kirks5oh

Osu is ranked what??? 6?? 3 teams ahead of them lost.

I'm not worried. No way they can keep osu out if they run the table

Was your student........ Dancing around the topic? Generally discussing patient names or giving any description of a well-known person is a violation of hipaa. I'd feel a lot worse if he wasn't reportedly drunk Either way, a student, especially, should keep their mouth shut

He tweeted his fantasy football pics for this weekend and mentioned Lebron James and Kanye on Pinterest. #thanksalotobama

Washington is so overrated!!! I mean, 10 of the 12 sec teams would totally dismantle them.

Clemson. Lol

Before Obamacare, that person wouldn't have insurance. They simply would go to the emergency department when they had a problem and that would be it. Now, because they have insurance, the er has to refer them to my office. Before Obamacare, when someone had Medicaid type insurance, I would only open my office from 1-2 for those patients. I would triple book them (because at least 1 in 3 don't show), and they all see my physician assistant only, unless they need surgery. And if they miss one appointment, we do not call them to set up another, they have to call. If they miss two appointments without a seriously legit excuse, I ban them from my office. You can't help someone that doesn't want help, and the majority of these patients don't have a real problem. everyone of them says the same bullshit lines ---I have a high pain tolerance ---trust me, I don't like pain meds ---it all started with a car accident ---I barely eat anything ---I'm a very fast healer ---the doctor said I had the worst _______ he's ever seen ---I'm ambidextrous. For some reason the last line bothers me the most. With the previous system, this group still got healthcare, they were just muzzled slightly due to their crazy, irresponsible usage of the system.

The point is, you've always had some sort of health insurance, and are a responsible adult. You use it as it was meant to be used. You are the less than 1%, in terms of Obamacare. And because you're healthy and don't go to the dr for every little complaint, you are almost never seen in a dr's office. The counterpart, is a 45 year old woman who weighs 270lbs, and comes to see me for knee pain. She has no real problem, other then the fact she's a semi truck rolling around on Prius tires. She comes in for one visit, and asks for pain meds. Because she really just needs to lose weight and build strength, I offer physical therapy. She doesn't go to therapy, but instead goes to the er when her knee pain doesn't go away. The er doc tells her she might need an MRI because the X-rays are negative and he's just trying to get her the fuck out of his EMERGENCY room. She comes back to my office after missing 2-3 appointments. Because she doesn't have a job, she's always free to schedule appointments. She claims she needs an MRI because the er doc said so, yet she will not do therapy, lose weight, or take anti-inflammatories. And she still hasn't gotten a family dr despite my recommendation to do so. After the MRI is negative, I tell her to go to therapy, and she whines about not having transportation. After a few more missed visits and maybe a cortisone shot, she finally drops the real reason she's seeing me. She can't possibly work with this knee and wants to go on disability and wonders if I'll fill out the disability paperwork. Meanwhile, my office has a 4 week wait to get in and the people with real problems are fucked because they work and don't have the flexibility of a non-working, 45 year old slob. Thanks a lot Obama. This is my practice. Sure, I've come up with some creative ways to combat this. But I shouldn't have to. For every person like you, who I would almost never see in my office, there are 1000 inappropriate users who abuse the fuck out of the system. I don't know how old you are, but you should get plugged in with a family dr, for a yearly physical. If you're ever sick, throw your back out, or have a non-emergent yet urgent healthcare need, they are your ally, and immediately accessible as well as much cheaper than the er or even urgent care. And it's someone who knows you

Did I mention you specifically? You're speaking in generalizations based on your individual experience. I'm speaking generalizations based on an extremely busy medical practice. Your N=1. Mine is several orders of magnitude larger. But since you mentioned yourself, let me dissect your situation. You seem like a reasonably intelligent person, despite your voting preference. How often did you utilize your insurance? Do you see a family doctor for routine checkups? When you have a cold, where do you go? I'm guessing you have a family doctor that ypu see once a year and you go there when you have a cold. If you were the classic Obamacare user, you don't have a family dr, you miss appointments constantly, yet always have time to reschedule, you use the er for regular care, and you literally never follow instructions.

Nope. Try again. I've yet to see someone in my office with fuck-o-Care who meets that description

Trump thanks you for your support and for your vote.

Honestly, my parents get some lake effect snow, living 10 miles south of Lake Erie. They get more snow than us each year. Our snow just doesn't melt. Once it snows, the road may not be bare pavement for months on end. We may not see the grass from December thru April.

People are terrified they will be held accountable for their own actions. That they will have to go out and find a job. They are afraid of someone who doesn't candy coat shit. Obama said he was about change, but he didn't change squat. I think we will see real change with trump. And if not, well, there's always 4 years from now

blizzaks on my GTR=win seriously, this car handles the snow better than my 4x4 exploder did

Comprehension > everyone who misread my post. I know if you count each beating heart as an individual, then she won the popular vote. Read my post again

Trump won the popular vote as well. All the Hilary supporters are sheep and don't count as individuals. I'm laughing at all these millennial pussies at California high schools protesting. Better get your ass to class. You're going to need that education to actually get a job. No freeloading.

Some are pretentious asses. You'd never know that's what I do if you met me, and that's how I like it.

Unfortunately, I have to each year, being divorced.

I feel amazing. Just had a huge plate of nachos and am about to watch some fail compilations on YouTube while my kids get ready for bed

Income is less than that, and yes, I fully deserve that. I do hip and knee replacement surgery. I get paid by insurance for a preoperative visit, the joint replacement surgery, seeing the patient for 2-3 days in the hospital, and the first three months of care after the surgery. That's one big check that goes my way. Keep in mind I have to pay 35% back to pay overhead, and 40% for taxes. What do you think that number is? What do you think it was in 1980? And my earnings are a complete anomaly. Most in my field make less than half of what I do. Not bragging, that's just how hard I work

So how stupid do you feel today?

Wrong. It's common place where I practice medicine for the physician groups to leverage the insurance companies.

In Wisconsin bcbs pays 310% of Medicare. It's the best paying insurance company. Insurance companies can be leveraged over by physician groups---this happens constantly. The govt cannot

Obamacare is shitty, shitty insurance that doesn't pay. It floods my office with people who have bogus insurance, don't follow instructions, and don't show up to appointments. The bill has also outlined a 10% decrease in Medicare reimbursement. Since Medicare is my main payor, Obama basically told me "I'm paying you 10% less and gonna flood your practice with bullshit patients and make it harder to do your job".

I don't understand how you can't file taxes? I'm giving you a hard time. The point is, I haven't approved of how my tax money has been spent the last 8 years. Combine that with the govt actively trying to destroy my profession, and I'm glad to see change in this country. This country was founded on hard work, creativity, ingenuity, and the American dream. We are so far away from those concepts right now it's insane