Recent content by Pir8DeacDoc

Ok. So the above stuff made me think of this. Do you all think it's appropriate or annoying to get called directly from an np/ pa in the ED? I am happy to help anyone. But I get agitated when a relatively simple problem gets turfed to me and there's been no discussion with the supervising ER...

Just to put this in perspective for anyone reading this. These aren't realistic real world numbers for most people. If you average 125 wrvu per clinic and do clinic four days a week for 45 weeks a year (7 weeks vacation) at a typical wrvu pay- that's gross pay of 1.5 million a year. Not...

I'd agree with the others. Reach out to the other guy in town and pick his brain. It will give you a reasonable idea of the landscape and what your next steps might be. If he's late career, I doubt he cares if you stay or go from a competition standpoint. He's got his own thing going and he's...

I'm happy for you to do tonsillectomy if you're willing to take care of the bleeds after. Lol I had a very rural satellite clinic where a general surgeon did tonsillectomy. He called me once to the OR for a hand with bleeding. Truthfully. When it's easy it's easy. But it can really suck. And...

Great advice above. Have you considered one of the fields that could utilize your intern year? I.e. something like advanced spots in Anesthesia or maybe radiology, PM&R. 3 years and you're into practice. Sometimes we think there is only one path to happiness as a doctor. There are a ton of...

At least they got the diagnosis right?!? that's kinda good news. Luckily the patient got a huge bill, a CT scan they didn't need, and now will get the $20 antibiotics they needed. Do you know if their ESR was ok? LOL I have found that the ability for any person not an ENT to diagnose an ear...

I did have that thought. But this guy was crazy enough I would have feared for my well being. Just best to move along, I suppose

I had a lot of internal ethical and moral discussions with myself. I recognize we all tackle things in different ways. And I'm humble enough to know my way isn't the only way. But blatantly intentionally misreading scans to get people approved for surgery is just hard to watch. Ultimately I...

We've hit on my favorite topic. The surgeon in town doing totally unnecessary things to people to line his own pockets. I left my last practice (along with other questionable behavior) because the guy did 4-5 balloon cases a week on totally normal scan patients. Wild that everyone needed pan...

This is all excellent. I will echo some of it. -What's the call arrangement? If you're not on call and a patient of yours has an issue, what's the plan? What if you're out of town? - Despite how you feel at the end of residency, there's a transition to independent practice. Cases are harder...

Obviously we all have to learn. But it can be done safely and responsibly. Treating other people like Canon fodder or an ATM is shameful behavior.

I don't know if he's still there at mayo Scottsdale but Rick Hayden trained one of my mentors back in the day for his fellowship. Obviously hard to know if it was the program or the doctor. But my mentor was/is a fantastic head and neck surgeon.

well said. Exactly my experience as well.

There's been a rather dramatic change in my career so far away from surgical management of head and neck cancer and towards chemo/rads up front with surgical clean up if they fail. Downside for a general ENT Like myself- I'm not interested in salvage surgery. It's just exponentially more...

If you're hospital employed, then they can't just pay you whatever you or they want. They have to stay within reasonable parameters to be compliant. They can sometimes get around this to some degree by making you a division head or some other such title with additional compensation. Otherwise...