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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 görüntüleme • 1 yıl önce •via X (Twitter)

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Apu Akkad profil fotoğrafı
Apu Akkad1 yıl önce

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..

CollaboratingDocs profil fotoğrafı
CollaboratingDocs1 yıl önce

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

Ziya Baghmanli profil fotoğrafı
Ziya Baghmanli1 yıl önce

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?

faircomment profil fotoğrafı
faircomment1 yıl önce

👇

MedicalQuack profil fotoğrafı
MedicalQuack1 yıl önce

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

💥 charmed&dangerous 💥 profil fotoğrafı
💥 charmed&dangerous 💥1 yıl önce

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.

💥 charmed&dangerous 💥 profil fotoğrafı
💥 charmed&dangerous 💥1 yıl önce

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.

Johnny profil fotoğrafı
Johnny1 yıl önce

What is the point of insurance. Total scam

Benzer Videolar

American Surgeon shows the actual letter from UnitedHealthcare DENYING a patient in emergency condition from receiving care “This is a woman who was in the emergency room with pulmonary embolisms” “I think we all knew this would happen. I had another patient come in and share with me that UnitedHealthcare denied her inpatient's day. So this is a patient who had shortness of breath and some chest pain, and she just knew that something wasn't right in her body. She had a family history of blood clots and she'd had a deep flap surgery a couple of weeks ago. She went to the hospital and they saw her and they found that she had a life threatening condition known as pulmonary embolisms. So she was admitted to the hospital and taken care of really well by the doctors there. And they ordered all the right things. After a couple of days, she was discharged. She got a letter from UnitedHealthcare explaining that they didn't agree with the level of her care and that they would not cover it. So I'm gonna share some of the language of that letter with you, and I want you to know that my patient that we talked about previously who had her surgery denied had almost exactly the same letter shared. So there's some troubling things in this letter. I think this term is really interesting. United is saying they reviewed the request for inpatient admission. So let's all just pause and consider that. This is a woman who was in the emergency room with pulmonary embolisms, and the doctor wasn't really requesting anything. They were saying this patient needs to be in the hospital. But an insurance company sees this as a request, and that's part of this prior auth environment that we're living in. So I think it's important as patients and as physicians to just acknowledge that this is our reality now. Someone can think that there's a good medical decision for you and can write orders and wanna do the right thing for you, but your insurance company is seeing that as a request and deciding whether or not they wanna do it. One of the criteria that this insurance company used to decide whether or not to accept or deny this request was whether it's medically necessary. And it's so interesting that we're letting insurance companies and the doctors who work for insurance companies determine what's medically necessary and not just the doctor in front of the patient in the emergency room. So this is a really bold statement from UnitedHealthcare for my patient. They say you did not have to be admitted as an inpatient to the hospital for this care. I think we all need to just reflect on that. An insurance company is telling a patient and her doctor that they disagree with the plan of care to keep that patient safe. I know that this is boiling down to whether it's an inpatient admission or an observation admission, and that's really about money. But what I wanna point out to you is they're making medical decisions. This insurance company is actually weighing in and disagreeing with a doctor who made a medical decision to admit this patient for her safety. So this specific sentence, when a doctor or facility treats a patient above the recommended level of care, we cannot cover it. What the heck? That's what we do. We go above and beyond as physicians. It's clear that insurance companies don't, and they're actually saying it here.”
2:35

