Sravan Panuganti, DO, FACOS
@SPuro88
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Dad. Husband. Urology, BPH, Sex Med. Asst. Prof. @vcomcarolinas. Fel @UTHUrology/@MDAndersonNews. Res @JeffNJurology. DO @PCOMeducation. But first @PittTweet
Charlotte, NC
Joined March 2020
Dad was in town visiting. Found out he drove to my office today and sat in my waiting room for 30 minutes just to hear patients check in to see “Dr. Panuganti” 🥹.
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A patient came to see me for an elective, non-life threatening issue. He decided to hurl racial slurs at me upon the first time ever meeting me. In training, this would happen on occasion and it almost was expected we dealt with it silently. Now? I dismissed him from my practice.
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Wife is a bridesmaid in friends destination wedding, $2k to attend bachelorette party, $1500 for bridal shower, another couple hundred for a dress, spending around $5K as a fam to get to wedding. Terrible thing to do to your friends, should really make your worst enemies do this.
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Very proud of my HOA community. A Karen took a picture of home & posted it to the community FB group saying she didn’t like the color they painted it & she shouldn’t be forced to look at it, was reporting it to the HOA. Everyone banded together to criticize her & now she’s moving.
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Did I argue with the carnival ticket lady why the pricing for 20 tickets made no sense? Did I then proceed to buy 20 individual tickets after she disagreed with me? Sure did.
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Had an insurance company who previously denied a patient’s cancer treatment and I had a peer to peer scheduled with them this afternoon preemptively reach back out this AM saying they’ve reconsidered and will approve treatment and no p2p necessary. …is something happening??.
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And for the Twitter critters: all local rules and laws were followed for patient dismissal from medical care.
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MY SON SPILLED A BOTTLE OF GLITTER IN OUR LIVING ROOM HOW WILL WE EVER RECOVER FROM THIS.
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New low. @Humana is refusing to approve necessary surgery for my patients. Impossible to get through with the denying doctor w long phone waits & no call backs. When I asked for doctor’s medical license number or NPI, they refuse and just give me the name “Dr. Johnson.” Pathetic.
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Please do not check your temperature via your urethra. And if you do, don’t shove it so far that it goes into your bladder and you forget about it for 15 years.
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For anyone curious it was a dark blue color with white accents. I didn’t think it was bad at all, my wife thought it was ugly but apart having our own personal opinions it doesn’t matter & none of our business.
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One of my fav memories of residency was when I was called for a patient w an obstructing stone & fever. Told him he needed a stent. He refused & said he was going to another hospital. Hours later, I told him the same thing at the other hospital because I was on call there too.
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I looked back at the community documents and the home owner DID get approval for the paint color. Happy Karen is moving.
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Had to shut down comments because ya’ll can’t control yourselves.
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@StephanyCarolan He did the same for my sister. Couldn’t understand a word of it, but bought an “official” copy from her university to keep in his home office.
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Another weekend on call with my wife working in the ED
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Another night of my wife doing the overnight ED shift and me being the urologist on call.
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Godspeed to the Stryker rep who is wearing our cysto nurse’s monogrammed lead and when she kindly asked for it back he said, “I’m wearing it now, go find your own.”.
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Every time I’m in the physicians lounge I change the channel from Fox News to Nickelodeon just to see who changes it back.
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My mother asked me if I could do a minor procedure on her ear, confirming that she has absolutely no idea what I do for a living.
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Saw an ortho progress note and under physical exam, general, they just wrote “Alive.”.
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We all got Epic generated emails about late first case starts. However, when an actual human looked at the cases, very rarely was actually due to the surgeon being late. Now I send selfies of myself in the room to admins of me being in the room prior to 7:30am every OR day.
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I have a friend who is a surgeon who is out of network to himself on his own insurance plan.
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A physician group I’m part of mentioned a post of an EM physician at the hospital in Maine who received many shooting victims last night that a formal complaint was placed against him by another patient with a cough that felt they waited in the ED too long last night.
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When I was in residency there was a toxic transplant surgeon who at M&M would yell at the residents/other attendings, belittling them on stupid things like font color in their ppt, even making some cry. Then he put a kidney in the wrong patient and didn’t show up for its M&M.
