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There is no algorithm that can replace the instincts of an experienced physician when faced with a patient in need. When the doctor who saw this patient in the Emergency Room examined her, spoke with her, and decided to admit her, I know that he did so because he...

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Elisabeth Potter MD

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311,289 просмотров • 1 год назад •via X (Twitter)

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Комментарии: 8

Фото профиля Apu Akkad
Apu Akkad1 год назад

Totally agree. Judgement by docs at the bedside far outweighs what is seen on paper. Hence why docs need to go to bedside to treat patients..

Фото профиля CollaboratingDocs
CollaboratingDocs1 год назад

Nurse Practitioners! Find a collaborating physician who truly supports your success. Simple, fast, and compliant. Register now:

Фото профиля Ziya Baghmanli
Ziya Baghmanli1 год назад

I never understood the difference between outpatient observation and inpatient care for one night. It is the same hospital bed, room, and service. Why don’t they just charge for the one-night hospital stay? Who cares what the name is?

Фото профиля faircomment
faircomment1 год назад

👇

Фото профиля MedicalQuack
MedicalQuack1 год назад

Here's an idea of all the various algorithms you have to fight with Optum and UNH - mind boggling!

Фото профиля 💥 charmed&dangerous 💥
💥 charmed&dangerous 💥1 год назад

OMG!!! 🔥🔥🔥 my insurance is trying to assign a case manager to me because of recent surgeries for quality of life — being able to walk. my recent surgery (january. & nov ‘23) is listed at $48K +. they’re angry i’m getting something for my $1661+ monthly premiums. ghouls.

Фото профиля 💥 charmed&dangerous 💥
💥 charmed&dangerous 💥1 год назад

after telling my doctor about your initial problem he just shook his head. i said, “when are y’all gonna stand up to it?” he said, “we need to unionize.” & then told me, thanks for making his day.

Фото профиля Johnny
Johnny1 год назад

What is the point of insurance. Total scam

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A 14-year-old girl walked into a private clinic in Quebec, said she was trans, and was given a testosterone prescription in less than 9 minutes! The doctor also started asking her about surgeries, and if she wanted to preserve her fertility after only 5 minutes! Yes, this was her first appointment. This documentary was produced by Radio-Canada, the French arm of Canada’s government-funded broadcaster. Narrator: “This is the first time the doctor has seen the patient. She quickly goes to the heart of the matter.” Doctor: “You can tell me, a little deep down, since when did you know you were not in the right body? Is it in childhood? Is it more in puberty?” Sacha, the 14-year-old, describes how she vomited at age 12, and her mother took her to see a psychologist. Sacha: “That’s when they said I had an eating disorder. I told myself that it couldn’t be eating disorders. It didn’t make sense in my head.” “But at 13, I came across a video of a trans person who talked about having eating disorders, but in fact it was because she was in the wrong body. “At that moment, I really recognized myself in that person.” Narrator: “Five minutes in to the consultation, the doctor addresses the question of surgeries.” Doctor: “Are you considering surgeries in the future?” Sacha: “Surgeries? Yeah.” Doctor: “Gender Mastectomy. Removing the chest. Sacha: “Yeah.” Doctor: “There are other surgeries that exist. We have a uterus at the bottom, with ovaries. So basically, it’s possible to remove. It’s something that can cause dysphoria.” Narrator: “Testosterone can make a woman infertile. Fertility is the subject of a question.” Doctor: “Is fertility, I understand that it is perhaps far away for you at 14, but is fertility something you want to maintain before you start?” Sacha: “No, I always knew I don’t want children.” Narrator: “And finally, less than 9 minutes into the consultation:” Doctor: “Basically, the logic right now, I will prescribe hormones today, because the logic is that, basically there is nothing in your profile that would stop me from giving you hormones. “I’ll start at one dose. It’s not a mini-dose. It’s like an intermediate dose between adults and non-binary, let’s say.” Sacha: “Okay.” Doctor: “No problem. The best is yet to come.” When Radio-Canada confronted the doctor after the appointment, she said “A medical consultation cannot be evaluated in terms of duration, but rather in terms of quality of the exchange of information.” Radio-Canada, this doctor needs to be investigated by the College des Medicine du Québec. How can I find out her name?
4:10

