the_d3f4ult

8 ms·

1.
by the_d3f4ult 1y ago
https://www.ama-assn.org/practice-management/medicare-medica... The AMA is indeed a fierce lobby - just not for physicians. They are widely regarded as a shill for hospital interests rather than doctors or medical prof
2.
by the_d3f4ult 1y ago
Wages in healthcare have decreased Year-Over-Year relative to inflation since at least the 90's. Productivity has increased in terms of the number of patients seen / day.
3.
by the_d3f4ult 1y ago
This has nothing to do with "knowing how to use a computer." Looking at a screen while you check through dozens of flags and billing related documentation instead of looking at the patient is much less personable.
4.
by the_d3f4ult 1y ago
I'm a physician. To understand why this is true you have to understand that the software is not intended to the make the physicians jobs easier or more efficient. The point of modern EMR's is to take every patient encounter and ge
5.
by the_d3f4ult 1y ago
Neither of the things you mention detract from his point. Just because the companies are headquartered outside of the US doesn't mean that they aren't developing drugs with the intention of recouping their R&D costs (and then
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by the_d3f4ult 1y ago
>There aren't enough software engineers to create the software the world needs. I think you mean "to create the software the market demands." We've lost a generation of talented people to instagram filters and content
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by the_d3f4ult 1y ago
This is an interesting perspective, but your view seems very narrow for some reason. If you’re arguing that there are many forms of computation or ‘intelligence’ that are emergent with collections of sentient or non-sentient beings then you
8.
by the_d3f4ult 1y ago
I'm an ophthalmologist. I look at irises all day. People's irises change over the course of their life. Sometimes dramatically if they have some kind of pathology. Are they updating their model periodically? What keeps someone fr
9.
by the_d3f4ult 2y ago
Fair point. There's some data showing patient outcomes are worse when managed by overworked residents-in-training, but I think you're referring to outcomes post-residency. i.e. Physicians should squeeze as much training as possibl
10.
by the_d3f4ult 2y ago
They’re not ‘getting a cut’ unless they directly own the clinic. What you’re seeing is a cost-cutting measure increasing the bottom line for whoever owns the clinic. Physicians are forced to agree to ‘supervise’ midlevels as a condition of
11.
by the_d3f4ult 2y ago
This is an uninformed take. A relatively small fraction of our healthcare dollars (~7%) are going to ‘providers’ i.e. doctors and nurse practitioners. I don’t have a source handy but this is easily searchable. Most of the spiraling healthca
12.
by the_d3f4ult 2y ago
I’m an ophthalmologist. The answer is that junior partners are brought on at a below-market-rate salary with the promise of future equity (usually under false pretenses) in the practice and a super restrictive non-compete agreement. The sen
13.
by the_d3f4ult 3y ago
I love this. Sounds like your kids are lucky to have such supportive parents. I’d love to share that kind of thing with my son. He’s only 2 though so who knows what he’ll be into.
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by the_d3f4ult 3y ago
Yes. https://www.nrmp.org/wp-content/uploads/2023/03/Match-Rates-...
15.
by the_d3f4ult 3y ago
Sure. Here you go: https://www.nrmp.org/wp-content/uploads/2023/03/Match-Rates-...
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by the_d3f4ult 3y ago
I'm a medical sub-specialist. When I trained, my primary care mentors were simultaneously some of the smartest and most poorly compensated physicians in the system. I have to master a very narrow body of knowledge to function well. To
17.
by the_d3f4ult 3y ago
This isn't true for primary care. There are tons of open spots every year that are filled by International graduates or aren't filled at all. The problem is nobody wants to do this job.
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by the_d3f4ult 3y ago
The study is looking at best corrected vision. That is, the best vision achievable with refractive (glasses, contacts, lasik) correction.
19.
by the_d3f4ult 3y ago
> For a typical surgeon in the US, how common are lawsuits from patients? Not very common. Pretty much everyone gets sued at some point in their career, but it's rare to break through the malpractice insurance ceiling. That said, it
20.
by the_d3f4ult 3y ago
Being a physician is a horrible career move right now. As a former Math/CS major turned eye surgeon, I can't help but think about how much easier my life would be had I stuck with tech. It's hard to understand exactly how ha
21.
by the_d3f4ult 3y ago
Physician lobbies are notorious for not actually aligning with physicians' interests and, rather, being in the pockets of the hospital industry. The AMA is the worst for this. Most physicians feel that they do not have a voice anymore.
22.
by the_d3f4ult 3y ago
I’m an ophthalmologist. Does anyone know how the iris-scanning technology works? Peoples irises change over the course of their life. Things like eye surgery and UV exposure can hasten this. The cornea can also scar and opacify. How stable
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by the_d3f4ult 4y ago
This example is nonsense. Your math includes only the reimbursement for the office visit. It doesn't include reimbursement of interpreting tests, interpreting imaging or doing procedures.
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by the_d3f4ult 4y ago
I am a surgeon currently employed by a private equity group and bound by an absurd non-compete. None of your points are accurate here from my perspective. Personally, I was profitable within 3 months of my hiring. The longest I've hear
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by the_d3f4ult 4y ago
It’s cool hearing this story in the first person. The author raises some good philosophical questions. Its fascinating that hunger can be modulated by targeting relatively few signaling molecules. I don’t know how many other ‘vices’ are as
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by the_d3f4ult 4y ago
Great point. A quote I like that’s more succinct: “Amateurs wait for inspiration, professionals just show up and get to work.”
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by the_d3f4ult 4y ago
I don't know anyone requiring a booster or even a vaccine for patients, but it's their practice and their health. Ophthalmologists are second only to ENT and Anesthesia in risk of contracting infectious diseases from patients due
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by the_d3f4ult 4y ago
Just ask for your PD. Nobody cares. I'be never heard of anyone sleazy enough to not give this information out.
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by the_d3f4ult 4y ago
I'm a physician and former engineer and I agree with you. Even the giant tech companies that are in this space seem to have very little insight into how to utilize AI to improve healthcare. The mistake everyone seems to make is thinkin
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by the_d3f4ult 4y ago
> "Most of them want to be "real" doctors and surgeons" I'm a doctor. No. They don't. Dentists make more money and work less. Their training is rigorous, but generally shorter. They don't take call, do

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