Bellatrix 👊🏿

ramblings of an ED doc

[Bellatrix 👊🏿 @RambamER]

The pervasive arrogance and gaslighting to the public of the Non-Physician Providers (NPP)

Want the “Status of Expert” without having the academic integrity or clinical experience of the Physician

Thank you, Sis

We appreciate the proclamation of TRUTH

You NEED SUPERVISION!

[Bye Wig Hello Drama @HousewivesHub]

Omg!!! Annemarie is being called out by the American Society of Anesthesiologist’s on Instagram! 😭😫 #RHOBH

[Adam Grant @AdamMGrant]

When you get defensive about feedback, you fail twice. You fail to learn today, and you fail to encourage people to keep teaching you tomorrow.

If you can't handle the truth, people stop telling you the truth.

A key to growth is showing that you're coachable.

[Robert Greene @RobertGreene]

When people overtly display some trait, such as confidence or hypermasculinity, they are most often concealing the contrary reality.

[Westby Fisher, MD @doctorwes]

This organization has caused more harm to our profession than benefit and should be disbanded completely, especially in light of their rampant COIs/puff pieces like this 👇

[Westby Fisher, MD @doctorwes]

Congrats to @InfoNbpas and their team for challenging the @ABMSCert #MOC monopoly for the benefit of physicians and their patients! 👇

[Dr. Rick Pescatore @Rick_Pescatore]

9.What I learned:

•Honesty matters more than control.
•Uncertainty isn’t weakness.
•If you lose trust, you lose everything.

[Westby Fisher, MD @doctorwes]

😂😂😂

If @DOGE could just shut this whole org down, working docs would be better off. 👇

[Ed Gaines @EdGainesIII]

it is a perfectly fair question to ask all the Members of Congress why these Medicare Part A participants are all receiving an increase while physicians look at (worst case) about a -9% cut in Medicare. CMS will say that they are administering the Medicare program as Congress provides. Source: Hart Health Strategies

[Dr Done @Dr_Done_]

I’m so done.

Here’s the self-describing ‘grandfather of the PA profession’ stating that:

🔸GMC chosen as regulator for PAs for the ‘soft power’ it gives as medical regulator

🔸PAs are evolutionarily advanced and function like stem cells

☠️ Protest time at GMC building? ☠️

[Ed Gaines @EdGainesIII]

Front page @WSJ investigative report on diagnosis upcoding by health plans & I hope y'all are sitting down b/c @UHC adds add'l diags. more than any other plan, over $1400 per #MedicareAdvantage member. UHC has nurses call Advantage members, offers $50 gift cards if their nurse can spend some time w/ the member & "Voila'" there's a new higher paying diagnosis. Insurers collected $50 billion extra from Medicare by making questionable diagnoses, often without the knowledge of patients or their doctors. https://t.co/qeHq5jGyHX via @WSJ

[Tiffany Allison, DO 🎀 @justanERdoc]

An algorithm elevates the care of a novice but degrades the care of an expert.

[Marilyn Heine @MarilynHeineMD]

“If revenue decreases continue, some doctors’ groups may have to cut back on services…’This is threatening to the sustainability of many, many practices.’”

Doctors also report that insurers make late or incomplete payments after decisions by the arbiter. https://t.co/5SnyKKuc7y

[Marilyn Heine @MarilynHeineMD]

@notaproviderMD Cost saving is a misconception. At @HburgClinic:

Higher spending for patients whose primary health professional was a nonphysician “could translate to $10.3 million more in spending annually…risk-adjusted for patient complexity…$28.5 million annually…”
https://t.co/0IFKROkr0U

[Antonio Ciaccia @A_Ciaccia]

Our commercial pharmacy benefits study showed big differences in PBM pricing between pharmacies

That is, when generic drugs were dispensed through local pharmacies, markups charged to employers were as low as $11/Rx

PBM mail/specialty pharmacies: $47/Rx https://t.co/zIqZ1MVvp1

[Marilyn Heine @MarilynHeineMD]

@sdixitmd For-profit corporate takeover of patient care drives unwarranted scope creep that threatens patient safety,

Policymakers should put patients over profits and promote patient safety.

[@nocorporatemedicine @nocorporatemed]

@MarilynHeineMD @PASenateGOP @PaSenateDems @PaHouseDems @PAHouseGOP This is not even scratching the surface of harm caused by missed diagnosis, unnecessary testing, unnecessary or incorrect meds rxed. The govt must stop legislating fake doctors to practice medicine.

[Marilyn Heine @MarilynHeineMD]

@ADAWnews @PASenateGOP @PaSenateDems @PaHouseDems @PAHouseGOP Your preference @ADAWnews aligns with 1K US voters surveyed:

91% say a physician's education & training are vital for optimal care

3/4 would wait longer & pay more to be treated by a physician

95% say it's important for a physician to be involved in their diagnosis & treatment

[Marilyn Heine @MarilynHeineMD]

🚨 AS SCOPE EXPANDS ⬆️ COSTS ⬆️

X-ray orders ⬆️ 441% w/ non-physicians (NPPs)

NPPs needed ⬆️ biopsies to screen for skin cancer

Data shows⁩ NPPs order ⬆️ tests, ⬆️ referrals to specialists, ⬆️ ER utilization

Vote NO SB25

@PASenateGOP @PaSenateDems @PaHouseDems @PAHouseGOP

[Jennifer Bryan, MD @jbryan522]

Mississippi, we have the data.

[Bellatrix 👊🏿 @RambamER]

@DissanaikeMD Why is it surprising that predators hide in Spiritual places of worship?

There are wolves in sheep clothing everywhere.

It is not the “Rabbi” or “Pastor” that is the issue… it is the Predator that masquerades as the Rabbi or Pastor.

The PROBLEM is the Predator.