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Tips for Surgery

Started by NYCMatt
over 14 years ago
Posts: 7523
Member since: May 2009
Discussion about
I know we all tip for movers. But, what about surgeons? Just finishing up major heart bypass surgery -- very impressed with the doctor's work. Do people tip for this, and how much should I tip?
Response by huntersburg
over 14 years ago
Posts: 11329
Member since: Nov 2010

check first that the doctor didn't leave a sponge inside of you.

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Response by ags
over 14 years ago
Posts: 25
Member since: Apr 2010

Nope. You don't tip doctors/professionals - most of them would find it awkward/inappropriate. You express gratitude. For example, what Letterman did after his heart surgery was appropriate & classy ( bringing his doctors to the show ). Thank-you card with the flowers or a nice bottle of alcohol is a common token of gratitude. Some people give tickets to a game, ski vacation - but doctors might not find it acceptable. However, just stating how much you appreciate the doctor's professionalism and care goes a long way - doctors don't expect anything back from the patient ( other than appreciation AND following doctor's orders ).

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Response by NYCMatt
over 14 years ago
Posts: 7523
Member since: May 2009

"You don't tip doctors/professionals"

Could you define "professional"?

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Response by ags
over 14 years ago
Posts: 25
Member since: Apr 2010

professional - doctor, engineer, lawyer

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Response by NYCMatt
over 14 years ago
Posts: 7523
Member since: May 2009

So those are EXAMPLES of professionals, or is that the definitive list?

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Response by ags
over 14 years ago
Posts: 25
Member since: Apr 2010

just examples.

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Response by NYCMatt
over 14 years ago
Posts: 7523
Member since: May 2009

So without a definitive list of what constitutes a "professional", how am I supposed to know whether or not to tip them?

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Response by jim_hones10
over 14 years ago
Posts: 3413
Member since: Jan 2010

to bad he didn't slip (the surgeon that is).

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Response by nyc10023
over 14 years ago
Posts: 7614
Member since: Nov 2008

You can tip whomever you want to tip.

Find out what his/her interests are and gift accordingly. Air miles are always good.

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Response by NYCMatt
over 14 years ago
Posts: 7523
Member since: May 2009

"You can tip whomever you want to tip."

Actually, you can't.

At some point, the recipient of your tip sees the tip as elitist and condescending.

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Response by ags
over 14 years ago
Posts: 25
Member since: Apr 2010

One tip at a time, Matt. 10023, tried tipping cops?

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Response by nyc10023
over 14 years ago
Posts: 7614
Member since: Nov 2008

Matt: That's because you're not giving the right thing. For a "highly" compensated individual (I suppose you would include building workers in this group), money's not going to do it. But there are all kinds of things you can give that aren't cash. Does your heart surgeon like to golf? Maybe a couple of days at a golf resort somewhere, or a GC for new clubs.

Ags: Trying to get me in trouble :)?

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Response by NYCMatt
over 14 years ago
Posts: 7523
Member since: May 2009

"For a "highly" compensated individual"

Could you define "highly compensated" please? Just so I'll know how to tip (and whether to tip) accordingly.

Apparently there's some sort of guide I'm not aware of ...

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Response by nyc10023
over 14 years ago
Posts: 7614
Member since: Nov 2008

I tip everyone. Gotta problem with that? Don't care if you're loaded or highly compensated.

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Response by NYCMatt
over 14 years ago
Posts: 7523
Member since: May 2009

You didn't answer the question. What's "highly compensated"?

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Response by nyc10023
over 14 years ago
Posts: 7614
Member since: Nov 2008

I refer you to J. Potter Stewart:

The phrase was famously used by United States Supreme Court Justice Potter Stewart to describe his threshold test for pornography in Jacobellis v. Ohio (1964). Obscenity is not protected speech under the First Amendment of the United States Constitution, and can therefore be censored.

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Response by NYCMatt
over 14 years ago
Posts: 7523
Member since: May 2009

You still didn't answer the question. What's "highly compensated"?

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Response by nyc10023
over 14 years ago
Posts: 7614
Member since: Nov 2008

I know it when I see it. I don't need to come up with a litmus test of some kind.

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Response by NYCMatt
over 14 years ago
Posts: 7523
Member since: May 2009

But apparently you DO need to come up with a litmus test. There are all these "rules" about tipping that people keep referring to ...

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Response by nyc10023
over 14 years ago
Posts: 7614
Member since: Nov 2008

That wasn't me. I don't have any rules. If I feel like it, I tip. If the movers are cute, I tip more.

