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Boatswain2PA

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Everything posted by Boatswain2PA

  1. Why? It's part of life, and if one is not investing in something one isn't going to become wealthy by throwing money in a savings account (especially not if we hit 10-12% inflation like some, myself including, are expecting). We don't have to "Amway " anyone, but I would hope we could discuss ways to invest our rapidly dropping salaries. I'll avoid Bitcoin, etc. Yes, many are making money on it. But the intrinsic value of it is just that other people will buy it. And with so much money floating around, people are buying ANYTHING. I expect it will crash to zero/near zero as our econo
  2. There are many small farms just outside of Boston, many of them niche farms that direct sell. It's pretty cool (as long as you are ok with paying $9/lb. for tomatoes, etc). My spread would likely cost $10-15 million if it were outside of Boston. Plus the cattle.
  3. Trying to. Always getting outbid. Building dream house this fall/winter as well. As Martini said...inflation is hitting, and its gonna get ugly. Owning RE is a great hedge against that. One mistake, in my opinion, is people thinking owning leveraged RE is a good idea. Look at what has happened to mortgages and other debts in the past when countries had hyperinflation: The bankers worked with the socialist (why does this always happen in socialist countries?) government and resets the debt to the hyper inflated amount. In other words, your $400k debt on the $400k house tu
  4. Wanted to discuss this a bit as a lot of people are. First rule- dont invest in ANYTHING you dont understand completely. Start with basics, and broaden your investments as you broaden your knowledge. The first thing most people should invest in is their company managed 401K, up to the match given by the company. Understand what a 401K is, and understand what a stock, a mutual fund. and what a bond is before you do this. The next thing is to get out of debt except for your house. No CC, car, or student loan payments and suddenly most of us would be flush with cash to invest.
  5. What do you mean "commercial real estate"? The term usually means owning properties rented by businesses, such as office buildings, warehouses, strip malls, etc. This usually requires significant money (or enormous leverage) to get into. Plus, you are in Boston. It takes GINORMOUS money there. Easiest option to "invest" in commercial real estate is to buy a REIT (Real estate Investment Trust) which is sold by shares traded like stocks. This is a good way to begin investing in real estate until you have money to make your first
  6. I doubt you have any recourse, nor do I doubt any future employer will care. It is a TERRIBLE time to be in EM. NPs are pushing us out from the bottom, and we are being squeezed from the top by FP trained EM docs who are being replaced by BC EPs. What will the future look like? I dunno. If you WANT to do EM, I would try to hold onto that 3 month position and hope that EMED is right and volumes pick back up. Meanwhile look for other EM jobs. Best of luck to you.
  7. At the bottom of most of my privileges form I always request "Perform full spectrum Emergency Medical Care". Never been called out for it, but never had anyone push back on me doing moderate sedation using Ketamine, Fentanyl, Etomidate, or Versed. I have had pushback on using propofol. Best of luck to you!
  8. And you cannot see that a conservative viewpoint is compassionate and caring. Haven't seen Tucker in years, Hannity makes me turn the channel. Healthcare is politics. It's what happens when the government pays for and controls the majority of what happens in it. Well..when someone other than a few INtolerant, ILliberal leftists on ONE internet discussion board thinks I'm a racist, a bigot, or I'm behind the time. In my lengthy life experience, including serving alongside men and women of every skin color imaginable, nobody has ever thought I was a racist or bigot. The only
  9. aaaand...there ya go. Guess Ill check back in 6 months to see if there is anything to read. BTW Cid - You were right a few years ago about the risk of the profession being overrun by NPs. I disagreed with you then, but I was wrong.
  10. Small correction - other participants declare "your position is too horrible for ANYONE to discuss and therefore you are a bigot/racist/etc". Where such woke behaviors are tolerated a lot if people just dont say anything.....which is what we see here.
  11. You can listen and improve things. Or you continue your moderation practices and have the same 15 people (13 of which have the same position on everything) do the discussing, while hundreds just check in and see that it's too woke for us to participate.
  12. This site is an echo chamber of mono-thought. Any thought patterns that are not congruent with the mono-thought are allowed to be personally attacked (racist, bigot, boomer, etc) by those of the mono-thought. There are two regular posters here who do not succumb to this mono-thought. The others, including myself, have mostly departed. I mostly departed because there is a moderator who throws out their mono-thought position, but then closes threads I engage in. What does an echo chamber sound like when there is only one sound? A lot like this. It's not
  13. While there are supposed to be protections for things like this, oftentimes those protections are not enough. Scary real-life story here: https://www.acepnow.com/article/emergency-physician-with-depression-chronicles-her-10-year-fight-to-keep-her-license/
  14. It is a very bad idea to pay $140k tuition for a profession that averages less than that in pay, especially one that is rapidly becoming overloaded (with NPs and PAs) thus driving down wages. Unless you are already massively wealthy, have a wealthy family to pay this exorbitant tuition up front, or get an incredible amount of scholarships/grant's, I would advise you to avoid this school.
