Suburban Physician

Medical advice? Seriously? Don't be a fucking asshat and complain about my tweets. Consider yourself warned. I am only served at 120% strength, IN YOUR FACE.

[Medical Axioms @medicalaxioms]

While you are sometimes sicker than the patient you are discharging, you are usually better than the one you are admitting.

[Suburban Physician @BurbDoc]

Oh wait, that's right, that happened to my practice. It was like six consecutive months of #PENISFRIDAY

[Suburban Physician @BurbDoc]

One software vendor did an update that had an encoding error that resulted in 6 mos of vaccinations not getting billed. Yeah, that was fun.

[Suburban Physician @BurbDoc]

Even in my own medical system, our "physician technology champions" don't even see pts, they dabble in IT stuff full time. It's a load.

[Suburban Physician @BurbDoc]

@BrightApollo I have yet to see an EMR that didn't look like it was designed by a committee dosed up on crack that lacked medical knowledge.

[Suburban Physician @BurbDoc]

@BrightApollo See you are mistaken that I give a fuck right now. I'm drunk. It's been a shitty week. I have no more fucks to give.

[Suburban Physician @BurbDoc]

The thing with EMRs is the quality of documentation is only as good as the effort put into it. And I've seen a lot of a lazy ass shit.

[WheelERdoc @realEDdoc]

.@BurbDoc

Saw him in my ER. BP 220/120

"I can't afford my BP meds"

I told his 10 y/o daughter to go & sell his cigs or he would die.

[Suburban Physician @BurbDoc]

BAM! A click of the button and I've just printed a New York telephone book's worth of guidance and education to meet meaningful use.

[Suburban Physician @BurbDoc]

@BrightApollo I'll try and live with your crushing disapproval.

[Suburban Physician @BurbDoc]

BAM! Click of the fucking button and I've asked all the required questions for G0438 Medicare Wellness Visit.

[Suburban Physician @BurbDoc]

BAM! Click of a button and I just did a review of systems more complete than what I did as a third year medical student. Fucking shit.

[Suburban Physician @BurbDoc]

No, you didn't do a fucking exam. You clicked a button, but now you got more bullet points to code a 99214 and boost those RVUs.

[Suburban Physician @BurbDoc]

EMRs don't make us better at documenting. In fact, what I've seen is we've gotten lazier w/ a click here, BLAMMO! I just did a fucking exam.

[Suburban Physician @BurbDoc]

Just b/c it's an EMR doesn't make the chart better- it just means we can now put all sorts of donkeyshit crap in there w/ a button click.

[Suburban Physician @BurbDoc]

"SORE THROAT" does not belong on a problem list, folks. Esp if that's been on there since the last Republican presidential administration.

[Suburban Physician @BurbDoc]

You can't even look at the problem list w/o seeing all sorts of disorganized dog shit symptoms listed as medical problems. Stop that shit.

[Suburban Physician @BurbDoc]

It used to be I could flip through a paper chart in 5 min and figure out what the fuck was going on. Now EMRs make that fucking impossible.

[Suburban Physician @BurbDoc]

The chart is already polluted up with all sorts of meaningful use click this fucking box shit, don't add to the mess w/ sloppy problem list.

[Suburban Physician @BurbDoc]

Jesus H Christ in a pimped out SmartCar with running lights, the system fucking tells you when you have duplicate dxs in the problem list.