Maura Lipp, MD
@mo57744
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Critical Care/Palliative Medicine Physician, writer, dog mom, advocate, wife, living with stage 4 cancer, MS. These opinions are mine alone. Not medical advice!
Joined September 2013
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I’ve been trying to find a way to describe what its like to be facing the end of your life. While no singular description can do it justice, because of the complexity of the subject, here is my best attempt.
Most people unfortunately have experienced loss and grief. It may be
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@historyinmemes
I thought the first heart transplant was in Cape Town South Africa, Dr Barnard. This patient died a few weeks later from pneumonia so didnt live as long as what it is mentioned in this post BUT it was the first.
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@lungareaux
I’ve done that many times, but never with alcohol (just cause no ones asked me for that).
I’m thinking of a COVID patient in the ICU. He’d been there for a while and was getting worse. Wasnt intubated, yet. I knew darn well he probably wasn’t going to survive and ALL he wanted
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There is so much that happens to cancer patients that we doctors don't ever see. We can empathize, imagine what it's like but we have no idea until we experience something like the following:
This morning I was having a conversation with my husband over breakfast. He's been
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@DrSuneelDhand
That’s nonsense. Listen I agree we cant keep mandates around forever and mitigation strategies should follow data that indicates risk and prevelence however-for high risk individuals and in high risk areas specific rules have to apply. I have cancer, and a single respiratory
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@acweyand
I baked a pumpkin pie for my hospitalized patient who was refusing to eat. It was around Thanksgiving and he told me how much he loved pumpkin pie. I brought it in he was so happy. He ate it all over the course of a day or two. Its like he was different man.
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These days I dont go anywhere except to medical appointments. I’ve just completed radiation. Up until last week, whenever in the cancer center I still wore a mask. Even though literally NO ONE else did, including staff, I’ve always considered it proper since it was a high risk
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@nursekelsey
Yeah its insane. Think about this, pre-COVID no one got hot and bothered by someone wearing a mask. I mean yes, I admit there was a time we all made fun of Michael Jackson for wearing a mask in public but that was it. Certainly no one ever questioned a medical professional for
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@SalcedaAlicia
@AerodDr
That’s not necessarily true. Most doctors can do the basics. The problem is simply that we dont usually have the tools we need out in the field. If its just me without equipment etc, then sometimes all I can do is hold someone’s hand🤷🏼♀️. Not because I dont know how to do the other
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An absolutely crazy thing happened to me today and I have to share this with you. Its a long story so I do apologize, but its worth it.
First I need to say that I have been in more emergency situations then I can even count. I started working in the medical field (EMS) when I
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@TMZ
Terrible behavior, but the other part of the story we should be talking about is the kind neighbor who saw this happen, went over and refilled the bowl with their candy. A prime example not just of what you shouldn’t do, but what you should. Kudos to that neighbor!
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@past2present_x
@Morbidful
He’s a hero, which is also why he has carried such intense guilt-great people understand responsibility and never try to pass the buck. He did all he could, then risked it all again by sharing his testimony publicly only 3 weeks later. Even though he did it anonymously, he was
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@Karen81563345
You are right in the peaceful part, I've seen SO many patients who were actively dying yet, they were in total and complete peace. Even though they knew exactly what was happening, they just seemed so okay with it. I always tried to imagine that situation and it was so hard to
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@FaumanKaren
I never thought about that, but their family does and I imagine that is unbelievably difficult. I don't know that I would ever be able to do your job. Bless you for what you do! Thanks for your kind words.
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@WendyHassonMD
Very sad. Unfortunately it’s what happens when people are just task oriented and dont critically think. Over reliance on monitors. They had tunnel vision.
Do you know how many times I’ve heard from staff and even nurses say “but the sat’s okay.” Monitors serve a purpose but
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@DrKnowItAll16
Yeah maybe if you’re going from a 1985 Chrysler K car to the Tesla but certainly not any modern gas powered cars.
You should try driving a manual car without power anything, windows, steering..you’ld be in serious trouble.
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@wildestdreams_3
Not weird at all in fact we appreciate those things so much. It’s very thoughtful of you. Especially getting to see someone being able to return to the thing they couldn’t do before. I’d say your doctors would love that!
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@TPP_MD
Earlier in my career, my friends and I as then single female physicians:
Guy in a bar: what do you do for a living?
Me: I’m a doctor
*guy in the bar rapidly exits stage left.
