Benjamin Gayed

[Benjamin Gayed @BenjiGMD]

@eva_hodor @Wissa_YT @PageauJonathan A boo boo boo no no nos but I by

[Mark Cuban @mcuban]

Talking to independent physicians, it's obvious that the big insurance carriers are doing to them, what their PBMs are doing to independent pharmacies.

They deny, underpay, slow pay, clawback, and create administrative mazes, knowing their victims don't have the time or resources to fight.

Why ? By putting financial pressures on physicians and pharmacies, it makes them more likely to sell their businesses to them , close their doors, or refer the business to their captive pharmacy or provider. All benefitting the biggest insurance companies

We need to ditch the concept of "claims" and make every delivery of medications or care as a billable event that must, by law, be paid on a timely basis , with interest charges for any delays. If the physician or pharmacy doesn't deliver , the carrier has plenty of legal options already. As does the patient.

This is not an efficient market. This is the big guy abusing the little guy. It needs to change to better the care we get in this country

[Benjamin Gayed @BenjiGMD]

@kevinmyoung Capitlism prioritizes personal agency. Both mirror the kingdom in different ways. If we are picking between the two, I would argue capitalism more fundamentally mirrors the kingdom by focusing on agency, leaving space for individual responsibility which socialism undermines.

2/2

[Benjamin Gayed @BenjiGMD]

@kevinmyoung Jesus gave unwarranted charity through his death, encouraging followers to sacrifice for others. Believers are invited to submit to the Lord’s will, trusting the Spirit with outcome. Socialism compels sacrifice and re-allocates based on human wisdom. Very different.

1/2

[Benjamin Gayed @BenjiGMD]

@IU_Surgery @tjelle13 @NatalieADrucker @smonfared89 @briannenickel @jenchoi_iu @dstefanidis1 @GLDunnington @IUMedSchool That’s wild. You are all still junior residents in my mind….congrats!

[EAST @EAST_TRAUMA]

In this EAST Traumacast, Dr. Carrie Valdez (@carrievaldezmd) and Dr. Lauren Dudas (@ldel302) discuss the details about a geriatric trauma program with Dr. Ben Gayed (@BenjiGMD) and Kathy Smith. What does it entail? What are the benefits? https://t.co/BD76LxGh8Q

[Benjamin Gayed @BenjiGMD]

@Mike_TruittMD @smstreit @carrievaldezmd @EAST_TRAUMA @EAST_Traumacast @pferrada1 @LibbyMD823 @kathycrystal14 @PMartinezMD @ldel302 @talleycindy1 @elliotthaut @JJcolemanMD @bernardtrauma @docmartin22 @JeremyHLevin @dhlivingston @DevitisJoseph @scrubbedin @GivethemLR @saranimd @traumakhan For those with more developed programs - did you have difficulty making the business case to admin to grow the program (add dedicated FTEs)? Any metrics or areas of cost savings or quality improvement you discovered to support investing in dedicated geri trauma care?

[Benjamin Gayed @BenjiGMD]

@jnahmias1 @CQWhiteMD @EAST_Traumacast @ZielinskiTrauma @kari_jerge @traumadocfox @DrGregoryPeck @JeremyHLevin @MarkSeamonMD That’s brilliant - will look forward to the data.

[Benjamin Gayed @BenjiGMD]

@bernardtrauma @carrievaldezmd @EAST_TRAUMA @EAST_Traumacast @pferrada1 @LibbyMD823 @kathycrystal14 @PMartinezMD @ldel302 @talleycindy1 @elliotthaut @JJcolemanMD @smstreit @docmartin22 @JeremyHLevin @dhlivingston @DevitisJoseph @scrubbedin @GivethemLR @saranimd @traumakhan #geritrauma is a growth market!

#EASTmemberchat

[Benjamin Gayed @BenjiGMD]

@CQWhiteMD @EAST_Traumacast @ZielinskiTrauma @jnahmias1 @kari_jerge @traumadocfox @DrGregoryPeck @JeremyHLevin @MarkSeamonMD Geriatric specific activation criteria are an important system element to prevent undertriage - the unique vulnerability of geri trauma patients. One unintended consequence, we end up responding to a lot of “found down” that end up being stroke or UTI, etc.

[Benjamin Gayed @BenjiGMD]

@carrievaldezmd @EAST_TRAUMA @EAST_Traumacast @pferrada1 @LibbyMD823 @kathycrystal14 @PMartinezMD @ldel302 @talleycindy1 After implementing that protocol, ED return hospital readmission rates both decreased in this population. Unplanned ICU admission rates also decreased. 6 month post injury mortality also dropped nearly in half. Observational data from @kathycrystal14 but still encouraging.

[EAST @EAST_TRAUMA]

For this month’s #EASTMemberChat, we partner with the Online Education Committee to ask, “How has your trauma program changed to improve care for the geriatric patient?” Check out the @EAST_Traumacast about geriatric trauma and join the conversation: https://t.co/AfmxqX5WGU

[Cherylee W.J. Chang, MD, FACP, FNCS, FCCM @SCCMPresident]

Dexmedetomidine use in critically ill patients may increase body temperature in a dose-response manner (0.30°C for every 1 μg/kg/hr)

@drkimbok @DogICUma @BellomoRinaldo @yahya_shehabi in @CritCareMed

https://t.co/FExhbuSq1N

[WesternTrauma @WesternTrauma]

Dr. Linderman and colleagues analyze REBOA outcomes from NTDB/TQIP dataset. Increase in mortality with REBOA but not increased risk of amputation. #fellowshipofthesnow #WTA2021 @GCLinderman @kevinMschuster @kadtraumamd

[Benjamin Gayed @BenjiGMD]

@briannenickel Shero! Residents of days gone by agree!!

[Benjamin Gayed @BenjiGMD]

@JJcolemanMD I don’t usually respond to controversial tweets, but this one is too hard to let stand. I am sorry, but this represents a character flaw or a taste bud defect. You might need professional help 🤣

[Benjamin Gayed @BenjiGMD]

@EAST_Traumacast @kathycrystal14 @ldel302 @carrievaldezmd @EAST_TRAUMA @EAST_ICVP Very much appreciate the opportunity! Our geriatric patient population is only going to grow over the next few decades. Happy to help think about how to improve #geritrauma care.

[Benjamin Gayed @BenjiGMD]

Recent trauma patient with massive resuscitation. +20L in the first 6 hrs, otherwise healthy. I was surprised when Ppeak was only 24 post-op. Then I remembered chest was open. Never considered a high pressure thorax could be decompressed... not proposing utility just observing.

[Benjamin Gayed @BenjiGMD]

@Dr_Stepheny @topknife @smstreit @abriggs617 @LeahTatebe @EASTjournalclub @bulgercot @Stewartr84 @elliotthaut @rsidwell @jckhalfpint @rwinfield11 You show high volume centers operate significantly sooner. Did you look at association between time to OR and survival in your data independent of volume? May have missed it in the paper or discussion but as you point out time has been shown to be significant previously. #eastjc