EM/IM/CC doc @ the University of MD. Interested in critical care & education, & a major family, friend, food, fur-baby, & fun-lover. #FOAMed#mytweetsaremyown
What it’s like to be in healthcare right now:
“We will pay you $2 for that pie”
“But it costs me $4 in pie ingredients and $2 in human labor to make a pie. We need $6 to break even”
“Sorry, we’ll only pay you $2 for that pie. We suggest you make many more pies that you also sell for $2/pie. New requirement is 6 pies/day”
“But then we are still losing $4 per pie. How does making more pies help us?”
“We just found out flour is on shortage so you’ll have to buy more expensive imported flour and will lose $5 per pie. Or you can consider making pies without flour.”
“But I can’t make pies if we keep losing money on pies. And I can’t make pies without flour”
“We suggest you ditch rolling pins and remove any fruit filling as a cost saving measure. And consider limiting how much time you bake the pie for to use less oven time”
“But then how can I even make a pie that resembles a pie?”
“We appreciate the question and have no response. We empower YOU to solve this problem. We have scheduled 4 meetings to discuss how you can make more pies with less ingredients and less oven time and less labor”
“But it seems the root of the problem here is actually that we don’t get reimbursed fairly for our pies…”
“Don’t say that out loud. Please get back to making pies with no filling and no flour and no rolling pins and be sure to attend the meetings.”
#medtwitter #Pediatrics #insurance
Calling on my physician friends to sign our national letter calling on The Supreme Court to rule in favor of doctors and patients and protect #EMTALA. Abortion care is healthcare, and no judge or politician should get between us and our patients.
https://t.co/uoMaWvc865
@PulmCrit Now extend to drug safety during breastfeeding. Too many physicians (!) telling breastfeeding moms to pump and dump for no reason except ignorance and fear. (I use Lactmed and InfantRx)
The Crashing Patient Conference goes live Dec 6th. Register for high impact short lectures that will help protect you and your patients. Register at https://t.co/vc0HFZbtxk @UMEMresidency@UMEmergencyMed@critcareguys@amalmattu
ICU Infectious Disease Pearls and Pet Peeves – Part2: These are some additional points and random thoughts regarding commonly used antimicrobial agents and frequently encountered ID clinical scenarios in the ICU. Comments from my ID and Pharm friends are welcome. Here it goes:
1/
There are things that happened that led to things that happened that led to things that are happening. If you don't want to call it by a name, just describe it.
And instead of it feeling like some pressured mandate, look at it the way we look at all things.
As history.
As we’re in the middle of summer, some of you are in away rotations and may be thinking about residency applications and programs.
Our DMs are open to answer any Qs about our EM, IM, EM/IM (w/optional CC 6th yr) programs! #medtwitter#foamed#medicalschool#CombinedLife
@ChipotleTweets I have *literally* been trying to reach your restaurant that “either modified or cancelled” my delivery for tomorrow for an hour. Your text helpline is impotent and this is ridiculous.