Black people in the United States face increased likelihood of adverse health outcomes compared to white people. For example, rates of heart disease, stroke, and infant mortality are higher for Black people -- Black babies are over twice as likely to survive when treated by Black doctors. Health outcome models and algorithms even predict that Black people are sicker than white people with similar health risk. Medical research and practice have long devalued the humanity of Black people in the United States, too: Black men were misled, mistreated, and abused by studies like the Tuskegee syphilis study; Black women have [much higher likelihood](https://www.heart.org/en/news/2019/02/20/why-are-black-women-at-such-high-risk-of-dying-from-pregnancy-... keep reading on reddit ➡
When I met my husband, I knew he smoked pot. I didn’t enter into the relationship wanting to change his habits or reform him. However, until recently, I didn’t totally understand how much he valued weed over our relationship.
Last week, I was informed by my OBGYN that she discovered abnormal cervical cells on my most recent PAP. As a result, I underwent a biopsy. At the same time, I decided to have my IUD taken out. The biopsy caused a significant amount of pain, but I was still able to function normally. 3 days later, while driving to pick my husband up from work, my arm began to swell, my temperature skyrocketed, and my heart rate raced. I thought I was having a heart attack, so I drove with my husband to the ER. I was diagnosed with a blood clot in my arm. Between the biopsy and then the blood clot I was terrified. On our way home I asked my husband not to smoke that night. He did, but once I was asleep. Today, as part of determining the “why”, I visited a hematologist. He believe... keep reading on reddit ➡
Greetings to all,
I realize this post may seem melodramatic, but it is how I've been feeling lately and I wanted to vent and bounce my thoughts off others more experienced than myself.
Medical school is hard, a decade of sacrifice (just counting the training), and extremely expensive. I actually love medicine in spite all of that. I consider myself to be great with patients, a positive influence on those around me, and to have the potential to be a damn good physician. I grew up poor, am white, and consider myself to have had to make dubious sacrifices just to gain entry into medical school. I've done very well in school, but now I'm becoming somewhat mentally crippled in terms of motivation by the political shifts in medicine.
To summarize my fears and request advice for the outlook of each:
For context, I live in Asia and my SO is in the US. We’ve been in a relationship for almost 4 years, working on an LDR. We got engaged last year, and had a baby that I unfortunately miscarried. We were supposed to be married this year until this pandemic hit.
So for the past few months, my Ex has been obsessed in trying to prove that the whole COVID pandemic is a hoax. He’s been “educating” himself with conspiracy podcasts and youtube videos. I never tried to engage him in an intellectual argument over this because I believe that one is entitled to his opinion. To be fair, he doesn’t just gobble up all the things those videos say, he asks for my medical opinion about it and accepts if i debunk it with scientific evidence. However, he is so obsessed in “proving” that the PCR method we use now to detect the presence of SARS-Cov-2 RNA is fake and being used by the CDC to deceive people and pad up cases in the US.
Now, my ex is smart but his highest educational attainment is high schoo... keep reading on reddit ➡
I highly recommend you actually read the proposed policies
Right from the site: "The Biden public option will reduce costs for patients by negotiating lower prices from hospitals and other health care providers"
What does that mean? Well just like we saw with the new CMS physician fee schedule, doctors got an average 10% cut in reimbursement rates and were told to deal with it-- that is what government negotiation in healthcare means. And with a vast public option with multiple people needing to be covered, do you think only cutting reimbursement by 10% will do the trick? Expect MASSIVE cuts to physician reimbursement. With hospitals getting less in reimbursements, they will have to cut physician salaries. On top of that they will most likely be hiring midlevels in place of physicians (as there are now many laws being pushed for midlevel autonomy-- see California for example) to help reduce costs.
But hey,... keep reading on reddit ➡
...that is also in the office on the same day...
I'm a 36 yo specialist surgeon, 2 years into practice, and just starting the FIRE process. As with any physician, I'm burdened by a late start and student loan debt. I live in a VHCOL area, with a wife who is just finishing her professional training and a baby.