A 14-year-old girl walked into a private clinic in Quebec, said she was trans, and was given a testosterone prescription in less than 9 minutes! The doctor also started asking her about surgeries, and if she wanted to preserve her fertility after only 5 minutes! Yes, this was her first appointment. This documentary was produced by Radio-Canada, the French arm of Canada’s government-funded broadcaster. Narrator: “This is the first time the doctor has seen the patient. She quickly goes to the heart of the matter.” Doctor: “You can tell me, a little deep down, since when did you know you were not in the right body? Is it in childhood? Is it more in puberty?” Sacha, the 14-year-old, describes how she vomited at age 12, and her mother took her to see a psychologist. Sacha: “That’s when they said I had an eating disorder. I told myself that it couldn’t be eating disorders. It didn’t make sense in my head.” “But at 13, I came across a video of a trans person who talked about having eating disorders, but in fact it was because she was in the wrong body. “At that moment, I really recognized myself in that person.” Narrator: “Five minutes in to the consultation, the doctor addresses the question of surgeries.” Doctor: “Are you considering surgeries in the future?” Sacha: “Surgeries? Yeah.” Doctor: “Gender Mastectomy. Removing the chest. Sacha: “Yeah.” Doctor: “There are other surgeries that exist. We have a uterus at the bottom, with ovaries. So basically, it’s possible to remove. It’s something that can cause dysphoria.” Narrator: “Testosterone can make a woman infertile. Fertility is the subject of a question.” Doctor: “Is fertility, I understand that it is perhaps far away for you at 14, but is fertility something you want to maintain before you start?” Sacha: “No, I always knew I don’t want children.” Narrator: “And finally, less than 9 minutes into the consultation:” Doctor: “Basically, the logic right now, I will prescribe hormones today, because the logic is that, basically there is nothing in your profile that would stop me from giving you hormones. “I’ll start at one dose. It’s not a mini-dose. It’s like an intermediate dose between adults and non-binary, let’s say.” Sacha: “Okay.” Doctor: “No problem. The best is yet to come.” When Radio-Canada confronted the doctor after the appointment, she said “A medical consultation cannot be evaluated in terms of duration, but rather in terms of quality of the exchange of information.” Radio-Canada, this doctor needs to be investigated by the College des Medicine du Québec. How can I find out her name?

Billboard Chris 🌎

2,362,139 просмотров • 2 лет назад

A Patient Cured Is A Customer Lost. ER Doctor Threatened With Termination For Prescribing Medicine Insurance Company Disagreed With Read that again. A big insurance company deciding medication, NOT DOCTORS and won’t let a hospital prescribe certain medication or they’ll be terminated “The reason I'm sitting here before you today is because there was a patient who had early SARS 2 and she was well enough to go home, which meant I, as the ER doctor, could prescribe something for her. She wasn't gonna go upstairs. I prescribed hydroxychloroquine and zinc and I think I gave her Zithromax as well and I didn't think anything of it. I happened to call her 2 days later, she was doing great. It was my first one. I got a phone call that I was going to be fired if I ever did that again And I was stunned. Who is the call from? The call is from the it came from the CEO of the hospital, who told my medical director to call me and I said, what's driving this? And he said, I don't think it works. I said, no problem. Don't prescribe it then. You practice as an individual, as do I. But why do you care what I'm practicing? I'm prescribing my patient. He said, well, you know, there's a big insurance company. It was Kaiser at this hospital and Kaiser put their foot down and told the hospital not to prescribe hydroxychloroquine.”
0:53

A Patient Cured Is A Customer Lost. ER Doctor Threatened With Termination For Prescribing Medicine Insurance Company Disagreed With Read that again. A big insurance company deciding medication, NOT DOCTORS and won’t let a hospital prescribe certain medication or they’ll be terminated “The reason I'm sitting here before you today is because there was a patient who had early SARS 2 and she was well enough to go home, which meant I, as the ER doctor, could prescribe something for her. She wasn't gonna go upstairs. I prescribed hydroxychloroquine and zinc and I think I gave her Zithromax as well and I didn't think anything of it. I happened to call her 2 days later, she was doing great. It was my first one. I got a phone call that I was going to be fired if I ever did that again And I was stunned. Who is the call from? The call is from the it came from the CEO of the hospital, who told my medical director to call me and I said, what's driving this? And he said, I don't think it works. I said, no problem. Don't prescribe it then. You practice as an individual, as do I. But why do you care what I'm practicing? I'm prescribing my patient. He said, well, you know, there's a big insurance company. It was Kaiser at this hospital and Kaiser put their foot down and told the hospital not to prescribe hydroxychloroquine.”

Wall Street Apes

346,050 просмотров • 1 год назад

This woman is a Board Certified Emergency Medicine Physician in America She says she’s seeing more and more doctors leave practicing medicine because what US Health Insurance companies are doing to healthcare She explains why, this is important information: “I believe what we are seeing with healthcare professionals is not just burnout, it's something far more insidious and painful. This is moral injury. — Moral injury. The pain of knowing what the right thing is for the patient, but being unable to do that because of systemic barriers. And over time, this wears you down. I have seen so many people leave the profession because it has eroded their sense of purpose, their love for the job. And we take a Hippocratic oath to do no harm. But in a system that doesn't place human health at the center, that becomes harder and harder to uphold. And that disconnect from what we are trained to do, from what we can actually do, creates a very painful wound. And when the healers themselves are wounded, when their hands are tied, when their clinical judgment is overruled, they don't just feel that defeat themselves, they that trickles down to the patient. — So when we see our providers juggling insurance company protocols, productivity metrics, hospital bureaucracy, the relentless pull of the electronic medical record, all of these things take the doctor away, the patient. If we really want to understand why the United States spends more on health care than any other nation, while delivering some of the worst outcomes, we need to start being honest. The system just isn't inefficient. It is deeply misaligned with care and having it be patient first” US Health Insurance companies are absolutely destroying American Healthcare and we all must keep sharing these important stories because something has to change
3:20

