tag:blogger.com,1999:blog-5883634615775822475.post8219900867030011649..comments2024-03-18T09:00:31.992-04:00Comments on Doctor Grumpy in the House: Holy shit! I'm rich!Grumpy, M.D.http://www.blogger.com/profile/09858110332436246760noreply@blogger.comBlogger30125tag:blogger.com,1999:blog-5883634615775822475.post-89100876665226491282014-04-29T00:12:13.838-04:002014-04-29T00:12:13.838-04:00There is an anon up there saying something about p...There is an anon up there saying something about physicians never having to make ends meet. <br /><br />Well, actually some do, but lets just say we all do make enough to support a middle class lifestyle.<br /><br />I come from an immigrant family. I am about to graduate from medical school in a month. I will be $250k in debt (not unusual) and have been in school for the last 20 or so years of my life. And for the next 3 years in residency, I will be make next to minimum wage if you account for the 80 hour work weeks (was more for ibee, I'm sure). I'm about to move into an apartment that is 750 sqft, that i can barely afford. <br /><br />I would say think twice before complaining that a doc seems to be leading a middle class lifestyle of a home in a nice (not extravagant) home with their family (that they never see).Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-29964391391054320872014-04-21T20:18:43.029-04:002014-04-21T20:18:43.029-04:00I saw some of those fees and actually was shocked ...I saw some of those fees and actually was shocked at how little some of the docs I see/have seen got from medicare compared to the amount my insurance pays out.<br /><br />At the same time I am also baffled how one health system I used to have doctors at negotiated a fee schedule where their surgeons got the 100% of the amount charged for new patient visit, along with charging a facilities fee that insurance also paid out.<br /><br />I can't fault docs for not taking medicare. People forget a medical office, underneath the doctor that is the 'face' of the medical office (aka, must do everything for free because they are supposed to be CARING) is a business, just like any other business. The office staff, the pens people steal, paper forms you fill out, ect aren't free. Last I checked, there is no 'office manager tree'. If there is such a tree, please hook me up. I'd love my own office manager for work.Outrehttps://www.blogger.com/profile/15221390599036503258noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-71804159564597900752014-04-20T22:55:51.351-04:002014-04-20T22:55:51.351-04:00ROFLMAO re: the neurosurgeon comment.
Want to hea...ROFLMAO re: the neurosurgeon comment.<br /><br />Want to hear a good one? One local level 1 trauma center finally got a telemedicine program going well for stroke because the neurosurgeons finally TRUSTED the neurologists with whom they worked.<br /><br />Imagine that...if they can achieve that for sustained periods, world peace can't be far behind.<br /><br />Or there's a lot of donuts (and everything else) in their lounge that no one else gets.RehabRNhttp://rehabrn.blogspot.comnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-11915477678391111132014-04-19T17:37:52.146-04:002014-04-19T17:37:52.146-04:00Most nurses don't make 40 an hourMost nurses don't make 40 an hourgirlvethttps://www.blogger.com/profile/06431758200580814440noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-38012972753464976072014-04-19T08:33:34.230-04:002014-04-19T08:33:34.230-04:00Anon 1:22 - I read his post just fine, thanks.Anon 1:22 - I read his post just fine, thanks.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-35045032687490745952014-04-18T15:45:52.037-04:002014-04-18T15:45:52.037-04:00One of the local papers near us was saying an opth...One of the local papers near us was saying an opthamologist was using lucentis for macular degeneration and it was much more expensive than an equivelent drug called avastatin. However , the paper never mentioned avastatin had this indication only:Avastin is indicated for the first- or second-line treatment of patients with metastatic carcinoma of the colon or rectum in combination with intravenous 5-fluorouracil–based chemotherapy.<br /><br />Now same active ingredient but if I was an opthamologist I wouldnt risk getting sued by a patient disgruntled with a bad outcome and risk his lawyer telling a room of lay people it was because he was trying to make more money by using the low end drug not approved to treat the condition...<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-80853938936299892052014-04-18T13:22:38.559-04:002014-04-18T13:22:38.559-04:00ANON0849
Good job not reading what Grumpy wrote.ANON0849<br /><br />Good job not reading what Grumpy wrote.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-11380321346937214002014-04-18T11:25:51.346-04:002014-04-18T11:25:51.346-04:00http://theincidentaleconomist.com/wordpress/being-...http://theincidentaleconomist.com/wordpress/being-a-doctor-is-still-a-great-gig/<br />http://theincidentaleconomist.com/wordpress/sorry-being-a-doctor-is-still-a-great-gig/<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-71864380988541619142014-04-18T08:49:26.774-04:002014-04-18T08:49:26.774-04:00I find it interesting that my worst doctor (rheum...I find it interesting that my worst doctor (rheumatologist, arrogant, refuses to make himself available EVER after hours, works a very firm 4 days a week and stays in the office not one minute more) happens to bill and get 10x more from Medicare than any of my other docs, who are the complete opposite of him. He has definitely figured something out that the rest of them haven't. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-828556105755210082014-04-17T23:58:30.854-04:002014-04-17T23:58:30.854-04:00Great illustrations!
