Terence Potter
651 posts
Terence Potter
@teapotter
Critical care and emergency medicine physician, healthy lifestyle and self quantification enthusiast; former: bike racer, PA, and software engineer
Texas Katılım Ağustos 2008
494 Takip Edilen131 Takipçiler
The deck is stacked against physician ownership.
Physician-owned hospitals are outright banned under Medicare. They’re excluded from 340B. They lack the tax breaks handed to big hospital systems. The playing field isn’t just uneven. It’s rigged.
And yet, they thrive. These facilities deliver better outcomes, higher patient satisfaction, and happier surgeons.
I had a blast talking to one of the pioneers of physician ownership, @eapotts, on the @NSGYPodcast.
Neurosurgery Podcast@NSGYPodcast
Ever notice how doctors don't *own* hospitals? We work in them, we manage them, we make them possible - but we can't *own* them, here in the USA. Ever wonder why? In this conversation with the tremendous @eapotts, we explore some of the story behind the ban on physician-owned hospital, current regulations, and the reality of life, business, and patient-care at a hospital owned and operated by the physicians. Spoiler: it's pretty great. Patients love it, doctors love it, staff love it, and the outcomes are stellar. Thank you to returning champion @DrDiGiorgio for insights on policy and politics surrounding physician-owned hospitals. podcasts.apple.com/us/podcast/phy… open.spotify.com/episode/6AU4ux…
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@A_Sapp12 Such a good feeling to never have to study OMM again. Unless you want to of course...
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The urge to cry while clicking submit on (hopefully) my final comlex exam was overwhelming
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@ebtapper Just wanted to comment that you are an amazing podcast guest, I’ve learned a lot from them!
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This was just an awesome experience
1. Melbourne rocks
2. The best talk of the conference was delivered by a patient who, in 10 minutes, made us cry, laugh, and inspired
3. @GutFailure, @mariej_sinclair, @bc_diet et al are changing the world
Adam Testro@GutFailure
The annual @Austin_Health ACTER Advanced Liver Disease Symposium held on the weekend was another outstanding success. 187 delegates were privileged to see @ebtapper drop some of his cirrhosis clinical pearls, along with a number of presentations from local experts.
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@lukeskibba @jbcarmody The resident would be assumed to have MD/DO oversight though right?
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DOs as a percentage of licensed physicians, by state:
1. Oklahoma - 22%
2. Michigan- 20%
3t. Iowa, Maine - 18%
5t. Idaho, Nevada, W. Virginia, Pennsylvania, Delaware - 16%
. . .
46t. Georgia, Connecticut - 8%
48t. Louisiana, Maryland - 6%
50. Massachusetts - 5%
51. DC - 4%
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Sometimes those busy months during delta feel like a different life. The memories. A different reality. A movie. I’m watching them but not in them.
This seems kind of dissociative.
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@CoffeeBlackMD Out of curiosity, have you ever made a patient DNR against the wishes of the family?
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If your loved one is over 80, yes, I know, they WERE living independently before this new awful thing happened to them.
This will no longer be the case.
As we age we live closer and closer to our physiologic reserves until we are basically living at them.
If you have no reserve, you can’t rally. You won’t be the same after. If you survive.
Setting realistic expectations for you guys …
If you want me to “do everything.” And I will, if you tell me that’s the direction we are going in, and I’m pretty good at saving people, remember it’s not on the rest of us to figure out the final details then where your loved one will end up living or how to get them everything they need in their new situation.
Keep this in mind when you ask for what you ask for.
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Terence Potter retweetledi
Just received a new batch of books! Pick up a signed and personalized copy by clicking the link below. 💪🏼💪🏼💪🏼
eddyjoemd.myshopify.com/products/the-v…
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@nickandboris @lucasaganronald Last tour winner to do it was Merckx in 1975
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@lucasaganronald Winning Flanders in 2023 will be the win that defines him forever for me, simply extraordinary
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I tried to do the same Fenix celebration as Tadej Pogačar 🦅
But I want to also say a few words next to it.
In the Tour de France with Vingegaard versus Pogačar, we have seen rivalry for ages. Again. And every time there is this question to me, who do I like? 1/5
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Terence Potter retweetledi
A 19 year old is brought to the ED after 2 days of progressive confusion and drowsiness
Last week he had a fever and runny nose. Got better.
He soon becomes unresponsive and requires intubation
This is his MRI performed the next day. What’s going on? What do you do?
