Mil-Med Family Medicine Physician making the jump to the dark side…I mean Flight Medicine. Tweets my own, not the gov, etc.
Joined November 2018
- Tweets245
- Following252
- Followers25
- Likes975
Philip of Acarnania retweeted
Great video from Dr Ryan Jorgenson from UNMC ultrasound fellowship regarding Ultrasound Guided Distal Radius Fracture Reduction
youtu.be/JpQJDbAhpa4 via @YouTube
Philip of Acarnania retweeted
NEW: I’m not sure people fully appreciate how dire the US life expectancy / mortality situation has got.
My column: enterprise-sharing.ft.com/re…
And some utterly damning charts.
1) at *every* point on the income distribution, Americans live shorter lives than the English.
Philip of Acarnania retweeted
Cigna uses an automated system that allows “medical directors” (doctors employed by @Cigna) to deny a claim in 1.2 seconds without opening the patient’s file.
Please read this, share it, and help us (metaphorically) burn these companies to the ground.
Doctors at a major US insurance company deny tens of thousands of claims a month without even looking at patients’ files.
“We literally click & submit,” a former Cigna doctor told @ProPublica & @Capitol_Forum. “It takes all of 10 seconds to do 50 at a time.”
The inside story 🧵
Philip of Acarnania retweeted
Doctors at a major US insurance company deny tens of thousands of claims a month without even looking at patients’ files.
“We literally click & submit,” a former Cigna doctor told @ProPublica & @Capitol_Forum. “It takes all of 10 seconds to do 50 at a time.”
The inside story 🧵
Philip of Acarnania retweeted
1/17
Recently finished service. Here are some of the physical findings my team and I saw in 7 days.
Starting with a classic.
Philip of Acarnania retweeted
IF YOU WANT TO CREATE PRIMARY CARE DOCTORS SET UP RESIDENT CLINICS THAT HAVE AN APPROPRIATE NUMBER OF GOOD SUPPORT STAFF AND PAY ATTENTION TO THE WAY THE CLINIC RUNS WITH AN EYE ON CONTINUOUS IMPROVEMENT
The way most residency clinics are run it is not surprising we have issues
Philip of Acarnania retweeted
Your employer wants to burn you out. 1/x
(For those who don’t know my schtick, I often start with a controversial statement like this. While it’s true, it’s not the point of this essay. You have to keep reading…)
Philip of Acarnania retweeted
“The work-hour policy associated w/ a 32% reduced risk of significant medical errors (RR 0.68; 95% CI 0.64 0.72), a 34% reduced risk of preventable adverse events (RR 0.66; 95% CI 0.59 0.74) & a 63% reduced risk of medical errors resulting in pt death.” qualitysafety.bmj.com/conten…
Philip of Acarnania retweeted
One of the most important concepts I have come across in my clinical career is "Best Weight" that has been championed by fellow Canadian @YoniFreedhoff. A thread🧵 1/n
Philip of Acarnania retweeted
Adam too-much-☕ 🔥 take: even by 21st century standards, performing blood letting in hospitalized patients with pneumonia has a stronger evidence base than performing a stool guaiac in hospitalized patients with suspected GIB.
Philip of Acarnania retweeted
Are routine daily physical exams a waste of time? Or beneficial for patient and physician?
As @zahirkanjee and I take our debate on the road (so DM if you want us to speak!) we commissioned an artist to recreate our debate as a bout of Street Fighter II.
Philip of Acarnania retweeted
If you couldn't attend my grand rounds at @WUDeptMedicine, it has been uploaded to YouTube! (youtube.com/watch?v=z4aZVQhY…)
Again -- thank you so much for having me (and to @MohitHarshMD for a way-too-gracious introduction).
Philip of Acarnania retweeted
This year I will try to be more empathetic towards kids and their parents, and I will try to let their sickness affect me emotionally. Cause without that I'd only be a machine with a degree. In 2022, let's be more human being 😃
Philip of Acarnania retweeted
1/11
So you hear an extra heart sound. Now what?
First: Is the extra sound near S1 or S2? Each scenario is associated with a different differential.
Listen to this clip. Is the extra sound here near S1 or S2?
(All sounds in this thread best heard with headphones/good speakers)
Philip of Acarnania retweeted
Another Christmas of Death and Distress in America’s I.C.U.s nytimes.com/2021/12/25/us/co… – at Logansport, IN
Philip of Acarnania retweeted
Scratching your head when it comes to lower extremity DVT ultrasound?
ow.ly/ktQL50GYvzn
#FOAMed #MedTwitter #BedsideUltrasound #POCUS #DVT
Philip of Acarnania retweeted
Great sonogames event today @NebraskaEM prepared by fantastic educator Dr Dalton Nelsen. Cookie decorating challenge - can you identify the pathology? #POCUS @ACEP_EUS @zedunow @coreultrasound @POCUS_Society @Pocus101 @SonoStache
