Taz Profile picture
29 Apr, 9 tweets, 5 min read
I'm asking all TX physicians, as well as the citizens of TX, to please support Betty's Law. This law "would require healthcare workers providing direct patient care and practicing in freestanding ERs and urgent care clinics to wear a photo identification change.org/p/greg-abbott-…
2)badge." The law was introduced by the parents of Betty Wattenbarger, after their 7 y/o autistic little girl was misdiagnosed by a pediatric nurse practitioner(PNP), sent home and died from complications related to sepsis/pneumonia. The PNP did not identify herself as a Nurse
3)Practitioner nor did she have a badge that was visible-so the parents thought she was a physician. Similar laws do indeed exist on the books; however, the associated consequences don't. Violation of Betty's Law may lead to the medical facility being sepsis.org/faces/betty-wa…***
4)fined by the Health and Human Services Commission for every day the violation continues. You would think most people would support this bill. Nope. Not Stephanie Klick, R-TX, the Chair of the House Public Health Committee and an RN. Klick is a legislator who has no respect for
5)medicine and thinks anyone can practice it. She has either sponsored or been involved in bills that would grant NPs/CRNAs unsupervised practice, optometrists the ability to perform eye surgery, psychologists the authority to write prescriptions for psychiatric meds and dental
6)hygienists the license to administer local anesthesia and perform oral blocks. She is also adamantly opposing Betty's Law. Refusing to even meet with Betty's parents. IMO as an EM physician, this law is a must for ERs and UCs. When people are sick and panicky, as they tend to
7)be when entering these types of facilities, it is highly unlikely they will ask who is caring for them or their family. They almost always assume they are seeing a physician. Their focus is on their loved one and they are in a vulnerable position in which to be taken
8)advantage and deceived. Please sign the Change.org petition to pass Betty's Law(HB 2596). Call, send letters and/or use social media to push your legislators to support this bill. It protects all of us who are or will be patients one day. Truth and transparency in
health care:
Contact info of Public Health Committee members attached. Let's do this for Betty... @StephanieKlick @RDBobbyGuerra @stevefortx @GFColeman @VoteLizCampos @NicoleCollier95 @JaceyJetton @TomOliverson @FourPriceTX @Reggie4Tx @ErinForYall

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More from @Suburbanbella

30 Apr
A FYI for followers: State insurance commissioners are consumer advocates. They deal with insurance fraud as well as health, homeowners, life, flood, etc. companies which tend to be obstructive when it is time to pay the piper. Health insurance is the worst. This is MedTwitter,
2)so I will focus on the health insurance scumbags. If you and your doctor determine that your health insurance company is denying a claim or refusing to honor a medication and instead is telling your doctor how to practice medicine, you as a consumer can contact your state
3)insurance commissioner and file a complaint against your insurance company as well as the medical director or physician who denied your claim. You can ask the insurance company for the name and medical license number of the physician to provide to the commissioner. Many times,
Read 7 tweets
26 Apr
A perfect example of physicians being left out of the conversation when it involves healthcare. These fools are intent on making docs obsolete in the provision of rural health care. Invisible. By intent. No doctor on this list. innovation.cms.gov/innovation-mod…
2)Health insurance executives are well-represented. Right at the top. Now take a look at the "hospital representatives". Not one f***ing physician anywhere. One RN. One CRNP. No physician. Let me reiterate for those in the back...HOSPITAL REPRESENTATION, health.pa.gov/topics/Health-…
3)WITHOUT PHYSICIAN REPRESENTATION. This is how non-medical entities control the narrative of health care. So for the docs who keep yapping that this "is the way medicine is going" have relinquished their position in the driver's seat. I'm not one of those docs. Medicine is our
Read 8 tweets
25 Apr
The attached commentary is from Reddit(reddit.com/r/Residency/co…). I will be the first to admit that medicine would not be going into the toilet w/o the assistance of irresponsible or lax physicians expediting the process. This MS1 documents their experience with seeing a
2)"Rheumatology NP" in a clinic "supervised" from a distance by a Rheumatologist. NP diagnosed the student with scleroderma--who knows how or why. Fortunately, the MS1 had a fabulous PC physician who advocated for them and found the student an actual Rheumatologist who diagnosed
3)and treated the student accordingly. Knowing that there is no actual ACCREDITED NP curriculum for rheumatology that exists, I decided to see if there was anything that could pass for rheumatology NP "education" and lo and behold, there was. An online curriculum(of course)
Read 16 tweets
14 Apr
So this is the response from Envision's CEO to the hubbub that occurred a couple of weeks ago regarding their dismissal of anesthesiologists from WRMC in Wisconsin. It reads as one would expect..I'll leave it at that. He states that "physicians" were not replaced by CRNAs. No one
2)claimed that--I will be more specific and reiterate ANESTHESIOLOGISTS were terminated from WRMC and replaced. And they were not replaced by air. How do I know? Look at the original letter that states they are going to a "100% CRNA model". If they were using CRNAs in this model
3)before, then why was it necessary to make the announcement in the first place? In addition, a lead CRNA will be managing anesthesia services. Not an anesthesiologist. Also note in the letter the statement, "An Envision anesthesiologist will be on staff at this hospital and will
Read 12 tweets
12 Apr
Welp, EM docs, it's happening...With CMGs opening their own EM residencies, the proliferation of NPP "residencies" and "fellowships" and ignoring the warning by the American Academy of Emergency Physicians(AAEM) in 2016 about the threat of an oversupply of EPs, we finally did it.
2)Created a glut. We already knew compensation was dropping. We witnessed all the EPs being terminated in favor of NPPs who were perceived as saving costs and increasing revenue. IMO, the CMGs developed their own programs for two reasons:
-To control physicians whom they would
3)would train to prioritize metrics and thus increase revenue(thereby engaging in the illegal practice of medicine).
-They needed medical licenses for liability purposes so as not to incur full ownership of NPP malpractice/negligence that would occur because of our failure to
Read 9 tweets
6 Apr
Most of you who follow me know that I use Twitter to educate and inform. My thread regarding the firing of anesthesiologists at Watertown Regional Medical Center was published in Medscape. There were at least three other Twitter posts on the same topic--apparently mine resonated.
2)The irony is I was actually condemning corporate medicine. The WRMC/Envision decision was not in the best interest of the public. I think corporations should stay the hell out of medicine. Nevertheless, over-sensitive CRNAs and virtue-signaling docs deduced that I was
3)criticizing CRNA practice. I happen to believe that the safest model of practice if one cannot have a 100% anesthesiologist model, is a model in which CRNAs are supervised by anesthesiologists. In addition, I take issue with any CRNAs who claim to practice EXACTLY as
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