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Terence Potter retweetledi
Today my team sat down with our insurance broker. My health insurance premium for my employees went up 30% for our renewal.
The government cut their pay to me and all doctors by 3.37% this year for the first two months then reduced the cut to 1.66% for the remainder of the year.
I’m tired of paid mouthpieces telling Congress and Americans that doctors are the reason for our high healthcare costs. If you agree with me, share this post and let your friends and colleagues know where the money in healthcare is going.
Hint: it isn’t to doctors
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Terence Potter retweetledi
Results from #PROTECTION presented #CCR24 & published @NEJM.
- DB RCT of amino acid infusion vs placebo in n=3511 people undergoing cardiac surgery w/ bypass.
- Reduced incidence of AKI (26.9% vs 31.7% NNT=20) & need for RRT (1.4% vs 1.9% NNT=200)
Potential game changer!
🧵
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Terence Potter retweetledi
This may be my favorite episode of @CritCareTime we’ve done yet!
@Askins_Razor & I go DEEP discussing diuretics: how do they work, when to use them, drip vs bolus, & most of all why a negative fluid balance is so beneficial.
Plus rants on CVP & MIVF
Don’t miss it!
Critical Care Time@CritCareTime
Sometimes a negative (fluid balance) is a big positive! 🆕 episode of Critical Care Time about DIURETICS & why/how to achieve a NEGATIVE FLUID BALANCE. 1/
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Terence Potter retweetledi
ICU puzzle:
70 yo female pt without being on any medications, no smoking history, no other known comorbidity factors except moderate obesity, underwent surgical repair of hip fracture. Per note: preoperative assessment: normal lung auscultation, moderate cardiac enlargement
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@kidney_boy Big fan of the core IM podcast, and I’m a grizzled veteran podcast listener of many…
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I’ve podcasted with the best but I’ve never casted with a better host than Nayan Arora! He embodies the rare podcast trinity: Funny, Humble, and deep content expertise.
CORE IM@COREIMpodcast
9/ Thanks to all who contributed to this episode! Author: @AndrewLingMD @ShreyaTrivediMD Experts: @captainchloride @NicoleBhaveMD Graphic: @RahulM_MD Audio: Daksh Bhatia Peer Review: Nisha Bansal, Larissa Kruger Gomes, Sunu Thomas
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Terence Potter retweetledi
Manage severe acute pancreatitis like a pro! The days of just arbitrarily flooding patients with fluids and not feeding our patients are behind us. 🎩 tip to the authors.
eddyjoemd.com/foamed/
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Terence Potter retweetledi
Members of CHEST’s Sepsis/Shock Section within the Critical Care Network provide an update on trials and guidelines that consider how low-dose corticosteroids impact mortality in adults with septic shock. Read more: hubs.la/Q02wSFyk0
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@CritCareTime @ross_prager Speaking of a procedure a lot *don't* currently perform, maybe discuss percutaneous ultrasound gastronomy sometime? Seems like a way to increase efficient patient flow in the ICU, especially for those who already perform bedside tracheostomy: youtube.com/watch?v=ekaw-6…
YouTube
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New Episode on Resuscitative TEE with Dr Ross Prager @ross_prager.
We cover:
-WHAT is resus-TEE? (#POCUS that can acquire images even in challenging circumstances)
-WHEN is resus-TEE useful? (shock, trauma, cardiac arrest)
-HOW to learn/master TEE in the ICU? (practice!)
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@jducanto I think if you mainly follow fellow physicians, organization, etc who only post medical information, and only scroll through “following” you can avoid the toxic content
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#MyXAnniversary I continually think of getting off this platform, but I stay for the friends and colleagues I’ve made over the years. Thank you to those who’ve given me intelligent and balanced feedback and a bit of humor.
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@Paul_Wischmeyer @CritCareTime @nickmmark @Askins_Razor Dr. Wischmeyer, I sent you a message with a nutrition question on insta if don’t mind and have a chance…
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Congrats to @Critcaretime on being the #1 Critical Care podcast in the world last week! 🎉
CHECK OUT new Episode of Critical Care Time podcast where I am honored to join @nickmmark & @Askins_Razor to talk about #ICUNutrition
Check out @CritCareTime for links!
#FOAMcc
Nick Mark MD@nickmmark
Damn! Critical Care Time @CritCareTime was (temporarily) the #1 critical care podcast in the world this week! 🎉🎊🥳
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