Nakakawalang gana. :)
First gen doctor here, kaliwat kanan na gig pero araw araw nagmumukang tanga. 10 years nagaral para lampasuhin ng 24hrs sa halagang 5k?
Wala naman akong issue tumulong sa tao, pero naisiip ko buhay ng mga nagnanakaw sa gobyerno isang alak lang nila to. Wala skl. I feel exploited I dont want to work in front line anymore.
Simply put, for uncomplicated cases:
If you use NSD01 (vaginal delivery, 1st and 2nd degree repair) and nasa ward ang patient (4 beds) --> NO CASH OUT AT ALL. KAHIT PRIVATE PATIENT MO.
If you use NSD01 but semi-private (2 beds) --> Maximum 23,000 cash out, meaning magsshare ang OB at hospital sa 23,000 pesos.
If you use 59409 (3rd/4th degree laceration) —> walang limit ang cashout ng patient, regardless of room type. Hindi din lumaki ang philhealth coverage pag 59409.
If you use 59513 (CS delivery) and ward room -- > NO CASH OUT!!!!
These apply to private hospitals and to our private patients. Kahit walk-in or sa amin talaga ang prenatal, applicable these rates. Private hospitals are also required to have a certain number of ward beds.
Nakakainis kasi:
Why is philhealth forcing Obstetricians to put a PF CAP on PRIVATE patients?! Ang baba pa ng cap! Sobrang time-consuming, physically and mentally draining maglabor watch and magpaanak, tapos bawal kami maningil (if ward) or super baba PF (if semi-private)!!!!
May mga patients na magwwalkin sa private hospitals expecting na manganganak sila for free. Then if magka-3rd degree laceration sila, biglang ang laki ng hospital bill.
Sobrang unfair ng packages na to para sa obstetricians!
https://www.facebook.com/share/r/1BUfDkAJSQ/?mibextid=wwXIfr
Grabe, nakakahiya para sa isang doktor—o kahit sinong may pinag-aralan. Imagine losing your temper over a refund na hindi agad na-process, and most likely ilang daang piso lang. Mapapaisip ka tuloy kung paano ka magre-react kung may pasyente na humingi ng discount sa professional fee mo. 😜
Honestly, dapat talagang i-call out ang ganitong behavior. Kahit kapwa doktor pa—mas mataas dapat ang standards. Hindi pa ba sila nakakasuhan? 🤣
As doctors/HCWs, how do you stay hopeful with everything happening in the government right now?
It’s honestly draining sometimes because we see firsthand how difficult the healthcare system is for patients, yet it still feels like the people in power care more about politics and personal interests than public service.
Because of everything happening in our country, mapapaisip ka na lang talaga about going abroad and serving somewhere else instead. Nakakapagod mahalin ang bansa minsan because of the kind of government we have. :(
Do you think there’s still hope for the Philippines? Or is this just the reality we’ve all become used to?
Katatapos lang ng PCP convention and alot of the talks were about NCDs. You would notice a common pattern for take off cases or Q&A is our poster child of an unhealthy lifestyle patient… the BPO worker. Usual risk factors include graveyard shifts/shifting scheds, unhealthy eating patterns, poor sleep.
Just a thought na maybe in our future discussion dapat ang poster child for an unhealthy lifestyle na ay ang medical resident. 36 hours shifts walang tulugan. Puro fast food. Much worse than a bpo.
In that way we could really ground our advice about sleep hygiene, emphasis on diet and exercise.
Or maybe doctors have some sort of immunity to these NCDs kaya ganun?
Just a thought lol!
Hello po docs! Asking lang po if makakakuha po ba ko ng mid year bonus if i'm contractual mo3, started working on feb 2 this year. Thank you po
Hello Doctors! I am a GP and just want some advice because I cannot decide if I should leave my current WFH job to switch to another company who only allows hybrid set-up. If there are other CDIs in this group, can you also share how you upskilled in this career?
