Reformed lawyer turned EM PA๐ฉบ. Mom of four ๐ฆ๐ผ๐ฆ๐ผ๐ถ๐ผ๐ถ๐ผ. Fun job, cool kids, fairly overwhelmed by pandemic life. Views my own. No medical advice.
Hi, @MedTwitter. Wanted to introduce myself. Iโm new but have enjoyed reading all your posts, from the hilarious to the educational to the insightful. Iโm a lawyer turned PA who switched from Family Med to EM in March 2020 while pregnant with twins. Just now coming up for air.
Iโm saying your comment was a ridiculous generalization that is untrue and derogatory to PAs and NPs. Argue semantics all you want, but anyone reading your tweet can see what you meant. There is no need to insult other clinicians. We are teammates. Period. #PATwitter#MedTwitter
@ElizStrickDes @DrGRuralMD Are you saying that Iโm being intellectually dishonest? Furthermore, my tweet was far from an โattackโ on an entire group of folks ๐๐พ๐๐พ
@AmputationSuck @DrGRuralMD Gross. No need to take it in that direction. PAs do not seek to diminish the role of physicians, particularly PCPs, who are the unsung heroes and real MVPs of patient care. This is NOT what @DrGRuralMD meant, but thanks for the unprovoked attack on other hardworking clinicians.
@DrCNM@dr_rynn @Leedsmedic @EBMgoneWILD@DGlaucomflecken The ? was why scribes for docs. They allow docs to do more work/MDM which does NOT imply anything about nurses. Implies that documenting isnโt the real work. Itโs a numbers game. Most docs cover their scribe cost. Seeing more pts = more $/faster dispos which > covers the scribe.
@DrCNM@dr_rynn @Leedsmedic @EBMgoneWILD@DGlaucomflecken Why are you so angry with me? I said nothing about nursing. Donโt assume you understand my positions on things because of a comment that addressed a different issue. Even docs with scribes still chart. The charting required is massive. I said it increases efficiency and it does.
@DrCNM@dr_rynn @Leedsmedic @EBMgoneWILD@DGlaucomflecken Itโs not because of PPE. Itโs done to maximize efficiency, in ED and OP settings. Charting is so cumbersome/time consuming no matter how fast you are at EMR. So much is required for billing. Scribes allow docs to do the real work/thinking, and not waste precious time documenting.
@BigEyesOnMeAndU@hcciam @tink_n_frog @Fitz_P @_ashawndabney Most hcps I know/follow have similar experience. We are collectively burned out and exhausted. Why would we lie about this? (Spoiler: not for big pharma ๐) Ask yourselves why youโre dead set on pushing a narrative that rejects what scientists/clinicians have seen for 2+yrs 4/4
@BigEyesOnMeAndU@hcciam @tink_n_frog @Fitz_P @_ashawndabney โฆa weak argument are easily refuted with actual science. But while weโre being anecdotal, Iโve evalโd 100s if not 1000s of Covid pts, and I can count on a single hand the # of vaccinated pts who were sick enough to be admitted vs. the many unvaxxed who needed admission. 3/
@RyanMarino I have no pets, just four wild, small humans whose future I worry about more as the world gets crazier by the day. FWIW, we appreciate you standing your ground on evidence-based med and refusing to back down in the face of more than your share of unwarranted attacks. Stay strong.
@LilyCrue @JGPharmD @Thunderball155 @thepedipals And thatโs not including constant lab results flowing in, managing those and notifying pts, phone calls, zillions of refills, prior auths, FMLA/disability paperwork, the list goes on. And then paid for only part time while working 45+ hrs/wk bc full time clinic is unconscionable.
@CherieMountney@YoungShull This is unquestionably the work of Gen Z. In fact if thereโs anything that screams Gen Z more than this email, I cannot imagine it.
@RonDell28735421@tarabibarati@elizavetaka @LilacsOnTheBay @ChuckWurster Because itโs not about the truth; itโs about spinning data to support a political agenda. And correlation isnโt causation. RSV spike happened after vax rollout, but thatโs also when kids went back to school and folks relaxed on masking. But Iโm sure itโs the evil vaccines ๐
@RonDell28735421@tarabibarati@elizavetaka @LilacsOnTheBay @ChuckWurster This article is laughable. Super easy to manipulate stats to make it sound like a huge increase when if you look at the numbers weโre talking about 0.4% vs. 0.1% of kids in each group. Nowhere does it analyze whether these numbers are statistically or clinically significant.