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Earlier this week, I canceled a complex breast reconstruction case because the hospital didn’t have the staff we needed to do it safely. My patient and I agreed—we weren’t going to compromise. The next day, the hospital found the staff. We did the case the right way. Standing up... show more

Elisabeth Potter MD

23,653 subscribers

11,795 次观看 • 1 年前 •via X (Twitter)

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10 条评论

kathryn harmon 的头像

kathryn harmon1 年前

Dr. Elisabeth Potter should be appointed to the highest position in the land to oversee all clinical care in American medicine … AND help ensure that insurance plans cover ALL related clinical needs to optimize positive patient outcomes rather than just fatten corporate profits.

The Final Pam 的头像

The Final Pam1 年前

❤️‼️

Venkat Seshadri MD FAAOS 的头像

Venkat Seshadri MD FAAOS1 年前

Good for you doc! While independent docs are dwindling - we do have one thing - the leverage to vote with our feet and not take cases to substandard facilities . We should try to keep that leverage as long as we can @realdocspeaks @DutchRojas @JahangirAsgha10

Chris Livingston MD FACS PA 的头像

Chris Livingston MD FACS PA1 年前

Be very careful @epottermd, although you may believe the hospital to be understaffed, the hospital may not see it that way which can lead to problems.

Elisabeth Potter MD 的头像

Elisabeth Potter MD1 年前

The hospital repeatedly booked cases that they could not staff. That is the truth.

🌻 Leanne 🧡 的头像

🌻 Leanne 🧡1 年前

@mdpntr75 Thank you for your advocacy and diligence on behalf of patients 🙏🏼🩵

Crappie-doc 🐟🎣 的头像

Crappie-doc 🐟🎣1 年前

Would a professional athlete be put in this position? More attention given to a ball than a life. Priorities.

ChrisGPT 🌎 的头像

ChrisGPT 🌎1 年前

Thank you Dr. Potter. Keep going. Keep exposing the truth. 🩺

Meghan 的头像

Meghan1 年前

I wonder how often they cancel or delay surgeries for males compared to females.

ℝussell Pekala 的头像

ℝussell Pekala1 年前

If you want more people to have access to your services it means you have to figure out how to make them available with fewer external resources (cheaper). Otherwise you don’t really care about your customers / patients

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I’ve heard you telling me that your hospitals and clinics are understaffed and stretched too thin. Today, it happened to my patient and I know it’s happening to others, too. I showed up to do three breast reconstruction surgeries. But the hospital told me they didn’t have enough staff for the last case. It seems they expected me to work faster, stretch the team thinner, and “make it work.” That’s not how we do safe surgery. So I called my patient and told her the truth. We agreed—we’re not doing this case that way. This isn’t a one-time thing. It’s happening too often. We’re being asked to do more, with less, in less time. Patients deserve better—and so do the people taking care of them.

I’ve heard you telling me that your hospitals and clinics are understaffed and stretched too thin. Today, it happened to my patient and I know it’s happening to others, too. I showed up to do three breast reconstruction surgeries. But the hospital told me they didn’t have enough staff for the last case. It seems they expected me to work faster, stretch the team thinner, and “make it work.” That’s not how we do safe surgery. So I called my patient and told her the truth. We agreed—we’re not doing this case that way. This isn’t a one-time thing. It’s happening too often. We’re being asked to do more, with less, in less time. Patients deserve better—and so do the people taking care of them.

Elisabeth Potter MD

48,012 次观看 • 1 年前

We have to be patient on these #indictments it takes time to build a solid case and we need the charges to stick. I say take your time general #Bondi and do it right. #justice is coming just be #patient #longlivetherepublic

We have to be patient on these #indictments it takes time to build a solid case and we need the charges to stick. I say take your time general #Bondi and do it right. #justice is coming just be #patient #longlivetherepublic

