TWR Posted April 23, 2016 Share Posted April 23, 2016 Just started a new position last week and already feel like Lucy! I am sure I am not alone. I have practiced for 30 years and owned my own practice for many years in NYC. I never practiced the way it is today. Yes I worked alone but we stayed busy without boxing the chocolate. My 4 girls and I were happy and we stayed that way for the 18 years I was in NY. I made very good money but only ordered what was necessary. I know I would have been a millionaire if I practiced the way they do today. But my way, I slept peacefully at night. I had 8000 patients. The insurance companies loved me so did the Pharma reps.. Once I left NY for TX and became an employee, I saw in no short order that $$$$ was king. This leads me to what I really wanted to say and that it is imperative that we do all we can to get independent practice. Sorry for the rant. New practice and unfamiliar with EMR (E clinical 10). I am old and old school. Still text with 1 finger not 2 thumbs. Happy Saturday ya'll. Link to comment Share on other sites More sharing options...
nds1111 Posted April 23, 2016 Share Posted April 23, 2016 Xoxo. Just retire :) Sent from my iPhone using Tapatalk Link to comment Share on other sites More sharing options...
Timon Posted April 24, 2016 Share Posted April 24, 2016 eClinical 10 is great! Setup your templates and use the eClinisence feature and you'll zip through your ordering and charting. Link to comment Share on other sites More sharing options...
Moderator ventana Posted April 24, 2016 Moderator Share Posted April 24, 2016 Could not agree more Independent practice is a thing we need to go after - WITH qualifications New grads and those less then 5 years out need supervision/collaboration Only for the primary care fields - sorry no independent Neurosurg PA's...... But for Peds, IM, Geri and FP bring it on!!! Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted April 24, 2016 Moderator Share Posted April 24, 2016 TWR- you realize no one under 40 got your Lucy reference, right? :) I also text and type with 2 fingers. pretty old school myself. my sanity strategy has been to work at high acuity/low volume rural depts....seems to be working well... Link to comment Share on other sites More sharing options...
Timon Posted April 24, 2016 Share Posted April 24, 2016 Nope, I think you mean under 30. The kids from the 80s like myself grew up with I Love Lucy, Gilligan's Island, Nick at Nite, looney toons, and the Hanna Barbera cartoons.. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted April 24, 2016 Moderator Share Posted April 24, 2016 kids from the 80s are mostly in their 40s now...unless you were 5 at the time....I was in high school in 84. guess it depends on your definition of "kids". Link to comment Share on other sites More sharing options...
Timon Posted April 24, 2016 Share Posted April 24, 2016 I was born in 1980. Clearly still below 40 But I know what you mean about dating yourself. Happened a lot to me throughout PA school. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted April 24, 2016 Moderator Share Posted April 24, 2016 born in 69... Link to comment Share on other sites More sharing options...
Reality Check 2 Posted April 24, 2016 Share Posted April 24, 2016 born in 1968..... Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted April 24, 2016 Moderator Share Posted April 24, 2016 RC- figured we were around the same age...I recently found out I am the same age of several of our nurse's PARENTS....and I was working in em in 1987 as an er tech when our some of our younger current attendings were born Link to comment Share on other sites More sharing options...
jdenning Posted April 24, 2016 Share Posted April 24, 2016 Burst out laughing with the Lucy reference! Also wondered who else would get it! RC I already guessed you and I were of the same vintage from another thread :-) 1968 was a good year I think Link to comment Share on other sites More sharing options...
TWR Posted April 24, 2016 Author Share Posted April 24, 2016 1944! Everybody knows that scene I think. Still made me laugh just know when Timon posted the scene!! But that is how a lot of us are working. Hell we broke from England for independence a few years ago. Well???????????????????????????????? Kidding kind of! Link to comment Share on other sites More sharing options...
AliB Posted April 24, 2016 Share Posted April 24, 2016 children, children ... I have 2 children older than at least 1/2 of my class! :) Link to comment Share on other sites More sharing options...
sas5814 Posted April 25, 2016 Share Posted April 25, 2016 Just started a new position last week and already feel like Lucy! I am sure I am not alone. I have practiced for 30 years and owned my own practice for many years in NYC. I never practiced the way it is today. Yes I worked alone but we stayed busy without boxing the chocolate. My 4 girls and I were happy and we stayed that way for the 18 years I was in NY. I made very good money but only ordered what was necessary. I know I would have been a millionaire if I practiced the way they do today. But my way, I slept peacefully at night. I had 8000 patients. The insurance companies loved me so did the Pharma reps.. Once I left NY for TX and became an employee, I saw in no short order that $$$$ was king. This leads me to what I really wanted to say and that it is imperative that we do all we can to get independent practice. Sorry for the rant. New practice and unfamiliar with EMR (E clinical 10). I am old and old school. Still text with 1 finger not 2 thumbs. Happy Saturday ya'll. Yup...it can be a problem. I had a little one man locums company and did well but was insulted with some practices approach to care...particularly urgent care centers where ordering unneeded tests and giving shots of antibiotics and steroids for every runny nose and cough was the $$$ order of the day. One wouldn't invite me back because I told the patients there was no science to it and it wouldn't help them get better. I just started my own practice and, while the stress has been incredible, I really couldn't be happier. I can provide quality science based care and get a good nights sleep besides. Eventually I'll make a great living at it too because I have a lean operation that doesn't have everyone's hand in the till. (One physician group I know was paying a physician $70k/year to come by the clinic for an hour a month and review some charts. You know...supervision) Greed kills practices and creates bad expectations in patients. Link to comment Share on other sites More sharing options...
whoRyou Posted May 24, 2016 Share Posted May 24, 2016 Link to comment Share on other sites More sharing options...
eighthnote24 Posted June 2, 2016 Share Posted June 2, 2016 Left NC for TX....dumbest thing I ever did. Practice there was terrible. Now back doing locums in NC. Still live in TX to take advantage of no state tax. Link to comment Share on other sites More sharing options...
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