Here are my numbers:
Income: My 2019/2020 salary has been $400-500k/yr, starting from 2021, my base will be $637,500/yr, plus a future annual performance bonus that ranges from $250k-$700k (based on production in prior years). There is a partnership track I am on, realistically will take about 10 years to achieve.
My wife will be starting a job soon (part time) and should be bringing in about $100-150k annually. We paid off about $150,000 in debt aggressively (credit card debt, student loans, personal loans) within the first year or so of my work.
Retirement (401k): ~$80,000, maxed out personal contribution with 3% profit sharing from practice
Taxable investments: ~$53,000, contributing a... keep reading on reddit ➡
According to Philadelphia police dispatch records, Officer Elizabeth Skala responded to a 911 call from Key West Bar & Grille located on 207 South Juniper Street on December 22, 2002. Upon arriving at the bar, she saw Nizah Morris, a transgender woman, who was “well-known and well liked in the area” as she was a performer at a local bar named Bob and Barbara’s Lounge. Nizah was extremely intoxicated and was escorted outside the bar. According to several witnesses, Nizah was unable to stand on her own and was twice found lying on the ground at the intersection of Juniper and Chancellor Streets.
The 911 caller reported a collapsed person in need of an ambulance, which was on its way to the bar until Officer Skala cancelled it; she also told another police officer Kenneth Novak who was en route that she no longer needed assistance based on her assessment of Nizah’s condition and the fact that Nizah repeatedly asked to go home and refused to go to the hospital. Several bystanders hel... keep reading on reddit ➡
I don’t know if this is just my own bias or w/e, but whenever a name pops up like “Dr. so and so” they’re usually a PhD or chiropractor or something so now I assume whenever I see the term “Dr.” it’s not actually a physician. Is this just me or does anyone else think this way?
I am studying medicine abroad but am currently in Lebanon because of everything becoming online, 5 minutes ago a huge explosion happened that was crazy powerful, shattered glass everywhere chaos, terror and wounded people.
as i watched how helpless injured people looked i realized how important medicine is and how great it would be to be capable of meaningfully helping these people, i am glad i did medicine.
They aren't going to refuse to do surgery, but letting them know you have a tolerance to these drugs, or any drugs for that matter, will change how much or what anesthesia they use. You do not want to wake up in the middle of surgery because you were too scared to say you take clonazolam daily or have been regularly using di9sociates. They will raise your tolerance to anesthesia and you will need to get more or be monitored closely to make sure you don't wake up or have some other kind of reaction.
This isn't something people normally think of but it could very well mean life or death in an emergency. The hospital isn't there to punish you for drug use, that's for the police to handle (and the police aren't going to know unless you were in a wreck or something that was your fault for being bartarded). Be safe out there researchers.
Typical story: I love my job, and it’s got great pay, but my hours are shit. I’d love to have more time with family.
For the docs (or other decently paid professionals) How did you make the transition? How did you work around your hours? Any regrets?
How do you take that kind of feedback? The resident knows I'm not going into EM and it was literally my FIRST day.....
First off, how could someone go through so much debt and training only to not care about a high income? How does that make sense?
Second, why can’t “serving others” and “working for a high income” be complementary to each other? Who says you can’t have both? Also, many physicians donate their times to volunteer efforts like mobile clinics and Doctors Without Borders.
Third, whose fucking idea was it to pocket 2/3 of the resident’s labor value and pay them crap for their work hours? While also hiring administrators left and right and paying them handsomely for crunching numbers without regard to patient care. They know nothing about medicine, fuck off.
It just really annoys me when people go “oh if you like ID then just do it, it’s not about the money”. Yeah, maybe if my tuition wasn’t $70k a year. Why would I train longer than a hospitalist and take a pay cut? Sure I might enjoy being an ID consultant more but how do I pay my bills, loans, get married, and finance my hobbies?... keep reading on reddit ➡
As a medical professional and also a woman I am disgusted with the behavior from her OB GYN. Biopsies are extremely painful and any other type of biopsy is performed with appropriate numbing and pain medication. Yet, any type of biopsy in women’s health is treated as though it shouldn’t hurt. Okay let me stab an organ and take a sample from it, WHAT DO YOU MEAN IT HURTS?? And then to act like she was over-reacting! She needs a new physician ASAP. I’m sorry you went through this Angela, I know you can tote a baby.