The Artist known as Jess

235,100 次观看 • 1 年前

My last case of 2025 and my first case of 2026 tell you everything you need to know about our healthcare system. Last week, I was scheduled to do a DIEP flap for a patient who had been waiting a long time. We had asked her insurance company if we could do the surgery in network at @Redbudsurgerycenter, where we have everything needed to safely and efficiently take care of her. They hadn’t approved that, so the surgery had to be scheduled at an older hospital in town. When we arrived, the hospital was having HVAC issues. The humidity levels were not safe for surgery. We waited for hours, and ultimately the case had to be canceled. It wasn’t just her surgery. Multiple surgeries were canceled that day because operating under those conditions would have been a fire risk. We weren’t able to reschedule her surgery before the end of the year, which means her deductible resets. I could have safely done her surgery at Redbud that day but insurance rules wouldn’t allow it. This is what closed networks and rigid systems look like in real life. Now here’s the contrast. The first case I’m doing in 2026 is also a woman who needs breast reconstruction with DIEP flaps. This time, instead of traditional insurance, her employer uses a third party administrator. They came to me directly and asked what I would charge if they paid fairly and transparently. On Monday, we’re doing her bilateral DIEP flap at @Redbudsurgerycenter. I can control the environment, the costs, and the care. It’s better for the patient and significantly less expensive for the employer. This is called Direct Specialty Care. It’s not direct primary care. It’s specialty care delivered without unnecessary barriers. It’s happening. We’re starting the year this way. And I’m going to keep pushing the boundaries and keeping you informed.

My last case of 2025 and my first case of 2026 tell you everything you need to know about our healthcare system. Last week, I was scheduled to do a DIEP flap for a patient who had been waiting a long time. We had asked her insurance company if we could do the surgery in network at @Redbudsurgerycenter, where we have everything needed to safely and efficiently take care of her. They hadn’t approved that, so the surgery had to be scheduled at an older hospital in town. When we arrived, the hospital was having HVAC issues. The humidity levels were not safe for surgery. We waited for hours, and ultimately the case had to be canceled. It wasn’t just her surgery. Multiple surgeries were canceled that day because operating under those conditions would have been a fire risk. We weren’t able to reschedule her surgery before the end of the year, which means her deductible resets. I could have safely done her surgery at Redbud that day but insurance rules wouldn’t allow it. This is what closed networks and rigid systems look like in real life. Now here’s the contrast. The first case I’m doing in 2026 is also a woman who needs breast reconstruction with DIEP flaps. This time, instead of traditional insurance, her employer uses a third party administrator. They came to me directly and asked what I would charge if they paid fairly and transparently. On Monday, we’re doing her bilateral DIEP flap at @Redbudsurgerycenter. I can control the environment, the costs, and the care. It’s better for the patient and significantly less expensive for the employer. This is called Direct Specialty Care. It’s not direct primary care. It’s specialty care delivered without unnecessary barriers. It’s happening. We’re starting the year this way. And I’m going to keep pushing the boundaries and keeping you informed.

Elisabeth Potter MD

136,464 次观看 • 9 个月前

Last night, I got a late call from a breast surgeon here in Austin, TX. Her 22-year-old patient— just days away from a mastectomy—found out the plastic surgeon she had been seeing is out-of-network and her insurance doesn’t cover any out-of-network care. So now what? The breast surgeon called me and asked for a favor, knowing I take cases like this on, even if the payments are low…too low to cover the costs for me and my practice…because I think it’s the right thing to do. My team is doing everything we can to get her seen this week and to get her case approved. But here’s the thing: this isn’t a one-off. This is yet another example of how having insurance doesn’t mean you have access to care. These narrow networks are failing patients. This young woman has cancer now. She needs surgery now. And we don’t have the luxury of time to wait for policy change. The sad reality is I can’t afford to keep doing this for patients, even though I want to. We need a better system for patients and for the doctors trying to care for them. I believe we can fix this. But we need the help of the government. We need laws to change, and we don't have the luxury of time.

Last night, I got a late call from a breast surgeon here in Austin, TX. Her 22-year-old patient— just days away from a mastectomy—found out the plastic surgeon she had been seeing is out-of-network and her insurance doesn’t cover any out-of-network care. So now what? The breast surgeon called me and asked for a favor, knowing I take cases like this on, even if the payments are low…too low to cover the costs for me and my practice…because I think it’s the right thing to do. My team is doing everything we can to get her seen this week and to get her case approved. But here’s the thing: this isn’t a one-off. This is yet another example of how having insurance doesn’t mean you have access to care. These narrow networks are failing patients. This young woman has cancer now. She needs surgery now. And we don’t have the luxury of time to wait for policy change. The sad reality is I can’t afford to keep doing this for patients, even though I want to. We need a better system for patients and for the doctors trying to care for them. I believe we can fix this. But we need the help of the government. We need laws to change, and we don't have the luxury of time.

Elisabeth Potter MD

48,458 次观看 • 1 年前

I’ll never forget how pissed Spo was after game 6 and told the media the Heat will win the series in Boston: “It’s the way this season has been, this is one hell of a series. At this time right now I don’t know how we’re going to get this done but we’re going to go up there (Boston) and get it done…there’s been nothing easy about this season for our group so we just have to do it the hard way…we wish we can tip this thing off right now, RIGHT NOW! We want to tip this thing off and we play another 48 minutes…” What crazy time to be a fan.

