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Rep Retirement Lodge 201: A State You Don't Expect

Rep Retirement Lodge 201: A State You Don't Expect

  • Arizona

    Votes: 0 0.0%

  • California

    Votes: 1 4.5%

  • Colorado

    Votes: 0 0.0%

  • Connecticut

    Votes: 2 9.1%

  • Florida

    Votes: 1 4.5%

  • Georgia

    Votes: 0 0.0%

  • Illinois

    Votes: 0 0.0%

  • Indiana

    Votes: 0 0.0%

  • Maryland

    Votes: 2 9.1%

  • Massachusetts

    Votes: 1 4.5%

  • Michigan

    Votes: 0 0.0%

  • Minnesota

    Votes: 0 0.0%

  • New York

    Votes: 1 4.5%

  • North Carolina

    Votes: 0 0.0%

  • Ohio

    Votes: 0 0.0%

  • Oklahoma

    Votes: 12 54.5%

  • Pennsylvania

    Votes: 0 0.0%

  • Texas

    Votes: 1 4.5%

  • Virginia

    Votes: 0 0.0%

  • Washington

    Votes: 1 4.5%
  • Total voters
    22
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Re: Rep Retirement Lodge 201: A State You Don't Expect

leswp1 said:
I call myself an NP. I refuse to be called a Physician Extender or a Mid-level. Both I find objectionable and a bad message to the patients as studies show we provide excellent care and NPs can practice independently. Provider is a generic term that I find least objectionable. I would say medical professional but that is too long.

In my experience Docs frequently have the attitude of a spoiled only child. This seems to come to the fore when their practice is successful and they have increasing demand because the patients love them. The success bloats their ego and no one is above them to give them a reality check. Not usually seen with people in small practice who are practicing for the love of doing it. THe ones trying to grow the business are the worst.

Absolutely agree with all of this!!
In our area there is no medical practicing left. Pretty much all of the 'old fashioned' people have been driven out by the PHO, hospital. They have changed the rules to make it untenable for them to survive. Stuff like ER Docs not allowed to admit, you need to physically see the pt and write orders before 4 hours. In the last 5 yrs I think almost all of the people in my age group practicing Primary care here have retired early or gotten out. All of my NP peers who started practice when I did have retired or are actively trying to, We are all below retirement age.

It is all Insurance and business. I quit because I refused to practice insurance and I refused to be forced to do unsafe things so I could 'capture' money they should have been paying to begin with (I was told I must write a new start anti-depressant for 90 days so the measure would be met- wonder who would have been responsible if the person became undepressed enough to ingest them all). The newer folk have no idea what Medicine should be or was. They are being taught to practice insurance. They structure things in a way that people who are motivated by the patient are penalized. They give the patient the message this is a service industry and we should make them happy. If all your patients are happy all the time you are a screw up.
Click to expand...

Les: You know by now what an old time practitioner I have been. I loved what i did. When I stopped being able to be my own boss and make my own decisions, I decided to stop (but only cut back slowly at first). I am not really fully retired even now. I still see patients and I still offer myself for consultation but only if I do not levy any sort of charge. Growing up i was lucky to have a very smart father who was constantly giving me advice for the future. being my rebellious self, I barely listened but filed it all away for when I got old enough to realize that he was just about always right. Interesting how a mailman with only a high school education could ever garner so much common sense. His advice about work was simple - do it as long as you enjoy it. Stop when it becomes something you dread but only if you afford to. You can afford to only if you keep your overhead in life manageable. I never realized how important that was going to be in practicing medicine. i can fully understand and appreciate exactly where you are coming from.
BTW his best advice to me ever? Marry a rich girl who can cook. Anything else you can find somewhere else! Lost him in 1992 and gosh, I miss him.
 
Re: Rep Retirement Lodge 201: A State You Don't Expect

DrDemento said:
Les: You know by now what an old time practitioner I have been. I loved what i did. When I stopped being able to be my own boss and make my own decisions, I decided to stop (but only cut back slowly at first). I am not really fully retired even now. I still see patients and I still offer myself for consultation but only if I do not levy any sort of charge. Growing up i was lucky to have a very smart father who was constantly giving me advice for the future. being my rebellious self, I barely listened but filed it all away for when I got old enough to realize that he was just about always right. Interesting how a mailman with only a high school education could ever garner so much common sense. His advice about work was simple - do it as long as you enjoy it. Stop when it becomes something you dread but only if you afford to. You can afford to only if you keep your overhead in life manageable. I never realized how important that was going to be in practicing medicine. i can fully understand and appreciate exactly where you are coming from.
BTW his best advice to me ever? Marry a rich girl who can cook. Anything else you can find somewhere else! Lost him in 1992 and gosh, I miss him.
Click to expand...
We were very blessed to work in Medicine at at time that the patient was the focus and doing right by them was respected as the right thing to do. I miss it. I used to daydream about going to some hole in the wall to practice the right way. Pretty sure that doesn't exist anymore :( I have no idea how much longer I would have survived having to work and feel like a hypocrite. By the time I stopped it took me months to be right within myself.

