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  • Dreamgiver Dreamgiver 
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    Status: Physician
    Posts: 893
    Joined: 03/09/2017

    I’d get a newer to you used car. Unfortunately Subarus are well known in mechanics’ circles for the very issues you are experiencing.

    in reply to: Should I fix old car #243478 Reply
    Dreamgiver Dreamgiver 
    Participant
    Status: Physician
    Posts: 893
    Joined: 03/09/2017

    Yes you are crazy. You are timing the market. Usually it does not work well. I have acquaintances who did this when Trump got elected…have lost hundreds of thousands so far and are still waiting for the drop.

    in reply to: Asset Allocation, New Taxable Account #243056 Reply
    Liked by Peds
    Dreamgiver Dreamgiver 
    Participant
    Status: Physician
    Posts: 893
    Joined: 03/09/2017

    Some people use a private practice psychiatrist/psychologist and cash in order to keep things private.

    in reply to: Antidepressants #243004 Reply
    Dreamgiver Dreamgiver 
    Participant
    Status: Physician
    Posts: 893
    Joined: 03/09/2017
    Earnest refinancing bonus

    Some people wait a day, some people wait a week. There is no rule. I personally wait 23-48 hrs as that’s how long it takes for the account to settle

    in reply to: Simple question re: Roth backdoor #242964 Reply
    Liked by Tim
    Dreamgiver Dreamgiver 
    Participant
    Status: Physician
    Posts: 893
    Joined: 03/09/2017

    Of note too SALT deductions have changed dramatically with the Tax Cuts and Jobs Act of 2017 so it is worth running the numbers before assuming the interest can actually be deducted off your individual taxes. I’d definitely look into refinancing with a student loan company at a lower rate as that is easy, quick, and has no origination fees. Also agree with above, not sure how you plan on taking out a mortgage to pay for student loans.

    in reply to: First mortgage to pay off student loans? Wise or dumb? #242751 Reply
    Dreamgiver Dreamgiver 
    Participant
    Status: Physician
    Posts: 893
    Joined: 03/09/2017

    Nobody here, personalized plates are too expensive 😁

    Dreamgiver Dreamgiver 
    Participant
    Status: Physician
    Posts: 893
    Joined: 03/09/2017

    This was better than watching a novela, except I did not learn any new spanish words

    Dreamgiver Dreamgiver 
    Participant
    Status: Physician
    Posts: 893
    Joined: 03/09/2017

    iPhone

    in reply to: Watches #242312 Reply
    Dreamgiver Dreamgiver 
    Participant
    Status: Physician
    Posts: 893
    Joined: 03/09/2017

    Plus travel fees of course…all in advance, you’d be surprised how these people disappear once they stop needing you

    in reply to: Lawyer wants deposition for 10yo case #241324 Reply
    Liked by Kamban, Zaphod
    Dreamgiver Dreamgiver 
    Participant
    Status: Physician
    Posts: 893
    Joined: 03/09/2017
    Splash Refinancing Bonus

    I cannot advise you regarding numbers for your specialty so I will leave that to someone else. However, I like how your strategy is taking shape. Cordial tone is always a good thing if you want things to develop favorably. Use data whenever needed. Develop multiple BATNAs. Never agree to something unless you truly understand it, which means thanking them for a positive meeting and checking with other folks before making a decision like what you are doing. You know what they say…if you don’t know who the fool at the poker table is, it means it’s you. These people you deal with have nothing else to do the whole day but play games and they know how to excel at that. We are rookies compared to them since we have actual business to conduct during the day. I also like that you are taking charge of your coding. Never rely on anyone else for your livelihood. Perhaps spend a few more months in the status quo so that you can learn your actual productivity once the correct coding is applied. This will help you formulate a most beneficial plan moving forward. Hard to talk about your current productivity numbers and incorporate them into a bonus structure if those numbers are not correct. Keep it up but don’t be in a hurry at this point, I feel like you need more data points. This will help you whether you stay or whether you jump ship.

    Dreamgiver Dreamgiver 
    Participant
    Status: Physician
    Posts: 893
    Joined: 03/09/2017

    How about the other physicians in your group, what are their feelings about this? If you are all on the same page, have you spoken to whoemever is planning staffing and figure out why they are over hiring? First step is communication and seeing why they are doing what they are doing.

    in reply to: Too Many Providers #240768 Reply
    Dreamgiver Dreamgiver 
    Participant
    Status: Physician
    Posts: 893
    Joined: 03/09/2017

    Ok 2 more…

    While on a gyn rotation I saw a clinic patient. She was due for her pap smear. I walked in the room, told her she needed a pap smear because we could not find records of one, she smiled and said go for it. I inserted the speculum and spent several minutes looking for her cervix. Embarassed, I walked out of the room looking for an attending to do her exam since I could not find the cervix, just a bunch of tissue folds. Long story short she had a hysterectomy and never told anyone. When I asked her why she did not tell anyone she told me I was cute.

    Other side of the country, years later, before inducing anesthesia…’Ma’am, big breath, big breath please’…’Oh thank you Doctor, thank you’

    in reply to: Doctor humor #240426 Reply
    Dreamgiver Dreamgiver 
    Participant
    Status: Physician
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    Joined: 03/09/2017

    Last year I spoke with Jay Adkisson himself. He said no, IRS is on to these setups. He said not to do it based on recent case law.

    in reply to: Captive Insurance Company #240058 Reply
    Liked by Zaphod
    Dreamgiver Dreamgiver 
    Participant
    Status: Physician
    Posts: 893
    Joined: 03/09/2017

    Med school, psych rotation, crisis response center for major East coast city. Pt is mental ward for some bipolar issues and medication management. He ends up on the floor seizing. Once the seizure stops, he is disoriented and asks what happened. Floor tech, not knowing the nuances of medicine, told him he just had a stroke. The pt panics hearing this news and starts seizing again. Not sure why but it did seem humorous at the time.

    A few years later, homeless guy comes in complaining of pain in his foot. Turns out he has been unable to get the shoe off his foot for months. He finally was able to get a friend to get it off today but got worried because there were some loose bones inside the shoe. It was his own toes that fell off at some point in the previous month. Again, not sure why, but it is somehow humorous to me

    in reply to: Doctor humor #240015 Reply
    Liked by AZPT
    Dreamgiver Dreamgiver 
    Participant
    Status: Physician
    Posts: 893
    Joined: 03/09/2017

    Malpractice? No, legally it won’t hold up. Been there, schemed about it, turned it down.

    in reply to: Captive Insurance Company #240005 Reply
    Liked by Zaphod, TheDude
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