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  2. 12-hour shifts four days a week is not an easy schedule, friend. Not as bad as, say, a surgeon in a trauma unit...but I've pulled those hours before. It's brutal. If you don't mind being a pill-pusher to desperate housewives, it's not a bad life. You could do much worse. --- If you end up spending 12 hours a day with the real crazies, well damn. My ex's Dad did that in prison, Criminal Psychiatrist, and it traumatized both him and his daughter. His patients loved to stalk him. Worst I've seen was a man who alternated between crying for his dead mother and hissing at us like a snake. CNA's swore he was possesed by the devil. They couldn't lock him up tight enough. Those folks need serious help, and I sure as hell don't want to deal with them. Course, most people say that about my job too.
  3. Don't you people think if a person - who is a healthy INTJ - finds someone simply boring than he just wouldn't engage in a conversation with that person at all? If he does meet Evil Muffin (on his free will*) as rare as he does but still _in person_, he wants something. Why "toss" EV a "bone" than? What sort of pressure could hold him in Evil Muffin's grip? ...loneliness, maybe and a host of other things I can beginn to guess. You can't be both unwilling and incapable and still be in the game. It doesn't add up. I do/did keep around some friends** who I find both stupid and boring, even annnoying sometimes so I wouldn't hang around with them too long at a time. They still have some qualities I do admire and they give me company in case I need it. But in this case I find them boring and still I'm the one pushing for a deeper conversation not the other way around - it wouldn't work that way. *which we know does not exist:D **One of them does this talking about the big fat nothing sometimes excessively. I'm patien for 30 minutes and ask him what is it he wants to say _for real_. People tend to talk and talk without really wanting to tell what they want to tell or ask because it is just painfull or it is some emotion they can't put to words.
  4. If you specialize, then competition is not a concern. Expertise grants a sense of trust, even before you start a career.
  5. That with a cunning slant and a little dishonesty, anything can be argued to be good or evil. Which would render morality and ethics meaningless.
  6. I plan to work a 40-48 hour work week over 3-4 days myself. With physician assistants and a partner to justify the patient load of hiring people to handle billing, although cash only payment is certainty a possibility if healthcare continues in the manner it has been. I never mentioned a huge salary. Once. And most appointments are just touching base, refills and take 15 minutes tops.
  7. Then why the fuck do you think you will clear $150k working a 24-hour workweek? General surgeons working on-call don't even make much.
  8. Hmmm. What exactly do you mean by that?
  9. I worked in healthcare for over a year, almost two, before getting into medical school. And a shadowed several psychiatrists for their entire work week, never leaving their side. Not pouring coffee. Observing and asking questions But at every stage of my career there has always been someone who thinks they know things they really don't despite not going through any of the process or actually working the job. They don't know anything has seemed to be the trend. The arrogance of it astounds me. That they think they can know how things work better than the people actually doing the job. It the frustrating part is it takes several years to get to the point of "I told you so" and by then, you've quite forgotten who you have to tell that to.
  10. I think it has less to do with language and rhetoric and more to do with integrity and character.
  11. See, Echoflame. You haven't even started work yet. So the chances of you having a good understanding of working realities are, objectively speaking, not very high. There's no need to feel bad about it. It isn't anything to feel bad about. It's just where you are. One day, you will be 10 years older than you are now. Then you will be 20 years older. Then you will be 30 years older. At that time, when you look back on who you are today, you will think, "Oh, I was so naïve and inexperienced and ignorant back then." At least, it is to be hoped that you would! It would be sad if after another 10, 20 or 30 years, you haven't gained any additional experience, insights or knowledge that would make the present you look naïve and inexperienced, in comparison.
  12. Says the teen who is an *expert* on running a medical practice after pouring a doc's coffee for an hour. Never even heard of goddamn CMS, but he *knows* he's on easy street. Why am I even wasting my time on you? Maybe it's because I like your avatar. --- As I've said three times now, you can have a wonderful life prescribing Kim Kardashian's benzos. It'd be a great waste of your talents, but it pays the bills. People with serious mental illness, who really need your help, are broke because they are mentally ill.
  13. Which is one of the numerous reasons I'd suffer any amount "burden" and pay cut to not work for hospital administrators. And since many private practice psychiatrists work for cash pay, you cut a lot of red tape with insurance companies.
  14. Healthcare stopped being about taking care of people some time ago. Today, healthcare is about compliance with rules and regulations imposed upon the workers for a variety of reasons most of which are designed to make life easier for the rule-makers. To this end, consider all healthcare administrators self-serving pricks until proven otherwise. They and their willingness to turn "we have to" into "you're going to" killed 95% of any satisfaction in the work and will ultimately be it's total undoing.
  15. What is, in your opinion, the distinction between morality and ethics? Does an actual distinction even exist, or are the aforementioned terms simply one and the same? Discuss.
  16. It is as much "your industry" as the baker at a grocery store pretending to have insight on how the butcher and cashier operates. Same building, different jobs.
  17. Changing the subject? I'm sorry, are you *not* intending to become a psychiatrist who works three days a week? Nor are you aware of the use of lithium in psychiatric patients? I honestly don't give a fuck what you do with your life. Nor do I care what you think of my life. But when I see someone with delusions about my industry, I will correct said delusions. Try not taking everything as a personal attack, jack.
