Neel Subramanian MD

[American Academy of Pediatrics @AmerAcadPeds]

Thimerosal is a preservative found in some flu vaccines. False information and faulty “science” about thimerosal are frequently used to mislead parents in an attempt to scare them out of vaccinating their children.

Here’s the truth: https://t.co/YF0aGwia8g

[American Academy of Pediatrics @AmerAcadPeds]

Today's decision is about undermining independent medical expertise and will only further endanger the health of the American public, especially children. https://t.co/SFgjr1ISn6

[Dr. Catharine Young @DrCatharineY]

Without a doubt, the spread of scientific mis/disinformation may be one of the most serious public health threats of our time.

[Gavin Preston, M.D. @GavinPrestonMD]

The only appropriate role for an insurance company is to pay bills, not to "manage" care.
The only appropriate decision-makers in health care are patients and their doctor.
Corporate America practicing medicine without a license needs to end.

[Dutch Rojas @DutchRojas]

𝐌𝐞𝐝𝐢𝐜𝐚𝐫𝐞 𝐢𝐬 𝐩𝐚𝐲𝐢𝐧𝐠 𝐃𝐨𝐜𝐭𝐨𝐫𝐬 𝟏𝟗𝟗𝟖 𝐰𝐚𝐠𝐞𝐬 𝐭𝐨 𝐩𝐫𝐚𝐜𝐭𝐢𝐜𝐞 𝟐𝟎𝟐𝟓 𝐦𝐞𝐝𝐢𝐜𝐢𝐧𝐞.

𝐒𝐢𝐧𝐜𝐞 𝟏𝟗𝟗𝟖, 𝐢𝐧𝐟𝐥𝐚𝐭𝐢𝐨𝐧 𝐡𝐚𝐬 𝐫𝐢𝐬𝐞𝐧 𝟖𝟐.𝟏%.

Medicare’s physician payment formula (the Conversion Factor)?

Down 9.9%.

That’s not “fiscal responsibility.”
That’s institutional gaslighting.

𝐌𝐞𝐚𝐧𝐰𝐡𝐢𝐥𝐞, 𝐝𝐞𝐟𝐞𝐧𝐬𝐞 𝐜𝐨𝐧𝐭𝐫𝐚𝐜𝐭𝐬, 𝐂𝐄𝐎 𝐬𝐚𝐥𝐚𝐫𝐢𝐞𝐬, 𝐚𝐧𝐝 𝐢𝐧𝐬𝐢𝐝𝐞𝐫 𝐭𝐫𝐚𝐝𝐞𝐬 𝐟𝐥𝐨𝐮𝐫𝐢𝐬𝐡.

But the doctors treating Medicare patients?

They’re being asked to do more with less, year after year, because “𝐡𝐞𝐲, 𝐰𝐞 𝐝𝐨𝐧’𝐭 𝐡𝐚𝐯𝐞 𝐭𝐢𝐦𝐞 𝐭𝐨 𝐛𝐫𝐢𝐛𝐞 𝐂𝐨𝐧𝐠𝐫𝐞𝐬𝐬 𝐥𝐢𝐤𝐞 𝐞𝐯𝐞𝐫𝐲𝐨𝐧𝐞 𝐞𝐥𝐬𝐞”, while the cost of running a practice skyrockets.

If the American people want Congress to preserve access to care for aging Americans, it’s time to speak up and tie Medicare’s payment formula to inflation, just like their own salaries.

𝐔𝐧𝐭𝐢𝐥 𝐭𝐡𝐞𝐧, 𝐠𝐨𝐨𝐝 𝐥𝐮𝐜𝐤 𝐟𝐢𝐧𝐝𝐢𝐧𝐠 𝐚 𝐝𝐨𝐜𝐭𝐨𝐫 𝐰𝐡𝐨’𝐥𝐥 𝐭𝐚𝐤𝐞 𝐌𝐞𝐝𝐢𝐜𝐚𝐫𝐞.

They’re busy trying to survive the 20th century in the 21st.

#HealthcarePolicy #Medicare #PhysicianBurnout #InflationMath #FixTheFormula

[Jason Ryan @jasonryanmd]

When I was a 3rd year resident already matched into cardiology we had an EKG conference. I was asked to interpret an EKG that was classic for pericarditis but I didn’t recognize any of the findings. I just hadn’t seen much pericarditis in training. I was embarrassed to miss this when I was headed for a career in cards.

Fast forward a couple of years to when I was a fellow and an ED attending showed me an EKG and asked me what I thought it showed. It took me about 2 seconds to recognize it was pericarditis because I had seen it so many times before. A huge change in my skills had occurred from experience.

One of the cool things about medicine is mastering that which once seemed confusing or difficult. As you move along in training things that were challenging or even overwhelming will become so easy they are almost second nature. It’s a cool journey. If you’re in the middle of it, enjoy the ride.

