Recent content by medhead1990

Hey, just wanted to start a conversation about these medicines. I tend to lean on naltrexone heavily in my practice in large part because that’s just what I’ve had the most experience with. I had someone in my office today who wants to get off alcohol but is on chronic opiates for back issues...

Hopefully no de-railing the conversation but I was going to make a post and thought this was recent enough and relevant enough i might as well just hop in on the coat tails. In training I only ever say augmentation with ritalin in geri cases or once in a pt (50s so not quite geri) who had really...

Great information everyone thank you I really appreciate it. With all the above I definitely think I’ll at least try it for a few things and see if it sticks. It sounds like both results and side effects (cognitive slowing) happen pretty quickly, Which makes it nice to experiment with. If it...

Curious what everyone’s experience has been with topiramate and it’s many many off label uses. I had a conversation with someone the other day who frequently used it for weight loss, mdd, ocd, sleep, Alcohol deprenence and other off label uses. I’ve never really used it because in my minds eye...

Oh I don’t disagree I think it’s ridiculous but my impression was That most places don’t/can’t. It’s nice to know that’s not the case

Isnt that against the “rules”, ie. Wont a practice breach contract with the insurance companies by telling others what their negotiated reimbursements are? Or is it considered ok in the setting of potential new hires?

Couldn’t help but think about this reading the thread

@calvnandhobbs68 could you give me access to sending you a DM, I would love to get the psychologytoday referral link you mentioned.

I worked at a drug rehab befor medical school and we had someone buy one of these. Unfortunately for them they were Caucasian and it was made for someone who is black! it came in the mail the day before so he had no choice but to use it (we actually had to generally observe them when they...

My interest is piqued and could you give examples of what skills or pt population are you treating? (Can be vague if preferred) My first thought was that forensic work is a great way to make some big money as a side gig but you mentioned that you are not fellowship trained. Are you trained in a...

P psych with intention of doing pain?

Hey all, hoping to make this season of ABIM studying as painless as possible and got to thinking that it would be nice to have a "landing board" where one could connect with others studying and share material and thoughts. The hope is that this will create a healthy positive spot for questions...

"Moonlighting at various gigs and working overnight especially in places where you can sleep at least 5-6 hours. So while on paper it's 40 hours/week, it's actually much less. There's a gig I work at where I sleep soundly for half the shift, lol." What was the context of this magical unicorn I...

Txphysician, i agree completely if having that nuanced of a discussion about the compensation would stop others from wanting to contribute I completely agree. I would rather hear more from more people than go down a rabbit hole. I hope my post did not come off cheeky or as if I was...

Thanks all who have contributed. There are a lot of salary threads but I feel like this one is really letting us (residents and med students) "look under the hood" as to what comes along with the numbers being thrown around. From what I am gathering I am getting a sense that when I start at the...