We figured out we need to say something like “flight attendant” or even “nurse” cause those ladies
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@ironjustice
@birgitomo
That would be unlikely, its apples and oranges meaning the reasons why healthcare workers need to be vaccinated is very different then the reason why vaccination is required for transplant recipients
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@spiderko_2
@historyinmemes
Gotcha. It’s still a huge triumph so, not negating that by any means. As a physician, I cant even imagine what they had to go through to be “the first.” And to have it be such a huge success, that’s phenomenal.
I just happened to visit the hospital in Cape Town while on a
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@RyanMarino
I agree, more time in nature and less time in the hospital…who wouldn’t agree with that? No one WANTS to be in the hospital unless they really need to be there. Myself included, sort of seems like a nonsensical statement.
Do you have to be unvaccinated to enjoy nature or “be
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@FoxNews
Wow. I got my first real job at 14 and the minimum wage was $4.25/hr. I had that same job throughout High School. In college I worked full time while I went to school full time (premed), and volunteered part time. So many kids now come out of college, get a job but have no clue
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@SolNataMD
The problem started when masks became political. Before COVID there was never a question about the value of masks decreasing risk of spread. During that time if someone told me that masks would become controversial I would have laughed in their face. But sadly here we are. And
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@stevlandambrose
I watched people die with my own eyes every day. I didnt learn of the pandemic from the media, govnt leaders etc etc. I saw it. I will be happy to share stories if you like.
And the problem with your entire story is that it essentially says that those 7 million lives didnt
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@AjKavanaugh
I think this “midlevel vs physician” argument is kinda crazy. It’s apples to oranges. Now, I LOVE the NP’s I work with, I’d trust them with my life. And I think we all have stories of that one NP who is better than that one MD, as specific individuals. I’ve also known nurses who
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@JebraFaushay
Listen, I’m never gonna laugh or even comment on another person’s hardship. Even if relative to my personal experience, its not hardship at all, if that person feels that way then it is. And I’ll have empathy for anyone who feels they are suffering. BUT…
Political refugee are
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@TulsiGabbard
I’m not a pediatrician so full disclosure medically I know nothing about gender affirming procedures. I’m admitting this is absolutely not in my lane although I do have this question to pose: In a world where we dont even let 7 year olds sign their own consent for an emergency
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@simonateba
@realDonaldTrump
And the media were willing accomplices. The FBI says they’ve “made changes” but yet still no investigation into Biden family influence peddling, there is more evidence there than there was for “russia-gate” yet where is that investigation? How are any of us supposed to trust
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@simonateba
@realDonaldTrump
Corruption and toxicity on either side of the isle is just something that shouldn’t be allowed to propagate. But you know, they are aggressively going after Trump again and again while at the same time ignoring what’s happening on the other side. We thought ignoring Hillary
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@RyanAFournier
If this is true, it’s a horrible way to punish the responsible. A different way to represent this idea that success should be punished. Interest rates go up when banks take a higher risk. That’s the point of working to have a better credit history-so you can save money when you
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@JoeBrown54189
@CollinRugg
This location has been used in MANY films and music videos. It’s a quintessential small town square. Most recently was the backdrop for a Christmas movie. Im certain that if you look across the south, or even across the country for that matter, there will be many locations,
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@afbrat1986
@FoxNews
The shooter shot through the locked doors. Nothing was left open.
When officers arrived, the school was on full lockdown, you can see the shooter searching for kids unable to find any. I dont know where those who were killed were, they havent released how that enounter
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@regardslilly
@AP
You couldn’t be further off the mark. First, most frontline staff receive training in de-escalation.
But most importantly, the culture in healthcare has always been one where those working on the bedside have been told they have to “just take it.” If a patient punches you, its
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@RepOgles
Coming together to do the job you’re elected to do, particularly at a time like this IS what you all should be doing. That applies to Republicans themselves coming together as well as working with Democrats when needed. The world is on fire right now, DO YOUR JOB! Elect a
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@RyanMarino
Exactly. Take it from an intensivist, it doesnt treat acute septic shock. I have NO idea what happened with Madonna and dont want to be the person spreading rumors BUT when we hear stories of someone coming off the ventilator within 24 hours and having had a “bacterial infection”
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@nursekelsey
😂😂😂
That’s alright, I once while dictating a social history, meaning to say he has…wrote “he does goats and horses.” 🤦🏼♀️
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@NoContextHumans
Best things: unlimited opportunity, the kindest most generous peoples, despite imperfections its still the most free country on earth.
