I hate the song, but love the analysis.

Smooth.

💯 true 😆

I drag the eldest in to answer the phone sometimes. He loves it.

damnit nostr:npub19xgymswuxyq4sx58enft9c6algrm72a6lchplm4rjzgklufn9ygq5kcu58 reposted it 😂🤣

Just a humble generalist/internist/PCP type. Only working with acutely sick nowadays tho. Seeing healthy people in an office would weird me the fuck out 😂

I swear…some people here will never like, or trust a doctor unless they walk in and catch one of us dry-humping the shit out of a bottle of Ivermectin.

After insurance coverage the overhead shouldn’t be that bad for a one man show…so sayeth the initial numbers.

I mean…anyone can punch me in the dick and call it a treatment, but that doesn’t mean it’ll save my life.

Not anytime soon with the small ones around.

Depending on how things go might have to try my hand at opening my own shop and offering my services for free on the side.

Mega amens to that. You’re always spittin’ wisdom per the usual my friend.

Just kidding. IDGAF if you give IVM the credit. I’m just happy they got better.

That sounds like what my patients who get their medical information from Facebook say 😭.

Last few “studies” I perused about Ivermectin tried to suggest that it could play a role in inhibiting growth involving a few cancer cell lines…but all this was from China 😬. The lab and real world with real people are different things.

I’ve taken care of a few folks that were on Ivermectin before they got way too sick and had to come meet me instead. I’ll be pissed if you give the credit of their recovery to IVM 😆

🤝🫡 🫂

I knew what you meant fren and the system is indeed broken/teetering.

Had to clarify that point though for folks that may not know otherwise. 😆

💯. Costs are too damn high and definitely a concern…with a sprinkle of ignorance (eg I hope this lump in my ballsack goes away…oops six months went by lemme get it checked out = bad times).

One of my favorite parts of my job is pissing off some C-suite types by ninja-ing un/underinsured people into the hospital for cancer biopsies, because if I don’t do it they probably won’t get it done before it’s too late.

You’re definitely right about the lack of trust. I have to FREQUENTLY reassure patients that IDGAF about their insurance status and just want them to get them the best care possible.

It’s sad hospital plebs gotta deal with this from all sides nowadays. Can’t wait to quit my fiat gig and do this for free in a couple years.

Yup met just a few folks like that, but if they truly felt that way it’s a bit odd to show up and then refuse help…like you said fear probably plays a role. 99% of the time people get it with the appropriate education/reasoning. Their life, their decision at the end of the day.

Everyone here likes to talk about these “bad incentives, “ but the only incentive I have is to get people better. I’m just a dude trying to help. The “incentives” are more of a national/health system problem. I’m but a humble serf.

Finally, the science is a tad bit harder than most think. I had to memorize the Krebs cycle for no reason and maths is hard sometimes 😂.

Did the doc recommend a statin around the first pic, or second? ASCVD calculations don’t tell the whole picture. I can’t recall recommending a statin on the basis of cholesterol numbers alone. NNT not worth it IMHO.

I only work with acutely ill patients that are actively decompensating, or have a high chance of doing so. I am not talking preventative/maintenance medications. I’m talking about preventing celestial transfer medications.

I agree with you that many medications are often times not the answer and I frequently find myself consolidating/discontinuing unnecessary medications that others may have started. I tell patients my reasoning, give them my recs/educate, and tell them to have a conversation with their doc about it too.

Why do you feel that “recently” listening to doctors is a problem?

WoS and Zeus rugged me at one point. We need a support group. Inverse Zapaholics Anonymous. 😂

that’s baaaaad

wut jade do?

Genuine question. Do people think that us hospital serfs just sit around and invent cutting-edge breakthrough medical treatments in between call room fucks like on Grey’s Anatomy?

We don’t. So I’ll never understand why people come to the hospital yet refuse all the recommended, appropriate, and life saving treatments. Instead they’ll insist “we need to figure something else out.”

Like bro…this is it. Let me fix you, or go to Heaven. Those are your options. 🤦‍♂️

#docchain

gn doggy