Another peer-to-peer call.
The reviewer was kind. Really kind.
But, respectfully, not my peer.
He listened as I explained why my patient needs lymphovenous bypass surgery. It’s a surgery that can treat the painful swelling in her arm caused by breast cancer treatment and prevent it from getting worse.
She has done everything right. Compression. Therapy. Expensive garments. She’s changed her life to spend an hour a day with every resource she can afford. It’s affecting her ability to work as a nurse.
And she is getting worse.
This is the window where we can fix it. Early enough that surgery can actually change the course.
We can do this surgery outpatient. Two hours. CMS even has a code for it.
The man on the phone agreed it would help her… But he couldn’t approve it… Because he’s not a plastic surgeon and doesn’t have the specific knowledge necessary to make this recommendation.
He gave me the help he felt he could. He told me to appeal and told me not to expedite it, because that wouldn’t work in my favor.
Every human involved in this case knows what we should do. But the system is inhumane.
Indian Man Nagaraju Balkam, 26, arrested by Santa Fe, New Mexico Police during Online Child Predator operation
He came to meet the child, but it was a trap set up by the cops
JAJAJAJAJA en Nueva York un grupo de mandriles color puerta estaban patoteando a una mujer gritándole "puta blanca" porque sí. Cuando la mujer se bajó del subte, usó la poderisísima N word y todos los macacos perdieron la cabeza.
Shawana Denise Harris while working at the California DMV , took around $277k in bribes to falsify records. She altered records of at least 185 drivers ⚠️Sentenced to 5 years for bribery conspiracy. Police said 23 accidents were linked to this case. ⚠️
Illegal immigrant who attacked someone in Japan gets deported.
Immigrant: “I don’t want to go back!”
Immigration officer: “It doesn’t matter. We’re taking you. You’re lucky we even have a plane. We’re taking you no matter what.”
Japan is not messing around.
This is a scam that illegal immigrants run all over Europe.
They place something into your hand then demand money for it.
The usually target women and even CHILDREN.
This one got floored!