Gus @tallswim
61 yo - Physician, Teacher, Healer - It's a mission, a journey, a challenge, a joy ... Views are my own. Houston, TX Joined November 2016-
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PHYSICIAN PRACTICE ISSUES - From TMA Reports Physician Turnover Increased by 43% from 2010-2018, research indicates ... Health IT Analytics (7/25, Melchionna) reported, “Using an algorithm, Weill Cornell Medicine researchers discovered that the period from 2010 to 2018 resulted…
For over 2,000 years the doctor-patient relationship has been held as sacred. In the US for over 30 years, it has been invaded almost at-will by corporations whose only concern is their profits. The results have been devastating for both patients and doctors.
To the medical students who say "Aspiring physician," or "Aspiring urologist," I think much better to state: "M.D. med school x '23," or "Urologist '26." That way, when things like divorce or cancer arise, your powerful vision will hold you to your dreams. #MedStudentTwitter
50% of US doctors burntout; 25% of residents depressed. We cannot begin to solve this until we get people back with patients, and spending <2/3 of their time with the #EHR and admin. #Medtwitter #burnout
This ...
Truth -
Vaccine-preventable diseases include: Cervical cancer Cholera Diphtheria Hep B Influenza Japanese encephalitis Measles Mumps Pertussis Pneumonia Polio Rabies Rotavirus Rubella Tetanus Typhoid Varicella Yellow Fever #VaccinesWork! Here are 5 facts on vaccines you need to know
Long 2 weeks of really sick patients, the passing of a few through death, and some great saves- Tonight is like all others yet @andersoncooper shouts out to those who are hurting, to those of us who spent the night alone, wishing for ALL a year to feel understood and loved; wow!
Student, you are going to need mentors throughout your career. Some will be assigned to you, others will appear at your periphery. If ANYONE diminishes you in any way, FIRE them. If you see someone you think might be good, ASK THEM. #Mentorship
Senators are empowered and expected to ask the tough questions while answering to a tough electorate. If you can't do the job, are afraid of the consequences of asking appropriate questions and incapable of governing, rest assured, you will be replaced. Give us time ...
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I’m a pediatrician, but in the first 4 months of the year, I earned an additional $41,750 through remote medical writing and expert witness contracts. I charge between $450-$700/hr to research various medical topics and summarize them along with my opinions. How I started 👇🏾
I lost a student to depression and I'd wanted to send this for weeks.
Listening to lawyers talk about the ethical and moral duties of physicians is painful - ESPECIALLY when the Idaho AG he’ll bent on preventing docs from actually acting in good faith - which would involve preventing morbidity & mortality by providing emergency abortion care.
Listening to the arguments this morning - as a physician and bioethicist and as a pregnant capable person - is infuriating. I don’t trust this conservative court to protect patients AT ALL.
Sudden Cardiac Death is Rare. But one of the strongest predictors of sudden cardiac death is your CT CAC score. Sometimes danger lurks beneath.
That's a wrap! If you want to check out the Lp(a) calculator, you can go to lpaclinicalguidance .com (Elon don't like links 😉) 👋 If you enjoyed this thread, then you will probably enjoy my free weekly newsletter. Link in my Bio above.
Having an elevated Lp(a) increases your risk of heart disease. There are no currently approved therapies to Lp(a). But that doesn't mean you cannot lower your risk. Here's how 🧵👇 /1
Systematic reviews and meta-analyses are not the highest level of evidence
The MBAs failed. Now the physicians want to open up hospitals in underserved areas. The problem? The affordable care act made it illegal for physicians to own hospitals. Another super smart move by our nations lawmakers. #healthcare
Physicians want to open hospitals where other entities have failed. The Affordable Care Act prevents these physicians from building hospitals in the communities of need. Instead they can only build clinics. It’s time to repeal Section 6001 of the Act. This is in the community…
I spent the next 3 years learning everything I could about burn out. I talked to every expert in the field. I launched a podcast... when podcasts weren't even a thing. 1 million people downloaded it. So what did I learn? /6
President Obama talked about what kept him up at night during the Trump administration at the fundraiser with Biden and Clinton last night and you really need to hear his answer. It’s incredibly well said. 👇
Well that’s a wrap! After 20yrs our PCP group has stepped away from inpatient work. Doing both has been very difficult logistically, but mainly it’s mentally unsustainable given what hospitalist work has become at our facility. Bittersweet day-and I feel old lol
This is the EXACT type of student I love working with. Hunger for success & overcoming the odds 😼💪🔥
Someone in SICU gave me this today
I allegedly turn 30 years old today which is weird because I’m only a baby
@Suburbanbella In a perfect world should the NP position even exist?
15)Inability to answer the questions to one's satisfaction should be a huge red flag that the NP is in fact, not qualified. Colleagues & members of the public, you are now more informed. Being informed is being empowered. Go forth & stay safe. @TakeMedBack @pppforpatients @txp4p
14)Docs have to decide which is more important--your job or your license. Last but not least, to determine if a NP you are forced to supervise is qualified, ask these questions.
13)Because this activity is so common in corporate medicine we normalize it. Normalization of deviance. If one is afraid to report for fear of being terminated, keep in mind one's license may be sanctioned for aiding & abetting the illegal practice of medicine if one is reported.
12)outside their SOP and the hospital/director/CMO for aiding and abetting the illegal practice of medicine. But first contact the state board of nursing(BON) and ask if what they are doing is illegal for that state. Know what the NPs specialty is first(ie: FNP, AGNP, etc.).
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