John Asghar MD
@JahangirAsgha10
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Adult and Pediatric Spine Surgeon, Educator, Dad, Husband, ‘leave it better than you found it’ Don’t like my tweets, blame my children
Fort Lauderdale, FL
Joined March 2019
A quick vent… I can’t say it else where without creating a headache…. I absolutely hate the Gaines procedure for spondyloptosis…. Every one I have seen or been involved with… has had significant post op issues… Even those that were done in ‘experienced’ hands… The only people who recommend it are his fellows or those that haven’t seen one done
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@professorjacobs @pgipe @TakeWeightOffMD @UHC If you do that without creating an incentive structure for physicians to remain independent… you are going to exacerbate a problem… You are trying to solve
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@professorjacobs @pgipe @TakeWeightOffMD @UHC This I agree with… With hyper restrictive laws on independent practices … and healthcare systems taking advantage of the regulatory capture to hike up cost in charges on patientss
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@morrisonMSK Conceptually I love it… My worry is it will turn into an AI Cold War… Where each side develops technology to over come the other… but simultaneously adding cost
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My office manager was on hold a total of 11 Hours over 2 days (this past Thursday afternoon and subsequently Friday morning)trying to get a pre-authorization from BCBS of South Carolina completed for patient… She was waking around with the office phone headset and a set of AirPods… one was for the prior auth the other for the other work she has to do in the office… Given the number of hours spent to obtain the auth…. The procedure loses money before even getting approved
Nine minutes on hold and still no answers—UnitedHealthcare, are you serious? UnitedHealthcare called me mid-surgery because they wanted justification for my patient’s diagnosis and inpatient stay—despite the surgery already being pre-approved. Worse? The rep didn’t even have full access to my patient's medical info. After posting about it, United left a message at my office with a callback number. As a doctor, it’s nearly impossible to get through to someone at an insurance company, but I gave it a shot. ⏳I waited on hold for nearly 10 minutes—only to reach no one. I still don’t know what they wanted to discuss. This isn’t just frustrating—it’s broken. 🚨How do we change this?
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No… I work with a number of chiropractors Most are excellent and help manage the patient conservatively… many also have a therapy based component and not only snap crackle pop… The also tend to be good at referring out when they feel appropriate… For me it’s a positive relationship
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Mission Trip Time!!! For those that know me… the global spine outreach Medical missions are the highlight of my year… this is our seventh to Brazil. I am personally in the 20s … It’s an amazing opportunity to make a difference for so many kids and their parents. It’s also an opportunity to learn and teach. And see some old friends and family in Brazil… #OrthoX #Neurosurgery #SpineSurgery #Scoliosis #MedicalMissions
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I am always curious as to what the impact of long construct fusions to the pelvis have on the abductor mechanisms and tears…
@orthotraumamd @orthobullets @StephenJIncavo @HMethodistMD @drsebheaven @ChrisGraysonMD1 @tdd340 @yoon_rs @schulte_ss @DrFraneNicholas @stevemchale @itius @KevinParkMD @shaunpat1 Truthfully I suspect abductor tears are a lot like RTC tears - most are asymptomatic and hard to say why some hurt and most don’t
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I suck at predicting future from political/administrative perspective….. I suspect that care will continued to be siloed…. Negative impact on patient and physician autonomy I think AI will be a tool for good on the Clinical side…. And a tool for evil on the insurance/bureaucratic side I suspect little will be done to reign in health care costs I suspect that nano technology bots and improved pharmacological delivery mechanisms will have a huge impact I think health care will become progressively more tiered between the cash pay/concierge And the insurance pay groups Like you said, I think the declining birth rate would likely have a significant impact on pediatric hospitals … just not sure what that’ll look like
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@PradGeorge The one that frustrates me the most is eye wear… Our eyes are exceptionally sensitive to radiation … but you never see appropriate eye protection in the hospital I went out bought them for my team… They all complain the glasses are too heavy…
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It’s a bit of an unusual model… When I am considering partnering with the hospital… it’s the first thing that I layout as a requirement… I try to be as specific about our expectations as I can… As you’ve said administrators, often aren’t your friends, my leverage tends to come from my autonomy and my patients don’t come through any specific hospital referral system. So they have very little control over my volume which is substantial. It’s why I maintain such a strong relationship with DPC’s and other independent practices. Along with marketing and branding of my name. The actual structure Is a combination of 1099s, full employment… there are other aspects to it…Which I would be happy to discuss off-line
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