I looked up the data on my P...Great illustrations!<br /><br />I looked up the data on my PCP. It was broken down by number of patients, number of flu shots, number of various other vaccines, and so on. I was surprised at how low the number was.<br /><br />@Library-Gryffon - my plumber worked his way through medical school as a plumber's assistant. Six months into his residency, he decided he liked plumbing better. All in all, the length of training was about the same for all the certifications he has, but he's a lot happier and makes better money.WarmSockshttps://www.blogger.com/profile/12192702662231361355noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-11098629651258087232014-04-17T23:38:35.637-04:002014-04-17T23:38:35.637-04:00I've pointed out the costs to folks who scream...I've pointed out the costs to folks who scream about doctors making several hundred thousand a year. After office expenses, and malpractice insurance, and student loans, there isn't really that much left, and doctors can't start saving for retirement until about 10 years later than most others. <br /><br />My hematologist walked into the office one day a few years back and told me to never let any of my children become doctors. (I assume he had just paid either his malpractice premium or his daughter's med school tuition.) I laughed and said yes, I keep asking them if they really don't want to become plumbers or mechanics. My doc got a rather wistful look in his eye as he said "My neighbor is a plumber. He repaints his house every five years. He owns a boat." I.e., the plumber of a similar age to my doc has far more disposable income available to him than the doc does.Library-Gryffonhttps://www.blogger.com/profile/06446982343602702829noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-70154971956597677552014-04-17T22:50:46.338-04:002014-04-17T22:50:46.338-04:00Even medicinal leeches are pricey, and the patient...Even medicinal leeches are pricey, and the patient has to take an antibiotic prophylactically to avoid picking up any 'bugs' that the leech is apt to pick up along it growth process. BUT, do not worry. The leech is NOT reused after its medicinal use. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-84572890571947831142014-04-17T22:18:22.230-04:002014-04-17T22:18:22.230-04:00Amen! My doc hubby told me about the overhead of r...Amen! My doc hubby told me about the overhead of running a practice and I think my jaw is still hanging open.Cari Swanson-Simhttps://www.blogger.com/profile/18038043945483900817noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-77969507774962379812014-04-17T21:51:39.068-04:002014-04-17T21:51:39.068-04:00Why didn't cardiologists make the list? I'...Why didn't cardiologists make the list? I've read that in general, cardiology hospital divisions bring in approximately one third of the operating revenue for the entire hospital. Definitely money makers. <br /><br />Many doctors would not recommend medicine as a career in this day and age. On the patient side of things, for profit medicine is a crock and not worth crapola. It's total garbage. No cures for ANYONE. Lots of profits for CEOs and of course stock options. <br /><br />Other than traveling nurses,have never heard of an average RN making $ 40.00 an hour though. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-4648522651884720942014-04-17T21:28:19.197-04:002014-04-17T21:28:19.197-04:00I certainly didn't read this as Dr. Grumpy try...I certainly didn't read this as Dr. Grumpy trying to elicit an "Oh, WOE is me! I'm a poor, pitiful, underpaid physician".<br /><br />No, I read this more as media wants the average person to believe that the doctor him/herself pockets EVERY last dime of the Medicare reimbursement when, in fact, (except for like the top few doctors) they're taking home only a miniscule percentage of that figure. Yes, it might be a larger salary than most other professions - but it ain't no multi-millions of dollars for each physician.<br /><br />And clearly, Dr. Grumpy, if your toilet paper roll is made out of single dollar bills instead of fifties or hundreds....then apparently you're doing something wrong!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-13621500205365627752014-04-17T21:25:54.692-04:002014-04-17T21:25:54.692-04:00I work at a medical oncologist's office, and I...I work at a medical oncologist's office, and I have a pharmacy technician. Add pharmacist's salary, pharmacy tech's salary, laminar flow hood . . . LicensedtoPillhttps://www.blogger.com/profile/10207153653088551946noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-3612432421481080002014-04-17T18:25:41.866-04:002014-04-17T18:25:41.866-04:00Well said, Sir. And great choice of illustrations!...Well said, Sir. And great choice of illustrations!Bobbinoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-82336242600190060472014-04-17T18:08:39.530-04:002014-04-17T18:08:39.530-04:00People every day throw his or her health into the ...People every day throw his or her health into the toilet by eating, drinking, smoking, doing drugs, or just flat out being sedentary.