Bad things: entitlement. Its amazing how many people have NO idea how good they have it. How many have never seen what REAL poverty and
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@acweyand
I finally got blocked by him, took long enough!😂 I questioned why he chose to quote one pulm/ccm doc who worked the frontlines (although still had time to get “famous” making YouTube videos hmmm) while at the same time ignoring ALL the others. Could it be that its just about
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@RaymondJFoley1
Hi Dr Foley! Thank you so much and know that I always think of my UConn family, you all hold a warm place in my heart. And you have always been so wonderful, so patient. I truly appreciate all that you did for me and just know you had a tremendous impact on my life and career.
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@kevin_ro
Dogs in the hospital are the best! We have 4 security dogs which are the best deterrent. They are SO well trained. Honestly, a security officer shows up with the dog, dog just sits there but the moment an unruly person sees there is a dog, instant de-escalation. Staff loves them,
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@quality_nguyen
Absolutely! It’s the most dangerous thing. Everyone in medicine, no matter what stage you are in, needs to have a healthy respect for the fact that even under the simplest, most common scenarios bad things can happen. A person who thinks they know it all is also a person that
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@JulieHemmings4
@DrSuneelDhand
First, that is NOT true. But regardless, your answer of just “waiting outside or avoiding sick people” tells me you know nothing about what cancer patients have to go through. Cancer patients cant avoid sick people when they have to be in a cancer center to receive treatment.
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@RusssBuchanan
@AP
Sure it makes people cranky, but that’s not an excuse for violence. There is no excuse for assaulting anyone, in this case specially healthcare professionals. BEDSIDE healthcare professionals who incidentally have NOTHING to do issues within the system or insurance,
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@greyrocks
@RNCResearch
Its not about the pant leg, its the fact that he always has to be shown where to walk, where to stand etc. Some instruction is fine but this guy cant even tie his shoes on his own and he is supposed to be commander in chief-yikes
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@OwenBenjamin
Apparently they were housed in concrete bunkers using a rapatronic camera and quartz mirrors. “Concrete bunkers” doesnt just mean the big ones that people stand in, cameras can be in their own small concrete bunker. They filmed the reflection of the image, not the image itself.
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@MateoRamsesMed
I understand you, I know this is a scary time. Been there. But respectfully, I think you might have a bit of tunnel vision my friend. Every Dr practicing today has done the same thing and survived. As someone said, your future is bright. You’re going to have a guaranteed job for
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@kneadtotalk
Hahaha never. I have had some variations on this theme but it all basically comes down to this: I run into some classmate who reminds me, on the day of the final that we have a test and its for a class I forgot I had registered for. As in, I didnt attend a single class all year
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@chescopapi
@TheRightMelissa
I interpreted that to mean not what people had, but instead how they behaved. When whites were at their “lowest” as in, behaved their worst-the height of racial discrimination, blacks were at their “highest” meaning how they responded. “They denied us entry in a hotel, we built
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As an intensivist I admit there is a sense of futility when a pt with advanced cancer comes to the ICU.But as a pt LIVING with advanced cancer, there may be circumstances when for me,ICU level of care is appropriate and consistent with my goals.We need to change our assumptions
New realities in critical care for pts with cancer
1️⃣ serious illness no longer means end of life
2️⃣ novel cancer therapies: changing outcomes but creating new diseases
3️⃣ take fresh look at ARF
4️⃣ goals of care & time‑limited trial
5️⃣ look beyond
#ICU
📖
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@RepOgles
Well fine, then work to get the Republicans together and elect a leader already. This is less about ideology and more about having a functioning government. We are a heartbeat away from war and Congress is dead in the water. You all need to put the political posturing aside and
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@jemelehill
So, what that’s roughly 15 % of the student body? What percentage of admissions in other race demographics were also helped by legacy, family or sports? Seems like the primary problem is economic and not racial. I agree I dont think legacy or donor status should be a special
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@greg_price11
Apples and oranges
Can we talk about the real problem-the exponential rise in the cost of college tuition? Look, as long as the govnt and banks are willing to lend without limit, colleges will continue to increase the cost. How ANY undergrad degree costs six figures is insane to
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@AmanKha41396393
@StopAntisemites
Thank you. And yes it’s possible for a person to be pro-Palestinian and STILL want hostages released just as a person can be pro-Israeli but still cry every time an innocent Gazan civilian is killed. This idea that in order to support one position or the other, you have to lose
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@lynda_balcom
Oh my goodness, I can't even imagine. I'm so sorry that you both are going through this. I suppose knowing they will fine and like my husband, will have the possibility for future joy and all that life brings, is the thing you have to cling to. Otherwise, there's really no other
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A diagnosis of serious illness like cancer does a lot of things to the soul, one of the worst is how it robs you of your identity.
