Ryan Fisher

[Concha Bassetti MD @cg085716]

ACOs are bureaucrat wet dreams. Keep fiddling with the widget while the main engine sputters and dies. PBMs and United Health Care raiding the federal coffers on the daily, for what? Independent doctors are the lifeblood of any community. We cure the people and are successful at removing the cancers!! We actually save lives!!! Increase the RVUs which are at 2001 levels! Inflation is killing us, everybody has got ways to make it up with "fuel charges" and "annual rate increases" except for private practice doctors!!!
@DrOzCMS
@CMSGov
@DutchRojas
@SecKennedy

[Amy Faith Ho, MD MPH @amyfaithho]

Hey @DrOz,

When you started practicing medicine in 1993, the RVU reimbursement rate was $31.60. @CMSgov is proposing that in 2027, it is $33.40.

Adjusted for inflation (+132%),
that’s a 54% cut…

No wonder you quit practicing medicine. The financials don’t make sense.

Can you tell @CMSGov…oh, wait a minute…

🤔🤨😒

[Ryan Fisher @Rfisher41]

@theangrypharm It is a very misunderstood program I recommend patients and doctors/NPPs review the guidelines. I made a video to try to help people understand them. https://t.co/LUvB9tBMAE

[Ryan Fisher @Rfisher41]

@MaryBowdenMD If you are buying horse dewormer, you go to where they sell horse dewormer…

[Ryan Fisher @Rfisher41]

@twomewtoo @DrDiGiorgio @Chillcatser @MaryBowdenMD This is another example of how patients are misinformed and wrongly accuse doctors of greed due to employer actions. The doctor does not get the money paid for MyChart messages-the employer does.

[Ryan Fisher @Rfisher41]

@HalCranmer @PaulJRamirez Only catch is they have no doctors working there…

[Alex @ajak1033]

The Spurs know how to TAKE the lead, they just don't know how to HOLD the lead. And that's really the most important part of the lead: the holding

[Ryan Fisher @Rfisher41]

@drterrysimpson @Tellit007 Unfortunately, some people don’t want to treat the disease before they see the evidence on the CAC scan

[Ryan Fisher @Rfisher41]

@ketosprinter @DrPlantel What about doctors who are also wellness grifters?

[Dutch Rojas @DutchRojas]

A non-profit health system can refer a patient to its own MRI, its own lab, its own surgery center, and bill all three.

An independent does that once and it's a federal felony.

Same referral.
Same patient.
One of you goes to prison.

It's called Stark Law.
Read who's exempt.

The asymmetry is the whole business model.

[Ryan Fisher @Rfisher41]

@STzorfas And it is so unnecessary! Even if the bloat had to be there to satisfy CMS (which it doesn’t anymore) the electronic chart could easily send only the most important information to other clinics. But the goal was never interoperability, it was control

[Dutch Rojas @DutchRojas]

In America the left loves to say the free market failed in American healthcare. There's never been a free market in American healthcare.

Certificate of Need bans new entrants.
Section 6001 bans physician ownership.
Nobody can see a price.

You outlawed the market, then blamed it for the bodies.
Sowell wrote a shelf on this.
Start with the prices.

[Jordan Abbott MD @JordanAbbottMD]

Physicians are not burned out because medicine is hard.

Medicine has always been hard. That is not new.

We are burned out because the things making it harder have nothing to do with medicine.

Fix the system. Keep the physicians.

[Ryan Fisher @Rfisher41]

@mcuban @cremieuxrecueil @makerjak Even then it is a competition for who gets the honor of charging the exorbitant made-up price so that the PBM can show a “discount” on paper and the insurance companies can show they are spending more money on healthcare- padding investors pockets off the 20% they keep

[Dutch Rojas @DutchRojas]

𝐓𝐡𝐞 𝐧𝐞𝐰 𝐗 𝐚𝐥𝐠𝐨𝐫𝐢𝐭𝐡𝐦 𝐫𝐞𝐰𝐚𝐫𝐝𝐬 𝐝𝐰𝐞𝐥𝐥 𝐭𝐢𝐦𝐞.
𝐒𝐨 𝐈 𝐰𝐚𝐧𝐭 𝐲𝐨𝐮 𝐭𝐨 𝐬𝐢𝐭 𝐰𝐢𝐭𝐡 𝐭𝐡𝐢𝐬 𝐨𝐧𝐞.

In 2017 the federal government had THREE urban hospitals classified as rural for Medicare purposes.

By 2023 it had FOUR HUNDRED and TWENTY FIVE.

They included:

NewYork-Presbyterian. $9.3B. Rural.

Cleveland Clinic. $7B. Rural.

AdventHealth Orlando. $6.2B. Rural.

UCSF San Francisco. $6.1B. Rural.

Cedars-Sinai Los Angeles. $4.3B. Rural.

Combined revenue: $33 billion.

In the same period:
206 rural hospitals closed.
417 more are currently vulnerable.

The program designed to save rural medicine sent $1.3 billion in rural benefits to hospitals with a combined revenue exceeding the GDP of a small country.

These "non-profit" health systems is where your rural benefits went.

[Dr. Priyam Bordoloi @DocPriyamMD]

Me: I am sorry to say this, but your reports show you have liver cirrhosis.

47F: But how? I have never touched a drop of alcohol in my life. It must be a mistake! My husband drinks regularly and his liver is completely fine.

I have some version of this conversation in the wards every single week.

There is a massive, deeply ingrained myth out there: Cirrhosis = Alcohol.
Let's bust it.

While alcohol is a notorious liver-killer, it is far from the only cause of irreversible liver scarring. In fact, non-alcoholic causes are quietly becoming a global epidemic.

Here is what else destroys the liver 👇

[Ryan Fisher @Rfisher41]

@gymrat_bookworm This Lyme test does NOT confirm Lyme disease. IgG blot: Negative (1/10 bands only P41, which is nonspecific). IgM blot: Positive (2/3 bands), but only meaningful if symptoms started <30 days ago AND the first-tier screening test (EIA) was positive. Otherwise is false positive.

[Ryan Fisher @Rfisher41]

@markkaplan20 @drpoppyBHRT @grok what study is he referencing and what are the findings? Are they peer reviewed and hold up to scientific scrutiny?

[Ryan Fisher @Rfisher41]

Over half the country is doing the right thing for their children; hopefully more states will join!

[Mary Talley Bowden MD @MaryBowdenMD]

29 states and DC have rejected CDC guidelines and are following American Academy of Pediatrics vaccine guidelines.
Last weekend, the largest medical society in the country, Texas Medical Association passed a resolution to have Texas join this group. TMA supports universal Hep B shots at birth and giving all babies a modified mRNA shot at 6 months old.

[Ryan Fisher @Rfisher41]

@HeddRichard @RestrictedDaily Shh! @QAnon is hiding!