The Sources

[The Sources @CrispLenin]

@FullOfGraceUS

[The Sources @CrispLenin]

@cheeseatnight @ZacMabry

[The Sources @CrispLenin]

@BrentAWilliams2 I’ve been saying this for the last year. The only people that benefit from Value Based Care are insurance CEO’s and Administration. The patients, nurses, and Drs will never see one red cent of benefit.

[The Sources @CrispLenin]

@juliabracadabra I see the comment section is not going the way you planned.

[The Sources @CrispLenin]

@tommysantos14 @808_38hz Ahh man you were so close.

[The Sources @CrispLenin]

@jefftimmer You’re not in a Star Wars movie Jeff

[The Sources @CrispLenin]

@ArmandDoma How many more people should die before we get your desired outcome? 100,000? 1,000,000? The entire population of Russia?

[The Sources @CrispLenin]

@EdKrassen How many more people should die before this becomes a viable option to you? 100,000? 1,000,000?

[The Sources @CrispLenin]

@FPWellman

[The Sources @CrispLenin]

@MorgothsReview Thanks Morgoth, Very cool.

[The Sources @CrispLenin]

@jamelholley @BernieSanders I

[The Sources @CrispLenin]

@owenjonesjourno Thanks Owen, very cool.

[The Sources @CrispLenin]

@SwannMarcus89

[The Sources @CrispLenin]

@united There isn’t really anything you can do. Giving me United flight credits would be a punishment. Hire enough pilots to avoid having them go over their hours.

[The Sources @CrispLenin]

I would rather spend a night in the county jail than fly with @united. Wouldn’t have this time if I didn’t have flight credits from the last flight which was so overweight it couldn’t get the nose up the entire trip.

[The Sources @CrispLenin]

@barflad @LRH_Superfan

[The Sources @CrispLenin]

@NawafDandachi @IM_Crit_ Well, not necessarily. Once you establish the diagnosis of iron deficiency anemia that’s a one way ticket to a colo and maybe EGD given symptoms. Iron deficiency is more compelling to get your gastro doc on board than + fecal occult in acute settings given poor specificity.

[The Sources @CrispLenin]

@IM_Crit_ Useless…
Unless you can see the blood (melena) it is not an acutely significant bleed. 10 ml of blood in the GI tract will + (we lose 2-5 ml per day normally). Any patient on DOAC, DAPT, or any other coagulopathy will almost 100% be +. Leads to poor prep, thus repeat scopes opt.

[The Sources @CrispLenin]

@NawafDandachi @IM_Crit_ Are you inpatient screening for colon cancer?