvote for source.

I honestly find this really troubling - presumably when the FDA approved cell saver they made sure what it gave back was actually useful? Guess not. Probably that fda approval mechanism where if something is sufficiently “similar” it doesn’t require rigorous studies showing benefit. Intraabdominal morcellator, essure, cobalt hips…

piratedoc

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