Bert,
I have read most of above and have some tips.
I am a solo provider seeing 25-30 pt's a day
I quickly cut out medicaid.
Why have you stopped taking new patients with private insurance?? They can bring your reimbursement up and you can cut back on your patient volume (if you want).
You need to take at least 1 week vacation a year, no pager!
You NEED to do 1-2 conferences a year, (paid for by practice and gives you sanity)!
You need to think about hiring a NP to help, that will help you take off more and keep your sanity!
Hope that helps, balance in medicine/life is something all us dedicated physicians struggle with but you have to strive for that or you will burn out and ultimately your practice and patients will struggle!
Jack
