jay1982k

jay1982k t1_jaxh9dk wrote

Reply to comment by welcomebackjelly in CT number 1 in taxes? by dubauoo

U live on the coast -no driving miles.

The small towns here dont have any major safety/drug crisis

The schools are good unlike coasts elsewhere

And trains available unlike other coasts

And these other states dont have the above.

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jay1982k t1_jawn0id wrote

Reply to CT number 1 in taxes? by dubauoo

Are there local taxes? Im looking at new london county and dont see any?

If this is true its not a big deal. Yeah its higher in ct but other places u have 3% imcome and 1.5% local. I mean then it befomes 4.5…vs 6.

I dont live in ct so i am a knownothing.

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jay1982k OP t1_ja4g8v8 wrote

Reply to comment by buried_lede in Any doctors here by jay1982k

Well thats unfortunate. I dont find primary care stressful. Unless they turn the practice into urgent care. Having an emergency train wreck walk in is. Never fun. Hopefully people like me can give a positive impression but it may take time.

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jay1982k OP t1_ja42bco wrote

Reply to comment by buried_lede in Any doctors here by jay1982k

Id love to.l come to ct. i also need to afford it. If the pay works out i lrobably will. My efforts are generally to dictate in front lf pt. Outside of the bullshit template we all use the hpi, important parts of physical, assessment, plan is all thru dictation so pt can corrext me in office.

Separarely, to cya i sometimes tell ppl what i think, my plan and order it and then also refer or do the escalated next step (advanced imaging) in case im wrong/or meeds more urgency and let them know of it so theyre on board. If they dont wnat to do it up to them. Most patients seem pleased.

I still haven figured iut the patient who comes to me for care accepts the next minor step and then doesnt come to me dor a year even tho i asked them to follow up within a month etc and then blames em for not being urgent. Ugh.

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jay1982k OP t1_ja3swlr wrote

Reply to comment by buried_lede in Any doctors here by jay1982k

Yeah im not sure. Worth exploring. I hope theyre not more punitive than other states.

Im a pcp and wish for better qol but not if i ruin my reputation due to a mistake. Im human.

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jay1982k OP t1_ja3jt4d wrote

Reply to comment by buried_lede in Any doctors here by jay1982k

No im sure. I looked it up and posted in the other response.

I think knowing what u said is reassuring. But when u look at things like wallethub makes me pause. Connecticut also has the highest number of medical board citations. Thats not med mal but not great.

I feel like a pcp if it is what u said id be ok. Probably if i moved id be aggressive about cya and referrals. Not ideal but maybe as i got comfortable i can do fewer and fewer of these things.

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jay1982k OP t1_ja2ur9u wrote

Reply to comment by buried_lede in Any doctors here by jay1982k

Ur saying lots of docs moving in? Is it over saturated? Yes. It is number 2 med mal in per capita and top 5 or 10 depending on what u look at for total suits. Considering only 3 million peeps. Thats quitea bit.

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