Anil Gopinath

Pulmonary Critical Care physician. Book liker. Mechanical ventilation, ARDS, ECMO, LTX. Rediscovering math; learning clinical trials, epi

[Dr Ellie Murray, ScD @EpiEllie]

Vaccines work. Vaccine denial kills. It’s that simple.

[Anil Gopinath @mossy_rolling]

@npparikh Same vibes

https://t.co/U1G9LP3sBn

[Brian Goldstone @brian_goldstone]

At 3:45, as the transplant team was prepping the OR, a doctor came to Carole's room. She had terrible news. @Cigna, Carole's insurance company, had just denied her claim. They'd made a mistake, they said, in initially approving the procedure. They were now refusing to pay for it.

[Anil Gopinath @mossy_rolling]

@Artifexx Ilya, I couldn’t find your email. I’ve sent you a message on Discord. Thx!

[Robert Berry, DO @txsportsdoc]

Today BCBS wouldn’t approve surgery for acute ACL tear in young female athlete. They now are using a third party company called @CarelonHealth to decide if my patients board certified fellowship trained former NFL ortho surgeon recommended the correct care. This has to stop. Every medical org needs to address this and lawsuits need to be filed. Every legislator needs to work to pass laws banning prior Auths and peer to peers.

[Mark Lewis, MD, FASCO @marklewismd]

This is the classic (and morally reprehensible) playbook, @bluecrossidaho

1) deny
2) deflect
3) delay

And throughout, while you hide behind the pretense of financial stewardship, you are callously spending the precious currency the patient and their family truly lack: time

[Anil Gopinath @mossy_rolling]

@AP_Trevor @threadreaderapp unroll

[Anil Gopinath @mossy_rolling]

@thanh_neville Great to see this in a paper! What really struck a chord was the 2 vs 4 day interval. I am not even sure, at times, if it is a fellow vs attending thing. This seems more like there are two kinds of ICU docs…etc. Reminded of this every time pts w hem malignancies come to the icu

[Anil Gopinath @mossy_rolling]

@MerriamWebster Rapid unscheduled recycling

[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 🧵

[Anil Gopinath @mossy_rolling]

@KRALD_UKY @emily_fri @ParijatSen11 @UK_CCTS @ResearchKY @ukypccm Awesome! Congrats!!

[Anil Gopinath @mossy_rolling]

@GallodeMoraesMD @ShikhaJainMD So true. Creating something worthwhile and advocacy/visibility within an institution are two very different skillsets. Much greater institutional rewards and awareness of people with the latter skills.

[Anil Gopinath @mossy_rolling]

@ParijatSen11 @SarinaKS @nialldferguson @ecgoligher @efan75 @drsturge That’s awesome! Thanks!

[Anil Gopinath @mossy_rolling]

@emily_fri Fretting is a three year bedside fellowship after your actual fellowship and afterwards you just have a small voice that screams inside 😊

[Anil Gopinath @mossy_rolling]

@Thind888 @ParijatSen11 @msiuba @emireles_c @PulmCrit @respcare @iceman_ex @SarinaKS @kdlamb1 @RichardHindsRT @respresource @ThePlugWG @JmNunezSilveira That’s the approach I’m hoping will get through Admin. But it’s the old saw about man proposes, etc. Also found that cables & modules in servo and Hamilton are apparently essentially similar but there is one extra plastic tab built into cable (to prevent interchangeability?)

[Steve “JAFERD,MD” Sample🇺🇸 @Supermansings]

Let me tell you a story about how my wife was almost killed 3 feet from a nurses station for lack one of the simplest pieces of equipment in the hospital. Many of you know that she almost died of cancer, but she was thisclose to never starting her fight. Buckle up. Long one. 1/x

[Anil Gopinath @mossy_rolling]

@dakaufman123 Fear and Loathing in Las Vegas - A Savage Journey to the heart of the RVU dream. “We were somewhere around the barstool on the edge of the MICU when the drugs began to take hold.”

[Anil Gopinath @mossy_rolling]

@ARTP_News Is this an in-person only meeting?

[Anil Gopinath @mossy_rolling]

@ParijatSen11 @eemoin @GallodeMoraesMD @msiuba @MegriMohammed @ChrisCarrollMD @LungSleepDeep Yes! Especially downstream cost of sedation to get there. Keep thinking there should be a lung injury plus “sedation injury” score or at least some daily evaluation. A few weeks in, benefit sedation achieves wrt drive, dyssynchrony, Vt much less than the risk it poses