I’ll never forget how pissed Spo was after game 6 and told the media the Heat will win the series in Boston: “It’s the way this season has been, this is one hell of a series. At this time right now I don’t know how we’re going to get this done but we’re going to go up there (Boston) and get it done…there’s been nothing easy about this season for our group so we just have to do it the hard way…we wish we can tip this thing off right now, RIGHT NOW! We want to tip this thing off and we play another 48 minutes…” What crazy time to be a fan.

The HEAT Realm

283,850 次观看 • 5 个月前

chat do we believe them 👤: have you thought about what you’d like to do after this? 🐶: there’s the fancon— right now we’re going to do it we’re just waiting for the announcement at this point. and there’s a second series… no no no i mean, i want to do it!! i want to do it 🐻‍❄️: we want to do it but we haven’t gotten to do it yet 🐶: not yet not yet~ we still don’t know 🐻‍❄️: we still don’t know anything yet TTP HAPPY KATSUYA BY UOB #UobhappypaydayxTeeteePor

chat do we believe them 👤: have you thought about what you’d like to do after this? 🐶: there’s the fancon— right now we’re going to do it we’re just waiting for the announcement at this point. and there’s a second series… no no no i mean, i want to do it!! i want to do it 🐻‍❄️: we want to do it but we haven’t gotten to do it yet 🐶: not yet not yet~ we still don’t know 🐻‍❄️: we still don’t know anything yet TTP HAPPY KATSUYA BY UOB #UobhappypaydayxTeeteePor

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💬

50,556 次观看 • 4 个月前

🗣️ Mikel Arteta on Arsenal's transfer business and being "ruthless": "There is more that we want to do. Every time we have an opportunity to improve the squad and bring more quality and depth to the squad, we need to do that. We are actively trying to do so. "The thing with the market is that it doesn’t just depend on you, and we are very clear on that. But the approach, the will and the desire of the club, that’s unquestionable, and we’re going to try to do that." "But we cannot promise that we’re going to do it because, again, it doesn’t only depend on us."

🗣️ Mikel Arteta on Arsenal's transfer business and being "ruthless": "There is more that we want to do. Every time we have an opportunity to improve the squad and bring more quality and depth to the squad, we need to do that. We are actively trying to do so. "The thing with the market is that it doesn’t just depend on you, and we are very clear on that. But the approach, the will and the desire of the club, that’s unquestionable, and we’re going to try to do that." "But we cannot promise that we’re going to do it because, again, it doesn’t only depend on us."

Connor Humm

134,877 次观看 • 2 个月前

Hard to argue with Trump’s case for Greenland, and he’s not messing around. “If we don't do it the easy way, we’re going to do it the hard way.”

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Wall Street Mav

49,583 次观看 • 9 个月前

Access to breast reconstruction is being denied because of poor reimbursement—and it’s a problem we need to address. Today, I saw a 69-year-old patient who was told she couldn’t get a DIEP flap because Medicare doesn’t pay enough. I hear this over and over. The reality is, CMS reimbursement sets the standard for everyone else, and when it undervalues modern breast reconstruction, patients lose access. I’ll still do the right thing for my patients, and perform their surgeries, even when I lose money—but this system needs to change. It’s time for CMS and this administration to take a hard look at how reimbursements are set. We need a new system that values patient care over profit margins. I’ll keep fighting for that, who else is with me? 💙

Access to breast reconstruction is being denied because of poor reimbursement—and it’s a problem we need to address. Today, I saw a 69-year-old patient who was told she couldn’t get a DIEP flap because Medicare doesn’t pay enough. I hear this over and over. The reality is, CMS reimbursement sets the standard for everyone else, and when it undervalues modern breast reconstruction, patients lose access. I’ll still do the right thing for my patients, and perform their surgeries, even when I lose money—but this system needs to change. It’s time for CMS and this administration to take a hard look at how reimbursements are set. We need a new system that values patient care over profit margins. I’ll keep fighting for that, who else is with me? 💙

Elisabeth Potter MD

10,475 次观看 • 1 年前

There is no right time to strike. The winter crisis is now a perpetual crisis. The real threat to patient safety is chronic understaffing and underfunding of our healthcare system. If we want to fix the NHS and deliver the care patients deserve, we must fix retention of staff.

There is no right time to strike. The winter crisis is now a perpetual crisis. The real threat to patient safety is chronic understaffing and underfunding of our healthcare system. If we want to fix the NHS and deliver the care patients deserve, we must fix retention of staff.

