@drcolleenplein on bluesky

ENT. Focus on minimally invasive Rhinology, snoring and OSA. Via @UChiPritzker and @SUNYdownstate. Tweets not medical advice. #ENTsurgery #shENT 🏳️‍🌈

[@drcolleenplein on bluesky @IHaveSinus]

It’s finally here! Take a listen 😊

[BackTable ENT & Allergy @_backtableENT]

This week on The Podcast: Dr Colleen Plein teaches us about functional nasal breathing in the treatment of facial pain, sleep apnea, postural defects and improving general quality of life #medEd @DrScottFortune @RSolisMD @DrSarahNBowe @amerati @IHaveSinus
https://t.co/WBpf1ILoBQ

[@drcolleenplein on bluesky @IHaveSinus]

@otolaryngolivia @umiamimedicine Can’t believe I’m old enough to say, no simulators. Just learned to do it on the real thing 🙃

[@drcolleenplein on bluesky @IHaveSinus]

@otolaryngolivia @ototrainees @OandNonline @EndoEar @headmirror_com @umiamient Hard to tell the color from the photo, but I’m guessing bluish/purplish color? If that’s correct, depends on clinical history, it could be hemotympanum or glomus.

[@drcolleenplein on bluesky @IHaveSinus]

@JohnCraigNose @ent_ams @MartaKwiat_ska @Rayan_alfallaj @MakaryENT @N_ChapurinMD X has unfortunately gone down the toilet. I’d recommend switching to a different platform. Instagram? Blue sky? WhatsApp? A Signal group? There is a bigger audience out there.

[@drcolleenplein on bluesky @IHaveSinus]

@JohnCraigNose @henryfordent @MartaKwiat_ska @ent_ams I agree with everything in this post except the Lions. #GoBears

[@drcolleenplein on bluesky @IHaveSinus]

@JohnCraigNose @henryfordent @ent_ams @MartaKwiat_ska Some good discussions today. See you tomorrrow!

[@drcolleenplein on bluesky @IHaveSinus]

@HoldHoome 1000%. In the game, Dina and Ellie get together before Joel’s death. Everything afterward is Ellie’s complete and total focus on revenge at any an all costs. She leaves pregnant Dina behind in the theater bc she has to find Dina. Not to mention what happens towards the end.

[@drcolleenplein on bluesky @IHaveSinus]

@DrScottFortune @JohnCraigNose Depends on a lot of things. Comorbidities definitely. Also I give patients options and let them decide. Not my job to gatekeep treatments. Lots of people don’t want surgery if it can be avoided.

[@drcolleenplein on bluesky @IHaveSinus]

I love that the replies to this are people rating the episode, completely missed the point, (obv haven’t played the game but that’s ok). *Sigh*

[The Last of Us @TheLastofUsHBO]

My question is… how would you rate it?

[@drcolleenplein on bluesky @IHaveSinus]

@dr_brad_m @drdanchoi But yes, I agree it’s crazy and totally outdated and need to be scrapped altogether.

[@drcolleenplein on bluesky @IHaveSinus]

@dr_brad_m @drdanchoi It started as the Ins co saying we will pay x % of what Medicare pays, so then the “billed” price goes up so you get the same reimbursement. But nowadays all the rates for every CPT code (how we bill) are all predetermined. It’s billed that way for tax and accounting purposes.

[@drcolleenplein on bluesky @IHaveSinus]

@dr_brad_m @drdanchoi The point is that it’s not the actual cost or bill. See how there is another column next to that? There will be 2-3 more columns, saying “ins paid”, “adjustment” and “you owe”. That 9k has no bearing whatsoever on what the facility or patient pay.

[@drcolleenplein on bluesky @IHaveSinus]

@drdanchoi As a physician you know that amount billed is different than amount paid. Doesn’t matter what’s billed. What’s paid/allowable is a pre contracted amount with the insurance co. Has nothing to do with the ACA.

