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Squirrel Girl
 Post subject: Work
PostPosted: Mon Mar 01, 2010 3:35 pm 
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Today reimbursement for my work dropped 21% I am looking at having to retire because it will cost more than I make to keep working.

I love my work. I always wanted to be a doctor, and about my happiest day was when I became one. I don't want to stop.

I guess I am lucky. Always lived below my income and saved a lot. I can afford to stop, but this breaks my heart.

::NOTICE:: This is not a place to argue health care reform. Go to Hellfire...there are plenty of places to argue that out.

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Aizle
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PostPosted: Mon Mar 01, 2010 3:43 pm 
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That sucks.

It's it possible to change your practice in some way to minimize the reimbursement issues? I have assumed based on your posts that you run your own office/clinic, so I'm figuring you have a lot of control on that.

Alternately, could you work for another clinic and stay in the field but without those headaches to deal with directly?
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LadyKate
 Post subject: Re: Work
PostPosted: Mon Mar 01, 2010 3:45 pm 
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:( Aw man. I'm so sorry. That really sucks. I don't know anything about the technicalities, but I assume you've explored all your options before realizing you have to quit.

So....whats next?

Missionary work? Doctors without borders or something like that?

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Vindicarre
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PostPosted: Mon Mar 01, 2010 5:40 pm 
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Sorry to hear that SG. Is it palatable/possible for you to serve a higher percentage of non-medicare patients?

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Lydiaa
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PostPosted: Mon Mar 01, 2010 5:59 pm 
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Come to Aust, we're always in need of good doctors with super powers! Plus it's great here for retirement, we actually have lots of good specialists who work 1-2 days a week and play golf or cruise down the river on their big boats on the other days. Alternatively there's lots of research universities here too if you want to go that way.
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Lenas
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PostPosted: Mon Mar 01, 2010 6:40 pm 
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I'm sorry that you've been forced into such an unsavory position, SG.
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DFK!
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PostPosted: Mon Mar 01, 2010 7:53 pm 
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Did the cut go through? That stinks.

What's your specialty? Move your practice towards a concierge model if you're GP, IM, or FP.

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Colphax
 Post subject: Re:
PostPosted: Mon Mar 01, 2010 11:12 pm 
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DFK! wrote:
Did the cut go through? That stinks.

Nah, its gonna go in automatically if the Senate can't get enoiugh votes for the deferrment of the cut, something they've been doing each year for more than 10 years since the bill was passed. linky

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Rynar
 Post subject: Re: Work
PostPosted: Mon Mar 01, 2010 11:23 pm 
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Squirrel Girl wrote:
Today reimbursement for my work dropped 21% I am looking at having to retire because it will cost more than I make to keep working.

I love my work. I always wanted to be a doctor, and about my happiest day was when I became one. I don't want to stop.

I guess I am lucky. Always lived below my income and saved a lot. I can afford to stop, but this breaks my heart.

::NOTICE:: This is not a place to argue health care reform. Go to Hellfire...there are plenty of places to argue that out.


I'm sorry to hear this. :(

Care to elaborate on the circumstances surrounding your situation? At a minimum in PMs?

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Jasmy
 Post subject: Re: Work
PostPosted: Tue Mar 02, 2010 1:07 am 
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Sorry to hear this SG!

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Squirrel Girl
 Post subject: Re: Work
PostPosted: Tue Mar 02, 2010 10:36 am 
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I am a physiatrist (rehab doctor). Not a common specialty in medicine.

Quote:
Physiatrists, or rehabilitation physicians,
are medical doctors who are:
Experts at diagnosing and treating pain

Restore maximum function lost through injury,
illness or disabling conditions

Treat the whole person, not just the problem area

Lead a team of medical professionals

Provide non-surgical treatments

Explain your medical problems and treatment plan

Work not only on treatment but also prevention

Rehabilitation physicians are nerve, muscle, and bone experts who treat injuries or illnesses that affect how you move. Rehabilitation physicians have completed training in the medical specialty physical medicine and rehabilitation (PM&R).

