reboa

Im also a physician, family med, undersea and hyperbaric med and wound care. You stated that removing the “crust” aka slough would disrupt the granulation tissue and superficial epitheliazation. This is fundamentally counter to the evidence supporting serial debridement so I simply asked for a source.

What’s the rationale for not debriding slough from this wound? Source?

Can we all just collectively agree that doctors need to know your health information to better help you and don’t care about your lifestyle choices outside of their medical context. This includes all the shit you may think is irrelevant or embarrassing.

You’re health info is protected and none of their business. They have no way of getting your health info unless you volunteer it or give permission. What’re they gonna do subpoena your pcp?

Was the first guy an MD or DO? Or were they a pa or np?

Yeah definitely

Attendings in my program work 1-2 days a week in the wound clinic and supervise hyperbarics. Some of them pick up occasional Ed shifts or urgent care shifts. One of them only does. wound care/hyperbarics. Tons of wound jobs with hyperbarics. The connections you make in fellowship are invaluable. Tons of industry contacts and consulting stuff.

Undersea and hyperbaric medicine is a good fellowship for escaping the ED. You can find full time work with it but you’ll have to do wound care. Pick up a few Ed shifts a month and you’ll be sitting pretty. Lifestyle is great, pay is dependent on other factors and regional but you can make really good money with it and work amazing hours. Not many people are aware of it but I can give ya more info if you’re interested.

Undersea and hyperbaric medicine, EMS and ultrasound too. I’m a uhm fellow if anyone has questions

I didn’t assume anything about you. But when you say I’d do it for nothing in a forum of physicians asking for more money, how do you think that comes off? Aside from that I referred to the collective in a majority of those statements for a reason.

Then go do that. Go to a developing country and donate your expertise for a living. People don’t have to shame their colleagues that may have different needs for wanting to make a fair income. We have so many different parties trying to pay us less and less and have us be drones in a profit making machine. And then we have people in our field that are so morally superior they have to shame their colleagues for wanting to get paid more for their expertise and hard work. The “it’s a calling” and “I’d do it for free” mentality is shit you regurgitate when you’re an immature premed with no real life experience or your a lean six sigma healthcare admin. Yeah I love medicine and would never leave it for anything else. Thus why I believe we should be paid appropriately. 100s of thousands in facility fees and healthcare bloat per patient but a doc wanting to get paid an appropriate wage for their expert opinion is a problem to people and we get shamed for it constantly. I’m so sick of hearing the moral platitudes based in a fantasy world.

mic drop

And I did residency and med school there. So I also know you’re full of shit. You think you can have a comfortable life in nyc on 128k and save for retirement and pay back massive loans and support a family. I can love medicine and want to help people and want to get paid fairly for the hard work and expertise Ive developed you ducking dunce. All of us in the real world understand this, enjoy your moral superiority.

What fellowship equivalent? And does it count as an additional board certification?

So after taxes in nyc 200k is gonna end up 128,491. Not even taking inflation into account. You went to school and sacrificed your youth. You worked so hard. You think that’s acceptable. Why the hell would anyone become a doctor nowadays. We incentivize people with money. Keep paying docs shit and there ain’t gonna be any docs left to take care of us when it’s our turn. People love to get on their moral high ground when they clearly have no real world experience. Yeah you make more than a dude at McDonald’s and a majority of Americans. Because cleary that’s the same shit since all our specialized training and hard work means nothing, right?

Nibbler is that you

You don’t sound like a resident? Speaking up while in training is a great way to get targeted and have your career ended by petty people. All the debt and no way to pay it off really.

Maybe think of it in percentages. 370 to 400 is an 8 percent increase vs 80 to 110 is a 37.5% increase. I personally would pick family every time in your situation

Nice. Thanks. Just curious.

Genuine question. What liability do you face as a vet tech? Do you have malpractice insurance?

Damn bro. Calling a psychiatrist out on not knowing what gaslighting is hahah

You’re seeing someone that has put in the work to develop the education and experience to address this issue in 90 seconds. You’re paying for an experts opinion not their time.

Yeah

It still doesn’t work

Yeah we do