Subscription only luxury urgent care

[Backpack234]

I’ve seen ads for Sollis Health on the emdocs jobs group. It looks interesting. M-F 40 hours per week urgent care job. No emtala. Only seeing a few patients per day. Although they’re all super wealthy. At least wealthy enough to afford the subscription.

Would you prefer this over a traditional ER?

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[RustedFox]

This sounds like the worst.

EDIT: Histrionic wealthy folks dramatacising their non-urgent and generally non existent medical issues that won't listen to any degree of common sense?

Yeah, that's the **** that burned me out in 2020. Byeeeee, OldJob.

 

[Franzd'Epinay]

This sounds like the worst.

EDIT: Histrionic wealthy folks dramatacising their non-urgent and generally non existent medical issues that won't listen to any degree of common sense?

Yeah, that's the **** that burned me out in 2020. Byeeeee, OldJob.

Perhaps the (presumably) much lower volume could make it bearable?

 

[Birdstrike]

Would you prefer this over a traditional ER?

If you take the chronic circadian rhythm fatigue/irritability/low-grade-depression out of the equation by eliminating night, weekend and holiday work, then yes, what you describe is infinitely preferable over general EM. Feeling fresh, energetic and rested all the time, makes dealing with any difficult patient type, infinitely easier to deal with.

 

[Apollyon]

Perhaps the (presumably) much lower volume could make it bearable?

For me, at least, no matter if it was 10, 20, or 30 pts, it was the one absolutely awful pt I saw that got me, instead of the good pt interactions. Same with retail - it's not the 99 good/unremarkable, but the 1 bad one that burns you down. Again, for me, I can't envision only seeing 3 or 4 a day, but, every single one is an execrable piece of soul crushing garbage.

 

[Angry Birds]

For me, at least, no matter if it was 10, 20, or 30 pts, it was the one absolutely awful pt I saw that got me, instead of the good pt interactions. Same with retail - it's not the 99 good/unremarkable, but the 1 bad one that burns you down. Again, for me, I can't envision only seeing 3 or 4 a day, but, every single one is an execrable piece of soul crushing garbage.

For me it’s patient volume. Pure and simple.

 

[turkeyjerky]

Being happy in a practice environment like that would require a substantial change in mindset. I think most of us want to practice prudent medicine, performing the right interventions and investigations as the right time, attempting to minimize over-testing and treatment, along with the inevitable increased costs, complications and anxiety (of course, with a little CYA sprinkled in).

In order to thrive in job like this, all that goes out the window (even moreso than it does for us everyday). You just need alter your ethos and be enthusiastic about providing bad care. "Feeling a little under the weather, maam? Sure let's make sure to check everything out. First here's a prescription for Zyvox and Cefdin (only plebs still use z-paks), I'm ordering a CT S/C/A/P and an echocardiogram. If that doesn't show anything we'll get an MRCP and a PE study. The nurse already has the results of the CBC, CMP, TSH and Troponin. Luckily everything looks okay so far, but I do have bad news. You'll have to wait 12 hours for the results of your testosterone and free cortisol tests. We'll call you right away though."

It's Veers-style widget medicine, but w/ a smile and forced enthusiasm. And you get 240k a year in NYC.

 

[RustedFox]

Being happy in a practice environment like that would require a substantial change in mindset. I think most of us want to practice prudent medicine, performing the right interventions and investigations as the right time, attempting to minimize over-testing and treatment, along with the inevitable increased costs, complications and anxiety (of course, with a little CYA sprinkled in).

In order to thrive in job like this, all that goes out the window (even moreso than it does for us everyday). You just need alter your ethos and be enthusiastic about providing bad care. "Feeling a little under the weather, maam? Sure let's make sure to check everything out. First here's a prescription for Zyvox and Cefdin (only plebs still use z-paks), I'm ordering a CT S/C/A/P and an echocardiogram. If that doesn't show anything we'll get an MRCP and a PE study. The nurse already has the results of the CBC, CMP, TSH and Troponin. Luckily everything looks okay so far, but I do have bad news. You'll have to wait 12 hours for the results of your testosterone and free cortisol tests. We'll call you right away though."

It's Veers-style widget medicine, but w/ a smile and forced enthusiasm. And you get 240k a year in NYC.

Yep.
That's not medicine.

 

[xaelia]

Sounds like fun and games until you have to get on a conference call with their Functional Medicine specialist, Naturopath, and Homeopath.

 

[RustedFox]

Sounds like fun and games until you have to get on a conference call with their Functional Medicine specialist, Naturopath, and Homeopath.

Yep. This crowd loves their mystical bull$hit. No, thanks.

 

[Birdstrike]

It's Veers-style widget medicine, but w/ a smile and forced enthusiasm. And you get 240k a year in NYC.

BRING BACK GENERAL VEERS

 

[TrailRun]

So my choices are work good hours for good money to give rich people what they want, or work bad hours for ok money to give poor/middle class people what they need…

 

[bravotwozero]

So my choices are work good hours for good money to give rich people what they want, or work bad hours for ok money to give poor/middle class people what they need…

It’s like working at a Bentley dealership vs at Honda. I think I’d take Honda.

 

[RustedFox]

BRING BACK GENERAL VEERS

I started a thread for this.