  15. I urge you to rethink how you are doing things in life. If you need to pay for a random cosigner for private student loans then we can reasonably infer that you have maxed out federal student loans, and are unable to get other student loans due to being in massive debt. Our culture has normalized massive debt, and our government has aggravated this by pushing banks to loan money at very low risk to people who will struggle for their entire lives to pay it back. This not only sets you and others up to struggle for your entire life, but it damages the profession as well as it drives d
  16. Is this still the case? In my area there are no PA EM residency grads (that I know of), but hospital adminiscritters will hire a new grad FNP to run the ED at $45/hour. Recommend you don't send any actually sick loved ones to the rural EDs anymore. I used to thing the liability protections of critical access hospitals were a good thing. I don't anymore.
  17. Why? If the vitals are abnormal or there is any clinical doubt just send to the ED. (or if it's within 30 minutes of closing time, after all that little finger laceration looks pretty deep!)
  18. Have you prescribed tamiflu....this season? I haven't. I have not diagnosed a single case of influenza yet this season. I wonder how much money genentech spent coming up with Xofluza, only to be completely upstaged by the the virus that came from China (but can't be called the China virus).
  19. I might go along with it (no, to be honest I wouldnt) if such a plan would actually result in less dead kids, or violent shootings overall. But we have tried that. Clinton banned sale of assault rifles and "high capacity magazines", and there was no change in gun violence. Easy to understand why when you look at how often these guns are used in crimes.....almost zero. We think they are used all the time because a few times they were used with mass casualties, and because the media spoonfeeds us leftist info.
  20. Trump is a buffoon who says terrible things feeding the media a nonstop stream of buffoonery that they propagate into 24/7 news OF his buffoonery Meanwhile they ignore the buffoonery of another NY buffoon (Cuomo). No 24/7 coverage of him telling New Yorkers that it's their fault Covid is spreading rampantly again because they refuse to appropriately social distance or wear masks, or telling them they have diabetes because they are fat. And much of the media focuses on Trump's buffoonery instead of his policy actions that led to truly historic gains. Economy was booming, tanked due to
  21. I don't know either. Likely just time moving society, and it's politicians, more away from racism. I'm referencing Trump, and referencing Emed's post above about Trump being a racist. One thing that has been repeated (ad nauseum) in the media has been that Trump has ALWAYS been a racist, and they use DOJ lawsuit against Trump organization (in the 70s?) where they said Trump discriminated against blacks when it came to renting to them. It was settled out of court, but then the DOJ sued again because Trump was apparently doing it again. It was the Nixon administration's DOJ
  22. Thank you, interesting, but doesn't change the conversation about Biden (per his website) wanting to make some scary-looking automatic rifles into Class III weapons. Oh, and 11+ round magazines. Each of which would require a $200 registration fee. I don't know. Police were frequently told by their politician masters to ignore much of the antifa-crowd (using that term loosely to include all the idjits who black-blocked and rioted) as they rioted because they were "protesting". Another factor is how antifa is a more loosely based organization than a right wing militia. Any i
  23. You make it sound like he was a KKK member in his teenage years, quit, changed, then joined the guv'ment. I believe he was still in the KKK when elected to the Senate in the late 50s, but started his "career in the government" in the 40s in the state legislature. He also filibustered the 1964 Civil Rights Act. Must be nice to be a Democrat and be treated so well by the press. They will forgive damn near anything you do...as long as you have that "D" next to your name. You can even have your past EXTREME racism exonerated. If you are a Democrat NY landlord you might run afoul of a Repub
  24. I think you are reading his plan right, I just don't think he will follow through with his plan. Only 1.8% of people in the US make more than $400K a year. Meanwhile 44% of people didn't pay taxes in 2018. We can tax that 1.8% at 100% and still probably not cover our deficit. Just to prove that point, From https://www.financialsamurai.com/how-much-money-do-the-top-income-earners-make-percent/, it shows that the top 1.4 million earners in the US (1%) earned 1.685 trillion total, with an estimated 2021 annual income of $470K for 2021. If we tax that top 1% at 100% (meaning they would quit
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