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Pro tip:. Costco is often the cheapest place to get prescriptions on GoodRx. If you have a patient that needs it to buy scripts, tell them they can go to Costco. They don’t need a membership to use the pharmacy, it’s illegal to have a membership service to a pharmacy.
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@QuinnWillful I can’t fathom how people live lives where things like this are bothersome enough to them.
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She goes, “is your name Gwen?!” And points to her name on his chest. Guys I’m about to witness a murder.
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You may want to delete this as you’ve exposed yourself as the worst healthcare consultant on the planet.
I do healthcare consulting for a living. It is simple math that we cannot reduce healthcare costs in this country without reducing the amounts we pay doctors and hospitals. Dr's cannot make $30k/hour in an affordable system.
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One of my favorite jokes is right before a surgery when a patient says to me, “I watched a few videos last night on how this is done,” I always respond with “yea me too” followed by an awkward silence.
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@21stCPedagogy She tried to sell me 50 too. I was like my kids are too short for over half your rides here. I’m good with my 20 singles. Thanks.
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@HumanFlypaper @AlecMacGillis 200K+ interactions with this post and this is the only useful comment I’ve gotten.
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@bronterDoc What’s it like to have the gusto to try to explain what sounding is to a urologist?.
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One of the first things you learn when rounding on patients in the morning is that the first light switch you flip on never turns on the light you actually want to turn on. This won’t change for the entirety of your career.
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One of my friends was a bartender there. When I pointed it out to her she said, “yea I told my manager and they want you to stop telling everyone because they’re embarrassed and now we have to clean more glasses.”.
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An insurance company sent me a letter today saying Myrbetriq isn’t covered under the patient’s plan but Myrbetriq is. Yes, you read this right.
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My wife told me when she was in residency, staff in the ED would wear Halloween costumes. One year a kid came in and had to be coded by a clown, witch, etc. and how bad the optics were. So I refuse to wear a costume at work because I’m terrified of delivering bad news in costume.
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@Med_zeppelin_ Because no one could find the thermometer to take a temperature to check off a SIRS criteria box.
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I would like to announce the final results of my 10 year research project in the making: . It’s completely possible to be an attending surgeon and not be a psychopath.
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There’s a vanishing door into the wall to go into my bathroom. I just finished mounting my TV. Went to go use the bathroom and the door seemed stuck and wouldn’t slide close. And that’s how I realized how stupid I am.
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One time the ER sec accidentally paged me instead of neurology. I let the resident present on & on about stuff like headaches & CSF, yada yada. Then I told her I was urology. She asked why I let her give her whole presentation. I said I wanted to see if I could help. I couldn’t.
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This is a good time to point out that a bar in college used to sell “Big Azz” margaritas 13oz for $7 but would also sell 7oz margaritas for $3 during their happy hour. So I would routinely just order two smaller ones instead of the “Big Azz” and soon all my friends followed suit.
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7 years into marriage and my wife has the audacity to ask to switch sides of the bed we sleep on. How do I overcome this?.
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Indian surgeons on YouTube are the backbone of US surgical residency training.
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Whenever someone I see in office tells me I speak English really well I typically respond with, “yea you do too.”. Really catches them off guard.
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Before you post anything about others driving up healthcare costs, please remember United HealthCare/Optum have their own luxury suites at NFL stadiums that only they have access to. *not my photos.
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I'm at the airport for a scheduled flight with my daughter. Departure was 9:20. ID checked and went thru security, but still waiting to takeoff. Reason #30584 of why flying in the US sucks. Why can every other sector keep appts, but pilots can't?.
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@SkepticClaus Yea, I get that but we wanted a community pool and not have one our own to maintain. Necessary evil with that scenario.
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My wife and I shouldn’t be allowed to work together.
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My wife told me I’m 4th out of 6 of her favorite urologists to be on call at our hospital when she’s working in the ED.
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I got the highest compliment a physician could ever receive. A farmer told me I did a good job.
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The vasectomy patient who brings a different woman to his consultation appointment and his procedure date is one of life’s greatest mysteries.
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One time my wife bought me Knicks tickets for my bday. As we were walking to MSG, she goes, “I don’t know how people can afford games like this regularly.”. I was like ???. Reader: our seats were behind Tracy Morgan. She just went online, picked best available & just bought 2 tix.