[@drcolleenplein on bluesky @IHaveSinus]

This is either deliberately disingenuous or poster doesn’t know how medical payments work. “amount billed” means nothing. You can bill $1 million if you want. It’s the amount paid and amount you owe. These are pre contracted amounts with the ins co. Billed is totally irrelevant.

[Matt Van Swol @mattvanswol]

A few weeks ago my wife went to the hospital for stomach pain.

They did a CT Scan of her abdomen and thankfully didn't find anything serious.

Today we got the bill in the mail: $9,117.42

Healthcare is broken.

[@drcolleenplein on bluesky @IHaveSinus]

@dimlitknightt You could use the trap mines, but crawl around prone in the grass til nearby, then stealth strike

[@drcolleenplein on bluesky @IHaveSinus]

This is MY school district. Watch the commentator AFTER this awful woman. What this video doesn’t show is the literally 20 people that stood up to support the trans student, her rights and the law. I’m so proud I live here.

[REDUXX @reduxx]

A mother in Deerfield, Illinois, has revealed that school officials forced young girls to change into their gym clothes in front of a trans-identified male student.

Teachers reportedly monitored the girls so none left the locker room in protest.

READ: https://t.co/IcLLeagRPJ

[BackTable ENT & Allergy @_backtableENT]

Quality sleep protects heart health, reduces stress levels, strengthens the immune system and much more! Listen to one of our episodes with our guest experts in sleep medicine today on #WorldSleepDay. #WorldSleepDay2025 @drmegandurr @IHaveSinus @KhiaJosina @AtulMalhotra13

[@drcolleenplein on bluesky @IHaveSinus]

@dr_brad_m Society tells us that we are only useful as clinicians. It’s not true. We all have other great skills we can use to make a living. The key is to find something that gives you passion and lights you up. You can find it!

[@drcolleenplein on bluesky @IHaveSinus]

Amazing what can be accomplished when you remove the barriers of preauthorization (of which Medicare has none!)

[David Haynes @haynes_ear]

Achieving Same-Day Patient Consultation and Cochlear Implantation | NEJM Catalyst https://t.co/ajby5D8Qg0

[@drcolleenplein on bluesky @IHaveSinus]

Louder for the people in the back: NEVER BUY A MEDICARE ADVANTAGE PLAN. Medicare doesn’t require prior auth! Private insurers do and will find ways to deny things!!!! It is the biggest scam of all time.

[Eli Kamara MD @EliKamaraMD]

Hey @Aetna @AetnaHelp
Shared with patient permission

We submitted prior authorization on 1/2 for a total knee replacement on 1/22 for a Aetna Medicare advantage patient. It was denied on Saturday 1/18 over the holiday weekend. Now your representatives are saying that since we didn’t appeal on Saturday, the surgery is denied and we need to restart the entire approval process. Additionally, no option was given to appeal the decision. We have spent 2+ hours talking to your staff with no recourse given.

This is inappropriate. Saturday was a holiday weekend. The patient’s family took off work and flew in to support her during the surgery. The patient has failed multiple documented rounds of non-operative treatment, and has a successful knee replacement on her opposite leg. Her X-ray below clearly demonstrates bone on bone arthritis.

This is a clear violation of Medicare guidelines.

Another example of the need for the passage of S.4532 Improving Seniors’ Timely Access to Care Act

@AAOS1 @AAHKS @CMSGov @cmaorg @HHSGov @MedicareGov @AmerMedicalAssn
#claimdenied #respectmyprescription

[@drcolleenplein on bluesky @IHaveSinus]

One of my favorite quotes I heard from an ICU doc in residency: Surgeons say, “don’t just stand there, do something!” and Med docs say, “don’t just stand there, talk about it!” 🤪

[Allison Fitzgerald, MD, PhD @allisonoconn]

I had a med student once ask “will rounds always take so long?” after we finished at 11am. I truly hope they’re now thriving in the surgical subspecialty of their choice.