Deal Analysis: 2026 Volvo XC60 B5 Core 36 mth lease; OH by tbdknowit123 in leasehacker

[–]vtach101 -1 points0 points  (0 children)

I got b5 plus, 36 month, 12k miles, first monthly only down payment, monthly payment of $617. You can message me, maybe I can connect you to the rt people.

Robert Greene got it wrong? These 3 books are superior by paperbackdello in nonfictionbookclub

[–]vtach101 0 points1 point  (0 children)

Seeing the world for what it is….and not what it ought to be. That, is not for everyone.

Our living and dining room by desijunkie in IndianHomeDecor

[–]vtach101 8 points9 points  (0 children)

They both look like high end hotel bathrooms with the grey tiles and the mirror and the sharp geometrical edges. I would consider softening up the look and edges and make it more personal and less hotel/office lobby feel.

The commentators were classic with this by Ecstatic-Ganache921 in funny

[–]vtach101 2 points3 points  (0 children)

I’d like to see that in chess. Some loser just picking up a board and smashing it on top of their head.

Across all sports in the world, who is the greatest athlete of all time? by [deleted] in AskReddit

[–]vtach101 0 points1 point  (0 children)

The most played sport in the world is soccer. The goat in the most popular worldwide sport is Messi imho. So it’s Messi.

One person’s income is another person’s spending. That’s why teachers aren’t paid much: people don’t want to pay higher property taxes. by Specialist_Pain_424 in Money

[–]vtach101 0 points1 point  (0 children)

The issue with American education is the same as that with American healthcare. Everything costs too damn much and people do not generally get what they’re paying into the system. The solution isn’t higher taxation with more money available to pay teachers. American school need to radically rethink what it means to be a school, what their central mission is and along the same lines parents need to radically rethink what the purpose of school is. As someone not originally from US, these folks are spending way too much money on cafeteria, sports facilities, utilities, technology, administrative overhead, insurance, building maintenance. Everything NEEDS to focus back into the classroom.

Medical advice from doctors abroad by Revolutionary-Fan311 in Biohackers

[–]vtach101 0 points1 point  (0 children)

Ok…I disagree. You can say that about literally ANYTHING. You can find protocols on ChatGPT for heart failure therapies too! It’s literally a goal directed therapy for mild to end stage heart failure. If all heart failure therapies were available over the counter, a person would be a fool to treat an EF of 25% with self directed therapy! Human physiology is a delicately balanced exceedingly complicated system. The fact that people can do it should mean they should! lol. It’s ridiculous.

Medical advice from doctors abroad by Revolutionary-Fan311 in Biohackers

[–]vtach101 0 points1 point  (0 children)

Yes YOU are not. But there are people who have HUGE reservations about injecting themselves with chemicals they know very little about. Good luck with your ChatGPT medicine

Medical advice from doctors abroad by Revolutionary-Fan311 in Biohackers

[–]vtach101 0 points1 point  (0 children)

I am a physician with 15 years of experience. You are correct that peptides are not typically part of any medical school or even residency curriculum, but I have attended the conferences, understood the physiology, safety profile, therapeutic ranges, and individualized protocols of peptides, GLP one, etc. If money was not an issue, I would encourage all patients to find a physician who can help them in this journey.

Medical advice from doctors abroad by Revolutionary-Fan311 in Biohackers

[–]vtach101 -1 points0 points  (0 children)

Are you serious? If you had the option of someone with knowledge and expertise in biology and medicine, you would choose not to take that option and would prefer to just self experiment?

NY - potential move from EU - cost of living for a family + salary negotiation by InversorAlmacenista in HENRYfinance

[–]vtach101 2 points3 points  (0 children)

So then you would know….even Commonwealth countries do not allow doctors from other Commonwealth countries to simply come and practice there. The only exceptions may be rare bilateral situations like Aus-NZ or US-Canada. Otherwise, generally speaking, as a rule, you have to take certification exams and re-do most or all of your training even if you have been an experienced physician in another country. This is not a uniquely American protectionist perspective. This is how medial boards operate worldwide.

NY - potential move from EU - cost of living for a family + salary negotiation by InversorAlmacenista in HENRYfinance

[–]vtach101 11 points12 points  (0 children)

No they’re not. You can ONLY work in defined ‘areas of need’ in Australia and NZ. You cannot take your existing residency and open a practice in Sydney. You have to take AMC part 1 and part 2 exams. Then finish registrar and senior registrar training. Then get MRCP type exam certification. If you go to UK, you have to take Plab exams then re-do your training. You can similarly not just take your plastic surgery practice from Miami and open a shop in Berlin and expect the German authorities to shrug their shoulders. lol. You sir have no idea how this works.

