Pulmonary Critical Care Honolulu , HI Chapter ACP Governor, Chief of Medical Subspecialties Straub Hospital and Clinic, Chief of Pulmonary UH/JABSOM and HPH.
@ML3democrats Actually the best ever in terms of straight face lying. Gotta give credit where credit is due. She must take a lot of antacids and xanax. How else could she live with herself?.
Need your gallbladder taken out electively? Too late (waiting for auth), now you’re in the ED with cholecystitis.
Had a “nodule” seen on a CT, but couldn’t get a repeat scan authorized…ever? Now it’s metastatic and you’re in the ED for crippling pain.
DVT? No problem, started you on blood thinners. Oh, but your insurance wouldn’t cover it? Wait for it…now you’re hypoxic with submassive PEs.
You’ve been having severe migraines, and insurance requires you to do a “trial of meds” before getting a MRI. The meds don’t cut it, you’re in the ED and turns out, you have an aneurysm. And it’s bleeding.
The examples go on.
Here’s the dirty secret of emergency medicine:
We don’t have to do prior auth. Like ever. We just order what the patient needs, and the patient gets it done in the ED.
But here’s why we care about prior auth anyways:
B/c not a shift goes by where a patient doesn’t land in the ER as a last resort when #priorauth denied or delayed them the outpatient care they needed.
It's Miss Aloha Hula Night at the 2023 Merrie Monarch Festival! Which performance has been your favorite?
WATCH LIVE: https://t.co/uBCiPop1eS #MerrieMonarch
@williamkellymd More often than I hate to admit. I have to be humble and remind myself and the patient nothing in medicine is 100% perfect. We have to stay vigilant with close follow up. Tough in HI with so much mycobacterial disease that is always PET avid.
@brianschatz Hawaii resident and strong supporter. I visit twitter seldom. I have doubts about the true purposes of these social media platforms that cause harm but I try to use them to spread Pono (and as a timeline photo album back up if my clouds were to somehow disappear).
Love my class!! ACP 2025, the best people! Half way done and I feel like I’ve got such a great circle of support from my mainland colleagues that are now cherished friends!
@gbosslet “I have an Rx from my PCP for ivermectin and hydroxychloroquine, I don’t need a vaccine” said my severe COPD patient who died alone in the ICU from delta Covid 3 weeks later 😞