JC

Clean-up Bohm for the 4th straight year.

Hate to be on the other side of them... SO RT TO GET 'EM ALL TO THE PRO BOWL 😏💥 @LaneJohnson65 @BigTicket73 @CameronJurgens @Landon_2012 @jordan_mailata #ProBowlVote

This is massively misleading to bundle physician fees and hospital fees together… Literally, physicians are paid “professional fees” and hospitals are paid “facility fees”, the latter of which is many multiples what the physicians are paid. Case in point: A 99285, which is the highest complexity ER visit, professional fee (to the physician) is 4.00 workRVUs, or $134 by the current Medicare conversion factor ($33.88/RVU). The Medicare conversion factor has been cut year over year. In contrast, the facility fee to the hospital is on average $1800, and has increased 531% over the past 17 years… We are literally fractions of the cost.

@reverendofdoubt Don’t forget “I saw xyz specialist in their office for months of nonemergent complaint and they said I need a ct but it’s faster to get in the ED so I should come directly to you”

They aren’t wrong… rads gets very overwhelmed and understandably so with the onslaught of imaging requests from the ED, but important to remember a lot of imaging is driven by consultant requests.

Physician conversion factors: 2000: $36.6173 2003: $36.7856 2006: $37.8975 2009: $36.0666 2012: $34.0376 2015: $35.7547 2018: $35.9996 2021: $34.8931 2024: $32.7442 UHC stock up 8,556% Insurance premiums up 342% Inflation up 86% Physician pay down 10% We should keep cutting physician pay so families have more money in their pockets through reduced costs and reduced premiums based on the last 25 years of experience.

Physician pay over last 4 years: -7.76% Yet physicians (as small businesses) have helped carry the economy through every downturn, generate new jobs, and pay taxes to their local economy. Let’s fix this problem. Physicians are critical to local and national economies and require payment updates commensurate with the cost of doing business.

@TheNicksBlitz @ScottHanson @NBCOlympics @peacock @ScottHanson listen to this MAN

@ScottHanson @NBCOlympics @peacock please stop showing so much 3x3 basketball on #GoldZone. Many better, more interesting events to be covering especially with the loaded lineup tomorrow! Tennis, field hockey, water polo, gymnastics, fencing, soccer all before noon!

Dear Doctors, Happy annual cut-your-compensation day. This one comes with an additional demand for you to change your practice to address “whole body care” and spend lots of administrative overhead proving your “quality” with metrics that are mostly gamesmanship and complex paper pushing. Love, US Government cms.gov/newsroom/press… TLDR: 2.8% cut across the board through the RVU conversion rate. This has decreased every year since 2020, for a 10% cut ever since become COVID "healthcare heroes"...🤬 #medtwitter @CMSGov @MedicareGov @AmerMedicalAssn @ACEPAdvocacy

Oh man, this is so good… This gentleman by the name of Randy, who is a combat veteran, called into WIP & told this amazing story about receiving a message from Jason Kelce during the darkest time of his life. Chills. Sports mean more in Philadelphia.

@NOTWAXY Red Notice by Bill Browder

Anyone have a good non-fiction book recommendation?

@IM_Crit_ Peripheral is ok if planning for patient to come off pressors within 12-24hrs but otherwise should get a cvc imo

I have been using pressors from a peripheral iv (piv) for a long time. But I think we have moved fast to the other side... I am afraid that we are training a generation of residents/NPs/PAs thinking that it is fine to manage with 2 pivs a patient who is on norepi 0.25 mcg/kg/min

@DocDifferently @LinkedIn @DocCafe Meanwhile the Washington post is publishing articles about how doctors are overpaid

Another pediatrician job posting for $55-$65/hr (@LinkedIn). @DocCafe can you comment below why you believe that pediatricians in Southern California deserve to be paid $55-$65/hr?

@MichaelJH4444 @DecadeInvestor Michael you don’t have a car that’s why

@DecadeInvestor $0

@friedurethra @MichaelJH4444

this fucks

Chief @thedibar

@DrMaryam_AlAli @amalmattu @smithECGBlog @EM_RESUS @MubarakAlhatemi STE in lead II> lead III favoring pericarditis

31 Y.O healthy male. Presented with central chest pain radiated to left arm+nausea+h/o URTI 2 D. STEMI or pericarditis? If pericarditis can we see STE in posterior lead (part of diffuse STE🤔😒), STD aVl, V1 and V2. @amalmattu @smithECGBlog @EM_RESUS @MubarakAlhatemi

@AlanaKinrich Recently had a young otherwise healthy pt sent in by UC for r/o DVT of the right arm because they had arm pain and just flew 4hrs. Infuriating. It’s not the act of flying/altitude

@taramtobias @drjgutt @Dr_Oubre Idk if it’s fair to say your doctor doesn’t care? Not ordering a test that you don’t need actually tells me they do care. The problem is they probably don’t have enough time to explain to you why you don’t need it because the system doesn’t allow for it

@drjgutt @Dr_Oubre Note, I am not wealthy and pay $600/m for health insurance. And b/c my fasting BG isn't in DM range/MD doesn't care, I spend additional 💰to pay for labs. Our HC system is broken..⬆️ reimbursement isn't going to solve this. Note A1c would have been covered had PCP ordered it

I say this as a hospitalist: We need to prioritize primary care in this country. Traditional primary care is becoming rare. Ex-conventional docs tell me they're selling supplements, etc bc it actually makes money. Insurance reimbursement is just too low. Thoughts PCPs?

@GRDecter Basically a medical resident

The US Treasury has $57 billion in cash on hand while the government carries $31 trillion in debt That's the equivalent of an average person having $1,000 in cash on hand and $543,859 in debt Scary.