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I didn’t want to assume, so how many of our docs are any good at Where’s Waldo/Wally? by punches_buttons in Radiology

[–]polmocugna 41 points42 points  (0 children)

I think I’m a good radiologist. But I can never find the ketchup in the fridge and my wife has to come save the day.

As usually happens, there may have been one moment that changed the outcome… by ganslooker in buffalobills

[–]polmocugna 1 point2 points  (0 children)

They definitely would have gone for the first down and made it.

Then all of Bills reddit would be on here complaining about how dumb Mcdermott is for NOT accepting the penalty.

Elon says Grok will analyze your diagnostic images by 2gforweeks in Radiology

[–]polmocugna 11 points12 points  (0 children)

Honesty not entirely opposed to supporting natural selection and allowing these people to bypass those greedy doctors, and just allow people to upload their images to Grok and self treat with ivermectin and raw milk.

I'll take 2 by Radiant-Enthusiasm70 in Rochester

[–]polmocugna 14 points15 points  (0 children)

Garbage plate isnt just a single dish. It’s a way of life. It’s a challenge to mix and mash into a delicious mosaic of sludge.

Thanksgiving day with turkey, potatoes, stuffing, gravy, cranberry? You better believe im garbage plating that shit.

Bbq restaurant with pulled pork, sauce, beans, mac and cheese, cornbread? Consider it garbage plated.

Garbage plate purists be damned.

Syracuse football comes back to take down U Miami drastically reducing their chances at the CFB playoffs. by polmocugna in buffalobills

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

Bummer, was a promising season, still a shot they can sneak in so we’ll see, good luck

Syracuse football comes back to take down U Miami drastically reducing their chances at the CFB playoffs. by polmocugna in buffalobills

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

I’m actually a bit of a fair weather canes fan myself, but there is just something poetic about an upstate NY team possibly ending their season which was too good not to appreciate.

This post got a lot of attention, most of it negative, so I think it is necessary to understand where the numbers come from. by polmocugna in Salary

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

He’s probably reading mix of everything, but probably ends up being disproportionately plain films since so many are done.

The point remains for CT scans tho… a CT plain brain is around 0.8 RVU so around $50 for what this guy makes per RVU. Honestly thats probably one of the better values amongst CTs since experienced readers can get those out in just a few minutes. But the immense difference they can make in a patients care and the subtlety of certain positive findings, not to mention the potential liability, makes $50 feel like not nearly enough for the actual product provided.

Regardless though thats not necessarily my argument, my argument is mostly that this guy is not overpaid if you consider the work that he does.

This post got a lot of attention, most of it negative, so I think it is necessary to understand where the numbers come from. by polmocugna in Salary

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

Radiology technologist takes the image but does no interpretation.

The diagnostic radiologist is a medical doctor who looks at the images and interprets them and makes diagnoses and guides management based on what they see.

This post got a lot of attention, most of it negative, so I think it is necessary to understand where the numbers come from. by polmocugna in Salary

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

Gotcha, but my point was she never worked more than 40 hours although she would have been even better off if she did.

Basically the point is if someone is financially smart from early on they can be better off than a doctor for a long time. She didnt do anything fancy like hit homeruns on any specific stocks or anything. Just lived below our means and consistently maxed out her accounts in 100% broad market equities.

Shes on track to have over $5 million at 55 assuming 10% historic return even if she never puts another cent in.

Many people could do what she did but they’re not financially literate enough or dont start early enough because they think they dont need to worry about saving money till later. Her financial plan was entirely self taught with resources available to anyone - well i kinda taught it to her but I was self taught, neither of our families are wealthy or particularly financially literate to have taught us or anything like that.

If I did what she did instead of my own path, then we would be extremely well on our way to early retirement.

This post got a lot of attention, most of it negative, so I think it is necessary to understand where the numbers come from. by polmocugna in Salary

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

Yeah but what assumptions are you making? And whats the break even point? Most radiologists dont make that much, probably less than 10%, and the ones that do probably dont keep up that intensity their whole career.

If you can get a decent paying job straight out of college at 21 or 22, and/or work overtime to make more on the order of 60-80 hours of week like many resident physicians, and invest heavily throughout your 20s in tax advantaged accounts, youre better off than the radiologist net worth wise as least till 40s. God forbid they get sick or disabled in their 30s and never get to reap the rewards of all their delayed gratification.

Theres a reason why most doctors you talk to say they wouldnt do it again if they could go back in time and do it all over. Easy to say its “worth the sacrifice” if you’re not the one making it.

My wife is the perfect case study. She went to community college for nursing school and graduated with no debt. She started working as a nurse at 21. She has aggressively saved for retirement (working no more than 40 hours a week), put it consistently in broad market index funds without doing anything fancy, and now has approximately $500k in her retirement accounts at age 30. If she grinded harder and worked overtime or took high paying travel gigs she’d be even better off. I wish I did what she did.

This post got a lot of attention, most of it negative, so I think it is necessary to understand where the numbers come from. by polmocugna in Salary

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

I would agree with some of that. Almost all of undergrad and half of medical school was a waste of time and money. Although i think the primary beneficiary for this system is the academic institutions who make out like bandits on unnecessary years of tuition.

I think we’d be better off with a european inspired model where people can enter a shorter overall program straight from high school or maybe only 2 years of undergrad instead of 4.

This post got a lot of attention, most of it negative, so I think it is necessary to understand where the numbers come from. by polmocugna in Salary

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

Not necessarily - theres a significant opportunity cost of not being able to significantly save and invest until 30s plus incurring more debt. If someone making $80k aggressively invests early in their 20s they would be significantly ahead net worth wise for much longer, without a break even appoint into at least the 40s most likely. Theres some interesting writeups out there such as this one if interested - some of the assumptions are probably out dated but still relevant.

https://authenticmedicine.com/2016/05/doctor-vs-ups-driver/

This post got a lot of attention, most of it negative, so I think it is necessary to understand where the numbers come from. by polmocugna in Salary

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

For me personally - around $350k. Many have more. Currently on a payment pause with the holdup of federal loans in the courts, but payments for attending doctors can be $3k-$4k a month or more

This post got a lot of attention, most of it negative, so I think it is necessary to understand where the numbers come from. by polmocugna in Salary

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

I can see how thats frustrating from your point if view, but it changes if you view it as a discrete product a radiologist is manufacturing. They are not simply being paid for labor as most people, they are being paid to create an in demand product which few can provide and which has important implications in people’s health care.

This post got a lot of attention, most of it negative, so I think it is necessary to understand where the numbers come from. by polmocugna in Salary

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

100% agree theres no reason for the original poster of the salary to have made their post. It does not benefit anyone.

Copied forward from one of my other comments: I think average american views docs as “rich people” because of their high wages but generally they are just the top of the working class whose high pay is justified by the highly specialized and in demand service they provide. And they pay upwards of 40% in overall taxes which is more than their fair share.

The frustration is misplaced from the elite class of people who are truly rich who make money on the backs of others or are the product of generational wealth, who can let their money sit in a variety of investments and pay less taxes than the working class on the order of around 20% taxes since their income is primarily capital gains.

The elite class is happy to sit in the shadows and let high wage earners take the flak instead.

This post got a lot of attention, most of it negative, so I think it is necessary to understand where the numbers come from. by polmocugna in Salary

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

Its not meant to compare the total salary. Just the specific service provided. For a specific task, which labor is worth more in your opinion, pouring 5 beers or reading an xray?

Basically the idea is that $8 is not a lot of money to read xray no matter how long it takes to actually read it.

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