Doctors know nutrition. If you can teach how to make patients understand how their lifestyle and obesity are causing their current condition and how to convince patients to change their diet, you might make a difference. The problem isn’t the doctors. The problem is the patients do not want to hear they have a problem because they are fat, and they just leave the appointment mad at the doctor for telling them they are fat and need to lose weight. Too many people are not willing to change their lifestyle no matter what you tell them. Doctors get blamed for prescribing medication instead of lifestyle changes, but the truth is patients are not interested in lifestyle changes. It’s a society and culture problem, not a doctor problem.
Just finished a P2P with @UHC regarding approval for ankle arthroscopy for an ankle fracture. Cited multiple peer reviewed articles supporting the benefit and still not approved. Then, I was told it is included in the ankle fracture procedure. I stated that it is a separate procedure that has been previously used with UHC and is recognized as such by every other insurance, including Medicare. I asked the doctor on the other line for her opinion and she said “I completely understand the need for arthroscopy during ankle fractures,” but it was still denied. UHC’s own employee agrees with me but refuses to approve it. @DGlaucomflecken
When did ‘billionaire’ become a bad word? Somewhere along the way, ambition and success turned into targets for criticism. At what point did we decide to start vilifying achievement?
@mcuban Thanks Mark. Internet/social media has changed the profession. Advice/treatment is based on the best available scientific evidence, and at every step it is questioned by many patients’ best 5 minute googling efforts.
@MattE_Diaz@Braves You’re Braves Legend Matt Diaz. You were once traded back to the Braves for a player to be named later. Can’t you just call the guy and get some seats?