I swear insurance companies throw out the craziest bullshit just to see if anybody’s paying attention. Public shaming is good and productive sometimes.
ACOG made a statement. It's very clear. "For many people, the greatest risk of harm related to SMA comes from the threat of criminalization... Criminalization makes people less safe and harms the confidential patient–practitioner relationship" https://t.co/FVGcbrHiJi
💛🗳️🇺🇸 Please be sure to vote this year y’all. 🇺🇸🗳️💛
But… how to be sure you’re informed on local candidates and your town’s, county’s and state propositions?
Please don’t base your vote on the wording of the propositions! research who is supporting and opposing! In CA there are two state propositions that seem noble on first read, but are really sketchy as you dig further in.
A patient checks in at 11am with “weakness”.
You see the patient at 2pm and note moderate right side weakness.
Patient states it’s been that way since he woke up this morning at 8am, although he thinks it’s been waxing and waning but not quite sure. He went to bed normal at 11pm the night before.
You review the nurse notes from the waiting room. There is a normal neuro exam documented, explicitly showing no unilateral weakness, at 11am, noon, and 1pm.
What time is the last known normal / last seen well?
If you’re still picking an IDR, go with IBR in all likelihood.
If you’re on SAVE and on administrative forbearance, just wait. Do not pay any ridiculously payment as some have been mistakenly put on the standard 10 year plan. Your payments are counting toward PSLF.
If you’re on SAVE and making payments, just keep making them. Your payments are counting toward PSLF.
Stay tuned for what happens next.
This is nuts 🤷🏼♂️
Happy Independence Day. @Vot_ER_org can help you safely and properly encourage your patients to register and vote this year! It really matters, even if you feel like it doesn’t.