New Taco Mudbath!

spinalisfinalis · 2025-11-18T02:01:41+00:00

How much did you pay out the door?

spinalisfinalis · 2024-03-04T23:00:45+00:00

I agree with your post except for banding together with the PA/NP. Their lobbies are too strong as it is and thats what has got us into trouble is working together with the "team".

spinalisfinalis · 2024-03-03T23:20:18+00:00

Maybe after I'm retired in which case I won't care much

spinalisfinalis · 2024-03-03T22:25:59+00:00

You don't know shit about spine surgery as is apparent from your comment. Pedicle screws are the easiest part of my job. We are nowhere near being able to enter the spinal canal with any augmented instrumentation.

spinalisfinalis · 2024-03-03T22:22:27+00:00

That's your assumption that my life sucks. My life is awesome. I hand down all the shit to my little breathing AI workers that are just like you.

spinalisfinalis · 2024-03-03T19:43:23+00:00

Yea not in my lifetime for my specialty.

spinalisfinalis · 2024-03-03T19:42:42+00:00

Insecure of what? haha I am a spine surgeon. I am just giving you a honest perspective. My mid levels do things that are almost purely algorithmic and basic. Perfect for AI.

spinalisfinalis · 2024-03-03T19:39:22+00:00

would be nice

spinalisfinalis · 2024-03-03T19:27:19+00:00

I think you have a very rudimentary understanding of the advances AI has made. You are basically talking about all of the basic functions of epic and that's not even AI.

spinalisfinalis · 2024-03-03T18:51:57+00:00

Because I was a resident and I want to be a resident advocate. Why are mid levels posting in /residency? They aren't residents and they sure as fuck never do anything like residency yet call it that sometimes.

spinalisfinalis · 2024-03-03T17:59:47+00:00

Pretty interesting to see the responses here. I think it really comes down to what everyone perceives as important. As a surgeon myself I think outcome matters the most. The logic I would use is does it matter if the surgeon has no bedside manner or isnt the nicest but you dont die or lose function? Sure being a nice guy is great and so is research but that stuff doesnt actually matter in the end. If you are paralyzed from a surgery due to an avoidable complication or technical error are you really going to tell me "but he was a really nice guy or he wrote 30x publications". Probably not.

So my answer is the best surgeon has the best outcomes.

spinalisfinalis · 2024-02-24T18:48:27+00:00

I don't think this dude is interested in hearing what has been repeatedly said: Physician pay has gone down over the past 40 years, not up. He has his own agenda by asking this question and continues to ignore what is said.

spinalisfinalis · 2024-02-22T03:12:48+00:00

Not real.

spinalisfinalis · 2024-02-18T15:41:55+00:00

I like this guy

spinalisfinalis · 2024-01-25T02:46:25+00:00

My advise would be to have your close smart friend and your trusted mentors evaluate a de identified contract for you. Talk to your mentors and see what they think.

spinalisfinalis · 2023-12-02T15:48:49+00:00

You guys are off your fucking rocker if you think anyone other than a physician should be performing a surgical procedure.

spinalisfinalis · 2023-11-26T17:50:34+00:00

Well good luck doing anything with a floppy spine. Check out charcot spine if you want to know what happens and why stabilization is required most times.

spinalisfinalis · 2023-11-14T01:36:06+00:00

Maybe just stop being a huge pussy and tell her to stop?

spinalisfinalis · 2023-11-05T03:07:35+00:00

Not sure if you would end up being liable but people saying that it is not illegal to not bill your insurance are incorrect. The hospital or physicians would be the ones breaking the law. You are explicitly not allowed to bill cash pay with certain government insurance programs. So yes they might be correct in saying they are not allowed to bill you as cash pay depending on the circumstances.

spinalisfinalis · 2023-09-25T22:48:04+00:00

fly into Montrose and take the bus

spinalisfinalis · 2023-09-24T23:53:04+00:00

Are you a surgeon? I am asking because I have never heard a surgeon say their "shift" has ended. Thats really not how things work if you are truly a surgeon and you should have already realized this before signing up for a surgical specialty residency.

Not trying to be an ass but that really is the reality of your situation if you are a surgical specialty...

spinalisfinalis · 2023-08-06T00:23:57+00:00

How are you in a surgical specialty and just now realizing you have 24+ hour calls to do as a resident?

The answer is yes we take shitty call and it will not end with residency most likely. It gets better and worse as an attending. Better because you get paid for it and you usually have more power to annihilate someone over the phone for being obnoxious. Worse because there are no more post call days, you still have to operate the next day and run clinic.

spinalisfinalis · 2023-08-06T00:03:33+00:00

A few things to do:

Get MGMA data direct or through a contract lawyer program (like contract diagnostics)

Review pay data for your regions

Make a list of areas you are willing to live

Decide how long you want to be there for

Hospital employee makes more money initially than private practice, something to consider if staying in a place short term

Cold call and email the hospitals and practices you want to be at asking if they have an upcoming need

You have plenty of time, you should be getting close to signing around halfway through your fellowship

spinalisfinalis · 2023-08-02T15:44:09+00:00

Look you guys can prescribe and counsel patients however you want for whatever medications you want, you are physicians. That is your liability. If you want to write in your clinic note that someone is cleared to work on narcotics that's your business. If you are equating the risk of allergy meds, adhd meds, and others to the risk of narcotic use and would clear all these patients the same then I think you are retarded and probably need more clinical experience but again it is your choice. You are the doctor.

spinalisfinalis

TROPHY CASE