a******a
发帖数: 16 | 1 如果没有老人帮忙，ld工作也比较忙，大家是如何带小孩的？ |
n***a
发帖数: 1373 | 2 PGY 1, baby was sleeping when I was leaving. Baby went to sleep already
when I came back. If you don't have help, you have to hire a nanny. House
work? Forget about it. Use the time to rest and sleep. Of course, it also
depends on what speciality you are in.
【在 a******a 的大作中提到】
: 如果没有老人帮忙，ld工作也比较忙，大家是如何带小孩的？
|
a**********2
发帖数: 3726 | 3 Sarcastic enough, as physicians or physician in training, we counsel
patients about healthy lifestyle and how important it is. However, our own
lifestyle is completely unhealthy and even detrimental to our health. Junk
food, irregular work/sleep hour, interruption of sleep and serious lack of
sleep, high level of stress, etc.
I am not complaining. I love what I am doing, and respect my own choice. It
is just ridiculous that ACGME can work residents like slaves. Well, we all
know that once finishing residents, we, at least, HOPE that our life can be
back to normal. |
A*******s
发帖数: 9638 | 4 Ironically our senior physicians are complaining about the quality of
training with 24 hrs limitation.:)
It
★ 发自iPhone App: ChineseWeb 8.5
【在 a**********2 的大作中提到】
: Sarcastic enough, as physicians or physician in training, we counsel
: patients about healthy lifestyle and how important it is. However, our own
: lifestyle is completely unhealthy and even detrimental to our health. Junk
: food, irregular work/sleep hour, interruption of sleep and serious lack of
: sleep, high level of stress, etc.
: I am not complaining. I love what I am doing, and respect my own choice. It
: is just ridiculous that ACGME can work residents like slaves. Well, we all
: know that once finishing residents, we, at least, HOPE that our life can be
: back to normal.
|
a**********2
发帖数: 3726 | 5 You are right. I know some attendings complain about it. Also I remember
that there were some articles in JAMA or NEJM that also talked about it. The
problems are:
1) those senior physicians want us to have the same hell-like life like what
they had when they were in training; i call it "re-slaving mentality".
2) their argument is that the continuity of care is compromised under
current duty hour regulation. It may seem reasonable, but it is not.
Continuity care was super important in old school training, when there were
not many advanced tachnology avaiable for both diagnosis and treatment, such
as (much more than what I listed here) CT, MRI, long-acting insulin, much
stronger and broader antibiotics, rapid testing tools like PCR, etc. What
those senior physicians did was stayed in he hospital, observe the dynamics
of the diseases and made adjustment accordingly. However, with all those
advanced tachnologies, nowasdays, we do not need to wait for 24 hours (which
was a big thing for continuity because it took much longer for them to
figure out whats going on)to diagnose a disease, a complication, or a
specific process. If we suspect something, within hours, with certain tests,
we are able to figure it out, in most circumstances. This was unimaginable
in the past. For the same condition, it took much longer than now in the
past to figure out one condition. Also for the same condition, nowadays we
have "big guns" for lots of such conditions, so it took shorter than before
to see whether the treatment is effective by staying in the hspital forever
to observe the dynamics. In a word, with the modern medicine, it is not
necessary to stay in the hospital for more than 24 or even 36 hours for
continuity. Some specialties are exceptions such as surgery.
Those senior physicians know that the turnover rate is much faster nowadays,
but did they ask why? Medicine advances very fast, their mentality should
also keep up with it.
【在 A*******s 的大作中提到】
: Ironically our senior physicians are complaining about the quality of
: training with 24 hrs limitation.:)
:
: It
: ★ 发自iPhone App: ChineseWeb 8.5
|
a**e
发帖数: 5094 | 6 老一辈的想法可以理解。那时候医生都是男的为主，老婆不工作，在家带娃，日子怎么
都能过下来。现在大家一个个背着巨额student loan,都是双职工才能过活，谁还搞这
么多大call,日子还过不过了。
The
what
were
such
【在 a**********2 的大作中提到】
: You are right. I know some attendings complain about it. Also I remember
: that there were some articles in JAMA or NEJM that also talked about it. The
: problems are:
: 1) those senior physicians want us to have the same hell-like life like what
: they had when they were in training; i call it "re-slaving mentality".
: 2) their argument is that the continuity of care is compromised under
: current duty hour regulation. It may seem reasonable, but it is not.
