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	<title>Comments on: Today&#8217;s doctor: &quot;Low morale is here to stay&quot;</title>
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	<link>http://www.kevinmd.com/blog/2006/10/todays-doctor-low-morale-is-here-to.html</link>
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		<title>By: Criminallopath</title>
		<link>http://www.kevinmd.com/blog/2006/10/todays-doctor-low-morale-is-here-to.html/comment-page-1#comment-68325</link>
		<dc:creator>Criminallopath</dc:creator>
		<pubDate>Wed, 01 Nov 2006 05:03:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/10/todays-doctor-low-morale-is-here-to-stay.html#comment-68325</guid>
		<description>The veneer of &quot;medical kindness&quot;... so easily wiped away.</description>
		<content:encoded><![CDATA[<p>The veneer of &#8220;medical kindness&#8221;&#8230; so easily wiped away.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/10/todays-doctor-low-morale-is-here-to.html/comment-page-1#comment-68290</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 31 Oct 2006 15:37:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/10/todays-doctor-low-morale-is-here-to-stay.html#comment-68290</guid>
		<description>&quot;So get out. You come on here and cry every day Anonymous. You threaten to leave to go to another country, etc. etc. &quot;&lt;br/&gt;&lt;br/&gt;No. I think I&#039;ll stay and irradiate all your sorry butts with my CT Scans until some of you glow. That&#039;s my payback for having to sit in court and have to listen to sume moron asshole tell me what a moron asshole I am.</description>
		<content:encoded><![CDATA[<p>&#8220;So get out. You come on here and cry every day Anonymous. You threaten to leave to go to another country, etc. etc. &#8220;</p>
<p>No. I think I&#8217;ll stay and irradiate all your sorry butts with my CT Scans until some of you glow. That&#8217;s my payback for having to sit in court and have to listen to sume moron asshole tell me what a moron asshole I am.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/10/todays-doctor-low-morale-is-here-to.html/comment-page-1#comment-68289</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 31 Oct 2006 15:16:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/10/todays-doctor-low-morale-is-here-to-stay.html#comment-68289</guid>
		<description>So get out.  You come on here and cry every day Anonymous.  You threaten to leave to go to another country, etc. etc.  &lt;br/&gt;&lt;br/&gt;Well do it.  No one is stopping you.</description>
		<content:encoded><![CDATA[<p>So get out.  You come on here and cry every day Anonymous.  You threaten to leave to go to another country, etc. etc.  </p>
<p>Well do it.  No one is stopping you.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/10/todays-doctor-low-morale-is-here-to.html/comment-page-1#comment-68284</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 31 Oct 2006 08:37:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/10/todays-doctor-low-morale-is-here-to-stay.html#comment-68284</guid>
		<description>I find that the anger and frustration I have with the screwed up health care system helps me. it allows me to order all the ridiculous tests I order to cover my ass, it allows me to admit 23 year olds for chest pain &quot;just in case&quot;. If i wasn&#039;t angry I may practice reasonable, logical medicine then i would miss the rare &quot;zebra&quot; and get sued for a bad outcome. The way things are currently I am so angry and frustrated I over-test to the max and lessen the likelihood I&#039;ll miss something, or at a minimum spread the responsibility by involving so many other doctors in consult.</description>
		<content:encoded><![CDATA[<p>I find that the anger and frustration I have with the screwed up health care system helps me. it allows me to order all the ridiculous tests I order to cover my ass, it allows me to admit 23 year olds for chest pain &#8220;just in case&#8221;. If i wasn&#8217;t angry I may practice reasonable, logical medicine then i would miss the rare &#8220;zebra&#8221; and get sued for a bad outcome. The way things are currently I am so angry and frustrated I over-test to the max and lessen the likelihood I&#8217;ll miss something, or at a minimum spread the responsibility by involving so many other doctors in consult.</p>
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		<title>By: Michael Rack, MD</title>
		<link>http://www.kevinmd.com/blog/2006/10/todays-doctor-low-morale-is-here-to.html/comment-page-1#comment-68281</link>
		<dc:creator>Michael Rack, MD</dc:creator>
		<pubDate>Tue, 31 Oct 2006 03:54:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/10/todays-doctor-low-morale-is-here-to-stay.html#comment-68281</guid>
		<description>&quot;What happened is that we dedicated ourselves to a 10 year plan of difficult college classes, medical school and residency&quot;&lt;br/&gt;For most of us, it&#039;s a 11-14 year plan.</description>
