Discover and read the best of Twitter Threads about #physician

Most recents (24)

Dear @OptumRx & @SanfordHealth you are NOT his #physician. You know nothing of his #health hx. Two years ago #Sanford #Bismarck #pain clinic pulled all #patients off #opioid #pain medications. This was not #patientcentered care, but care deemed appropriate BY administrators 1
Now @OptumRx & @SanfordHealth #insurance sending out letters re #opioid #pain #medications. My son had to move from a #Sanford clinic to another clinic due to #abandonment. Yep, abandonment. Plain & simple what you did was harmful & not based on #patients needs. You need 2
to look at research, that shows the harms of what u r doing. @SanfordHealth administration in Bismarck informed me 2 years ago when all #patients pulled off #opioids that it was the ‘national standard’ of care established by @CDCInjury @CDCDirector. The guidelines are NOT 3/
Read 9 tweets
Um absolutely adore this thread! I must read for #NEISvoid #CPP #RareDisease. My kids experienced much of what is mentioned in thread. 1st they have a rare disease, 2nd had a rare medical procedure to try to address symptoms, it caused complications. My kids now have T3 1/
the ‘care’ they receive has often been #traumatic as they don’t fit nicely into a box 📦. It’s because of their experiences (& my husbands) that I advocate. As young adults they still have to interact w the #healthcare industry but they are distrustful ( & rightly so). So many 2/
Physicians do not understand #medicaltrauma & their roles in it. I know it’s hard to be a #physician today, I know it’s hard to be in #healthcare but to dismiss, shame & blame a #patient is harmful not only psychologically but physically. 3/
Read 4 tweets
The United States spends nearly twice as much as the average #OECD country on #healthcare. BUT have you ever wondered how good is the #quality of healthcare in America? (1/10) #ph260720 #healthcarespending #qualityofcare
A 2006 @RANDCorporation research conducted on representative sample of the U.S. population found that on average adults in the United States received only about half of recommended care. Half! Shocking? Disappointed? (2/10) #ph260720 #qualityofcare
That's not all. Quality of care was similar in all 12 of the #metropolitan areas studied. For example, it doesn't matter whether you live in #Boston or #Miami. You're getting the recommended care ONLY HALF the time. Getting frustrated? I already am! 🤬 (3/10) #ph260720 #quality Figure 1. Metropolitan Area...
Read 10 tweets
@medcitynews reports that even with the #remote #patient #monitoring (#RPM) codes, reimbursement for #digitalhealth remains a challenge. The article is linked below, but for a deeper dive, read the thread 1/
medcitynews.com/2021/09/remote…
We've knows about this for a long time @omadahealth--really since our founding. We got an #NPI. We billed #claims. We helped get the first ever #CPT code (0488T) for fully virtual care. But there's more to do. 2/
(You can learn about contracting as a #virtualfirst #provider @_DiMeSociety workshop on that very topic this week! Register here:us02web.zoom.us/webinar/regist… ) 3/
Read 12 tweets
1| "Physician #burnout is real. The rate of suicide is really high. On top of that, with all the stressors of #Covid, we're hurting & we're afraid to show that we're hurting for fear of repercussions, for fear of being termed weak."

Watch the full video: bit.ly/3ywIszP
2| "It's the mentality of the patient comes first, which is great. But where do the providers come? And maybe that's a paradigm that needs to shift. We need to take care of ourselves. We need to take care of each other so that we can then take care of our patients."
Read 3 tweets
1/6

#BreakingNews
#Bombshell

💥Boom💥#Physician Assistent #MiquelEscobar RIPS the LID OFF of #COVID19 MYTHS & LIES

Een #MustWatch draadje voor alle #Wappies
#PCRtest maakt geen verschil tussen griep & #Corona
Uw uitgeademde adem bevat meer schadelijke bacteriën dan uw ANUS!
2/6

#BreakingNews
#Bombshell

💥Boom💥#Physician Assistent #MiquelEscobar RIPS the LID OFF of #COVID19 MYTHS & LIES