  18. Thomas Jefferson was simultaneously the best and worst president. His ideals, had he achieved them, would have lead the USA to an agrarian utopia which would have meant self-sustainability and a self-perpetuating economy. It also would have capped the population at a lower level than the Industrial road that the US did go down which is not really a bad thing if you think about it but also not really great either. In either event, however, it would have been a better road to go down than what he actually caused which was an Industrial capitalist society that made our involvement in foreign politics even more inevitable. And by capitalist, I don't mean the "good" kind I mean the kind that instead of supporting sustainability and healthy stewardship of the environment ended up perpetuating and exacerbating the dichotomy between the wealthy 1% and poor (or at least vastly less wealthy) 99%. A system that lusted after the perpetual acquisition of money regardless of anything that might get in the way of it, you know, like the space-time continuum, available resources, the well being of literally everyone other than those running the monopolies, morals, ethics, philosophy, religions, government, taxes, and just about everything else that exists period. The embargo act really ended up working out, now didn't it? Way to go, you caused AIDS and global warming.
  19. So we're changing the subject now to dig at the profession? I've must have seen the whole "my job and life choices are better than everyone's, especially doctors" spiel a dozen times from you. In reality, no one cares about the measuring contest except you. Only people who do what they do to measure care about measuring. Which is sort of a sad reason to do anything.
  20. To believe a PhD in some obscure subject matter would consistently write tests conducive to a student's major seems to be expecting the exception.
  21. Do you know anything about lithium? But I digress. http://www.huffingtonpost.com/dr-ronald-ricker-and-dr-venus-nicolino/psychiatry-how-low-can-we_b_852893.html You can deny the state of your target industry all day long; you will be facing it eventually. --- From the above link: "As the New York Times article states, “Dr. Levin’s initial efforts to get insurers to reimburse him and persuade his clients to make their co-payments were less than successful. His office assistants were so sympathetic to his tearful patients that they often failed to collect.” In 2004, Laura Levin, M.S.W., a licensed talk therapist, took over the business end of the practice. With admirable zeal, “Ms. Levin created accounting systems, bought two powerful computers, licensed a computer scheduling program from a nearby hospital and hired independent contractors to haggle with insurers and call patients to remind them of appointments.” She also imposed a variety of extra fees on patients: $50 for a missed appointment, $25 for a faxed prescription refill and $10 extra for a missed co-payment and who knows how much for writing or calling in a prescription. Dr. Levin’s practice is based on the approximately 11- to 12-minute “hour,” seeing 40 patients each day for approximately 11 minutes each. The remaining four minutes allow for social niceties, ushering a patient in and out, offering them the chair, and getting the next chart, all of which adds up to 15 minutes."
  22. Football was on and I didn't want to cook so pizza and breadsticks.
  23. Today
  24. You give the vibe that you're trying too hard. There are a couple of unnecessary ideas here and there and I don't really like the beginning. Also, you're going between looking down upon people reading your profile - regarding them as inferior or that they owe you something (ex: Do you know what latent inhibition is? You're probably a Myers-Briggs NT type but surprise me. ) and humility. (I spend a lot of time asking myself how people and situations I encounter fit into and expand my continually-growing internal pattern libraries of "how everything works." humble) You appear conflicted. IMO, you should drop the formalities and just be yourself. Or you have issues. Best of luck
  25. I think that's low self-esteem. A confident person can't fall prey of codependency.
  26. You work in the lab, if I recall from other posts. You don't work in billing. I worked at a hospital too, I don't claim information in a career unrelated to my job. I got it straight from the horse's mouth, several horses respective mouths, in the exact job I'm going for. That's who you ask. They have their literal career in what I'm going for, which is a way more relevant opinion. And several organization have websites which corroborate what I was told. You can also have partners, hire physician's assistants, etc. as well to have larger patient volumes to justify the cost of employees specifically for billing while keeping your time commitment lower.
  27. Oh, I am no doctor. However, I do have a high school classmate who, in addition to being a doctor, is the founder and co-CEO of a healthcare group that owns more than 190 medical centres across 5 countries and has a network of more than 8,000 medical providers around the world. His name is Michael Tan Kim Song and the group is known as Fullerton Healthcare - you can look him up. Anyway I mention Michael, because I understand that this was precisely how and why he got successful in creating the Fullerton Healthcare group. The costs of compliance and other admin matters were very high, for small medical practices. So he rounded them up and created the economies of scale for the logistics and compliance and admin costs of running medical practices, among other things focusing on technological build. Many doctors who used to run their own small practices joined up with Michael, because they were overburdened with compliance, finance, procurement and other boring stuff like that. That's how Michael ended up owning 190 medical centres in five countries. I saw more or less the same thing happen in my own profession - the legal profession. Small legal practices are more or less dead now. They don't have the economies of scale to compete. They have to merge and get bigger, or just kinda die. Of course, I don't know the specifics of healthcare regulation in the US. But I know from my own work - I work in the area of international regulations for investment banks - that the US, generally speaking, has tons more regulations than almost any other country, and the cost of compliance is very high. So it would not surprise me if Eagleseven is right. There was a very good article in the Economist on the costs of compliance in America, a few years ago. I remember it distinctly because among other things, it touched on a specific piece of US law which I had to deal with at that time. It struck me as very odd that the US needed 2,000+ pages of regulations to deal with the same topics that the EU dealt with in about 200+ pages and which Australia, Japan and Singapore dealt with in about 70+ pages each. It also struck me as ironic that the US has something called the Paperwork Reduction Act, which is always referred to at the end of almost every other piece of regulation, and which creates more paper, of course.
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