Recent content by igap

I somewhat disagree with this sentiment. Virtually no plastic surgeons in practice today manage some of the complications he/she might encounter. E.g. - bowel perf, pneumothorax, dvt/pe, fat embolism. There are cases of board-certified plastic surgeons missing these injuries and resulting in...

Academic center plastic surgeon here. The last few years I've been taking home ~1M per year. My comp is essentially 100% clinical. Been in practice for over 10 years and am what you'd consider "mid-career". I do a mix of cosmetic and reconstructive microsurgery. I worked very hard early on...

This is actually a great question. As an attending at an academic center who trains residents, the idea that a resident would make demands about which surgeries to scrub on is somewhat problematic. Just from the standpoint that it would create a precedent where residents could dictate the...

Welp, you sound kind of jelly. And it's not a good look! But I'd say a guy in his mid-30s, single, no kids, with 2M in a taxable brokerage, is in pretty solid shape. I'm gonna make a few assumptions here. He is living a reasonable lifestyle and is fairly savvy with his cash. He probably...

Fellowship training in the United States doesn't have a lot to do with USMLE scores. If you are in a U.S. plastic surgery residency, that is a pretty rigorous screen in and of itself. From what I recall from my fellowship match days, it was wayyy more important where you trained, who wrote...

An out-of-network plastic surgeon could possibly succeed in a rural setting. Here is how that would need to be set up to have a shot: -First, the surgeon would need to offer services that are unique to the area. Not unique to the field, or to the country at large, just that area. Be the...

To the OP: Don't go to medical school. Instead get a job. This will serve several purposes. One, you will get some work experience which is never a bad thing. Even though you are not sure what your future holds, getting a job will give you valuable experience that may help you figure out...

It's pretty simple guys. A debt is a debt. If you borrow money, you pay it back. It's actually more than just an honorable thing to do, it is actually required by law. If you financed your medical school with debt, then you agreed to pay it back by signing the papers. It's just embarrassing...

I think that forgiving medical student debt is pretty dumb. As a physician, with student debt, I find the notion of physician debt forgiveness laughable. Instead of hanging that debt on the taxpayer, how about just using your physician salary to pay off the debt? It's pretty basic, you just...

OP here with yet another update. Portfolio up another 15% (including reinvested divvies) since earlier in the year. Divvies up 18% YOY with some additional investment. Taxes do kind of suck, but I pay them knowing that the more divvy tax I pay, the more divvies I earn. The dividend strategy...

Well, I don't come to SDN much anymore, but wow here I am reading a post that I wrote 5 years ago. I still feel exactly the same way as when I wrote it. My practice has changed somewhat in that time. I have narrowed my focus to a more outpatient/breast/cosmetic practice although. Still do a...

OP here with an update since there seems to be some interest in it. Operation Dividend Freedom is progressing well. Not to inject politics into it, but when Trump got elected my portfolio increased by nearly 20% over the following couple of months. The dividends keep flowing though, and with...

San Diego? Late April? Meet some program directors and talk to current residents? What's not to like about that if you are a medical student who is interested in our field? You should definitely go. If you do go, make sure you talk to everyone and get names and contact information, and...

No evidence to support that. Normal saline is enough.

Rae Liz - That's a pretty straight and clean lac. I would have irrigated that out, and then closed it with a few 5-0 monocryl simple buried sutures at the dermis, and then run a subcuticular 5-0 prolene pull-out stitch, applied dermabond, and then pulled out the 5-0 prolene. Dermabond is...