De ongevaccineerde”theorie”is absolute BS!
Er is geen enkel BEWIJS dat #SocialDistancing of welke #coronamaatregel dan ook werkt!
In 6mnd meer doden dan in 20JAAR
👆@life_of_esther heeft alle verschijnselen van psychische stoornissen&aanstellerietes.
Hoe kun je verschijnselen van iets hebben wat nog NOOIT is BEWEZEN?!
Zoals ze zelf in haar bio vermeld komt dat doordat ze naast knetter gek ook knetter links is.
Maak je druk om foto 3 muts👋
Read 7 tweets
I wanted to share some comments by #parents whose children have #pancreatitis. As I have shared before, the #pain care for these kids is NOT adequate. Their #pain is often not being addressed. I have asked parents to start writing up their stories to share. When #pain is not 1/
addressed it causes trauma, not only for the child/youth but parents. We know unaddressed #pain can lead to #chronicpain. I absolutely believe in #biopyschosocial approach but what we are seeing is a #psychosocial approach being utilized and #bio aspect missing. This leaves 2/
#parents and #patients feeling angry & abandoned. One of the reasons I started getting involved in #advocacy is that my kids #pain was dismissed, they were labeled. This leads to #trauma, #chronicpain & distrust of #physician. What HCP need to understand is that when this is 3/
Read 7 tweets
1/ 🧵🎥 Chronic Pain

#Pain comes in all shapes & sizes. Let’s explore how we process pain. Watch & Listen to what Anderson Cooper tells Stephen Colbert about #grief and #suffering: “You can’t have happiness without having loss and suffering.”
2/ My lucid & kind patient (pic w written perm) uses scalding water as a coping mechanism for abdominal pain from pancreatitis. He wants to share his rationale.

#MedTwitter #ChronicPain #nurse
3/ Before I share what he told me, I first want to make my mindset as his #physician clear: My first job is to believe in him. Then to understand him. Then to devise a plan to help him.
Read 13 tweets
1/ New report from ⁦@AmerMedicalAssn⁩ provides:

•Detailed look at official US healthcare spending estimates through 2019 using data from ⁦@CMSGov
•Preliminary estimates of 2020 health spending from ⁦@Altarum

ama-assn.org/system/files/2…
2/ •Health spending was 17.7% of GDP in 2019 and increased by 4.6% to $3.8 trillion ($11,582 per capita).
•Spending in hospital care (6.2%) and prescription drugs (5.7%) grew faster than physician services (4.2%) in 2019.
3/ • In 2019, spending growth in #Medicare (6.7%) and out-of-pocket payments (4.6%) reached their highest rates in the last decade while private #healthinsurance (3.7%) and #Medicaid (2.9%) were on a downswing.
Read 5 tweets
In light of the Boston police Union leader child abuse, this is very plausible, even probable. I have 2x, on behalf of someone else, reported, via Title IX - the woman or gay man was not feeling safe enuf to report. Yes, there is blowback when one reports. But we can’t be silent.
I am a mandated reporter as a #pediatrician. I *must* report for my patients or face legal consequences. Am same for staff, students, trainees. But in #EmergencyMedicine who do I call if a child may be unsafe at home? Sometimes, cops. Are cops safe?

boston.com/news/local-new…
I have seen #mentalhealth and entire life paths destroyed by abusers preying on children like: This happened to too many people I know. I have seen institutions intimidate, mislabel, bury stories of the victims. (Some predators wait until 18th birthday.)

nytimes.com/2017/08/07/nyr…
Read 29 tweets
When you want to know why
-women & minorities leave medicine
-why research lacks data to serve needs of anyone not white & male
and/or
-why different mortality rates in patients by gender, race, SES

this is why

This is #MedBikini#professionalism” again

#MedTwitter
#MedEd
Is insidious
but highly effective
maintains
-segregation
-different access
-barriers

As women, LGBTQ, minorities, disabled enter or advance in medicine, this professor’s public stance will be cited to mislabel having #ethics as “lacking #professionalism

bioethics.net/2020/07/medbik…
#medbikini is not one article
=attitude of many physicians
=drives this

We saw this happen with @ayshakhoury and @uche_blackstock and so many others. It especially happens at midcareer to WOC, especially black. Also if Muslim, LGBTQ, disabled, #mentalhealth

#MedEd
#MedTwitter
Read 52 tweets
Further, suboxone has required special training and certification, adding an administrative barrier and creating an added fear barrier among risk-averse clinicians whereas oxycodone can be prescribed easily with the DEA certificate we all have.
Because doctors/prescribers are definitely lacking in administrative burden and CME obligations, we're just twiddling our thumbs eager for someone to ask us to get MORE educated, taking time off from patient care to get this:

medpagetoday.com/psychiatry/add…
The law enforcement side sees doctors through this lens. So doctors seek to limit their risk and liability. I'm all for taking down those who harm patients. I've testified in cases like the ones below for the AG's office as a medical expert.

medscape.com/viewarticle/91…
Read 7 tweets
The folks who are anti-diversity need to update their tired playbook.

