Recent content by dchristismi

So you have, as my sister the MBA says, "FU Money" Hm, lets see. I know that feeling. I think many of us do. The palpitations are the worst. I actually deliberately did night shifts to avoid the Nurse Manager who induced said palpitaitons because I decided that the palpitations were worse than...

You don't do HPM for the money. You do it to reclaim your humanity after EM destroys it.

Indeed, two inpatient hospice docs in the same thread? Crazy. I'm not going to AAHPM in person this year, but last time I did go (precovid, because it was nearby), I got lots of incredulous looks. Because it is very rare. Anyway, the above is absolutely true. When your identity is all about...

I didn't do a fellowship as I only do hospice. If you want to focus on palliative, you need the fellowship as many palliative jobs are hospital-based. EM is the perfect jumping off specialty, IMHO. I had enough experience, and already knew what I wanted to do: retire! I spent about 3 years...

I have some bonds because I have one foot in retirement... and I'm not young anymore. A lady never shares her age, but its close enough to actual retirement that I'm not going to have as aggressive a portfolio as I used to. I've retired once already and my husband is partially retiring next...

Index funds, baby. Index funds all the way. I grew up with a father who was very into investing and the power of dividends and compounding interest, so was exposed to it early. My sister has a MBA. We joke about our favorite index funds. It may be WhiteCoat who said it first (or best?)... if...

But is that in a good way or a bad way? Because it could be either...

Of course I talk to my siblings. My sister is my best friend. She knew pretty much everything as first marriage crashed and burned. Now I don't tell her EVERYTHING, but I don't need to. And therapists are a LOT cheaper than lawyers. From first marriage, I picked one that had a focus on...

A divorce isn't the end of the world. I'm a woman, and my first husband, who was my high school sweetheart who I had known since we were kids, became an alcoholic, contributing NOTHING once I started residency, and I ended up leaving him (or rather, kicked him out) shortly after I became an...

I'm a woman. I got out. I am Nonna by marriage (no biological children - when would I have had time for that?? Besides, steps and grands are easier. And oh, spent my 20s and 30s working my @ss off, and coding children made me realize that I didn't want to walk around with my heart on the...

Um, and some of us got out of the pit. When I left EM, I found I had a lot more time for real life because I wasn't trying to survive. So there's that. I read a lot more now. Odd, because I feel like I work more, but it's so much less intense.

I take it in nibbles. A little here and there usually, because it IS a lot at once. And honestly, it's a lot of musings - he's not writing for an audience, they're really his own meditations for himself... and he's really heavy in comparison to some of the other stoics. But yeah, I've read it...

The only single-visit therapy I've read about actually being effective involves psychedelic mushrooms for depression in terminal illness. Which isn't technically something most practitioners can offer yet. So it'll be a bit before I can expand my HPM practice to that... but hey, when I can, we...

Regarding Meditations, the translation makes a huge difference. The first time I tried to read it, I just... couldn't. I tried again years later with a different translation - the one with a raven-type bird on the cover by Hays - and I adore it now. I went back and looked at the other...

Please tell me you nonchalantly replied "I am the airway team..." or "your secret airway team" or something like that...