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jpfrogmd 🏴‍☠️⚡️
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Husband, Dad, M.D., Pleb. Big fan of Bitcoin, financial 🔥, liberty, and narcan.

This is what I trained in. It’s awesome being a skilled all trades dude, but ain’t easy to get there and requires lifelong learning. The compensation isn’t as great relative to specialists, because doing things to people is more billable (ie procedures, surgeries, etc.), but both are definitely needed.

I don’t get where that whole pill pusher thing comes from. That’s nonsense from my experience.

I always felt profoundly accomplished when I could get people off unnecessary medications. Hell…I met one dude and I think he was on 14-18 first encounter. When I graduated from training had bro down to 2-3 😂.

The good ones do more than that and there’s a lot out there, but sometimes harder to find.

That being said, it’s hard to do much of anything when you’re allotted to a grand total of 5-15 minutes per encounter. Doubly so for complex patients.

No pal. That is a fiat narrative and fueled by shit statistics. It’s like saying being alive is the leading cause of death.

Medical errors occur, but instead of asking WHY this narrative gets shat about as fact.

Since so many medical errors occur we definitely need to have more government involvement/oversight, hire a bunch of useless bureaucrats/administrators to dictate care, and while we’re at it we should probably just implement treatment algorithms/pathways so that every single person gets the same exact care because all people are exactly the same. This is how that line of thinking ends up going.

Medical errors do happen, but the why is important.

full disclosure…I feel that the system is slowly teetering/breaking/collapsing

MD/DOs are getting squeezed on all sides but especially the primary care side of things. The docs aren’t being given adequate time to see patients in the office and I’m seeing more and more midlevels without adequate training serving as “primary care providers.” Unfortunately many of them don’t have a clue what they’re doing (not all, but many)…but hey, they’re cheaper to hire than physicians so the VC groups, insurance companies, and health systems like that.

so yes…im right there with you and get nervous about the future as well sometimes and I work in the biz

you ain’t alone 🫂

What competence concerns did you have? Perceived, or did you experience a true fck up?

I get to meet many folks who complain about the “competence” of the people before me, but when I dig into it it’s because somebody didn’t bring them a turkey sandwich fast enough, or something else didn’t get done fast enough (usually because their neighbor was more critically ill and needed more attention).

That being said, all staff/institutions aren’t created equal so there’s definitely times where I’ve walked into a room and thought “tf did they do that for?”

Ways you can safeguard yourself and put your mind at ease:

Step 1. Don’t get old

Step 2. If you fail step 1 (you will) find a PCP/internist that you trust. Not just for the medical treatment/advice, but also on where/who to go to for unusual/significant diagnoses, testing, treatment, etc. This separates the good PCPs from the great PCPs.

one of the most American things about me is that I had no idea who Lionel Messi was until 2 years ago…coworker had to tell me 😂

TBH I pretty much know everything about it bc the kindergartner already plays soccer and they seem to run harder than the “professionals.”

omw to go get fingerprinted for a new medical license…totes love this fiat medical system matrix

so does this mean we’re never going to see $0.69 again?

😆 Got too excited when I caught this widget screenshot.

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My wife’s facial expression just said “what in the actual fck are you listening to?!” 😂🤣💀

My bride told me that I needed to eat more fruit and handed me a banana.

It pretty much went like this…

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