[armyemdoc @armyemdoc]

Do pelvic binders reduce mortality from hemorrhage or blood product consumption?

Best available data to date says no, despite this practice being around longer than I've been alive.

If you want to place a pelvic to stabilize the fracture, go for it, but don't delude yourself into thinking there is any data supporting this practice for mortality or blood sparing purposes.

Additionally, one study found that only 1 in 5 were properly placed.

Clip from The Pitt @StreamOnMax

https://t.co/BEcl554XLo

https://t.co/9iut4YxKUw

https://t.co/PVTEZ19Hvx

PMID: 39907772, 38331685, 38225602

#emergency #emergencymedicine #criticalcare #icu #airway #medic #science #data #research #army #armymedicine #armyemdoc #medic #prehospital #trauma #medx #medtwitter

[Dr. Catharine Young @DrCatharineY]

STEM graduate programs must radically rethink science communication training. It’s no longer enough to just present at scientific conferences - students must learn to engage the public effectively, counter misinformation, and confront conspiracy theories head-on.

[Suzie rizzio @Suzierizzo1]

Everyone that cares about this Country needs to listen to what she has to say! 😡😡😡😡

[Neil Stone @DrNeilStone]

Yes it's absolutely true - the human race survived hundreds of thousands of years without vaccines.

They just died at 40 and half the babies never saw their first birthdays but hey, those were the good old days

[Neil Stone @DrNeilStone]

I practice a really traditional form of medicine called evidence based medicine.

I use treatments for which there is proof it works.

[✨neuron divergent EKG slayer MD✨ @fuqekgs]

"yeah, I love schedules"

[The Real Truther @thereal_truther]

Dr. Paul Offit from today's Roundtable on Vaccines:

"The problem is not only that we've largely eliminated these diseases...we've eliminated the memory of these diseases. Parents are now more scared of the safety of vaccines, real or imagined, then the diseases they prevent."

[Dr. Annie Andrews @AnnieAndrewsMD]

If RFK Jr. is confirmed

[Dutch Rojas @DutchRojas]

People sure love to complain about physician salaries.

You see it everywhere—today was no exception. But here’s what I don’t see:

“Thank you for staying up until 3 a.m. to save someone’s life.”

“Hey, thanks for taking on $300,000 in debt just to earn the right to take care of us.”

“So glad Medicare has been paying you less and less for the past 19 years.”

“Really grateful you missed your kid’s weekend events for eight years straight because you were busy helping ours.”

Funny how those posts are missing, huh?

Let’s shift the narrative.
Respect the grind.
Appreciate the sacrifice.

Support the people who get you back, when your body has been wrecked…

#healthcare

[Pras Subramanian @Pras_S]

Scary stuff - people need to know who's treating them at medical facilities; make sure its an actual physician: https://t.co/sQHJsyV7rx @NeelSubramanian @madwho12 @AmerMedicalAssn

[John O'Connell @jdpoc]

Jesus, this advert hits hard.

[Laura Vater, MD, MPH @doclauravater]

To all healthcare workers:

If you have a particularly difficult and emotionally tough day in this field, remember that you've done your best, you did not cause a person's disease, and the world is better because you are in it.

[Dr. Glaucomflecken @DGlaucomflecken]

I’m hearing so many people cite conflict of interest as the reason physicians shouldn’t own hospitals. This also happens to be the main strategy the American Hospital Association used to lobby Congress to ban POHs in the Affordable Care Act, paving the way for the consolidated corporate nightmare we enjoy today.

The conflict of interest argument is absurd in a for profit healthcare system. Hospitals force their employed physicians to refer to other specialists within their own hospital system. Physicians recommend surgery then do the surgery themselves collecting both a clinic fee and a surgery fee. Optum forces patients to see their doctors, use their pharmacies, and be admitted to their own hospitals. If there is profit to be made in patient care, there will be a conflict of interest among the entities/people collecting that profit. The closest thing to a conflict of interest free system is one that is devoid of profit. Call me cynical, but that will not happen in the US.

So we can wring our hands about the potential corruption and malfeasance evil greedy doctors will inflict upon our great country if physicians owned hospitals, while ignoring the actual corruption and malfeasance already displayed by hospital corporations.

We can ignore data that shows POHs as a whole (~250 in the US, holdovers from pre-ACA times) have better outcomes at lower costs.

Or we can introduce some actual competition in the healthcare marketplace to give patients a chance for better care from people who actually got into this business to treat patients, care that is not dictated by a private equity company or insurance company.

Just give physicians a chance to show that we can do a better job. That’s all we’re asking. If we suck at it, we won’t get very far, right? Isn’t that what the free market is for?

Repeal the ban on physician owned hospital.

[Pras Subramanian @Pras_S]

Senate committee to vote to hold Steward Health Care CEO in contempt https://t.co/RCCfuvW5JJ