Sharing space for win-wins is not the same as hating people in a space.

Violating professional ethics by trying to diagnose via Twitter only damages own professional reputation by displaying poor judgment.
The time to have diagnosed by Twitter was here - instead of holding leadership accountable, people scrambled to put guardrails and install people to be "adults" in the room to reassure the public.

Actually don't be reassured.
Do something.

theconversation.com/thousands-of-m…
This was time to raise alarm, not "reassure"

All of you who distribute pacifiers and those eager to be pacified killed Americans

Plus, there was utterly bad and WRONG advice from a #physician and #publichealth #leader that "no need" to think about DNRs.

Read 12 tweets
@FBI - I have been marked as a target by alt right already - my #GOTV work is what #MarjorieTaylorGreene spreads hate on - citizen rights of minorities. The violence that smashed the skull of #OfficerSicknick on Jan 6 was about effective #votingrights work of @staceyabrams
(Deleted tweets cuz the posted link was wrong - gah. I hate deleting tweets but the meaning totally changed.)
What I threaten is the power differential in #healthcare -by my identity & work - all bullying is about power first & foremost. Yes, I threaten bullies & their sidekicks. I open, expand, include vs paranoia to exclude, block.

Other Muslims like me, shot: dailytarheel.com/article/2020/0…
Read 12 tweets
I was discussing #healthcare cost variation (& #EHP #RBP models) across geography with a colleague earlier today. I have followed the work of @zackcooperYale and thought it would be interesting to, in very simple terms, visualize some of the cost variation. A short thread. 1/n
2/n I started looking for a datasource. While our #benefitconsulting and #insurance clients engage networks of private insurers, that data is subject to different rules... I wondered what variation "looks like" for Medicare claims. I landed here: dartmouthatlas.org
3/n First, there is a ton of #Medicare data. It can be downloaded by state (see below) as well as to a county level (which I pulled into Python.) To consider the amount of cost attributable to different segments, I looked at the largest categories with observations by county. ImageImage
Read 9 tweets
I was sent these samples from a #hospital in #Chennai after the #physician caring for a patient wit abnormal #liver test found he was on these for #COVID19
#Coronil by #Patanjali Batch A-CNT305
#Liv52 by #Himalaya Batch 72900775
We performed ICP-OES, GCMSMS analyses
Results👇
1/
Heavy metals
1. Lead
Values higher than prescribed @US_FDA➡️ bit.ly/3miSHBM, #India bit.ly/3oV794F
Lead in drugs unheard of in developed countries. #India is developing (currently underdeveloped), hence an excuse. Lead limit in paints 90mg/kg.
2/
#MedTwitter
Heavy metals
2. Cadmium
C @US_FDA list beneficial & harmful metals in humans ➡️bit.ly/2LDTEbj
Cadmium prolonged use cause multiple organ toxicity sometime wrongly diagnosed
See bit.ly/37iTVZe
Indian herbs R sources of Cd bit.ly/37ZQTIJ
#livertwitter
3/
Read 4 tweets
1/ ICU #diaries for Good #Death:
 
Especially at EOL, ICU #Diary is part of #A2Fbundle. My pt w/ home-hospice told me details recorded in #ICU by #nurse allowed her to decipher cryptic #delirium memories she was struggling with.