American Surgeon shows the actual letter from UnitedHealthcare DENYING a patient in emergency condition from receiving care “This is a woman who was in the emergency room with pulmonary embolisms” “I think we all knew this would happen. I had another patient come in and share with me that UnitedHealthcare denied her inpatient's day. So this is a patient who had shortness of breath and some chest pain, and she just knew that something wasn't right in her body. She had a family history of blood clots and she'd had a deep flap surgery a couple of weeks ago. She went to the hospital and they saw her and they found that she had a life threatening condition known as pulmonary embolisms. So she was admitted to the hospital and taken care of really well by the doctors there. And they ordered all the right things. After a couple of days, she was discharged. She got a letter from UnitedHealthcare explaining that they didn't agree with the level of her care and that they would not cover it. So I'm gonna share some of the language of that letter with you, and I want you to know that my patient that we talked about previously who had her surgery denied had almost exactly the same letter shared. So there's some troubling things in this letter. I think this term is really interesting. United is saying they reviewed the request for inpatient admission. So let's all just pause and consider that. This is a woman who was in the emergency room with pulmonary embolisms, and the doctor wasn't really requesting anything. They were saying this patient needs to be in the hospital. But an insurance company sees this as a request, and that's part of this prior auth environment that we're living in. So I think it's important as patients and as physicians to just acknowledge that this is our reality now. Someone can think that there's a good medical decision for you and can write orders and wanna do the right thing for you, but your insurance company is seeing that as a request and deciding whether or not they wanna do it. One of the criteria that this insurance company used to decide whether or not to accept or deny this request was whether it's medically necessary. And it's so interesting that we're letting insurance companies and the doctors who work for insurance companies determine what's medically necessary and not just the doctor in front of the patient in the emergency room. So this is a really bold statement from UnitedHealthcare for my patient. They say you did not have to be admitted as an inpatient to the hospital for this care. I think we all need to just reflect on that. An insurance company is telling a patient and her doctor that they disagree with the plan of care to keep that patient safe. I know that this is boiling down to whether it's an inpatient admission or an observation admission, and that's really about money. But what I wanna point out to you is they're making medical decisions. This insurance company is actually weighing in and disagreeing with a doctor who made a medical decision to admit this patient for her safety. So this specific sentence, when a doctor or facility treats a patient above the recommended level of care, we cannot cover it. What the heck? That's what we do. We go above and beyond as physicians. It's clear that insurance companies don't, and they're actually saying it here.”

Wall Street Apes

115,691 görüntüleme • 1 yıl önce

American Doctor says he has a patient that is very suicidal, with a history of suicidal incidents, he tried to commit her to the hospital but the health insurance company denied it He tried to appeal to the insurance company, explaining how suicidal the patient is, and that the patient really needed to be committed, they said no. The best the insurance company could do is say they’ll get back to him later in a few days He said this happens all the time “Not an uncommon experience, but one that we should not have to endure as psychiatrists experiencing one of the largest mental health crises that the nation has ever faced.”
1:33

American Doctor says he has a patient that is very suicidal, with a history of suicidal incidents, he tried to commit her to the hospital but the health insurance company denied it He tried to appeal to the insurance company, explaining how suicidal the patient is, and that the patient really needed to be committed, they said no. The best the insurance company could do is say they’ll get back to him later in a few days He said this happens all the time “Not an uncommon experience, but one that we should not have to endure as psychiatrists experiencing one of the largest mental health crises that the nation has ever faced.”

Wall Street Apes

31,182 görüntüleme • 10 ay önce

INSANE 🚨 This surgeon has a patient who needs a “deep flap” surgery. Insurance denied it To appeal she had to speak to her patients insurance. “I actually asked, do you know what a deep flap is? THE DOCTOR SAID NO.” The insurance companies deciding if Americans get their procedures DONT EVEN KNOW what the procedures are. How is this okay?! THIS is the state of American healthcare… “You may remember I had a patient who needs a deep flap, and the insurance company denied an inpatient stay for her. So I had to schedule a peer to peer call and schedule time out of my day to ask for a conversation directly with someone who is my peer to discuss deep flap surgery and why that patient needed to be overnight. That call was scheduled for 11AM, and eleven came around 11: 30, 11: 45 and no call still. And then we emailed the insurance company because, of course, they don't give me the call number. They only let me receive the call. So finally at 12: 15, I received the call that was initially scheduled for 11. And the doctor who called me was not a surgeon. And I actually asked the doctor, do you know what a deep flap is? And the doctor said no. So that's where we are. My patient has insurance. She's seeing someone who's fellowship trained in microsurgery, me, to do her breast reconstruction, and I'm having to teach another doctor what a deep flap is in order to justify her overnight stay to navigate her insurance. This is completely ridiculous.”
1:12

