Alexa Henrie

UCLA

[Alexa Henrie @AlexaHenrie]

On inpatient peds and really love how many resources there are available to patients and their families. There is housing offered to families who are from out of state and fun programs offered to the children to help bring happiness during tough times.

[Alexa Henrie @AlexaHenrie]

Now on outpatient peds and have enjoyed preventive care in younger populations. There are so many ways to address social determinants of health in well child checks. The visits have allowed time to address them, which is amazing.

[Alexa Henrie @AlexaHenrie]

I’ve had many conversations about cancer screenings in FM. Guidelines are constantly changing; an example of this is PSA for prostate cancer. It’s difficult to have convos with pts about the risks of over diagnosis and over treatment and the risks of discovering cancer later.

[Alexa Henrie @AlexaHenrie]

On family med and have completed several Medicare annual wellness visits focused on preventive care. It’s the definition of population health: identifying a population (people older than 65) and ensuring that they undergo screenings to identify health risks to improve outcomes.

[Alexa Henrie @AlexaHenrie]

On child psych and have learned that there is a lot of variety within each level of care. For example, residential treatment centers are not all the same. Some are focused on children with substance use disorder while others are focused on children with history of abuse and PTSD.

[Alexa Henrie @AlexaHenrie]

On child psych and have been pleasantly surprised by the dispo resources for children following an inpt hospitalization. There are multiple levels of care depending on a child’s needs and therefore allows them to better transition to their daily stressors from the inpt setting.

[Alexa Henrie @AlexaHenrie]

On psych, assessments are termed “formulations” and require providers to take into account biological, psychological, and social conditions that have predisposed/perpetuated a patient’s acute change in mental health. They evaluate the full picture, which I appreciate.

[Alexa Henrie @AlexaHenrie]

On adult psych, providers work very closely with social workers since disposition following inpatient treatment is complex and requires daily attention. I have enjoyed rounding with them each morning; they are an essential component of the treatment team.

[Alexa Henrie @AlexaHenrie]

On OB, a pt who was presenting for her first prenatal appointment stated that she would be paying for all prenatal care out of pocket, through a payment plan. The attending offered to postpone prenatal labs for her to obtain them at a community health center, as the labs cost 1K.

[Alexa Henrie @AlexaHenrie]

On OBGYN, a patient presented to the ED with ovarian torsion which is a surgical emergency. The pt’s insurance was not active until 2 days after, which means she was faced with the terrible decision of losing her ovary or paying thousands of dollars.

[Alexa Henrie @AlexaHenrie]

During L&D, several pts have had native languages that are not English. Communication during labor is so important & I noticed how helpful it was when the provider or nurse was fluent in the pt’s native language, especially when there was a complication in delivery.

[Alexa Henrie @AlexaHenrie]

During Gyn, one of our patients had to travel from Idaho for a D&E for a fetal abnormality that was incompatible with life. Although this care remains legal in Utah, it required documentation from 2 MFM docs. The pt paid for travel expenses out of pocket.

[Alexa Henrie @AlexaHenrie]

I am on cardiology at the VA and have been pleasantly surprised by the benefits of having a unified EMR. It’s much easier to gather important clinical information about our patients, and therefore helps us provide more efficient and informed care.

[Alexa Henrie @AlexaHenrie]

On IM and have had several situations where dispo and follow up have been concerning. Pts need f/u care with a PCP but it seems impossible w/o transportation/insurance/housing security. It begins this cycle of repeat hospitalizations since underlying needs are never addressed.

[Alexa Henrie @AlexaHenrie]

Cuurently on vascular surgery and have noticed a re-emerging theme of modifying health behaviors to reduce risk of peripheral vascular disease: cessation of smoking and exercise. The most severe outcome of PVD is amputation, and those with poor access to care are often affected.

[Alexa Henrie @AlexaHenrie]

@alec___hansen Did you in fact, get the most yoked you have ever been?

[Alec @alec___hansen]

Folklore is Taylor swifts best album

[ABC News @ABC]

“Why are you here?!"

A furious Sen. Chris Murphy demands answers from senators following Texas school shooting.

“Why do you spend all this time running for the United States Senate...if your answer, is as the slaughter increases, as our kids run for their lives—we do nothing?”

[Ruiz @unknownxruiz_]

unpopular opinion: losing a pet can be just as hard as losing a person