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Taz

@Suburbanbella

8 Aug

https://twitter.com/Suburbanbella/status/1382358850171326466

Envision does it again. First, there was the removal of a gaggle of anesthesiologists in Watertown, WI(

https://twitter.com/Suburbanbella/status/1382358850171326466

). Then it was their powerpoint on how to save money and increase profits in the ER by using BC EM docs less and FM/IM docs and NPPs more. Then they

2)devalue interns, stating they add slowness and complexity to the EM doc's day. Guess they forgot when people are in training, it takes time to learn s**t right. Now an Envision contract(yes, it's been validated) which requires EM docs being hired to join ACEP. This is utter BS.

3)Since when can an employer mandate a physician to join an organization? It's the physician's choice. No one else's. Kudos to the EM physician who sued EmCare for wrongful termination after he complained about patient safety issues. For those who don't epmonthly.com/article/26m-ju…

Read 4 tweets

Taz

@Suburbanbella

20 Jul

The corporate practice of medicine(CPOM) is killing medicine. It's happened again. Docs being displaced under the guise of providing "continued excellent care" or some other rhetorical bulls**t. Along with the "collaborative" blah, blah, blah hogwash. Sigh....Were I one of the

2)docs reading this letter, I would be offended that Dr. Gard would presume he could dictate who I could speak to about a patient. He doesn't own my license and he has no say. If a doc wants to talk to a doc, no one can say a f***ing word. Their choice if it is their patient.

3)How is dictating the conditions on when a doc can speak to another collaborative? Also, if the team is truly a dyad, then that's one doc to one NPP. Should be no problem if the NPP is presenting the patients as he/she should since Georgia is a non-FPA state. Unless they plan

Read 17 tweets

Taz

@Suburbanbella

18 Jul

Every physician, fellow, resident and medical student should read this article. It remains as relevant as the time it was written in 2014. I will share excerpts that I believe most exemplify what we are experiencing today. They thehealthcareblog.com/blog/2014/09/1…

2)clarify the tactics used by corporate entities to control physicians who are strong patient advocates. And my suggestions on ways to take our power back. Unfortunately, the vitriol that docs think we are gods is prevalent. The toxic environment in which docs are trained

3)today virtually ensures that is not the case. Nevertheless, the false claim still prevails. Doesn't help to have virtue-signaling docs perpetuate the hype. Docs, you matter and patients matter. Never forget that, despite the gaslighting.

Read 11 tweets

Taz

@Suburbanbella

15 Jul

MedTwitter, this is what a spin to feigned victimhood looks like. In real time. This is intended especially for the virtue-signalers who come in on the tail end of the conversation and never see when the NPPs initiate s**t. This doc asked a simple question. Probably could have

2)left off questioning whether the person was in healthcare as it is triggering. Nevertheless, the instigator's commentary as to why RRTs began is also triggering. And false. And this is where a conversation that could have been civil goes south. So instigator says, "To have the

3)hubris to say because you have a certain degree....". No where did the doc say any such thing. Nowhere. But someone entering the middle of the conversation will think she did. This is how bullying begins and the spin becomes accepted as fact. Instigating unnecessary s**t for no

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Taz

@Suburbanbella

7 Jul

I like analogies that are apropo. Healthcare is a cesspool of Pimps, Hoes and Johns. I discussed the transformation of medicine in this article for Authentic Medicine(authenticmedicine.com/2020/09/the-me…). I elaborated on Pimp #1(RWJF), who approached the National Academy of Medicine(NAM),

2)aka "The Hoes", for a White Paper on the Future of Nursing campaign which was designed to transition physician-led medicine to nursing-led. The Hoes didn't care that nurses aren't trained to practice medicine, they got on board with the campaign. The goal in 2010....

3)Never mind that the Hoes and Pimp #1 had no idea how to competently increase the nursing/NP pool w/o compromising education. They didn't care about that either. Enter the online, substandard NP degree mills graduating NPs who cannot even practice as nurses, let alone NPs. But

Read 17 tweets

Taz

@Suburbanbella

30 Jun

All EM docs and residents out there in Twitterland need to view this video. Summarizes the f***ed up situation with my beloved specialty--in a nutshell. Beautifully done. I remember the days when I would be hired for a job, sight unseen. Sent in my CV and

2)boom, I was hired. My training was spectacular and my attendings supportive. And I recall when I became concerned about the changing landscape of EM, especially when CMGs began to become more prominent and small democratic groups sold their practices. We did this. We gave away

3)EM. To everybody. It took a while for the damage to manifest, but now it's here. I'm so proud of the beginnings of EM. The goal was to improve care to critically ill and trauma patients by aggressive intervention. And we did, we improved survival rates. Now we are going

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