		<content:encoded><![CDATA[<p>&#8220;What happened is that we dedicated ourselves to a 10 year plan of difficult college classes, medical school and residency&#8221;<br />For most of us, it&#8217;s a 11-14 year plan.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/10/todays-doctor-low-morale-is-here-to.html/comment-page-1#comment-68277</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 31 Oct 2006 03:07:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/10/todays-doctor-low-morale-is-here-to-stay.html#comment-68277</guid>
		<description>Everyone realizes things are bad and will get worse.  Successful people adapt.  Start a business on the side.  Stop buying new luxury cars.  Tell your wife you can&#039;t afford the house with a second bathroom.  Tell your children you will pay up to what a public college will cost and if they want to go private, they&#039;ll take out loans.  &lt;br/&gt;&lt;br/&gt;What happened is that we dedicated ourselves to a 10 year plan of difficult college classes, medical school and residency in exchange for what we thought was a stable job with fair pay.  The only reason we did that was because we were 18 and stupid.  Who signs a 10 year contract?  &lt;br/&gt;&lt;br/&gt;Anyone who got into medical school is smart enough to come up with a family budget, pay off their debts and start a side job.  Realize that medicine is not a long term plan and you have solved half of your problem.  &lt;br/&gt;&lt;br/&gt;On a national level, this creates a problem unless you can delude another generation of teenagers into trading their best years for organic chemistry and the anatomy lab.  I don&#039;t think that will happen.  Therefore, we&#039;ll have genius investment bankers and mortgage brokers, while your children will be diagnosed and treated by well meaning C students.  However, that is not a problem I can solve,....&lt;br/&gt;b</description>
		<content:encoded><![CDATA[<p>Everyone realizes things are bad and will get worse.  Successful people adapt.  Start a business on the side.  Stop buying new luxury cars.  Tell your wife you can&#8217;t afford the house with a second bathroom.  Tell your children you will pay up to what a public college will cost and if they want to go private, they&#8217;ll take out loans.  </p>
<p>What happened is that we dedicated ourselves to a 10 year plan of difficult college classes, medical school and residency in exchange for what we thought was a stable job with fair pay.  The only reason we did that was because we were 18 and stupid.  Who signs a 10 year contract?  </p>
<p>Anyone who got into medical school is smart enough to come up with a family budget, pay off their debts and start a side job.  Realize that medicine is not a long term plan and you have solved half of your problem.  </p>
<p>On a national level, this creates a problem unless you can delude another generation of teenagers into trading their best years for organic chemistry and the anatomy lab.  I don&#8217;t think that will happen.  Therefore, we&#8217;ll have genius investment bankers and mortgage brokers, while your children will be diagnosed and treated by well meaning C students.  However, that is not a problem I can solve,&#8230;.<br />b</p>
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		<title>By: FishBiscuit</title>
		<link>http://www.kevinmd.com/blog/2006/10/todays-doctor-low-morale-is-here-to.html/comment-page-1#comment-68273</link>
		<dc:creator>FishBiscuit</dc:creator>
		<pubDate>Tue, 31 Oct 2006 00:47:00 +0000</pubDate>
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		<description>How does one get into any of those fields? Right now, I&#039;m pretty satisfied with neuropsychiatry, but one can never be too well-prepared.</description>
		<content:encoded><![CDATA[<p>How does one get into any of those fields? Right now, I&#8217;m pretty satisfied with neuropsychiatry, but one can never be too well-prepared.</p>
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		<title>By: Drinkysr</title>
		<link>http://www.kevinmd.com/blog/2006/10/todays-doctor-low-morale-is-here-to.html/comment-page-1#comment-68265</link>
		<dc:creator>Drinkysr</dc:creator>
		<pubDate>Mon, 30 Oct 2006 19:37:00 +0000</pubDate>
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		<description>So get out.&lt;br/&gt;&lt;br/&gt;I did it - and so can you if really want to. &lt;br/&gt;&lt;br/&gt;I&#039;ve interviewed for and been offered jobs in 4 different non-clinical industries - medical software development, utilization review and denial managment (fighting insurance denials), pharmaceutical drug safety (pharmacovigilance), and life insurance medicine. &lt;br/&gt;&lt;br/&gt;It can be done - and most of these offer salary and benefits greater than that of straight primary care.</description>
		<content:encoded><![CDATA[<p>So get out.</p>
<p>I did it &#8211; and so can you if really want to. </p>
<p>I&#8217;ve interviewed for and been offered jobs in 4 different non-clinical industries &#8211; medical software development, utilization review and denial managment (fighting insurance denials), pharmaceutical drug safety (pharmacovigilance), and life insurance medicine. </p>
<p>It can be done &#8211; and most of these offer salary and benefits greater than that of straight primary care.</p>
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