bit.ly/36DOtk3

#medtwitter #meded
2/ Then she told me of hours spent reading big-hearted comments others had written in her ICU diary, making her realize how much her life meant to others. It was a priceless gift to her at a critical juncture in what had a time of deep poverty in her life. #PalliativeCare
3/ ICU Diaries give family members at bedside a practical way of helping w/ loved one’s care & can help channel their worries in a focused way.
#criticalcare #pulmcc
Read 7 tweets
Bravo 👏🏻 👏🏻👏🏻 to @Alberta_Pain. Pulled up their ‘Conference At a Glance’ & what do I see? People with #livedexperiences on the agenda. Thank you! Recently another #pain conference was held void of those w #livedexperiences. One ☝🏼 presenter, a #physician defended
the absence (or imo exclusion) of those w #livedexperiences by indicating #painpatients would not benefit due to the complexities of the information, nor would this #physician want those with #pain at the conference. My position as a #caregiver as well as advocate for 2/
better pain care, ‘nothing about us without us’ and to be blunt if you have difficulties as a #physician with having those with #livedexperiences participating, you need to evaluate your own issues. As an #American I give kudos to #Canada. I am impressed with their 3/
Read 5 tweets
Just listened to this podcast & it moved me to tears. I recommend #zebras, those with #complexconditions as well as those w #pain listen. My daughter has been deemed a ‘difficult’ #patient a #noncompliant #patient. Her chart is filled w truly notes that leave #physicians & 1/
other medical professionals biased. In a sense she was ‘difficult’ but 4 good reason. She had been dx at age 1 & had so many failed treatments & procedures. Her #voice often was dismissed bc she was young. As parents our voices were dismissed bc we were parents. 2/
With each failed procedure, with each dismissive action by #physicians she bc more difficult. Add in that she also had pain w her condition. And she knew what worked & this seen as ‘seeking drugs’. She also had a few irregular drug tests - which caused pain meds 3/
Read 11 tweets
#PainAwarenessMonth
My kids have #hereditarypancreatitis. The pancreas can weak havoc on ones body; nausea, malabsorption,vitamin deficiency and #pain; horrible pain. The option we were given was 2 remove #pancreas, spleen, half the stomach & other ‘parts’ to 1/ Image
ensure that there 75% of developing #pancreascancer did not occur & that it would address their pain. It did not. They both came out with multiple complications. While this transplant CAN produce good outcomes there are a number, such as my kids left with #pain 2/
and multiple life issues. Many have been abandoned by the hospital that did the transplant & are having to navigate the system to figure out care. When you have no #pancreas, no spleen, only half a stomach constant #pain, malabsorption & an entire host of issues 3/ Image
Read 5 tweets
Be 2 differ, the majority of #physician group losses have not been covered by gov’t programs—jury is still out on #PPP program whether loans will be forgivable & can’t believe #MedPAC would assume otherwise + lack of CARES $? Report on Impact of COVID-19 fiercehealthcare.com/hospitals/medp…
2/ Image
3/ *Beg* to differ — elliptical typing strikes again!
Read 3 tweets
@ProjectECHO I just wanted to share that as a #caregiver of two adult children with #chronicpain these screen shots feel incredibly biased. I have watched my husband & my children experience #stigma by medical professionals due to the fact they had/have #chronicpain 1/ ImageImage
my husband passed due to his illnesses #pancreascancer #hereditarypancreatitis. My kids live each day in #pain. We have tried many other options, some of which actually have caused life long injury. #Opioid pain medications have provided them some QoL. They have often 2/
been questioned if the pain is really that bad? Curious if you teach about malabsorption issues? Both my kids have them. Unfortunately due to lack of knowledge (even though throughout chart) about malabsorption in relation to all medications she has been accused 3/
Read 8 tweets
Here's 1 click solution to #physician advocacy to tell Congress to waive budget neutrality so clinicians on the front line--infectious disease -4%, emergency medicine -6%, critical care & anesthesia, respectively, -8%, & radiology -11%--do not suffer majo…lnkd.in/d7X5kfj
2/ To date, >500 mostly physician advocates have sent over 1500 emails 2 Congress asking 4 the elimination of budget neutrality to stop the proposed cuts in the 2021 Medicare Fee Schedule Proposed Rule--let's go for a 1000--& while they are back in their districts let them know.
3/ Spearheaded by Rep. Bobby Rush, D-Ill., a bi-partisan group of 92 lawmakers this week wrote to the Speaker of the House to waive budget-neutrality requirements stemming from a proposed pay increase for office-based evaluation and management services in 2021.
Read 3 tweets
I am truly sick upon reading of this senseless tragedy. A #family #physician killed by one of his #patients in #Alberta #Canada. In the #USA we have a broken #healthcare system; #physicians overworked, they are often being dictated the care 1/ todayville.com/community-rais…
they are able to provide to #patients due to outside influences such as administrators, #insurance,#PBMs, politicians & #government. There is concern by #patients & #caregivers re care received this is particularly true w inds that have #complexhealth, #chronicillness & 2/
#chronicpain. Many #patients lives harmed due to #abandonment of care. Our #healthcare system is broken. We are seeing #physcians die by #suicide & #patients being harmed. These issues MUST be addressed! I truly believe that as a #patient #advocate it is also 3/
Read 4 tweets

Related hashtags

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!