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Response by nyc10023
over 14 years ago
Posts: 7614
Member since: Nov 2008

BTW, the NYC doctors I know personally all feel "poor" for whatever that's worth.

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Response by NYCMatt
over 14 years ago
Posts: 7523
Member since: May 2009

"If I feel like it, I tip. If the movers are cute, I tip more."

Ah. So now we're edging into prostitution ...

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Response by NYCMatt
over 14 years ago
Posts: 7523
Member since: May 2009

"BTW, the NYC doctors I know personally all feel "poor" for whatever that's worth."

So they SHOULD be tipped, then?

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Response by nyc10023
over 14 years ago
Posts: 7614
Member since: Nov 2008

I think you should not tip, Matt, because it makes you unhappy.

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Response by lucillebluth
over 14 years ago
Posts: 2631
Member since: May 2010

you shouldn't give surgeons cash tips but you should send a nice note and put them on your xmas card list. if surgeon you plan to see somewhat regularly throughout your life like a plastic surgeon send include bottle of nice booze with note and if you're a habitual dinner party giver, invite him to your new face coming out party with other guests you would not object to knowing about your freshening up.

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Response by lucillebluth
over 14 years ago
Posts: 2631
Member since: May 2010

sorry someone already said the thing about note+booze. well, that's what you're supposed to do.

"But apparently you DO need to come up with a litmus test."

there is one. you tip the blue collar regular personal provider of your services. you send a note+booze to the white collar regular personal providers of your services. sheesh, people.

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Response by jason10006
over 14 years ago
Posts: 5257
Member since: Jan 2009

Wow Matt who says we should NEVER tip doormen and concierges for "doing what they are already paid to do" wants to tip a doctor who is paid ten times as much? RETARDED.

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Response by lucillebluth
over 14 years ago
Posts: 2631
Member since: May 2010

"10023, tried tipping cops?"

best to make anonymous calls to crime stoppers. note+booze optional.

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Response by jason10006
over 14 years ago
Posts: 5257
Member since: Jan 2009

The litmus test is easy, BTW. You NEVER tip a government employee or someone regulated by the SEC or CFTC. That would be criminal. You never tip anyone who earns commission, since the two are equivalent. Finally, you never tip someone in a profession that requires a college or advanced degree.

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Response by NYCMatt
over 14 years ago
Posts: 7523
Member since: May 2009

"Finally, you never tip someone in a profession that requires a college or advanced degree."

So teachers should never be given gifts or gratuities of any kind.

Same goes for any and all attorneys at closings.

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Response by reallynow
over 14 years ago
Posts: 172
Member since: Apr 2010

does Obamacare cover tips for health care professionals?....

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Response by Truth
over 14 years ago
Posts: 5641
Member since: Dec 2009

Matt: No tips for surgery.

Hope you're feeling better soon.
(lay off of the gym-rat thing for a month or so.)

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Response by Dkua
over 14 years ago
Posts: 6
Member since: Jul 2010

what an odd post...you don't tip doctors. However, gifts or thank you cards are a more appropriate way to show gratitude. People have given my father everything from fruit baskets to iPods. In fact, during Christmas, I'd say more than 1/2 of the gifts under the tree are for him from his patients!

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Response by drdrd
over 14 years ago
Posts: 1905
Member since: Apr 2007

Matt's off his meds again. He's got a hair up his ass about tipping workers in his building, has forbidden it, in fact, so just try to ignore him. I don't think he's dangerous but a real pita on the subject.

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Response by Truth
over 14 years ago
Posts: 5641
Member since: Dec 2009

If Matt gets surgery for a hair up his ass...

I got your tip right here... (spinny, se holiday tip thread 2010)

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Response by Truth
over 14 years ago
Posts: 5641
Member since: Dec 2009

Oh wait, I'm a straight female.

Nevermind.

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Response by huntersburg
over 14 years ago
Posts: 11329
Member since: Nov 2010

Ok this thread needs to be deleted.

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Response by Truth
over 14 years ago
Posts: 5641
Member since: Dec 2009

Yeah, huntersburg.

The silly-seeking se editor will have a laugh.
Whoever he/she is, se doesn't pay that person enough.

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Response by jason10006
over 14 years ago
Posts: 5257
Member since: Jan 2009

"So teachers should never be given gifts or gratuities of any kind.

Same goes for any and all attorneys at closings."

