bflo pa-c
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Fact: COVID is **not** merely a “common cold”. Cities and states and schools that say this should be held accountable for child endangerment.
chantzy@chantz_y
Got this patient info sheet from the after hours clinic where my son went for an ear issue (not Covid, thankfully) Apparently they are calling Covid a "common cold" now & normalizing kids being sick like 16 weeks of the year "without cause for concern" 😳
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@Parody_RCGP I am neither trained nor indemnified to provide a specialist occupational health assessment.
If a patient tells me they are unfit to work, I believe them.
The State or their Employer can formally assess their fitness by commissioning an appropriately trained person to do so.
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Yep.
Why deal with the complaints when every bit of the system is out to screw you.
"May be fit" for the win!
BBC News (UK)@BBCNews
Hundreds of GPs tell BBC they have never refused a sick note over mental health concerns bbc.in/4ru5piK
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Dear @CMSGov
I was looking through some Medicare expenditure data, which I assume is not how most people spend their evenings, but I do…
And something jumped out at me.
Across five specialties, independent physicians had the lowest total Medicare expenditures:
$26,377 per beneficiary per year.
Okay. So that’s the baseline.
Now let’s look at the other models.
Private equity–affiliated practices: $26,824.
Corporate practices: $27,769.
Hospital-affiliated physicians: $30,416.
So just to make sure I understand this correctly…
The most expensive model in the system is the one where doctors are employed by hospitals.
And the least expensive model is the one where doctors run independent practices.
That’s a $4,039 difference per Medicare beneficiary every year.
Which would seem like the sort of thing policymakers might want to pay attention to.
But it gets better.
When physicians transition from independent practice to private equity, Medicare spending decreases by about $963 per beneficiary per year.
Okay. Interesting.
But when physicians transition to hospital employment, spending increases by $1,327 per beneficiary per year.
Corporate affiliation?
Also increases costs, by about $1,140.
So the pattern here seems… fairly consistent.
The model everyone keeps saying is “unsustainable” actually produces the lowest costs in the system.
Meanwhile, the model that keeps absorbing those practices is also the one that drives spending up.
And every time an independent physician disappears into a health system…
Costs go up.
Every time.
Which raises a small question:
If the goal is controlling healthcare costs…
why is the United States Government steadily replacing the least expensive model with the most expensive one?
Just asking….
-Rojas out

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Video of a shepherd in #Lebanon evacuating with his herd of goats & sheep from Naqoura on Israel’s border to western Beqaa. They’ve already been walking for 2 days and expect 3 more to go. War doesn’t spare anyone …
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On the cover of The Lancet:
Editorial — “Robert F Kennedy Jr: 1 year of failure”
Read the latest issue: spkl.io/6011Aa3Et

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Today one of my breast cancer patients was placed under general anesthesia before I had seen her, marked her, or signed her chart.
That should never happen.
This is not the first time I have walked into a hospital and found that the rules were treated like suggestions. Surgery is not an assembly line. These are human beings. They deserve to be seen, evaluated, marked, and spoken to before anesthesia is administered.
When I asked for an explanation, I was met with defensiveness instead of accountability.
And here is the deeper issue. I am often told by insurance companies where I am allowed to operate. Even when I know that another facility is safer. Even when patterns like this have already occurred.
Physicians should be able to choose the safest environment for their patients. Insurance contracts should not override safety standards.
I am tired. But I am not going to be quiet.
We have to build a system where surgeons can vote with their feet and take patients where protocols are followed and safety comes first.
Our patients deserve better.
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Hospital parking should be free for staff in general.
But, definitely free during winter storms, where many come in hours early to be there for patients, relieve their fellow colleagues, and assure operations continue smoothly, while other colleagues may have to stay longer as they clear their cars of snow.
I will die on this hill.
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