Did I say I was a target? I can be pissed for others. You make broad assumptions in alot of your posts above. Take a good look in the mirror yourself.
What are "these types"?
Assumptions? You mean directly addressing specific comments made by people here? Whatever you say. I'm capable of acknowledging things that frustrate me while being appreciative of the benefits society has afforded me and not trying to paint an immigrant mother as stupid and lazy because I need her to be the villain of my day for mildly inconveniencing me - let me just go commit seppuku out of shame.
Naww no assumptions here at all, totally specific comments….I definitely saw villian and stupid thrown around alot. Go back and read the thread. Im out, your high horse likely needs feeding and rest. Youve been on it too long.
Maybe I’m completely wrong and none of those scenarios are at play but you just essentially got fired after one patient interaction. There’s a very good chance counseling would be beneficial in that situation.
Sorry to "pile on", but this is such condescending BS. Like, really, F off dude.
Every shift. And everyone of my partners and nobody has been fired or even remotely fired for an interaction like he described. There’s something deeper going on, there always is.
You’re right. It won’t fix the system but it can definitely help with your outlook and help work on things you can control. At a minimum, sometimes it feels good just to rant to somebody and get all your frustrations out.
It does take a lot of smarts to bamboozle this many people into believing you're not a quack.
Lol what a clownshoe post
Ehh, all I’m saying is health literacy is at about the 4th grade level. Taking a child to the doctor for a fever doesn’t seem like they needed to be "scolded."
Not uncommonly I see parents brings their kids in "because they said they wanted to see the doctor, so it must (!) be serious".
Online-schooled NP for the win...
If you’re a newish guy to them and it’s a crappy team health site it absolutely could get you canned.
My degree? My degrees are private and I can assure you whatever gov subsidy was involved was dwarfed by my tuition cost. You act as if the government generates money magically and props up Doctors lollll. Where do you think it comes from? I can assure you the gov is giving out well beyond $5 for medication; here’s a fun example, the federal gov buys more than half of the baby formula used in this country, guess who gets that “free” baby formula and who pays for it?
I think there's a pretty big difference between maximizing saving money you earned vs. maximizing spending money others put in the system.
I tend to think even that is probably more schooling than is needed for the majority of UC visits.
Defined by who? I would consider 1-2 times per month but now that’s just semantics. We may have one patient in the entire system that averages out to >1 visit/week and she’s neither Medicaid or self pay. Nonetheless, it sounds like you don’t have the data to back up your 90% claim.
My sister is a first language English speaking attorney - over the weekend she wasn’t sure what she should do over a mild msk issue .. she was clearly embarrassed to ask me what to do about it but she wasn’t able to triage herself urgent care vs pcp vs ER … as the only doc in the family, I receive text messages with pictures of rashes and cold sores .. if there’s not a doc in the family there’s no free text a doc for those sort of inquiries.
Whether it was more or less a hostile interaction, it shouldn’t be easier to fire us than the cafeteria staff. All sorts of people are hostile to me all the time, and they don’t get fired! At my work and at their work (ie grocery store). I would have just ordered the LFTs because it’s easier (maybe I’m part of the problem) but it’s wrong that this is how our employment works. Maybe my gaslight burned out? But I don’t think we should need counseling to cope with BS stuff that these corporations find acceptable to do to us. They are the problems; we are not the problem and neither are most of the patients.
I think it’s impossible to practice EM without eventually getting this way, once in a while. I’ve been there.
He said 90% was Medicaid and I said probably 33% of the ones I see are Medicaid, with another third being self-pay, and another third being private insurance. I did a quick Google search and that's all I could find but I'm happy to look at more recent data
CMGs aren’t my style and I’d probably be burnt out dealing with all the other burnt out docs.
Again, my assumption is that there are other things going on and this was not an isolated incidenct, hence, my recommendation for counseling. But again, everyone is more than welcome to pretend to be aghast at someone who got fired because of one patient interaction, states they feel numb with life, and has no self-confidence to meet with someone and talk. It’s not my career and it isn’t my life but I’d rather see a fellow doc find some joy in their life and be confident in themselves.