Dr Shivam Sharma

23,380 次观看 • 10 个月前

$If I want healthcare to be different, I have to practice differently. Today at Redbud we did multiple cases in an environment built around patients, not profit margins. We had time. We had focus. We had the right team in the right setting. One patient came to us after receiving a quote of more than $100,000 for her cancer surgery elsewhere. The operating room fees alone were quoted at over $30,000. We performed her surgery today at Redbud, a CMS-certified facility with fellowship-trained surgeons and experienced nurses for a fraction of that cost. Same standard of excellence. Different priorities. Healthcare does not have to be this expensive in America. It’s not easy to do things differently, but it is possible. And we’re proving that one patient at a time.$

If I want healthcare to be different, I have to practice differently. Today at Redbud we did multiple cases in an environment built around patients, not profit margins. We had time. We had focus. We had the right team in the right setting. One patient came to us after receiving a quote of more than $100,000 for her cancer surgery elsewhere. The operating room fees alone were quoted at over $30,000. We performed her surgery today at Redbud, a CMS-certified facility with fellowship-trained surgeons and experienced nurses for a fraction of that cost. Same standard of excellence. Different priorities. Healthcare does not have to be this expensive in America. It’s not easy to do things differently, but it is possible. And we’re proving that one patient at a time.

Elisabeth Potter MD

376,767 次观看 • 8 个月前

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🗣️ Mikel Arteta on only signing players who genuinely improve Arsenal: “I think the purpose has to be to be better than we were last year, or to be different and evolve in a different way that can increase our probability of winning again. “We have now four players in the squad, probably very soon, that we believe are going to be the case. “And if we can add more, we will try to do that, but only if that’s the case, because they are the right reasons to sign, not for any other reason. “Because otherwise, we’re not going to get better and we’re going to regret it.”

Connor Humm

19,834 次观看 • 1 个月前

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218,370 次观看 • 1 年前

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ANI

10,724 次观看 • 1 年前

I think this is one of the hardest six-month stretches of my life coming up, between funding the hospital, getting it built, staffed, and creating all the protocols that we need to launch it. We really are starting to head towards the home stretch now. I have to be honest if it wasn't for Tina I don't think we would have got this far. It's a phenomenally hard thing to do to build a hospital in Thailand but every single day I wake up in the morning and I think of Tina. It pushes myself and the whole team forwards to create something incredible for these street dogs.

I think this is one of the hardest six-month stretches of my life coming up, between funding the hospital, getting it built, staffed, and creating all the protocols that we need to launch it. We really are starting to head towards the home stretch now. I have to be honest if it wasn't for Tina I don't think we would have got this far. It's a phenomenally hard thing to do to build a hospital in Thailand but every single day I wake up in the morning and I think of Tina. It pushes myself and the whole team forwards to create something incredible for these street dogs.

Niall Harbison

166,710 次观看 • 1 个月前

"I know I would not have made it..." These are the words no doctor ever wants to hear, but they are the exact reason I continue to fight for my patients every single day. Ken (Patient 14) went through hell before getting the right treatment protocol and spike detox. We need to start listening to patients again.

"I know I would not have made it..." These are the words no doctor ever wants to hear, but they are the exact reason I continue to fight for my patients every single day. Ken (Patient 14) went through hell before getting the right treatment protocol and spike detox. We need to start listening to patients again.

Mary Talley Bowden MD

31,512 次观看 • 2 个月前

Greek Defense Minister Nikos Dendias: We will safeguard the Aegean—much better than we did up to today—but we’re going to do it in a much more sophisticated way. We’re going to do it with missiles. We’re going to do it with unmanned vessels. We are going to do it also with smaller vessels on the surface, and we’re going to do it with unmanned vessels under the surface.

Greek Defense Minister Nikos Dendias: We will safeguard the Aegean—much better than we did up to today—but we’re going to do it in a much more sophisticated way. We’re going to do it with missiles. We’re going to do it with unmanned vessels. We are going to do it also with smaller vessels on the surface, and we’re going to do it with unmanned vessels under the surface.

Clash Report

123,689 次观看 • 5 个月前

NOMY NATION, GUESS WHO’S BACK?🤭 What a week we had! We were tested, but we came out stronger together. The love and support never ends. We made history for ourselves, and now it’s time to make even better history. As Nomy continues to grow in the house, we’re grateful to see the fanbase growing too. Thank you to the most organic fanbase ever! It’s Week Six, and the mission has changed. She’s winning this show. We challenged the polls last time, and this time, we’re doing it together. NOMYX160MILLION #BBNaija #Nomy

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NOMY

34,602 次观看 • 1 个月前