: Continuity care was super important in old school training, when there were
: not many advanced tachnology avaiable for both diagnosis and treatment, such
: as (much more than what I listed here) CT, MRI, long-acting insulin, much
|
a**********2
发帖数: 3726 | 7 Very true. That is also another reason. I even think they should eliminate
the 24 hour call as well. No more than 12 hours per shift, period,
regardless senior residents or interns.
【在 a**e 的大作中提到】
: 老一辈的想法可以理解。那时候医生都是男的为主，老婆不工作，在家带娃，日子怎么
: 都能过下来。现在大家一个个背着巨额student loan,都是双职工才能过活，谁还搞这
: 么多大call,日子还过不过了。
:
: The
: what
: were
: such
|
g*****d
发帖数: 991 | 8 看来我们可以Mark这个贴为“住院医生造反贴”。
造反有理，哈哈。 |
a**********2
发帖数: 3726 | 9 Some rules are just ridiculous, against common sense. But nobody says
anything about it, because we all think that "well, only 3 years, just suck
it up and move on", that is why those silly regulations can be passed (i am
not sure whether it breaks the federal law about labor protection, no time
to do research about it). |
a*****2
发帖数: 200 | 10 别指望什么事情方方面面都能摆平，工作啊，家里啊，家务啊。挑两样最最重要的就行
。健康要保证，自己和家人的。 |
|
|
a**e
发帖数: 5094 | 11 不仅工作时间要改革，工资也要改。别的国家，住院医生和主治医生工资差别都没有这
么大。
造反有理 ：）
【在 g*****d 的大作中提到】
: 看来我们可以Mark这个贴为“住院医生造反贴”。
: 造反有理，哈哈。
|
n****r
发帖数: 1568 | 12 所以哥现在还是单身。。。即使已经做了住院医n多年。哥的理念是先享受人生，把以
前的苦读失去的岁月补回来，然后找个愿意做家庭主妇并做完住院医的妹妹喜结连理。
然后生个孩子，估计这个时候哥也老了但有储蓄，可以做家庭主男带孩子，老婆想回去
工作就回去。大家觉得我的想法如何，有没有志同道合的妹妹？ |
a**e
发帖数: 5094 | 13 http://www.marketwatch.com/story/how-to-retire-early-35-years-e
重要的不是你挣多少，而是你花多少
【在 n****r 的大作中提到】
: 所以哥现在还是单身。。。即使已经做了住院医n多年。哥的理念是先享受人生，把以
: 前的苦读失去的岁月补回来，然后找个愿意做家庭主妇并做完住院医的妹妹喜结连理。
: 然后生个孩子，估计这个时候哥也老了但有储蓄，可以做家庭主男带孩子，老婆想回去
: 工作就回去。大家觉得我的想法如何，有没有志同道合的妹妹？
|
a**********2
发帖数: 3726 | 14 这也是为啥美帝能走到今天，靠的就是剥削，冠冕堂皇合法的赤裸裸的剥削。不过他不
愁没人干，就如同postdoc受剥削一样。
【在 a**e 的大作中提到】
: 不仅工作时间要改革，工资也要改。别的国家，住院医生和主治医生工资差别都没有这
: 么大。
: 造反有理 ：）
|
a**********2
发帖数: 3726 | 15 我挺赞同的，趁着年轻拼命enjoy，just do whatever you like,不要考虑钱，谁知道
明天会怎样，再退一步，谁知道有没有明天呢。别为了攒钱降低自己的生活质量，等待
老的时候，也没那精力和同样的水平去enjoy life了。及时行乐也！
【在 n****r 的大作中提到】
: 所以哥现在还是单身。。。即使已经做了住院医n多年。哥的理念是先享受人生，把以
: 前的苦读失去的岁月补回来，然后找个愿意做家庭主妇并做完住院医的妹妹喜结连理。
: 然后生个孩子，估计这个时候哥也老了但有储蓄，可以做家庭主男带孩子，老婆想回去
: 工作就回去。大家觉得我的想法如何，有没有志同道合的妹妹？
|
a**********2
发帖数: 3726 | 16 65岁领Medicare,住老年公寓或者干脆买一套豪华mansion（不打算还清）然后根据支出
和月入来决定需要做多少小时的part time,这个计划如何？
【在 a**e 的大作中提到】
: http://www.marketwatch.com/story/how-to-retire-early-35-years-e
: 重要的不是你挣多少，而是你花多少
|
a**e
发帖数: 5094 | 17 没看懂？你是打算65岁以后还做part time?