Hello fellow capitalists!
As physicians/doctors are authorities on our physical and mental health, how can the free market solve the issue of doctors prescribing/recommending harmful/addicting medication from pharmaceutical sponsors? How can we ensure they uphold their ethical obligations instead of being purely self-interested and profit seeking? A private medical ethic committee or certification bureau will have the exact same problem of potential corruption, and is a no good solution IMO.
Lol this is an odd post/topic haha but I’m curious, did anyone invite their supervising to their wedding? I’m in the process of making a guest list and I don’t know if it would be weird/overstepping boundaries to invite him and his wife. We’ve been working together for 2 years, I’m his only PA, and we’re pretty close. He has taken me and my fiancé to dinner a few times before and we’ve all gone to some get-togethers other physicians had. But not close enough where it’s an obvious choice to invite him 😂 Let me know!!
Unintentional weight loss can be a sign of serious illnesses and can help the doctor diagnose you accurately even when other symptoms don’t present themselves
I saw a patient on call last night who made some racist comments about a colleague who is originally from another country and has a thick accent. The details of the comments and the encounter aren't really what matters - what's stuck in my craw is the fact that I didn't have an approach to balancing my professional obligation to provide care to this patient with my desire to confront the racist comments she made, and so I said nothing about her racism and just addressed the medical issue.
I'm white, male, consider myself anti-racist and am trying to put that into practice, and yet last night I definitely failed. Next time I want to be better. Doctors of Reddit, how have you successfully addressed your patients' racist comments?
Why is there always a discrepancy between MGMA and Medscape?
If everyone goes by the MGMA reporting, why is it not free/readily available?
I recently read how CEO salaries increase every year due to their reporting being public/readily available so they use it as leverage to ask for average or above average salary as they are doing well because if they weren't they would be fired. If they are getting a new CEO, they always ask average or above average salary because they are expected to do great things.
Is there a reliable public physician resource for salary? Employed vs Private? I am not sure how reliable Medscape is.
That goes to you too, med students, sons/daughters of doctors, practicing physicians, and the like. I just want to hear some positive outlooks on the topic of becoming and being a doctor.
I am a Physician Assistant student and personal sufferer of RCP-D! I found this reddit a year ago and couldn't believe there was an actual name for the condition I had struggled with my entire life.
I have chosen to write my master's paper on R-CPD which will be submitted for publication in hopes of educating other medical professionals about this condition.
My article will be written from the perspective of a case study, and therefore I need written permission from a patient who has been diagnosed and treated for R-CPD that is willing to share their story with me about how you came to be diagnosed, what your symptoms were, etc. Any imaging such as chest xrays, esophagrams, and more would be extremely beneficial to include. All of your personal identifying information will be kept anonymous if the article goes to publication.
And this isn't just because I'm Indian. But like, bruh, l don't think ANY physician in the world wears a huge ass nose ring (that's primarily worn during weddings) to work. What is up with Covet?! I am annoyed as hell.
Rant over. Sorry if this has been posted about earlier. Just needed to vent.
Edit: a word.
A paper ( https://www.ahajournals.org/doi/10.1161/JAHA.120.015959 ) published in Journal of the American Heart Association entitled, "Diversity, Inclusion, and Equity: Evolution of Race and Ethnicity Considerations for the Cardiology Workforce in the United States of America From 1969 to 2019" by Norman C. Wang, MD, an electrophysiologist from University of Pittsburgh Medical Center (who, pertinent to this sub, identifies as second-generation Chinese-American), has resulted in extreme backlash from the medical community over the past couple days. The essence of the paper is that the author feels admission to medical school should be entirely merit-based and that race should not be a factor in the selection process. He argues that some black and Hispanic applicants that are academically unqualified for medical school end up getting in anyway because of affirmative action and end up struggling in medical school. He also mentions... keep reading on reddit ➡
None of your experiences were taught in school/residency.