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Leaving for a trip with my wife’s family soon. Wife- EM.MIL- FM.SIL- cards.SIL husband- neonatologist.BIL- ortho.BIL wife- trauma surgeon. Hoping for no priapisms, difficult foleys or torsions on the plane when they call for a doctor overhead, because I’m useless in comparison 🤞.
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Been an attending for 4 years now and looking back, why were attendings in med school and residency such psychopaths??.
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Who’s on call for UPMC plastics and fixing an ear right now??.
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Having my first med student ever rotate with me in January. What do I do with it?.
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@polyeaster I’ve decided the only friends I keep are 8000 people that yell at me on Twitter.
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Got routine screening labs for my annual PCP appointment. Lab values resulted to MyChart at 6:30am, I promptly sent a series of messages at 6:31am asking why all the values weren’t green and it’s 7:30 and I haven’t heard back. Healthcare is a nightmare!!!!!.
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My parents saw my son randomly eating Pringles during a FaceTime call about a month ago. Going to visit them now and my dad, without provocation, bought a massive Costco sized supply of Pringles for our 5 day trip. Grandparents are a different breed.
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General surgeons: what is the purpose of the add on robotic cholecystectomy? Isn’t it a procedure that has essentially been perfected w pure lap at a fraction of the time & cost?. I write this on a Sunday waiting 4 hours a robotic chole to be finished- historical 45 min lap case.
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Do not consult me for this.
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@Bier_Automata I’ll take any win. Billing insurance companies for that uncompensated time would be a nice advantage if we could, but for now they’re just preying on our generosity for advocating for our patients.
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I’ve had a student literally fall asleep in my OR before. More often than not for required rotations, you have someone just serving their time and interested in a completely different field. If you don’t make the rotation torture for them, they may actually try to care more.
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Undoubtedly we all know that medical students need to eat. However it’s disheartening to see my alma mater seeking donations for a food pantry for students. This should be a clear sign tuition is too high and their financial assistance to students is not where it needs to be.
This #GivingTuesday, make a donation to PCOM Student Food Pantries so that every student who attends PCOM has what they need to not only survive, but thrive. Make a gift today:
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My wife is an ED doctor. 5 years ago she asked to borrow my stethoscope that she found buried in our closet when she couldn’t find hers. She gave it back to me today (bought a new one on Black Friday). What do I do with it? How do I use it? Are the batteries still good?.
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@Just_NutherJoe My guy. That was the carnies posting over a piece of paper trying to update their sign. You think if I took the effort to photoshop (which I’ve never done before), I would have done a better job?.
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The sheer number of 18-19 year old guys that being their mothers to their new patient appointment for “erectile dysfunction” is a lot higher than you think.
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It should be mandatory for every residency to include a billing/coding seminar for graduating residents.
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My wife now works at the ED at my hospital. She just called me for first time while I was the urologist on call.
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Moving today and movers will probably be here close to 6 hours. So I went out and got them all lunch (after asking for dietary restrictions). They were thankful and said no one ever does this for them. Do people normally not feed people that have been at your house all day?!?!.
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@quality_nguyen @Enfamil @meadjohnson I personally like to respond to “Your English is real good!”. With “Uhh. thanks. Yours is okay.”.
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Reading the events of today and then also getting a message about a patient’s insurance denying a PET scan to appropriately stage their cancer gives some mixed emotions.
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Hot take: if you’re invited to speak at a conference and especially if an honorarium isn’t provided, you shouldn’t be forced to register for the conference but if you are, registration fees should be waived.
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I am looking to get a vasectomy. I want to go in total anonymity and not have the urologist know I am one as well. Does anyone have any recommendations for one that doesn’t have a Twitter? Preferably one that doesn’t even know how to turn on a computer. Willing to travel.
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@SlickTweetsSC This is true. When I was a first year in medical school, a professor threw a foley into the seats of the lecture hall and it hit me in the face. Now I’m a urologist.
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@sabarizvimd Come on, pharmacists are more than qualified to administer vaccines. How many physicians outside FM and pediatricians administer IM injections anyway? That’s all done by nurses and MAs at virtually every other practice. They’re more than capable of increasing pts access to care.
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As a surgeon, I would like to state that the ORs in public schools are terrible.
Think about how stupid you'd need to be to believe that kids are going to school and having sex change operations.
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I live within walking distance of the NC/SC state line and a tree has fallen down in the road literally on the state line and this is going to be an administrative nightmare.
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