DrJakeRamoray

Cardiac anesthesiologist & intensivist, father, husband & veteran who cares and advocates for patients in an increasingly convoluted & opaque healthcare system.

[DrJakeRamoray @JakeRamoray]

Gloves are off

https://t.co/hkNmL3uTas

[DrJakeRamoray @JakeRamoray]

@OhLawdy3 @CCPW @randyholt4 @choo_ek @PressSec Fairly well supported that the risk of fomite transmission for Covid-19 is extremely small to even negligeable. You think she was coughing and drooling over papers rather than transmitting via respiratory droplets?

[DrJakeRamoray @JakeRamoray]

https://t.co/mb8huNKPdU

[Damian Caraballo MD @813JAFERD]

this is great from that NP colonoscopy paper...NPs were just as good as fellows...except for 28% (413!) of 1443 colonoscopies that were deemed not screening exams. So NPs just as good 100% of the time, 78% of the time

https://t.co/f4FeckoxzI

[Damian Caraballo MD @813JAFERD]

FL SB894 - looking to expand PA supervision from 4:1 PA:Dr to 10:1 PA:Dr ratio. This is a backdoor to independent practice. Next year they’ll complain “we’re not supervised”. Not to mention Dr’s are liable for all actions of PA’s (nice touch there). #FlaPol #Sayfie

[Texas Medical Association @texmed]

APRNs are currently allowed to practice to their fullest potential - as a nurse, which is what they are. Not a physician. #patientsafety #txlege #OnlyPhysiciansArePhysicians #APRNsArentPhysicians #TeamBasedCare #HB2029 #SB915 #TMAadvocacy

[Jaferdian, M.D. @JAFERDIAN]

Expanding the scope of practice of NPs and PAs does nothing for patient care.

[Texas Medical Association @texmed]

APRNs are currently allowed to practice independently and to their fullest licensed potential – as a nurse, which is what they are. NOT a physician. #patientsafety #txlege #OnlyPhysiciansArePhysicians #APRNsArentPhysicians #TeamBasedCare #HB2029 #SB915 #TMAadvocacy

[PPP - Putting Patients First @pppforpatients]

@txhealthplans NPs in Texas can already work anywhere in the state to provide primary care. There are no “barriers”. But NPs don’t go rural anyway, and giving them independent practice won’t change that (look at every other state that has already done so). False arguments are being used here

[R.Block,MD @RBlockMD]

https://t.co/eWKbmZJVje

[DrJakeRamoray @JakeRamoray]

@jberthume @jsvalenti1 Corporate healthcare and large hospital systems love replacing physicians with less costly alternatives. Insurance companies and patients still pay the same amount for care so the C-suite, shareholders and private equity keep the difference

[DrJakeRamoray @JakeRamoray]

@EMoriartyWade @BryonyWinn Not a provider regardless of any qualifier. Physician is my profession and I do so much more besides "providing" healthcare.

[MidlevelCare @MidlevelCare]

Nurse Practitioner explains why her patients should call her “doctor”!

Just download your non-clinical, no entrance exam, continue to work full- time, no dissertation, 500 hour shadowing, 2 year DNP degree in lobbying/administration online!

Patient deception!

#StopScopeCreep

[DrJakeRamoray @JakeRamoray]

https://t.co/AY6ubUgFf8

[DrJakeRamoray @JakeRamoray]

@nrallentando @FenixWAW @meggyrob__ @righteousdinero @sweetpea1977 Exactly. I have been so surprised sometimes having patients walk in to the ICU months after they were downgraded. Don't even recognize them bc they look so different from when they were so close to death.

[DrJakeRamoray @JakeRamoray]

@nrallentando @FenixWAW @meggyrob__ @righteousdinero @sweetpea1977 And we are often telling families and loved ones that we will not be doing CPR or DCCV in the event of a code in many Covid-19 patients. This isn't a risk to HCW but a futility issue. If they are in week 3 and their PaO2 is still in the 50-60s on max therapy, ACLS is futile.

[DrStrange @DocStrange_1]

State legislatures are now in session, and NPs are at it again in FL, MS, PA, UT, TN, TX, and WI.
What are YOU doing to bring focus and clarity to the debate?

[DrJakeRamoray @JakeRamoray]

The steady decline of inflated organized medicine. Follow the money. Lowering standards just to get more membership $$$. Also reinforces the complete absence of any desire to obtain “fellow” status while paying for it.

[Westby Fisher, MD @doctorwes]

I was never a believer in the letters after “MD” on doctors’ signature line. What do they mean, really?Now, after seeing the ACC giving the “fellow” designation to non-MDs too, my skepticism is now officially justified. *sigh* Guess it’s #JustaClub @ACCinTouch

[DrJakeRamoray @JakeRamoray]

@MicheleMKenner @JaimeAPRN This. Each step takes time and no shortcuts are taken by good credentialing teams. Disaster and temp privileges are quicker but have the safety of expiration if red flags or problems are uncovered during the more thorough process.

[DrJakeRamoray @JakeRamoray]

@SiestaBarbie @Modeer030 @jkerridgeDNP @wendal88 @EsquireRN @DocStrange_1