I have taken from your experiences and changed my patients’ lives by giving them the essential insider tips to clearer skin. I’ve also picked up excellent skincare advice for myself along the way.
Your posts are being read and inspiring others. Thank you for teaching this old cat new tricks :)
In Germany, we adress them with "Herr" or "Frau" (Mister/Miss(es)). Or when being scientifically correct, med. pract. (the official title of a physician/surgeon after graduating Uni).
But how do other countries handle this?
Tell me which one is catchy:
The talk of our generation is choosing a field based on either lifestyle/pay/passion or some combination of these. What makes you happiest now after being a physician? Is it mainly the time you spend with your family and the money you have, or is it more your work that makes you happiest?
Oof just got the Miami secondary (after like 20 years lol), this is gonna be fun
Last November my wife slipped in our home and injured herself. The injury was not life threatening, but it and the pain was severe enough to warrant a trip to the ER at a hospital that is in-network. It just so happens though that the attending ER physician that night was out-of-network, which we only found out about when we recieved the bill charging us 100% for services rendered instead of 20% (the difference after insurance covered it's portion) like we were expecting. We were never informed that this physician was not in our network, thus we were denied the choice of choosing another in-network hospital with an in-network physician. We filed all the appeals we could with the insurance provider and also with the state to no avail.
Lesson, kids - if you must go to an ER (but your life is not at stake) ASK that ALL attending medical personnel is in-network.
i decided to go the pharmaceutical route after graduating medical school after i didnt match my first cycle, obviously parents were a bit disappointed. After doing a bit of climbing I just got my first major pharmaceutical company job offer, a ludicrous sum of money for a job that i can do remote, a heart beat below a role which ill be eligible for after a year which pays as much as a tail end internist. obviously dad is still interested in knowing if ill be apply to residency again, which at this level i dont even want to.
I feel like if doctors didnt get as much as they did, our desi people would delegate that to "those jobs" and go praise a wallstreet financing something
My husband is a physician at an East Coast hospital that was hit hard by COVID-19. He works specifically in a field that has put him in close contact with COVID patients for the past three months and has volunteered an extra week of service on the COVID unit. It is not unusual for him to work 80+ hours per week. I work from home and am the primary caregiver to our three girls (6, 2, 1) with the help of a nanny for 15 hours per week, however, we had to let our nanny go in March because of the increased risk of transmission due to my husband’s job.
Despite his rigorous work schedule, my husband has many hobbies, chief among them running, baking, and reading AITA. Like many people, since COVID has led to our being home more and his occasional weeks working from home on telemedicine, his baking has begun to take an even larger role in his life (roll in his life for the pun?). He has harvested his own sourdough starter and now spends a lot of time baking various things, which I will admi... keep reading on reddit ➡
Beyond keeping your patients alive and passing the meds you order, what traits have made a nurse stick out in your mind? To you, what makes an excellent nurse vs just another nurse?
I’m a fairly new young ICU RN (25 F- US east coast). Unsure of what I want to do because of the reputation among physicians of NPs/ CRNAs.
I’ve thought about starting ACNP or CRNA school in 3-4 years once I figure out where I feel I would be a strength. I want to work in critical care for a while before I go back to school. I also want to find a school with the best classes, training and reputation.
Things that bother me are that I’ve also noticed every damn nurse is going for their NP (I see nurses getting FNP with little to no experience because they don’t have requirements... I will say that most ACNP and CRNA schools require 2-3 years critical care before you can apply and you can’t work during most programs, which is why it’s not a popular choice among nurses). Also seeing physicians view on NPs and CRNAs makes me nervous too. I want to be taken seriously if I go this route, but I also want to have the true knowledge and skills necessary to be good at it.
Background: I have m... keep reading on reddit ➡