Derm Attending Seeking Guidance from Pain

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drusso

drusso

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Why do they have to say specific number instead of saying “ I make a very good living” or something else. Thats not even a humble brag. It’s just bragging.
 
Laryngospasm said:
Why do they have to say specific number instead of saying “ I make a very good living” or something else. Thats not even a humble brag. It’s just bragging.
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what the difference between this and mitch posting his target practice?

i might as well post my marathon times, my golf scores, or my wife's cup size.
 
SSdoc33 said:
probably not. its from drusso, and he scours the darkest reaches of the interweb. he probably copied it from on some weird reddit subforum or mailing list
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He has zero credibility with me. He’s made up these type of posts to get reactions and gloat in his own way in the past
 
I'll just chime in that this isn't made up from drusso and is posted on a FB group I'm also a part of.
 
DOctorJay said:
I'll just chime in that this isn't made up from drusso and is posted on a FB group I'm also a part of.
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doesnt mean that its not made up.

do you know the poster, and are they trustworthy?

that being said, i wouldnt be surprised if a derm subspecialist in ohio made this much
 
SSdoc33 said:
doesnt mean that its not made up.

do you know the poster, and are they trustworthy?

that being said, i wouldnt be surprised if a derm subspecialist in ohio made this much
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correct, very well could be made up and all the people posting on that group are posting similar things to what you're seeing here. just saying it's not drusso making it up.
 
Mohs surgeons make a ton. Everyone knows. Maybe just say your a mohs surgeon.. specifics are tone deaf and tasteless when you have pcps making 200k.
 
Happiness with great wealth and a young family is easy

When the kids get old enough to start accumulating social and educational problems, that’s when the real stress begins
 
Maybe it’s possible to be that much of a unicorn? That take home is high even for Mohs, especially on a what would be a 4 day work week. After taxes and quoted expenses that’s $650k to save yearly. To have a net worth of $5M in 5 years, had to have not have had any student loans, had zero practice buy in, and hit that number from day 1 with no ramp up.

I don’t believe in all that together unless his family set him up financially from the get go and/or trust fund and/or handed him the keys to a busy practice. Only other option is really, really killing it in the market with at least some of the above.

If actually true, good for his family. Unfortunately they have to put up with someone who sounds insufferable while also living in Ohio.
 
The purchasing power of physicians has gone down dramatically over the last several decades relative to the sizable gains made by other fields.

I have no issue with what this derm is making. Good for him. However I have a huge problem with peds and primary care et al being paid in the 200s. The answer is not to rip on the doc making 1.5, it’s to advocate for our profession (not just specialty) and to bring up the floor of what docs make in general. A rising tide raises all ships and all that
 
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SSdoc[emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]] said:
as much money as he makes.... he still has to live in Ohio.....
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But not for long if he doesn’t want to.
 
Reign in heaven or serve in hell. It’s an old story.
 
I find it unlikely that someone who was at least smart enough to get into med school/derm is so clueless they have to ask the Internet about how to spend their money and provide a bunch of humble brags but nothing they dislike ("I have an amazing family, house, sweet cars and vacation often while barely working. But I'm so not sure how to prioritize quality of life guys 🙁 "). Seems more like a troll poster. I agree with the general sentiment expressed by au bon pain though.
 
au bon pain said:
The purchasing power of physicians has gone down dramatically over the last several decades relative to the sizable gains made by other fields.

I have no issue with what this derm is making. Good for him. However I have a huge problem with peds and primary care et al being paid in the 200s. The answer is not to rip on the doc making 1.5, it’s to advocate for our profession (not just specialty) and to bring up the floor of what docs make in general. A rising tide raises all ships and all that
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If you're making that little as a full-time, not fresh out of residency PCP then you're doing something wrong.
 
What they have to discuss with the patient is always more extensive than what we discuss.

They are spending much more time with the patient and treating a lot more conditions, but in this fee for service model where procedures are most valued, they just don't get good compensation.

The math doesn't math because of that.
 
nvrsumr said:
Reign in heaven or serve in hell. It’s an old story.
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"Better to reign in Hell than to serve in Heaven" -Lucifer, Paradise Lost by John Milton.

Conversely the OP does sound like they are reigning in Heaven while I am now serving in Hell...... so I guess it all works out
 
Ducttape said:
What they have to discuss with the patient is always more extensive than what we discuss.

They are spending much more time with the patient and treating a lot more conditions, but in this fee for service model where procedures are most valued, they just don't get good compensation.

The math doesn't math because of that.
Click to expand...
There are PCPs that do volume and they’re high quality. Streamlined process, efficient. Soooooooo much time is wasted in primary care, and there are often 17 staff members sitting around waiting to draw blood and check vitals. Sit there on their phone watching FB Reels.
 
Yep. I visited a hospital owned outlying clinic. A doc and two midlevels, large amount of MA’s, lab tech. No patients.
 
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