我恨不得现在就退休。哈哈
【在 a**********2 的大作中提到】
: 65岁领Medicare,住老年公寓或者干脆买一套豪华mansion（不打算还清）然后根据支出
: 和月入来决定需要做多少小时的part time,这个计划如何？
|
n***a
发帖数: 1373 | 18 Why would girls do Residency if they want to be housewives? Or you can be a
house husband first and go back to work when your wife is tired of working.
Lol
【在 n****r 的大作中提到】
: 所以哥现在还是单身。。。即使已经做了住院医n多年。哥的理念是先享受人生，把以
: 前的苦读失去的岁月补回来，然后找个愿意做家庭主妇并做完住院医的妹妹喜结连理。
: 然后生个孩子，估计这个时候哥也老了但有储蓄，可以做家庭主男带孩子，老婆想回去
: 工作就回去。大家觉得我的想法如何，有没有志同道合的妹妹？
|
A*******s
发帖数: 9638 | 19 找个住院医做家庭主妇也未免太奢侈了吧？而且有点自私，嗯？
【在 n****r 的大作中提到】
: 所以哥现在还是单身。。。即使已经做了住院医n多年。哥的理念是先享受人生，把以
: 前的苦读失去的岁月补回来，然后找个愿意做家庭主妇并做完住院医的妹妹喜结连理。
: 然后生个孩子，估计这个时候哥也老了但有储蓄，可以做家庭主男带孩子，老婆想回去
: 工作就回去。大家觉得我的想法如何，有没有志同道合的妹妹？
|
A*******s
发帖数: 9638 | 20 It still takes 5-7days to heal a wound no matter what, doesn't it? lol
The
what
were
such
【在 a**********2 的大作中提到】
: You are right. I know some attendings complain about it. Also I remember
: that there were some articles in JAMA or NEJM that also talked about it. The
: problems are:
: 1) those senior physicians want us to have the same hell-like life like what
: they had when they were in training; i call it "re-slaving mentality".
: 2) their argument is that the continuity of care is compromised under
: current duty hour regulation. It may seem reasonable, but it is not.
: Continuity care was super important in old school training, when there were
: not many advanced tachnology avaiable for both diagnosis and treatment, such
: as (much more than what I listed here) CT, MRI, long-acting insulin, much
|
|
|
A*******s
发帖数: 9638 | 21 No wonder physician's salary deserves a cut. Less intensive training, less
pay scale. :)
【在 a**e 的大作中提到】
: 不仅工作时间要改革，工资也要改。别的国家，住院医生和主治医生工资差别都没有这
: 么大。
: 造反有理 ：）
|
a**e
发帖数: 5094 | 22 反正income tax年年涨，pay cut我没有意见，钱少了，那就要life style哈
less
【在 A*******s 的大作中提到】
: No wonder physician's salary deserves a cut. Less intensive training, less
: pay scale. :)
|
A*******s
发帖数: 9638 | 23 pay cut没有意见是不可能的, 今年拿30万， 明年拿29万，我打赌你肯定不爽。
★ 发自iPhone App: ChineseWeb 8.5
【在 a**e 的大作中提到】
: 反正income tax年年涨，pay cut我没有意见，钱少了，那就要life style哈
:
: less
|
a**e
发帖数: 5094 | 24 工资降3％，工作量降3％我就没有意见。