 

[Brigade4Radiant]

So my choices are work good hours for good money to give rich people what they want, or work bad hours for ok money to give poor/middle class people what they need…

No it’s still what they want due to press ganey. You follow MIPS press ganey suffers and bam

 

[thegenius]

I’ve seen ads for Sollis Health on the emdocs jobs group. It looks interesting. M-F 40 hours per week urgent care job. No emtala. Only seeing a few patients per day. Although they’re all super wealthy. At least wealthy enough to afford the subscription.

Would you prefer this over a traditional ER?

Do you want to be that kind of doctor? Where you basically give every single test and pill to a patient who wants it? You aren't going to say no if the patient is paying thousands of dollars a year to access you.

Please...come with me and work in my new line of nationwide clinics: "Test'N'Pills"
Test'N'Pills will revolutionize the way we do medicine as we will NEVER say no to anybody who wants a test and some pills.

 

[thegenius]

If you take the chronic circadian rhythm fatigue/irritability/low-grade-depression out of the equation by eliminating night, weekend and holiday work, then yes, what you describe is infinitely preferable over general EM. Feeling fresh, energetic and rested all the time, makes dealing with any difficult patient type, infinitely easier to deal with.

This is farthest from the truth. Nagging, demanding, and entitled patients will suck the life out of you whether you are well rested or tired. In fact I would argue that if you are well rested, you will just argue with them MORE than at 2:00 AM when tired. At 2:00 AM, I hand out prescriptions for norco without care.

 

[thegenius]

Being happy in a practice environment like that would require a substantial change in mindset. I think most of us want to practice prudent medicine, performing the right interventions and investigations as the right time, attempting to minimize over-testing and treatment, along with the inevitable increased costs, complications and anxiety (of course, with a little CYA sprinkled in).

In order to thrive in job like this, all that goes out the window (even moreso than it does for us everyday). You just need alter your ethos and be enthusiastic about providing bad care. "Feeling a little under the weather, maam? Sure let's make sure to check everything out. First here's a prescription for Zyvox and Cefdin (only plebs still use z-paks), I'm ordering a CT S/C/A/P and an echocardiogram. If that doesn't show anything we'll get an MRCP and a PE study. The nurse already has the results of the CBC, CMP, TSH and Troponin. Luckily everything looks okay so far, but I do have bad news. You'll have to wait 12 hours for the results of your testosterone and free cortisol tests. We'll call you right away though."

It's Veers-style widget medicine, but w/ a smile and forced enthusiasm. And you get 240k a year in NYC.

I agree with this. What is the point of becoming a doctor when a patient tells you what to do....AND YOU DO IT!

 

[alpinism]

The Hamptons job posting sounds like you're just driving around giving out antibiotics and vitamin infusions in people's homes.

 

[Franzd'Epinay]

I started a thread for this.

What happened to veers?

 

[deleted941485]

Sounds like fun and games until you have to get on a conference call with their Functional Medicine specialist, Naturopath, and Homeopath.

Honestly I’d love a conference call with them. I listen to their hookey bs then I’m gonna make up my own and blow them all away.

 

[turkeyjerky]

The Hamptons job posting sounds like you're just driving around giving out antibiotics and vitamin infusions in people's homes.

Right?

I'm sure there's a bunch of people on facebook posting unicorn emojis and saying it's a awesome opportunity. But this type of thing isn't even medicine, much less emergency medicine.

 

[turkeyjerky]

If you're done w/ EM and just want a chilled out job then go work for the VA. Overall comp is better, too.

 

[Tenk]

If you paid me like $400-$500/hr I’d be willing to be an over qualified waiter for sure.

 

[TrailRun]

If you're done w/ EM and just want a chilled out job then go work for the VA. Overall comp is better, too.

I had heard VA pay is lower? Or are you saying the benefits make up for it

 

[Brigade4Radiant]

I agree with this. What is the point of becoming a doctor when a patient tells you what to do....AND YOU DO IT!

Yeah instead its do what admin says.

 

[Apollyon]

What happened to veers?

He went WAY off the reservation but, just a few people, for some reason, deify him as he's gone. He was not railroaded, but used up all of his chances and good will.

 

[nimbus]

Being happy in a practice environment like that would require a substantial change in mindset. I think most of us want to practice prudent medicine, performing the right interventions and investigations as the right time, attempting to minimize over-testing and treatment, along with the inevitable increased costs, complications and anxiety (of course, with a little CYA sprinkled in).

In order to thrive in job like this, all that goes out the window (even moreso than it does for us everyday). You just need alter your ethos and be enthusiastic about providing bad care. "Feeling a little under the weather, maam? Sure let's make sure to check everything out. First here's a prescription for Zyvox and Cefdin (only plebs still use z-paks), I'm ordering a CT S/C/A/P and an echocardiogram. If that doesn't show anything we'll get an MRCP and a PE study. The nurse already has the results of the CBC, CMP, TSH and Troponin. Luckily everything looks okay so far, but I do have bad news. You'll have to wait 12 hours for the results of your testosterone and free cortisol tests. We'll call you right away though."

It's Veers-style widget medicine, but w/ a smile and forced enthusiasm. And you get 240k a year in NYC.

Throw in some truffle fries and maybe they’ll leave you a nice tip.