Company 1 - CDI Physician (non-voice)
• pure WFH
• no weekends
• no work during PH holidays - paid
• all equipment provided
• 2-5/10 difficulty of work (clinical knowledge only)
• net pay 90k
• govt benefits + HMO with 2 dependents
• 20 days paid leave
• private practice still allowed
• can work abroad
Company 2 - CDI Physician + claims analyst (non-voice)
• hybrid 3x a week + days with meetings
• no weekends
• no work during US holidays - paid
• more responsibilities - with possible promotion since with prior CDI exprience
• net pay 120k
• govt benefits + HMO with 1 dependent
• 24 days paid leave
Ive been working as an ER GP for a while and I was wondering, is there a rule or law wherein we cant redirect patients seen at the ER and do follow ups with us through online platforms like, Konsulta MD or PPD?
Ive had multiple patients asking me if meron ba akong physical clinic wherein they can go to follow up or for other medical concerns
I just wanna ask you docs if may similar experiences kayo. Thanks!
Edit: For the record docs, hindi ko pa po nagagawa ang pag channel ng patients papunta sa eclinic ko. Im just asking if possible ba siya na walang conflict sa hospital na tinatrabahuan ko
And yes, im not planning on going into residency. Maybe possibly opening a physical GP clinic
Alam naman natin na ang anes mas kailangan at kulang sa ibat ibang malalayong lugar. Pero that was 3-5yrs ago. Ngayon andami kong kakilalang juniors na walang stable work dahil wala din permanent na surgeons sa private at wala din government item.
Dito ko talaga nakikita bakit nga ginigatekeep sya noon ng mga consultants. Bakit hindi sila masyado nagbabakasyon kasi once na mag li-low sila, mawawala momentum ng work lalo sa private.
Hello, doctors.
Gusto ko lang sanang malaman kung kumusta mga anesth natin diyan after training? Like how were you able na magkaroon ng mga cutting-partners after resi training. Is the pay good kapag private practice lang? Or better pa rin kapag nasa public hospital? Any tips for first gen doctor who wants to pursue a career in Anesthesiology. Thank you.
Daming posts lately ng Pedia and IM convention and can’t help but feel sad ng konti. Thinking of the could have beens. Just wondering kung may iba rin pong ganito yung nafeel as a GP and tips po siguro how to overcome this. Context 40yo practising abroad as a GP
I am currently working as a GP for 6 years now. Tried residency but mabilis na-burn out kasi mag-isa ko lang plus other personal/family problems na nagkasabay sabay. Currently, I can earn around 200k/mo pero duty ako ng mga 4-5x/week niyan. I don’t really know if kaya ko ito isustain in the long run.
I don’t think I can afford to go to residency now as a breadwinner and my kids need me (3yo and a newborn).
Sulit pa ba mag-residency sa panahon ngayon?
For GPs like me, lalo na yung matagal na as GP, do you have any regrets? For consultants, especially yung mga bago pa lang, madali ba mag-establish ng careers?
"Everything is a failure. Palpak ka."
Those words hurt. Like a knife stabbed to my heart a hundred times over.
For someone who has nearly sacrificed even my health, just because I genuinely want the success of this event, these words don't just sting. They torture.
When you've worked so hard for something for so many months, and at some point even sacrificed your mental health for it, hearing those words from someone who has not seen barely an hour of your relentless nights, is downright injustice. To do it in front of everyone whose trust you've spent years earning is beyond humiliating. And then to deliberately ignore the bulk of what you accomplished is just downright degrading.
I've always been told not to take residency training personally, but this. This is my blood, sweat & tears. To say to my face that none of it mattered in the end, and to mercilessly tell me in front of everyone that I'm a failure, is simply something that I cannot NOT take personally.
Residents are humans. I am human. And I've poured my soul into this work because that's what doing my best looks like. To be a resident does not mean to strip myself of all that makes me human. To treat me with dignity despite being a trainee is a reasonable demand.
I did not fail. You failed me.
Anybody with the same experience with iCare HMO?
I am a General Surgeon and recently we had a patient who underwent Modified Radical Neck Dissection. Since it was a major case I asked my colleague who is a Head and Neck Surgeon to help me out.