INSANE 🚨 This surgeon has a patient who needs a “deep flap” surgery. Insurance denied it To appeal she had to speak to her patients insurance. “I actually asked, do you know what a deep flap is? THE DOCTOR SAID NO.” The insurance companies deciding if Americans get their procedures DONT EVEN KNOW what the procedures are. How is this okay?! THIS is the state of American healthcare… “You may remember I had a patient who needs a deep flap, and the insurance company denied an inpatient stay for her. So I had to schedule a peer to peer call and schedule time out of my day to ask for a conversation directly with someone who is my peer to discuss deep flap surgery and why that patient needed to be overnight. That call was scheduled for 11AM, and eleven came around 11: 30, 11: 45 and no call still. And then we emailed the insurance company because, of course, they don't give me the call number. They only let me receive the call. So finally at 12: 15, I received the call that was initially scheduled for 11. And the doctor who called me was not a surgeon. And I actually asked the doctor, do you know what a deep flap is? And the doctor said no. So that's where we are. My patient has insurance. She's seeing someone who's fellowship trained in microsurgery, me, to do her breast reconstruction, and I'm having to teach another doctor what a deep flap is in order to justify her overnight stay to navigate her insurance. This is completely ridiculous.”

Wall Street Apes

1,292,432 görüntüleme • 1 yıl önce

Dr. Caleb Masterson say health insurance companies are openly breaking laws in Alabama He explains some of his patients situations with insurance companies - “I had an insurance company tell a patient that no authorization for the procedure was required, the procedure was performed, and then the patient was denied the care because the procedure was never authorized. So the patient got charged the entire cost of the procedure” - “I had another patient who is supposed to be due an answer to an insurance claim within 30 days of submission. If they do not reply within 30 days, that's breaking Alabama law. And that claim is currently at the 65th day, so its insurance can be breaking the law.” - “Then I had an insurance company deny care to a patient that they had previously approved. So a patient qualified for surgery based on medical necessity, they had met all the criteria for surgery, they underwent surgery, then the patient had that surgery denied. The patient submitted that information to the insurance company and said, Hey, look, this was already pre-approved. And they said, We reversed our decision and the patient had to pay.”
1:06

Dr. Caleb Masterson say health insurance companies are openly breaking laws in Alabama He explains some of his patients situations with insurance companies - “I had an insurance company tell a patient that no authorization for the procedure was required, the procedure was performed, and then the patient was denied the care because the procedure was never authorized. So the patient got charged the entire cost of the procedure” - “I had another patient who is supposed to be due an answer to an insurance claim within 30 days of submission. If they do not reply within 30 days, that's breaking Alabama law. And that claim is currently at the 65th day, so its insurance can be breaking the law.” - “Then I had an insurance company deny care to a patient that they had previously approved. So a patient qualified for surgery based on medical necessity, they had met all the criteria for surgery, they underwent surgery, then the patient had that surgery denied. The patient submitted that information to the insurance company and said, Hey, look, this was already pre-approved. And they said, We reversed our decision and the patient had to pay.”

Wall Street Apes

46,070 görüntüleme • 5 ay önce

American healthcare workers speaks to the insurance company with the patient on the phone Insurance refuses to answer any questions because the patient paying for the insurance is on the phone This is the state of American healthcare “Your contracts with the patient. So the patient should be able to be present for anything we talk about — So you're telling me that just because I have the patient here on the phone, you are not going to discuss anything about this policy with me?” “That is correct”
1:05

American healthcare workers speaks to the insurance company with the patient on the phone Insurance refuses to answer any questions because the patient paying for the insurance is on the phone This is the state of American healthcare “Your contracts with the patient. So the patient should be able to be present for anything we talk about — So you're telling me that just because I have the patient here on the phone, you are not going to discuss anything about this policy with me?” “That is correct”

Wall Street Apes

481,461 görüntüleme • 11 ay önce

US Health Insurance companies are out of control Surgeon Dr Elisabeth Potter submitted for one of her patients to have surgery at a particular outpatient center Without asking her or the patient, the insurance company called a cheaper hospital, asked if they had availability, and then scheduled her patient at that hospital to have Dr Potter do the surgery there instead of at the preferred center “This is insane. The patient doesn't want her surgery in a hospital. I know that she'll have a better experience and outcome at Redbud Surgery Center. They're calling the scheduling office of the hospital and questioning my plan and telling me what to do I can't explain how absurd this feels. I'm making a recommendation for my patient based on what I think is best for her. She's choosing where she wants to have her surgery, and the insurance company is going behind both of us and trying to make us do something different” This is what happens when health insurance companies aren’t ever regulated, they just keep getting worse and worse “The overreach by insurance companies is next level”
1:24

