Another story about the crap doctors who work for insurance. Had to do a peer to peer with one who denied BPH surgery for my pt living with a foley. I asked his name, turned out to be one of my old attendings who go fired for sexual harassment. Made small talk & then approved it.

Had the pleasure of yelling at two “peers” from insurance companies denying care for ureteroscopy for stones. I cannot imagine that the most basic, common thing we manage as urologists now require peer to peer insurance approvals.

Wife not feeling well. Yesterday: “Why didn’t you call all day to check up on me?” Today: call at lunch to check on her- “Why did call me and wake me up? I was taking a nap, you know I’m not feeling well.” We will never win.

📌 The UK doesn’t have a doctor shortage. It has a doctor retention problem. You can’t keep people in a system that asks for more, pays less, and delays advancement for years after they’re fully trained. Fix that, and the strikes disappear. #NHS #JuniorDoctors #NHSstrike

Just watching some American football in the physicians lounge while drinking some free peach-mango seltzer water while waiting for my next case to roll back. Sorry UK physician friends at @NHSuk, you deserve better.

The UK is decades behind at best. Basic facilities that most of us don’t have as doctors: 1. An office space solely for the team 2. A clean area to work 3. At least one workstation per doctor 4. Available drinking water that is readily accessible 5. A window in a room to work

“The horse is prepared for battle, but victory comes from the Lord.” - Proverbs 21:31

IR Centers is growing again! Looking for IRs for Memphis or Kansas City—Blues or BBQ! Great job doing mostly embolization. No call. Good hours. Signing bonus and loan repayment available. If interested, email marco@ircenters.com @SIR_ECS

A serious question what makes you want to be a ND fan or play for ND????

Physicians have dealt with a 29% real decline in Medicare reimbursements over the past two decades, even as practice expenses (like staffing, equipment, and malpractice insurance) have risen faster than inflation This proposed cut is akin to telling a factory worker, “Great job

on site 📍

There’s a new cardiologist my hospital that writes his progress notes in Comic Sans and it drives me nuts.

ESPN’s “College GameDay” announces location change from North Shore to Gene's Place. #H2P

For drugs, go to: https://t.co/2XIuwKxgKt For labs, go to: https://t.co/4r2Anz0rIP For imaging use: https://t.co/2oB4wyWV9T Avoid hospital-employed physicians, outpatient centers, urgent cares, labs, and imaging if the tests are routine and scheduled. Always ask for the cash

A great read. If you are not getting paid for call in 2025, you should either not take call (if private) or find an employer that values you if employed. It’s that simple. https://t.co/kJIfmt6NIL

orthopedics

Visiting Professor why? Is it worth giving up 2 days of vacation/family time?

I pay for NFL Sunday Ticket YouTube TV with Red Zone Disney Plus Amazon Prime Yet, I'm literally watching the 4th quarter of the MNF game on someone's TikTok live. Despicable

One big reason graduating residents and fellows can’t find private practice jobs? @DutchRojas drops the truth on @DRsLoungePod Sadly, Boomer docs sold out younger generation of docs by selling their practices to private equity @DrDiGiorgio @anish_koka @sdixitmd

There seems to be this pervasive belief out there in the world that the majority of what doctors do is diagnose. I think the majority of what we do is treat, guide, care, and shepherd people through their illnesses and disease processes. It’s mostly TV doctors caught up in some