US physicians are struggling to pay overhead and deliver quality care. Many practices are selling to hospital systems, large corporations, or venture capital. Others are trying to solve the financials by working harder, treating more patients, and taking more call.
At this point, many physicians run the practice at break even or a loss and take call at 2-3 hospitals to float the practice.
Burnout is real and increasing at an alarming rate. The current situation is bad for physicians and patients. Both suffer.
I opened my practice 11 months ago. I will make less this year than my first year in practice, and that is not considering inflation. This is despite working like I did in residency.
I oscillate between pushing on for my community and my family and calling a dinner to inform my team its time to close it all down.
As a side note, when I started practicing in my community, we had 12-15 urologists. We now have 5 and 3 of them are 60+.
I get messages every day asking me "How did you do it? How are you surviving?" I'm not sure I am.
Bryan
bryan@nostrplebs.com
npub1dld9...fd8s
Father, Husband, Bitcoiner, Urologist.
XRP is at 50 cents. It needs to go to zero.
I have 5-7 pillows on my bed. They all suck.
Glad the short sellers were rekt…
Shorting the revolution has consequences
Using the bidet randomly through the day is normal, right?
We are at 71k and the halving is coming in less than 3.75 years.
LFG.
GM 😉
So Trump had a Nazi rally in NYC last night?
Were there a lot of deaths?
We used to do summoning circles to break through resistance. Maybe we should do one now?
On my personal computer, I input my mnemonic while using chantools to recover funds. At one point, I used the copy function.
This is not my cold storage, rather the mnemonic for my LND node.
It felt awful inputting the seed phrase, but it had to be done. And the copy function was used at one point when I was struggling through the UTXO purgatory hell.
Any thoughts on this? How paranoid should I be?
Thanks to @utxo the webmaster 🧑💻 @DarthCoin ₿⚡️ and guggero, the UTXOs were rescued.
6 days without the devil’s poison.
Any advice on how to recover funds stuck in limbo after a force closure has matured and the closing transaction has long since been confirmed on the blockchain? The blockchain shows the tx confirmed, way past the maturity date, and the channels (which closed during Hurricane Milton) remain as "pending."
Also, would anybody mind a text zap of a 5-10 sats to ensure everything looks fine. Thx.
I need a great book recommendation…
Give me your favorite books, I would like to check a few out.
A few years ago, I had a horrible nightmare, it felt real.
I dreamed I was part of a revolution, a peaceful monetary revolution, the #bitcoin revolution.
In reality, my fellow revolutionaries, the bitcoiners I had been associating with online, were working together to take my money. My weekly DCA was being used to fund their luxurious lifestyles: Yachts, trips abroad, conferences, and so on.
Even Satoshi was in on it.
In the end, there was no revolution, just me, divorced, and learning how to Have Fun Staying Poor.
This is a true story and happened around the time the ecosystem was collapsing around FTX, LUNA, BlockFi, Celsius.
Have any of you ever experienced a dream like this? It was almost like the “I went to school naked” dream. I felt embarrassed, humiliated, alone, and silly.
Some of the 🐈⬛ ies are selling bitcoin.