US Health Insurance companies are out of control Surgeon Dr Elisabeth Potter submitted for one of her patients to have surgery at a particular outpatient center Without asking her or the patient, the insurance company called a cheaper hospital, asked if they had availability, and then scheduled her patient at that hospital to have Dr Potter do the surgery there instead of at the preferred center “This is insane. The patient doesn't want her surgery in a hospital. I know that she'll have a better experience and outcome at Redbud Surgery Center. They're calling the scheduling office of the hospital and questioning my plan and telling me what to do I can't explain how absurd this feels. I'm making a recommendation for my patient based on what I think is best for her. She's choosing where she wants to have her surgery, and the insurance company is going behind both of us and trying to make us do something different” This is what happens when health insurance companies aren’t ever regulated, they just keep getting worse and worse “The overreach by insurance companies is next level”

Wall Street Apes

40,462 görüntüleme • 2 ay önce

Today I’m sharing an update about a patient many of you remember, the woman who drove hours across Texas after her radiated implants became infected and no one near her would take her insurance. We removed her infected implants to protect her health. It was urgent. It was necessary. It was absolutely medically indicated. And yet… her insurance company sent her a letter denying the surgery, claiming it was not medically necessary. This is the reality too many women face after breast cancer: fighting infections, managing complications, and then having to battle an insurance company that should be advocating for their care. When insurers decide they know better than the surgeon at the bedside and the patient in pain, something is profoundly broken. To my patient: thank you for your strength and for trusting me. To everyone watching: we’re going to keep pushing for a system that listens to doctors and protects patients.
1:16

Today I’m sharing an update about a patient many of you remember, the woman who drove hours across Texas after her radiated implants became infected and no one near her would take her insurance. We removed her infected implants to protect her health. It was urgent. It was necessary. It was absolutely medically indicated. And yet… her insurance company sent her a letter denying the surgery, claiming it was not medically necessary. This is the reality too many women face after breast cancer: fighting infections, managing complications, and then having to battle an insurance company that should be advocating for their care. When insurers decide they know better than the surgeon at the bedside and the patient in pain, something is profoundly broken. To my patient: thank you for your strength and for trusting me. To everyone watching: we’re going to keep pushing for a system that listens to doctors and protects patients.

Elisabeth Potter MD

167,795 görüntüleme • 7 ay önce

The corporator who hit the doctor is saying, "The lady doctor was Dalit and I am proud of her." Unbelievable that he is dragging caste into this!
1:10

The corporator who hit the doctor is saying, "The lady doctor was Dalit and I am proud of her." Unbelievable that he is dragging caste into this!

Anuradha Tiwari

160,127 görüntüleme • 5 gün önce

the doctor-ification of yaz khan is everything to me. admiring the doctor so much she imitates her, learning how to pilot the tardis, being dans doctor in flux, what would the doctor do. she was the doctor when the doctor didnt know who that was anymore
0:48

the doctor-ification of yaz khan is everything to me. admiring the doctor so much she imitates her, learning how to pilot the tardis, being dans doctor in flux, what would the doctor do. she was the doctor when the doctor didnt know who that was anymore

inspecteur lemaître

11,396 görüntüleme • 1 yıl önce

This is Mel Thacker. She was an American surgeon, she quit After going through medical school and being a successful surgeon. She left the profession because of what US Heath Insurance Companies have done to healthcare “So I recently left my career as a surgeon, and I wanted to share that the primary reason I did that is because of moral injury — I felt powerless. I wanted to prescribe a very cheap medication to my patients, like Budesonide, and their insurance company would deny it, and the pharmacy would tell them it would cost them $300. And I couldn't tell which patients had the insurance that would do that and which ones didn't. That's just one tiny little example. But multiply that by thousands and thousands of encounters of interactions, of trying to either prescribe a medication or prescribe a treatment plan or do a surgery, and to just be met with roadblocks and layers of bureaucracy that are, quote, unquote, meant to keep healthcare costs down or a patient safe. But really, don't they just drive a wedge, multiple, multiple wedges between the physician and the patient And when we keep layering in these roadblocks, preventing the doctor and the patient from having an actual relationship, that's when we make mistakes. And so how do we fix this? We got to get business out of medicine. Healthcare needs to go back to relationship building, to trust. Trust between the physician and the patient. They need to be put on the pedestal. We need to start there. Not with the shareholders, not with all of the bureaucratic tasks that are meant to keep patients safe, but just increase costs.”
2:02