This woman is a Board Certified Emergency Medicine Physician in America She says she’s seeing more and more doctors leave practicing medicine because what US Health Insurance companies are doing to healthcare She explains why, this is important information: “I believe what we are seeing with healthcare professionals is not just burnout, it's something far more insidious and painful. This is moral injury. — Moral injury. The pain of knowing what the right thing is for the patient, but being unable to do that because of systemic barriers. And over time, this wears you down. I have seen so many people leave the profession because it has eroded their sense of purpose, their love for the job. And we take a Hippocratic oath to do no harm. But in a system that doesn't place human health at the center, that becomes harder and harder to uphold. And that disconnect from what we are trained to do, from what we can actually do, creates a very painful wound. And when the healers themselves are wounded, when their hands are tied, when their clinical judgment is overruled, they don't just feel that defeat themselves, they that trickles down to the patient. — So when we see our providers juggling insurance company protocols, productivity metrics, hospital bureaucracy, the relentless pull of the electronic medical record, all of these things take the doctor away, the patient. If we really want to understand why the United States spends more on health care than any other nation, while delivering some of the worst outcomes, we need to start being honest. The system just isn't inefficient. It is deeply misaligned with care and having it be patient first” US Health Insurance companies are absolutely destroying American Healthcare and we all must keep sharing these important stories because something has to change

Wall Street Apes

223,295 просмотров • 1 год назад

A surgery was canceled on December 30 because the operating rooms weren’t safe. Weeks later, I’m still trying to get it rescheduled. This patient needs breast reconstruction. The same hospital that canceled her surgery continues to have safety issues. They canceled surgeries again today. So I’m trying to move her surgery to our surgery center, where the operating rooms are safe and the team is built for this exact work. It’s mid January and I still can’t get it scheduled. Now her insurance says I can do a peer to peer call on January 20. I’ll take the call. I’ll explain, again, why our surgery center is the safer place to do this operation. But here’s the part that matters. Why does a patient who needs covered, medically appropriate breast reconstruction have to wait weeks while a doctor makes a case to an insurance company? I’m a surgeon. The surgery is covered. The facility is safe. This patient deserves care. I’ll keep you posted after the peer to peer.
0:54

A surgery was canceled on December 30 because the operating rooms weren’t safe. Weeks later, I’m still trying to get it rescheduled. This patient needs breast reconstruction. The same hospital that canceled her surgery continues to have safety issues. They canceled surgeries again today. So I’m trying to move her surgery to our surgery center, where the operating rooms are safe and the team is built for this exact work. It’s mid January and I still can’t get it scheduled. Now her insurance says I can do a peer to peer call on January 20. I’ll take the call. I’ll explain, again, why our surgery center is the safer place to do this operation. But here’s the part that matters. Why does a patient who needs covered, medically appropriate breast reconstruction have to wait weeks while a doctor makes a case to an insurance company? I’m a surgeon. The surgery is covered. The facility is safe. This patient deserves care. I’ll keep you posted after the peer to peer.

Elisabeth Potter MD

11,553 просмотров • 5 месяцев назад

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.
2:54

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

136,365 просмотров • 6 месяцев назад

Two insurers. Two approvals. Neither happened quickly. This approval took weeks of work. Calls and emails from my team. Patients advocating for themselves. And peer to peer conversations that I now record (The reviewer is notified before we speak) In this call, I am explaining why a patient’s surgery could not safely happen at the facilities her insurance preferred. One hospital has ongoing HVAC failures. Operating rooms cannot maintain safe humidity levels. Surgeries have been canceled repeatedly since December 30. Another in network hospital was not equipped to care for a DIEP flap patient. The surgical and recovery teams were unfamiliar with the procedure and the monitoring required. The patient experienced unsafe care and asked to be discharged. I have a facility designed specifically for microsurgical breast reconstruction. It is safe. It is staffed appropriately. And I am asking for an exception so I can take care of my patient without putting her at risk. This is what peer to peer calls are supposed to be. A physician explaining patient safety. Not negotiating harm.
2:26

Two insurers. Two approvals. Neither happened quickly. This approval took weeks of work. Calls and emails from my team. Patients advocating for themselves. And peer to peer conversations that I now record (The reviewer is notified before we speak) In this call, I am explaining why a patient’s surgery could not safely happen at the facilities her insurance preferred. One hospital has ongoing HVAC failures. Operating rooms cannot maintain safe humidity levels. Surgeries have been canceled repeatedly since December 30. Another in network hospital was not equipped to care for a DIEP flap patient. The surgical and recovery teams were unfamiliar with the procedure and the monitoring required. The patient experienced unsafe care and asked to be discharged. I have a facility designed specifically for microsurgical breast reconstruction. It is safe. It is staffed appropriately. And I am asking for an exception so I can take care of my patient without putting her at risk. This is what peer to peer calls are supposed to be. A physician explaining patient safety. Not negotiating harm.

Elisabeth Potter MD

12,275 просмотров • 5 месяцев назад