pre-tax的钱是别人家的，after-tax的钱才是自己的。:D
【在 A*******s 的大作中提到】
: pay cut没有意见是不可能的, 今年拿30万， 明年拿29万，我打赌你肯定不爽。
:
: ★ 发自iPhone App: ChineseWeb 8.5
|
A*******s
发帖数: 9638 | 25 工作量多百分之三不会觉得什么，工资少1万一年肯定不行.：）
其实如果要生活质量，一周4天就可以了，不值班更好，不过说实在的，如果在家打打
电话的值班也没什么。
★ 发自iPhone App: ChineseWeb 8.5
【在 a**e 的大作中提到】
: 工资降3％，工作量降3％我就没有意见。
: pre-tax的钱是别人家的，after-tax的钱才是自己的。:D
|
n****r
发帖数: 1568 | 26 现在是女权时代，好多优质美女只想证明自己也很强，所以拿医生律师执照的一大群，
结果到了生育年龄已经是高龄产妇。其实想做家庭主妇的女医生太多了，不信你问问板
上单身的住院女医生们。哥所以想找同行就是知道只有同行才能互相理解互相帮助，当
然是指工作时间和工作压力上的。周围好几个外科同行都离婚了，压力大工作时间又长
，一般女性受不了这样的婚姻存在。所以俺要晚婚，要找想做家庭主妇的女住院医。
【在 A*******s 的大作中提到】
: 找个住院医做家庭主妇也未免太奢侈了吧？而且有点自私，嗯？
|
A*******s
发帖数: 9638 | 27 嗯，找个同行替你值班比搁在家里强不知道多少倍。 ：）
★ 发自iPhone App: ChineseWeb 8.5
【在 n****r 的大作中提到】
: 现在是女权时代，好多优质美女只想证明自己也很强，所以拿医生律师执照的一大群，
: 结果到了生育年龄已经是高龄产妇。其实想做家庭主妇的女医生太多了，不信你问问板
: 上单身的住院女医生们。哥所以想找同行就是知道只有同行才能互相理解互相帮助，当
: 然是指工作时间和工作压力上的。周围好几个外科同行都离婚了，压力大工作时间又长
: ，一般女性受不了这样的婚姻存在。所以俺要晚婚，要找想做家庭主妇的女住院医。
|
s******v
发帖数: 477 | 28 可怜之人必有可恨之处。
做了n多年的住院医是很抢手的，为什么你还单身？？？？？？？？？？？？？？？？？
【在 n****r 的大作中提到】
: 所以哥现在还是单身。。。即使已经做了住院医n多年。哥的理念是先享受人生，把以
: 前的苦读失去的岁月补回来，然后找个愿意做家庭主妇并做完住院医的妹妹喜结连理。
: 然后生个孩子，估计这个时候哥也老了但有储蓄，可以做家庭主男带孩子，老婆想回去
: 工作就回去。大家觉得我的想法如何，有没有志同道合的妹妹？
|
n****r
发帖数: 1568 | 29 可怜? 您吃火药了? 哥可没觉得可怜啊? 而且也确实很抢手啊。单身不单身涉及个人隐
私就不能多讲了。只不过谈谈自己对家庭的看法而已,请大家不要走题,把队伍排正了,
尊重一下楼主。
？？
【在 s******v 的大作中提到】
: 可怜之人必有可恨之处。
: 做了n多年的住院医是很抢手的，为什么你还单身？？？？？？？？？？？？？？？？？
|
a**e
发帖数: 5094 | 30 还是版大有领导才能：）
【在 A*******s 的大作中提到】
: 嗯，找个同行替你值班比搁在家里强不知道多少倍。 ：）
:
: ★ 发自iPhone App: ChineseWeb 8.5
|
|
|
a**e
发帖数: 5094 | 31 老毛当年一句“妇女能顶半边天”，释放了多少廉价劳动力。其实苦的还是中国妇女，
又要上班挣钱，又要做家务。在中国也就罢了，收入少，多挣一个是一个，又没退税。
在美国多挣钱还多交税，不是件经济上很划算的事情。我看那些fund manager家里面，
老婆都是不工作，反而没人离婚。估计一是矛盾小，二是离婚经济损失太大。哈哈
【在 n****r 的大作中提到】
: 现在是女权时代，好多优质美女只想证明自己也很强，所以拿医生律师执照的一大群，
: 结果到了生育年龄已经是高龄产妇。其实想做家庭主妇的女医生太多了，不信你问问板
: 上单身的住院女医生们。哥所以想找同行就是知道只有同行才能互相理解互相帮助，当
: 然是指工作时间和工作压力上的。周围好几个外科同行都离婚了，压力大工作时间又长
: ，一般女性受不了这样的婚姻存在。所以俺要晚婚，要找想做家庭主妇的女住院医。
|
A*******s
发帖数: 9638 | 32 应该是被领导的才能 ：）
★ 发自iPhone App: ChineseWeb 8.5
【在 a**e 的大作中提到】
: 还是版大有领导才能：）
|
h***y
发帖数: 10334 | 33 请保姆。。或者让你LD辞职。。当然你LD要有牺牲精神。。做家务带孩子很辛苦的。
【在 a******a 的大作中提到】
: 如果没有老人帮忙，ld工作也比较忙，大家是如何带小孩的？
|
