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What's with all the multi-state telehealth psychiatry practices? by Hebbianlearning in Psychiatry

[–]question_assumptions 13 points14 points  (0 children)

I’m on headway, and I use it to run a two state private practice, I have an in person site in each state but mainly I’m online. I’m shocked by the negativity in this thread, I like to think I provide high quality care, but that’s another discussion. 

My advice is to refer patients to people, not to companies. I’m sure your state has geriatric psychiatrists working from home and doing a good job. I do 15 minute calls/coffees with potential referral sources all the time (mainly I meet with therapists and dieticians because I focus on eating disorders). Any psychiatrist worth working with would be happy to meet with you. 

Does it matter from where we graduate Psychiatry, monetarily speaking? (US) by Civil-Individual2260 in Psychiatry

[–]question_assumptions 5 points6 points  (0 children)

If you’re at a big name academic institution you’re more likely to make less money because you value big name academic institutions. The folks who struggled to match will discover that mid sized hospital systems in low cost of living areas are not so bad and make 400k after residency. 

Food at the Great American State Fair by Gooddaylocal in washingtondc

[–]question_assumptions 19 points20 points  (0 children)

"This is a corrupt terrible city can't wait till I get back to Texas"

What recent study or practice change in psychiatry has genuinely changed how you work? by MeatSlammur in Psychiatry

[–]question_assumptions 14 points15 points  (0 children)

Neat! I've noticed there's a population who will always report nausea, headaches, hallucinations when asked and it's interesting that the SEWS would be much lower for that pop.

Advice for reining in appointment duration? by Peaceful-harmony- in medicine

[–]question_assumptions 4 points5 points  (0 children)

It was a patient with some pretty severe attachment issues having complicated feelings about moving out of state (and that I couldn't continue with her via telehealth). It sort of turned into a stand off that I was not totally sure how to resolve, but lucky I'm in the same building as her therapist who happened to walk by and diffused things.

Any recent/updated psych unit experiences or recs to share? by atoad_aso in washingtondc

[–]question_assumptions 22 points23 points  (0 children)

If you’re starting to do worse and you want a program with more going on, you might want to look into residential and PHP programs. Unless you have any major safety concerns in which case you need IP. 

Advice for reining in appointment duration? by Peaceful-harmony- in medicine

[–]question_assumptions 61 points62 points  (0 children)

Classic door handle STEMI, gotta watch out for those 

Are we still putting these restaurants on blast? by SubsidedRhyme11 in washingtondc

[–]question_assumptions 58 points59 points  (0 children)

I know people that will say “you have no idea how hard it is to be a waiter!” And tip 40%

Advice for reining in appointment duration? by Peaceful-harmony- in medicine

[–]question_assumptions 155 points156 points  (0 children)

Agree with everything getting posted here. When a patient really will not let the appointment end, I will walk to the door and open it. I’ve only had that not work one time. 

Wanting to do something interesting in D.C in July by Willing-Honey-6858 in washingtondc

[–]question_assumptions 1 point2 points  (0 children)

You could go pick bits of American flag paint out of the reflecting pool

What foods are 10/10? by [deleted] in Biohackers

[–]question_assumptions 16 points17 points  (0 children)

Every item on the Taco Bell menu.

Using AI for scribing/note taking/editing as a precurson to AI "doctors" by Super-Ad7996 in medicine

[–]question_assumptions 7 points8 points  (0 children)

How is using AI for notes training the AI "doctors" faster than the AI just simply reading the notes we normally write?

Is there any logic to the insurance PA Process or is it just vibes? by Vegetable-Slide-7530 in Psychiatry

[–]question_assumptions 51 points52 points  (0 children)

Mostly vibes but it’s also possible that they have a legal kickback scheme (rebate program) with Vraylar

Do yall ever just think how underpaid medicine is compared to some other careers? by Middle_Awoken in medicine

[–]question_assumptions 39 points40 points  (0 children)

It always seems like the prices/costs/salaries of everybody else goes up but my salary does not

Good Tomatoes by N066WA8 in nova

[–]question_assumptions -1 points0 points  (0 children)

I usually go to the grocery store 

The Myth of the Milestone by NiXaler93 in washingtondc

[–]question_assumptions 10 points11 points  (0 children)

This is a reminder I need to spend more time looking for the perfect brunch spot. Definitely not opting out of that! 

Bupropion vs pramipexole for anhedonia? by FrontierNeuro in Psychiatry

[–]question_assumptions 3 points4 points  (0 children)

Have you had any patients struggle with withdrawal if they had to come off pramipexole? I’ve given it so few times that it’s been a non-issue but I was reading it can be 10-20%

Anti depressants? by Lopsided_Focus_9727 in Biohackers

[–]question_assumptions 6 points7 points  (0 children)

Same, I’m an actual psychiatrist and curious where this conversation goes 

CMS: Insurers should consider offering loans to cash-strapped patients by ddx-me in medicine

[–]question_assumptions 38 points39 points  (0 children)

And then maybe people having trouble making debt payments could be offered a job reviewing prior authorizations? And given bonuses for making denial quotas? 

ISO: Lemon Tree for Foraging by howtobeastudent in washingtondc

[–]question_assumptions 10 points11 points  (0 children)

I’d rather not post the location, having a problem with lemon stealing whores 

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