Dr. Jean Gibb

MD, Infectious Disease 🦠 UCLA Alum 🐻 I’m just happy to be here. She/her ✌🏼

[ProPublica @propublica]

Doctors at a major US insurance company deny tens of thousands of claims a month without even looking at patients’ files.

“We literally click & submit,” a former Cigna doctor told @ProPublica & @Capitol_Forum. “It takes all of 10 seconds to do 50 at a time.”

The inside story 🧵

[Dr. Jean Gibb @BikeSurfTea]

@DrAlrahmani I believe this is the cost, but it seems that it still must be more cost efficient for these centers than actually providing the support and compensation that keeps physicians in their jobs. Otherwise they wouldn’t operate this way.

[Dr. Jean Gibb @BikeSurfTea]

“I think he aspirated this morning so I’m going to throw some Zosyn on.” HOW ABOUT YOU THROW IT OUT THE WINDOW IT WILL BE JUST AS USEFUL #medtwitter #IDtwitter

[Dr. Jean Gibb @BikeSurfTea]

@GermHunterMD @jeangibb thank you!

[Dr. Jean Gibb @BikeSurfTea]

@GermHunterMD Can I be added? I can’t figure out how to add myself!

[Dr. Jean Gibb @BikeSurfTea]

@PaulSaxMD @Humana I would be very curious to know how this works out for your patient. I have called to get an answer to these things and been told by a real human being, “You’re right but the way the policy is written I can’t help you.” Had to change gears completely w/ ART, was hard for the pt

[Dr. Jean Gibb @BikeSurfTea]

@PAdamsonMD @tara_vijayan One good group to target for PrEP prescribing education is psychiatrists! Many have interest and willingness. I gave a talk to a group of psych and at the end several said they would feel comfortable prescribing if they had an internist or ID to call for back up questions 👍🏼

[Sister Helen Prejean @helenprejean]

I met RBG three times. In 1993, when Dead Man Walking was first published, she invited me to her chambers to meet her young clerks, I think, to share my passion to end the death penalty.

[Dr. Jean Gibb @BikeSurfTea]

@transplantID When there’s nothing to debride and so many antibiotic options are already lost I think treating it like a chronic open wound is fair - treat flare ups with antibiotic therapy but otherwise local wound care and try to get them transplanted. Lots of talking with the pt.

[Dr. Jean Gibb @BikeSurfTea]

@transplantID I have told patients and nurses and other physicians alike that the cure for urine that smells unpleasant is to stop smelling it 🤷🏻‍♀️

[Sister Helen Prejean @helenprejean]

In Oklahoma, over 40% of people on death row are Black. Oklahoma’s overall population of Black citizens is 7.8%.

[Dr. Jean Gibb @BikeSurfTea]

A funny thing about becoming an ID specialist is that eventually you kinda stop believing in pneumonia and UTIs 🤷🏻‍♀️ #medtwitter #IDtwitter

[Dr. Jean Gibb @BikeSurfTea]

@jschaenman @HannahNamMD @maricar_malinis @ArunaSubraman12 @SajalTanna @DocSaimaAslam @MelinhL Absolutely agree with @jschaenman. Looking young and being female, it really smooths the hospital experience. It changes my interactions with patients, families, and other providers. It’s not the most comfortable garment but it really puts everyone else at ease.

[Dr. Steph (Stephanie Cooper MD- ObGyn/ Mfm) @DrStephanieCoo1]

As a Canadian Ob-Gyn in a conservative province, today the timer on reproductive rights in this country started. And - we are going to need more than tweeted outrage from JT if we want to stop it.

[Dr. Jean Gibb @BikeSurfTea]

Seeing posts from @HIVMA @IDSA @AmCollSurgeons opposing this decision, talking about patient-doctor relationships and “reproductive care.” None of these use the word abortion. Thank you @ACPinternists @ACOG for using the word. Say ABORTION loud and proud. #medtwitter #IDtwitter

[Dr. Jean Gibb @BikeSurfTea]

Review on treating septic abortions https://t.co/4zllfmfY49 “The primary treatment is early curettage to remove infected and devitalized tissue even in the face of continued fetal heart tones.” #medtwitter #abortionishealthcare #IDtwitter

[Dr. Jean Gibb @BikeSurfTea]

The way I am momentarily intrigued by a consult for an MDR organism until I hear the words…tracheal aspirate 😞 #medtwitter #IDtwitter

[Dr. Jean Gibb @BikeSurfTea]

@drrghimire @FungalDoc @GermHunterMD It’s so rare that a patient fits into the guidelines in a tidy way for questions like these. I use them as a ballpark estimate and then think about reasons I might go longer or shorter based on the case and the host immune status.

[Dr. Jean Gibb @BikeSurfTea]

@tara_vijayan I once slept through the entire second half of Wicked on a Friday night. The heart wants what it wants 🤍😴🤍

[The Lancet @TheLancet]

On the cover, our Editorial: Why Roe v. Wade must be defended https://t.co/tj3UWXc6ll