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TWR

Feel like Lucy boxing chocolates!

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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.

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eClinical 10 is great!

 

Setup your templates and use the eClinisence feature and you'll zip through your ordering and charting.

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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!!!

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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...

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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..

 

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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".

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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.

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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

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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

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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!

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children, children ... 

 

I have 2 children older than at least 1/2 of my class!  :)  

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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.

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