Tipping a teacher = BRIBING a teacher in my book. If I were a parent, I would be ourtraged if other kid's parents were "tipping" teachers. I am pretty sure that is not allowed.

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Response by falcogold1
over 14 years ago
Posts: 4159
Member since: Sep 2008

Congs matt!
Happy to see you on the other side of that event.
Tip of the hat to anyone you want.
Send all the money to me.

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Response by jb1
over 14 years ago
Posts: 3
Member since: Oct 2008

Very glad you did well!

Speaking as a heart surgeon, a heartfelt letter of thanks is always great, which you can choose to copy to the department chairman, the hospital CEO and / or president. If your surgeon has an online listing write a positive review, and tell the cardiologist who referred you how happy you were.

A big team is involved - mentioning in any thank you letter other people (anesthesiologist, residents, nurses, physiotherapists) who looked after you well individually is a really nice touch and vanishingly rare. Gift baskets to the nurses on ICU and the floor are surprisingly unusual, and hugely appreciated. It doesn't have to be a massively expensive one - a 12 box of Dunkin Donuts and coffee goes a long way on ICU .

If you really want to give your surgeon a gift, then wine / sporting memorabilia / pens / watches can work (bit hit and miss). Some of my colleagues hang paintings and ornaments they've been given (I don't). With one or two exceptions your surgeon probably isn't going to hang out with you socially - so hold off the dinner invite / wedding invitation / round of golf.

If you want to give money then ask your surgeon about how to donate (or look online) - most such gifting is administered via the department research fund / philanthropy. This is somewhat different to trying to give your surgeon a tip (I can only think of one or two people that might might actually accept a tip from a patient), which is probably in contravention of most hospitals' compliance rules (although I appreciate the distinction is nuanced). You can be as specific or as vague as you like about the way your gift is spent. A small amount can make a big difference - it's amazing what doesn't get funded in hospitals), and a lot can change lives.

Hope this helps - it's a very generous thought (even if it's really just about your holiday doorman issues!)

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Response by jason10006
over 14 years ago
Posts: 5257
Member since: Jan 2009

Yeah, for any highly paid person - 1% if you will, I think a donation to their favorite charity is an acceptable "tip."

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Response by Truth
over 14 years ago
Posts: 5641
Member since: Dec 2009

kylewest: "Oh God..."

jason: "Sweet Jesus this again."

I like the sweet Jesus thing. Gonna use it as my new saying.

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Response by reallynow
over 14 years ago
Posts: 172
Member since: Apr 2010

wasn't this thread OP an obvious joke?

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Response by Truth
over 14 years ago
Posts: 5641
Member since: Dec 2009

reallynow:
the OP may be one and the same as the 18mil man.

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Response by Truth
over 14 years ago
Posts: 5641
Member since: Dec 2009

reallynow: Are you related to "wellheythere"?

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Response by lookingforhome
over 14 years ago
Posts: 95
Member since: Jan 2008

I sure as hell gave my OB a bottle and a thank-you note after my daughter's birth.

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Response by midtowner
over 14 years ago
Posts: 100
Member since: Jul 2009

this is a hilarious thread.
engineers are not professionals.
doctors, lawyers and some (high end ) accountants are.some wall streeters( 10%)
don't tip a doctor: you're not at the level. nowhere near. crystal/dom perignon is ok. as a token of appreciation.don't assume anything though. you can't intellectually compete.no offense.
Anyway don't consider it a tip. You can't tip a higher up. just show appreciation.As a lower down. and be thankful she takes it,

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Response by Sunday
over 14 years ago
Posts: 1607
Member since: Sep 2009

Good one Matt! I hope you didn't jinx yourself by joking about heart surgery though.

I was almost tempted to create a thread asking if house guests should tip their hosts.

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Response by Sunday
over 14 years ago
Posts: 1607
Member since: Sep 2009

How can one tell if a professional is not a recovering alcoholic?

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Response by huntersburg
over 14 years ago
Posts: 11329
Member since: Nov 2010

How?

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Response by NYCMatt
over 14 years ago
Posts: 7523
Member since: May 2009

"You can't tip a higher up. just show appreciation.As a lower down. and be thankful she takes it,"

I don't mean to brag, but doctors to me are "lower down" on the socio-economic scale.

Does this mean I can tip them now?

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Response by Truth
over 14 years ago
Posts: 5641
Member since: Dec 2009

Sunday: That's called bringing a house-gift to your host.
I bring nice scented candles, fancy towels, edibles (whatever they like to eat and drink) and my own supply of Charmin.

And an ounce of weed.

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