Rehabilitation physicians treat a wide range of problems from sore shoulders to spinal cord injuries. Their goal is to decrease pain and enhance performance without surgery. Rehabilitation physicians take the time needed to accurately pinpoint the source of an ailment. They then design a treatment plan that can be carried out by the patients themselves or with the help of the rehabilitation physician’s medical team. This medical team might include other physicians and health professionals, such as neurologists, orthopedic surgeons, and physical therapists. By providing an appropriate treatment plan, rehabilitation physicians help patients stay as active as possible at any age. Their broad medical expertise allows them to treat disabling conditions throughout a person’s lifetime.





So, for finantial purposes I am in the group of 'thinking' specialists. Thinking and figuring out what is wrong do not pay well. *wry grin* Also we tend to take patients who take a lot of time, so we can't run 10 through in an hour.

Overhead has already been cut to the bone. I went over this with my accountant, and this is the tip over point.

I have thought about going to another country, but my son needs me, so I am reluctant to go.

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Aizle
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PostPosted: Tue Mar 02, 2010 10:56 am 
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It's a sad commentary on medical practice in the US, that your specialty is marginalized when from my point of view, it's one of the most important.

Sadly everyone wants the quick fix, instead of true long term solutions.
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Xerxes
 Post subject: Re: Work
PostPosted: Tue Mar 02, 2010 1:07 pm 
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Sorry to hear that SquirrelGirl, that's such a sad thing.
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Rynar
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PostPosted: Tue Mar 02, 2010 1:32 pm 
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I assume you work in a private practice?

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Lydiaa
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PostPosted: Tue Mar 02, 2010 6:25 pm 
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Sorry to hear that SG, any chance of picking up a job working for a private hospital instead?
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Rorinthas
 Post subject: Re: Work
PostPosted: Tue Mar 02, 2010 6:32 pm 
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Squirrel Girl wrote:
Today reimbursement for my work dropped 21% I am looking at having to retire because it will cost more than I make to keep working.

I love my work. I always wanted to be a doctor, and about my happiest day was when I became one. I don't want to stop.

I guess I am lucky. Always lived below my income and saved a lot. I can afford to stop, but this breaks my heart.


Retire and go volunteer?

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DFK!
 Post subject: Re: Re:
PostPosted: Tue Mar 02, 2010 6:43 pm 
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Colphax wrote:
DFK! wrote:
Did the cut go through? That stinks.

Nah, its gonna go in automatically if the Senate can't get enoiugh votes for the deferrment of the cut, something they've been doing each year for more than 10 years since the bill was passed. linky


I'm familiar with it.

That's why I wondered if it went through, because its been deferred by the Congress for so long. If they'd cut it in the first place, it wouldn't be such a big deal now.

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Squirrel Girl
 Post subject: Re: Work
PostPosted: Wed Mar 03, 2010 2:27 pm 
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Basically it comes down to overhead costs verses payment. The costs are now more than the payments. Cost can only be cut so much.

Meeting with our group manager this week. I am the oddball for this orthopedic group. I do triage (figure out what needs a little exercise and meds, and who has a major disaster in progress), non-surgical management, and figure out the confusing problems (per my son I am House without the grumpiness and addictions :-p). The group needs me....

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Müs
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PostPosted: Wed Mar 03, 2010 2:31 pm 
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DFK!
 Post subject: Re:
PostPosted: Wed Mar 03, 2010 2:37 pm 
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Müs wrote:
Its good to be needed, but they gotta give ya some <3 if you're gonna stay.


Which they probably can't if Medicare is a large portion of their patient panel.

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Vindicarre
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PostPosted: Wed Mar 03, 2010 3:13 pm 
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So, now that Bunning has stopped his block, will they reinstate the payments at their usual level? Will that be enough SG?

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