Recent content by kazuma

  1. kazuma

    Frenulectomy racket

    Those lasers can cost 40K or more, I've seen some highly motivated DDS that do as many as they can to pay off the laser and supplement income. There are legitimate cases that need to be done, but it doesn't surprise me that many kids are over-diagnosed.
  2. kazuma

    Am I crazy for considering a job with a 90 minute commute one way?

    Nice, go get it while its good. I get texts or emails from recruiters in my area offering hourly rates that are almost as high as my current hourly wage. That’s quiet change from pre Covid years when they would offer 200-275 an hour.
  3. kazuma

    Am I crazy for considering a job with a 90 minute commute one way?

    Not bad if you’re single and don’t mind living in hotels which is what I do if the drive is more that 2.5hrs one way. But that’s quite rare for me. Most of my commutes are 60-80min one way. I like to spend time w my fam, ski/MTB, workout, sauna, sleep in my own sleep 8 bed etc after work so the...
  4. kazuma

    Am I crazy for considering a job with a 90 minute commute one way?

    It’s rough sometimes if it’s consecutive days in a row but it’s only a 12hr day at most including the drive so taking overnight/in house call w busy OB, trauma, or sick NICU kids was far more tiring and disruptive to my home life/sleep schedule. I sleep in my own bed and get 7-8hrs of sleep...
  5. kazuma

    Am I crazy for considering a job with a 90 minute commute one way?

    It’s ruthless 5 days in a row. I used to do that most weeks in years past and made bank (800-900k/yr) but it’s not sustainable long term. This past year I’ve only been working 10 days a month and make roughly 4-5k/day and most days are 10-12hrs long. So roughly 540k/yr working half the weekdays...
  6. kazuma

    Am I crazy for considering a job with a 90 minute commute one way?

    Easier to keep kids NPO. It’s tough keeping little kids from sneaking food if you’re starting cases after noon. With teens and adults we start at 6-7am usually and are done between noon and 1 typically. A side benefit is avoiding urban traffic at these arrival and departure times. Starting later...
  7. kazuma

    Am I crazy for considering a job with a 90 minute commute one way?

    I wonder the same. Anesthesiologists in the hospital do a lot of sitting especially during long cases. I get headaches/neck/back pain but I had those when I worked in the hospital too. Sitting is an independent risk factor for early death/disability. The cumulative risk of getting into a fatal...
  8. kazuma

    Am I crazy for considering a job with a 90 minute commute one way?

    Yeah but we start as early as 0430 at some places. I have to leave my house by 0300 on average +\- 30min. For a 1 hr medicaid case I’m netting about $650 after billing and drugs/supplies. Sometimes I’m doing quick cases at 2 cases/hr which comes out to $860/hr. Cash pay rates in my area are...
  9. kazuma

    Am I crazy for considering a job with a 90 minute commute one way?

    That’s also one of the downsides of my current gig, my bedtime is usually somewhere around 630-8pm but I’m home by 1-3pm most days.
  10. kazuma

    Am I crazy for considering a job with a 90 minute commute one way?

    I have a 3 hr round trip commute on most days, sometimes upwards of 5hrs. I don’t work nights, weekends or holidays and I’m usually working anywhere between 6-9hrs per day because it’s office based work doing ASA1-2 kids and adults. However, if you include drive time into my wages I’m usually...
  11. kazuma

    Fellowship for Job Security

    True, but there aren't enough fellowship trained docs where I practice for them to do that. They'd have nights of neonate call uncovered. That could change in the future with the fellowship explosion.
  12. kazuma

    Sugamma-f'n-dex

    I started using it on occasion over the last couple weeks and I agree it is magical. It's excellent for the few prima donnas I work with that demand 0/4 twitches when closing fascia. One thing I actually like about Neostigmine is the 5-10 min peak effect time and less chance for NPPE if they...
  13. kazuma

    Fellowship for Job Security

    I have on good authority from the secretaries that some of this "research" involved seedy websites, doors they thought were locked, and self experimentation. :zip::banana::barf:
  14. kazuma

    Fellowship for Job Security

    I think the biggest thing that brings job security is to not suck at what you do (while providing multiple, high value services to your group and hospitals), be fast, efficient, and easy to work with. I've seen my fair share anesthesiologists that either suck (slow, inefficient, can't do big...
  15. kazuma

    Fellowship for Job Security

    Or great time for the attending to do "research" in their office. I actually liked that after I got the hang of things my first and second month of CT in residency.
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