This is Mel Thacker. She was an American surgeon, she quit After going through medical school and being a successful surgeon. She left the profession because of what US Heath Insurance Companies have done to healthcare “So I recently left my career as a surgeon, and I wanted to share that the primary reason I did that is because of moral injury — I felt powerless. I wanted to prescribe a very cheap medication to my patients, like Budesonide, and their insurance company would deny it, and the pharmacy would tell them it would cost them $300. And I couldn't tell which patients had the insurance that would do that and which ones didn't. That's just one tiny little example. But multiply that by thousands and thousands of encounters of interactions, of trying to either prescribe a medication or prescribe a treatment plan or do a surgery, and to just be met with roadblocks and layers of bureaucracy that are, quote, unquote, meant to keep healthcare costs down or a patient safe. But really, don't they just drive a wedge, multiple, multiple wedges between the physician and the patient And when we keep layering in these roadblocks, preventing the doctor and the patient from having an actual relationship, that's when we make mistakes. And so how do we fix this? We got to get business out of medicine. Healthcare needs to go back to relationship building, to trust. Trust between the physician and the patient. They need to be put on the pedestal. We need to start there. Not with the shareholders, not with all of the bureaucratic tasks that are meant to keep patients safe, but just increase costs.”

Wall Street Apes

2,292,657 görüntüleme • 1 yıl önce

American has insurance and needed to go to the doctor for an annual visit She called the office to make extra sure both the office and the doctor were “in-network” She just received the bill. The doctor office and doctor were in network, but not the lab test her doctor ordered “This is why people in America are fed up with our healthcare system and I have good insurance. And I'm like, this is crazy. I have gone out of my way to go to doctors that are out of network because I actually get good care and it's worth my money. So when I go to a doctor in network and thinking, oh, thank God I'm not gonna have a bill, and I have a bill. Unacceptable. Unacceptable.”
1:52

American has insurance and needed to go to the doctor for an annual visit She called the office to make extra sure both the office and the doctor were “in-network” She just received the bill. The doctor office and doctor were in network, but not the lab test her doctor ordered “This is why people in America are fed up with our healthcare system and I have good insurance. And I'm like, this is crazy. I have gone out of my way to go to doctors that are out of network because I actually get good care and it's worth my money. So when I go to a doctor in network and thinking, oh, thank God I'm not gonna have a bill, and I have a bill. Unacceptable. Unacceptable.”

Wall Street Apes

105,847 görüntüleme • 3 ay önce

🚨Another insurance denial for patient that has Eczema and Doctor submitted for a prescription for a cream. Doctor-"I did not want to use a topical steroid or something like to crawl in this near the eyes. I’m afraid it would get in her eyes and problems, which I would consider a medical reason to not use". Insurance - said that of the requested drug is only approved for the treatment of certain medical condition to your doctor has not indicated that you have a diagnosis of either to moderate a dermatitis that affects less than 20% of your body. Insurance-Your doctor was not indicated that you have tried both required drugs, which is a topical steroid or a topical counseling and inhibitor such as that says your doctor indicated that you have tried both required drugs or that you have a medical reason to avoid all topical steroids and inhibitors "Clearly insurance companies are not even reading Doctor notes"
1:41

