American Healthcare continues to go backward

When I was doing anticoag down in South Georgia I had a patient who had atrial fibrilation AND Factor V Leiden and had a history of thromboembolic stroke. He was going for a procedure for which he needed to be unanticoagulated, so I wanted to put him on enoxaparin for a week prior to the procedure and stop the enoxaparin 24 hours prior to the procedure, restart it after the procedure while I was making him therapeutic again after the procedure with warfarin (this was pre-DOAC). He had UHC. Denied the enoxaparin. I wrote the justification for the outpatient use of the enoxaparin, afib, F V Leiden, hx of CVA, procedure... denied. Fortunately, I also worked part-time at the hospital where the procedure was going to be done and I can't remember now exactly how I did it, but I got the hospital to pony up the enoxaparin. I mean, I can't say for certain the guy would have had a stroke in the two weeks or so that the guy would have been unanticoagulated, but those are dice that no one wants to roll.

Their business model is to deny claims and hope that providers/patients will give up trying to get it approved.
 
After RFK Jr. recommends vitamin A as a measles treatment, some Texas patients show signs of toxicity
Patients at Covenant Children’s Hospital in Lubbock, Texas, have been found to have abnormal liver function, which can occur when someone takes too much vitamin A.

Link
 
After RFK Jr. recommends vitamin A as a measles treatment, some Texas patients show signs of toxicity
Patients at Covenant Children’s Hospital in Lubbock, Texas, have been found to have abnormal liver function, which can occur when someone takes too much vitamin A.

Link
Holee mother of f***
 
I’m working on recertification as a healthcare ethics consultant so that I can continue my role as a consultant for the medical center. I am one of the very few pharmacist healthcare ethics consultants in the country. I am so damn discouraged by all the uncertainty in the VA right now that I really don’t know what to do. We have been told that reviewing recertification portfolios has ceased for the foreseeable future and we don’t know when or if they will resume or what the standards will be if and when they do, but we are expected to maintain professional competence nevertheless. Exactly how when we don’t know what the standards are is freaking beyond me.

What an effing clown show. If you voted for this you should be ashamed.
 
Insane RFK Jr. claim of the day: "20 years ago there was no Diabetes in China. Today 50% of the population is diabetic, why is that, they built 20,000 American fast food restaurants in China. We are now paying more for diabetes than for our military budget."

 
Earlier this month, Robert F. Kennedy Jr. said the federal government was delivering vitamin A to measles-stricken communities in Texas. Those doses never arrived, the state's public-health department told Nicholas Florko—because doctors don't want them.

 
JUST IN: The FDA’s top vaccine official, Dr. Peter Marks, has been pushed out. In his resignation letter, he slams RFK Jr. for rejecting “truth and transparency” and pushing “misinformation and lies.” Marks warns of an “unprecedented assault on scientific truth.”

 
JUST IN: The FDA’s top vaccine official, Dr. Peter Marks, has been pushed out. In his resignation letter, he slams RFK Jr. for rejecting “truth and transparency” and pushing “misinformation and lies.” Marks warns of an “unprecedented assault on scientific truth.”

RFK jr so far has been a real disappointment. I had hoped that he would come in, tone down the anti-vax rhetoric, and focus on health, healthy eating, exercise, etc. Instead, I have heard very little about those things, and he is playing up the part I hoped he would avoid.
 
This guy is the funniest doc on the internet. He is a practicing ophthalmologist who had a cardiac arrest and had his life flight and care denied by Cigna. His videos are funny but on point about the reality of us health care.

 
This guy is the funniest doc on the internet. He is a practicing ophthalmologist who had a cardiac arrest and had his life flight and care denied by Cigna. His videos are funny but on point about the reality of us health care.

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A million in my bank account? Count me in...
 
This guy is the funniest doc on the internet. He is a practicing ophthalmologist who had a cardiac arrest and had his life flight and care denied by Cigna. His videos are funny but on point about the reality of us health care.

Cigna declined life flight and care for a cardiac arrest...? How in the crap did they justify that decision, it wasn't pre approved?
 
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