Come billing time, we were surprised that iCare only approved the PF for one surgeon at 30k for a BILATERAL MRND.
They said that they wouldn’t cover the assist fee for the other surgeon. We had to explain that we did LEFT and RIGHT sides. So it should count at least 2x the RUV amount.
It’s really frustrating that we should argue/fight for our rightful professional fees from HMO companies who pay us the bare minimum for our services.
Next question is… when will they pay the PF (if they will ever pay us)?
I’m a 25-year-old nurse currently feeling torn between pursuing medical school or working abroad.
Ever since I was young, I’ve dreamed of becoming a doctor, which is why I chose nursing as my pre-med course. But during nursing school, I became burnt out and decided to work first instead of immediately continuing to medicine.
Now, after two years of working as a nurse with a salary that can barely support myself, while also watching my parents grow older and approach retirement, I’ve started to feel uncertain about my future.
If I choose medicine, I would be a first-generation doctor in a city already saturated with physicians. It would also require years of training, financial sacrifice, and uncertainty. On the other hand, if I decide to work abroad as a nurse, I may gain financial stability, but I would also be spending valuable years away from my aging parents.
Both paths come with sacrifices, and I’m afraid of choosing one only to realize later that it was the wrong decision. At this point in my life, I don’t know if I have the time, emotional capacity, or financial security to take such a huge risk.
Right now, I just feel lost.
Hello doctors ask ko lang sana if may tumatanggap na Emergency Medicine Residency Training Hospital na 76 lang ang rating?
Hello po
Im planning to apply in the same ObGyn department where I served my PGIship in and I found out that all the nice nurses had moved on (good for them) and all that is left are the not-so nice nurses.
When I was a PGI, they would only call me TERN ( intern. And yes I asked them to call me by my name multiple times), not acknowlege my presence, my greetings or my questions and they even lied to my residents that I didnt endorse properly thus causing them to miss a patient (I wasnt even duty that day. Anyway, an IR settled that one). I asked the nice nurses why they dont like me and they said "they are just like that".
But I love ObGyn and the lovely department head had invited me to apply. I went there yesterday to inquire of the requirements and the not so nice nurses were there. I greeted them and they ignored me again and I remembered all the issues we had together during internship.
Should I still apply? Will this lack of work camaraderie affect me as a future resident? I was just there for 2months, will itvhave to be like this for years?
Should I get them to like me first?
Has anyone experienced this before?
I told my mom and this and she told me to come home in our province to look for work there but my province doesnt have a OBgyn residency.
Hello, currently a first year resident and my non-med partner just started working corporate. I'm not trying to sound bitter or what ha... I'm literally just confused and left wondering.
How is it that an entry-level undergraduate degree holder who works a 7 to 5, 5 days a week (50 hrs a week) is paid 40k starting,
and I, a post-graduate degree holder in a literal life-or-death line of work who works about 110+++ hrs a week (not even counting perpetual duties as punishment) is paid 40k a month as well with no holidays, benefits, incentives, etc.
Like... haha Idk may legal or economics or business ad concept ba behind this? Can someone more learned about this stuff explain the gap?
P.S. I am aware naman that the "overworked, underpaid" thing has been there since forever, pero I just never thought "Why?" or even "How?" and again... not mad po so don't agit if triggered lol.
Good day, Doctors. I would like to ask regarding fit to work classification of a patient who is hepa B reactive, and was cleared by Gastro to resume work. How do you classify these patients? Is it B or C? Thank you po.
Our batch had some history with this certain consultant that resulted with his termination as a lecturer in our school. Recently na promote sya as training officer of his department. Apparently he has been telling our seniors na inaabangan niya yung batch namin and maghanda kami. Our seniors are also experiencing bad interactions with him na sa ward.
Tbh it has been bothering and affecting my mental health for the past few months. I have no other hospital choices for clerkship. Also, i know that raising this concern with our school faculty will just result in gaslighting at baka kami pa yung pagalitan. Super traumatized because may nangyaring verbal abuse and intimidation.
Do you have some tips on how to deal with this?