🚨Another insurance denial for patient that has Eczema and Doctor submitted for a prescription for a cream. Doctor-"I did not want to use a topical steroid or something like to crawl in this near the eyes. I’m afraid it would get in her eyes and problems, which I would consider a medical reason to not use". Insurance - said that of the requested drug is only approved for the treatment of certain medical condition to your doctor has not indicated that you have a diagnosis of either to moderate a dermatitis that affects less than 20% of your body. Insurance-Your doctor was not indicated that you have tried both required drugs, which is a topical steroid or a topical counseling and inhibitor such as that says your doctor indicated that you have tried both required drugs or that you have a medical reason to avoid all topical steroids and inhibitors "Clearly insurance companies are not even reading Doctor notes"

Wall Street Mav

34,202 görüntüleme • 1 yıl önce

Another insurance denial. Another patient put at risk. We did everything right. My PA saw a patient with signs of a Deep Venous Thrombosis (a dangerous blood clot). We ordered an ultrasound, confirmed the diagnosis, and prescribed the medication to help prevent dangerous complications. But her insurance denied the medication. Why? They wanted “more clinicals.” Despite an in-person examination. Despite appropriate documentation. Despite the ultrasound result showing a blood clot. She was sent home from the pharmacy without the treatment she needed. If I failed to prescribe the medication, I would be held accountable for putting this patient at risk. When will we admit that insurance companies are practicing medicine? When will we hold companies and individuals accountable for delays in care? I am going to continue to share these denials with you so you can see what it is like to be a doctor in 2025. We have to fix this—for patients, for providers, for all of us. If you have a story, please share it with me. Let’s change this.
1:03

Another insurance denial. Another patient put at risk. We did everything right. My PA saw a patient with signs of a Deep Venous Thrombosis (a dangerous blood clot). We ordered an ultrasound, confirmed the diagnosis, and prescribed the medication to help prevent dangerous complications. But her insurance denied the medication. Why? They wanted “more clinicals.” Despite an in-person examination. Despite appropriate documentation. Despite the ultrasound result showing a blood clot. She was sent home from the pharmacy without the treatment she needed. If I failed to prescribe the medication, I would be held accountable for putting this patient at risk. When will we admit that insurance companies are practicing medicine? When will we hold companies and individuals accountable for delays in care? I am going to continue to share these denials with you so you can see what it is like to be a doctor in 2025. We have to fix this—for patients, for providers, for all of us. If you have a story, please share it with me. Let’s change this.

Elisabeth Potter MD

168,110 görüntüleme • 1 yıl önce

Medical Doctor in New York sharing her experience with her personal health insurance coverage She estimates she’s pays about $5,000 per year for coverage and hasn’t used it in at least 3 years So after paying $15k, she went to the doctor one time, was charged $300 out of pocket for a regular visit and then the insurance company denied her medication “I had a singular office visit for one complaint. My insurance didn't cover the entirety of that visit. It cost me an additional $300 to include some lab work. But not only that, so now I'm out, we'll say $5,000 (for the year) plus $300 out of pocket. That wasn't covered for this office visit because I haven't used health insurance the rest of the year. My insurance denied the medication that was prescribed to me” “So I paid all that money to health insurance. I can't actually get what I need and I as a physician see these stories a million times a day” “It's just absolutely absurd that we are allowing the insurance companies and the healthcare system to function this way.”
1:37

Medical Doctor in New York sharing her experience with her personal health insurance coverage She estimates she’s pays about $5,000 per year for coverage and hasn’t used it in at least 3 years So after paying $15k, she went to the doctor one time, was charged $300 out of pocket for a regular visit and then the insurance company denied her medication “I had a singular office visit for one complaint. My insurance didn't cover the entirety of that visit. It cost me an additional $300 to include some lab work. But not only that, so now I'm out, we'll say $5,000 (for the year) plus $300 out of pocket. That wasn't covered for this office visit because I haven't used health insurance the rest of the year. My insurance denied the medication that was prescribed to me” “So I paid all that money to health insurance. I can't actually get what I need and I as a physician see these stories a million times a day” “It's just absolutely absurd that we are allowing the insurance companies and the healthcare system to function this way.”

Wall Street Apes

1,701,887 görüntüleme • 11 ay önce

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 görüntüleme • 2 yıl önce

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 görüntüleme • 1 yıl önce

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 görüntüleme • 1 yıl önce

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 görüntüleme • 5 ay önce

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 görüntüleme • 6 ay önce

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 görüntüleme • 5 ay önce