<br /><br />The providers that reach into the abyss and pull those people from certain death SHOULD be rich. And thanked, and worshipped. Sorry.<br /><br />Live in good health, reduce risk of needed a specialist and stop complaining about how much doctors are paid. Struck by a Turtlehttps://www.blogger.com/profile/14803655294688248592noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-44534808975900203742014-04-17T17:41:35.408-04:002014-04-17T17:41:35.408-04:00If it's really that bad, I wonder why I have n...If it's really that bad, I wonder why I have never seen an established physician struggling to make ends meet.<br /><br />Sure, students and residents don't get paid for crap. But once you've got a few years under your belt, it gets a whole lot easier.<br /><br />Compare the net hourly income of your average neurologist, after subtracting insurance and loan payments and taxes everything else, to the net hourly income of your average nurse. Even better, compare the income of a physician to that of a PhD scientist, who has the same years of schooling and years of experience. <br /><br />I'm not claiming every physician is rich, but they're certainly better paid than most other people.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-53943986546419457152014-04-17T17:21:05.445-04:002014-04-17T17:21:05.445-04:00That was an excellent piece of writing. Thank you...That was an excellent piece of writing. Thank you for taking the time.Allisonhttps://www.blogger.com/profile/02475433199308666648noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-75110380090918322122014-04-17T15:36:25.873-04:002014-04-17T15:36:25.873-04:00On Monday I took bottles of wine to my medical and...On Monday I took bottles of wine to my medical and surgical oncologist to celebrate having survived 10 years and to thank them for all they did for me. <br /><br />I can tell you first hand that their jobs suck on every level possible. And their office has immense overhead. If they were getting rich I'd be glad. They go into work everyday and tell people that they have cancer and their prognosis is dire. They watch people they sometimes see weekly for years grow weak and die and there is little they can offer. I'm sure other specialties have equal challenges, but I spent too much time in that infusion watching all the dedicated people taking care of me and wondering how it was that they weren't passing a bottles of vodka around.<br /><br />I looked at those numbers and they are garbage. There isn't anything you can make of them. How is that suppose to make the cost of medical care more transparent?Lisa https://www.blogger.com/profile/09324961653370110887noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-90547867048306598372014-04-17T12:45:18.500-04:002014-04-17T12:45:18.500-04:00Thank you and all the docs out there for helping u...Thank you and all the docs out there for helping us.Ms. Donnahttps://www.blogger.com/profile/11945753071493117365noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-17282770766547922812014-04-17T12:07:32.110-04:002014-04-17T12:07:32.110-04:00Amen!
I do my best to educate people whenever they...Amen!<br />I do my best to educate people whenever they start complaining about what doctors charge, but some people are just born to be pissed off.GunDivahttps://www.blogger.com/profile/02965363044411500380noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-44783928703451473932014-04-17T11:07:46.257-04:002014-04-17T11:07:46.257-04:00Standing ovation over here. STANDING OVATION!!!!!!...Standing ovation over here. STANDING OVATION!!!!!!!!Your Doctor's Wifehttps://www.blogger.com/profile/18010888083503743747noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-89259074992025980772014-04-17T10:45:58.185-04:002014-04-17T10:45:58.185-04:00You should have cozied up with my Senator, yes the...You should have cozied up with my Senator, yes the one who causes a gag reflex every time I see his name. What were you thinking ?<br /><br />http://www.nj.com/politics/index.ssf/2014/04/menendez_campaign_donor_and_fla_eye_doctor_is_nations_highest_paid_medicare_physician.htmlPackerhttps://www.blogger.com/profile/10790343423937405624noreply@blogger.com