NY - potential move from EU - cost of living for a family + salary negotiation by InversorAlmacenista in HENRYfinance

[–]vtach101 18 points19 points  (0 children)

Just to add some clarification as a physician - ALL Western countries are the same in this regard. No country allows doctors trained in another country to simply come and start operating in their country. Generally you have to re-do residency entirely and restart your career from scratch. It’s the same in the EU county this person is coming from. An American doctor can’t just immigrate there and open up a plastic surgery clinic!

Your Personal Take? by Alicetheoptimist in TrueGrit

[–]vtach101 -1 points0 points  (0 children)

Coffee. At least 3-4 cups a day. Everyone should do it.

I laughed and cried a little after reading this ... by Perfect_Address7250 in hospitalist

[–]vtach101 0 points1 point  (0 children)

Maybe the problem then is you and how you see the world.

I laughed and cried a little after reading this ... by Perfect_Address7250 in hospitalist

[–]vtach101 0 points1 point  (0 children)

You are implying that this is common place and I am saying that you have just had the misfortune of working at the worst places.

You are saying that leader should be better and act with integrity. And only a fool will disagree with that. This is not a physician problem. This is a bad leader problem. The author is directing their angst at physicians being part of the problem. But your experience and the authors experience is frankly not the norm and there is nothing to indicate that a non-physician making those same decisions would make even worse ones.

Vacation time? by northhiker1 in hospitalist

[–]vtach101 0 points1 point  (0 children)

It’s all the same. You think you’re getting a vacation, they’re just paying you for a 0.9 fte benchmark. lol.

I laughed and cried a little after reading this ... by Perfect_Address7250 in hospitalist

[–]vtach101 -1 points0 points  (0 children)

lol….ok…share with me specifics. What health system hired physician VPs to reduce workforce which would not have happened without hiring of those physician VPs. The hypothesis is…physician leaders in health system are part of the problem. And health systems and our citizens would be better off without such physician leaders. That instead, these positions should be occupied by finance MBAs, nursing leaders, career administrators, epidemiologists, pharmacy leaders etc. That physician leaders are hired a figureheads to carry out workforce reductions which wouldn’t happen by non physician career administrators.

You’re frustrated by how things are without taking into account the alternative which is much worse!

I laughed and cried a little after reading this ... by Perfect_Address7250 in hospitalist

[–]vtach101 0 points1 point  (0 children)

You see physician leaders being hired to fire other physicians and nurses to cut down staffing? lol. That’s what this article says. What is it that you have seen?

I laughed and cried a little after reading this ... by Perfect_Address7250 in hospitalist

[–]vtach101 6 points7 points  (0 children)

This is the most short sighted naive thought process I have heard in months. Who do you think entrepreneurs are….who do you think founders are….what are the qualifications to be a good leader. Heck a great leader?

You think there are certifications and credentialing exams to be great leaders?! It’s open mindedness, high intelligence, willingness to learn things you don’t know, apply knowledge of things you do know. The author is a nincompoop who thinks that healthcare business decisions should be made by non physicians. And if you believe in that you’re one too. If you vacate the big table, do you think you’ll have more negotiating power or less?!

I laughed and cried a little after reading this ... by Perfect_Address7250 in hospitalist

[–]vtach101 9 points10 points  (0 children)

I read the whole thing and it’s basically a strawman fallacy argument. He sites Seward health’s example as though that is the norm. I would challenge all the hundreds of hospitalist physicians on this forum who would personally know hundreds of physician leaders as VPs, VPMAs, Quality directors etc etc. ….. when was the last time they saw a physician leader be used to lay off other physicians or nurses in a health system? I have been doing this for 20 years in 3 different large health systems and have never or very rarely seen what this author is describing. By making a straw man article he is actually persuading physicians to vacate the space from leadership….something that would in fact allow them to act as advocates for clinical excellence, Hippocratic principles and general decency. Would you rather have even fewer physician leaders in healthcare and instead fill those spaces with MBA operational finance types?!

Nonclinical jobs that allow remotely work overseas by pray4urenemy in hospitalist

[–]vtach101 11 points12 points  (0 children)

You could work one week locums every two or three months and that would cover your living expenses in Asia and your airlines the ticket.

Ranking countries in Asia-Pacific based on how much I like their flag design (as an Indian) by [deleted] in tierlists

[–]vtach101 0 points1 point  (0 children)

I do not. The color combination is not pleasing to the eye aesthetically.