I got the same type of advice from my parents. My Dad worked in finance before he went to the Gubmint. He sat me down and told me to save from my first paycheck. My Mum gave me a lot of great advice about how to manage life balance and deal with people (advice she unfortunately now regularly challenges). I am below retirement age but having lived with 'manageable overhead' allowed me to get out before it ate me alive. There wasn't really an option to consult. The local medical establishment is very toxic right now, even for Docs. Folks are are leaving in droves and the hospital has managed to offend pretty much everyone except the brand new hires.

I would love to be in a place that I could use my knowledge for good but haven't found a place to do that yet. Liability sucks. I do the next best thing. I teach the baby nurses in their first Clinical experience how to be resilient and how to look at the PERSON they are taking care of. I miss my patients a lot tho. I am thankful to have met some in social places after I retired. It is always cool to know what happened to them.
 
Re: Rep Retirement Lodge 201: A State You Don't Expect

So, somewhat big family news here. My mother’s older (by a year) sister is moving in with her. For the past 2+ years she has been living in Wyoming with her son and DIL. She used to live in Delray Beach with my uncle (her and my mom’s brother) and he was such an ***** to her, sold the small home they loved. He moved up here.

Anyway, my cousin took her in. He’s a Baptist minister now. They live in Story, WY. My aunt has been pretty miserable there the past six months, mostly because of her DIL. Treated her poorly, never abused her, but just made it miserable for her. The whole time I was here recuperating, she called my mom multiple times a day. Now, I don’t know if she asked my mom or my mom offered (I think it was the latter), but she’s moving in today. I called my aunt’s daughter, who lives here and had planned a vacation to see her mom this week, that while she was there she needed to take care of a few things. Like following up with Medicaid - my mom is now going to be her designated caregiver and the DIL will no longer get paid to do nothing. I said she should check with my aunt’s doctors to see if she needed to sign something in person to release medical records for when she gets new doctors here, etc. Just all that kind of stuff. They flew to Boston last night and my cousin is bringing my aunt up today.

I was initially a little wary about it, but honestly, my mom is pretty happy about it. While my brothers and I are with her as much as we can be, she’s never lived alone. She did say she wouldn’t have agreed to this if my dad was still alive. I think she’s lonely. And she and her sister are extremely close, always have been. I think the positives are definitely outweighing the negatives. Still, it will be an adjustment for all.
 
Re: Rep Retirement Lodge 201: A State You Don't Expect

Me: I can go to Dropkick Murphys and be fine at work the next morning.

Narrator: He would be wrong...

This is gonna be a long day...
 
Re: Rep Retirement Lodge 201: A State You Don't Expect

Jimjamesak said:
Me: I can go to Dropkick Murphys and be fine at work the next morning.

Narrator: He would be wrong...

This is gonna be a long day...
Click to expand...

Me: I can eat all the foods at the Fair and feel fine.

(after 4 foods) COMA.

Worth it. Age has caught up to me. Going again on Monday, though. It's the Goddam Fair. :D
 
Re: Rep Retirement Lodge 201: A State You Don't Expect

I'm making my own foods. ;) I've got Bloody Mary bratwurst, and a fried chicken thigh sandwich which I guarantee will end the stupid "chicken sandwich wars".
 
Re: Rep Retirement Lodge 201: A State You Don't Expect

s'upp y'all

Scarlet said:
So, somewhat big family news here. My mother’s older (by a year) sister is moving in with her. For the past 2+ years she has been living in Wyoming with her son and DIL. She used to live in Delray Beach with my uncle (her and my mom’s brother) and he was such an ***** to her, sold the small home they loved. He moved up here.

Anyway, my cousin took her in. He’s a Baptist minister now. They live in Story, WY. My aunt has been pretty miserable there the past six months, mostly because of her DIL. Treated her poorly, never abused her, but just made it miserable for her. The whole time I was here recuperating, she called my mom multiple times a day. Now, I don’t know if she asked my mom or my mom offered (I think it was the latter), but she’s moving in today. I called my aunt’s daughter, who lives here and had planned a vacation to see her mom this week, that while she was there she needed to take care of a few things. Like following up with Medicaid - my mom is now going to be her designated caregiver and the DIL will no longer get paid to do nothing. I said she should check with my aunt’s doctors to see if she needed to sign something in person to release medical records for when she gets new doctors here, etc. Just all that kind of stuff. They flew to Boston last night and my cousin is bringing my aunt up today.

I was initially a little wary about it, but honestly, my mom is pretty happy about it. While my brothers and I are with her as much as we can be, she’s never lived alone. She did say she wouldn’t have agreed to this if my dad was still alive. I think she’s lonely. And she and her sister are extremely close, always have been. I think the positives are definitely outweighing the negatives. Still, it will be an adjustment for all.
Click to expand...

cool for mom.
 
Re: Rep Retirement Lodge 201: A State You Don't Expect

leswp1 said:
Oops- I thought you were looking to see it. I emailed a copy. Reading comprehension issues!
Good Evening Lodge!
Click to expand...

Yep. Reading comprehension. :D

Now if you want to find something interesting, find my brother's birth announcement in the Aufbau and look at the name that is used for me there. :D Birth announcements were usually in English, as was this one,
 
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