Yesterday, I was at the hospital and so while there I went up to the ICU to visit my work family. I haven't seen them in a while, as I've been on
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@AP
I’m reading some of these comments and its making my stomach turn. So here goes my rant:
This is NOT political. There is a problem these days in which people are absolutely incapable of seeing anything without a partisan lense. And we wonder why the country is so divided. I’ve
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@19joho
Says “Dr” Bass, the guy who didnt have to watch a single person die from COVID. He also doesn’t understand that there is a difference between rates of transmission and death rates, that the two populations arent the same. All you have to do is compare these graphs side by side
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@GidMK
Good article. I’ve said this a million times but I’m gonna repeat it here for the conspiracy theorists:
Ventilators are life support, people by definition go on them because they are at high risk of dying. Its not a decision that is taken lightly, COVID or otherwise. When we
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@nursekelsey
I’m a cancer patient so these days I literally only go out for medical treatments. And I just tested positive last week.
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@LadyDoctorSays
@BadMedicalTakes
Hahaha what??? I cant even🤦🏼♀️
I’ve heard a lot but this great. I had one patient who snorted vit C, thinking if you got it directly on the source that his cold would get better faster. That must have burned his nostrils so bad!! I’ll take the cold instead.
Another patient told
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@DrBerk
@SeattleiteLeo
@DrGRuralMD
@pan_accindex
@ModelAyshaMirza
@TTUHSC
@ttuhscmed
No, but this isn't simply about the accidental lone snarky comment on a tweet or even being wrong on occasion in our scientific accuracy. From what I've seen, there really is only one of two explanations for the behavior displayed: there is a level of narcissism that doesn't
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@CplDrayton_BCSO
@Robinsa44614600
1000% yes! I’m sure most people mean well when they say “cant wait to see a pic of the baby” however you are completely right and I’d probably say the same thing.
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@DeadguyR
@RyanAFournier
I do think everyone has a right to housing. But it’s disingenuous to think that incentivizing people to buy a bigger home than they can afford is in any way helpful. That’s what happened in early 2000, the people who sold homes and lent money created this illusion that someone
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@MattWallace888
There is one big thing though. I like many people watched that video of the arrest and regardless of the cause of death, those officers didn’t intervene to save his life. I’m a physician so I saw right away the moment that turned into a real medical emergency, the moment that
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@LakotaMan1
1000% yes! But let’s define “work” because I think the first problem started when the narrative became “vaccine will stop ALL transmission.” Nothing stops transmission 100% of the time. But that doesnt mean its not effective at slowing spread. (the same masks and everything else)
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@TraumaSoapBoxes
No, NOT hemodynamically stable.
Pressors dont fully replicate the normal physiology of organ perfusion. You reach accepted minimums and support life but that’s not the same as functioning normally. And a person on multiple pressors, even if the screen shows that magical MAP of
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@HughThunkIt
@SolNataMD
I’m afraid that we havent even seen all of the effects yet. There is a long history of viruses causing issues 10 years or more after the initial infection. EBV and autoimmune disease, cancer, HPV and cancer, hep C and cancer, etc etc etc. A virus like SC2 is absolutely capable of
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@VivekGRamaswamy
Even for those that completely hate Trump, the weaponization of govn’t agencies for the sole purpose of neutralizing a political opponent should be a major concern for every single American.
Ask this question, if Trump had decided NOT to run again, would any of these charges
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@peoplescaddie
@historyinmemes
It depends how you define successful. At that point people didnt even know if the donor heart would start beating again and be sustained on its own off pump. Just the development of the bypass pump itself was huge. So yeah while he only lived about 3 weeks, the fact that it could
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Thank you all for the love and support and definitely for all the prayers. I very much appreciate it.❤️
This is so frightening because as a critical care doctor I know first hand what COVID can do. I had it before in 12/2020, prior to cancer diagnosis. I’m vaccinated and have
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@RyanMarino
So, he’s pro-eugenics but anti-everything else in modern medicine? Actually believing that face masks are more harmful than this 💩 he’s pushing? Ironic because on the basis of intellect and potential for positive contribution to society, he wouldn’t have made the cut. His agenda
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@md_stat
@RMCarpiano
A patient that allegedly wasnt hers in a hospital in which she had no privileges. There is a long history of doctors being sanctioned by medical boards for prescribing to patients outside of an established patient relationship. Look it up, its not about Ivermectin or even COVID
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@MonstersnAngels
@nursekelsey
I politely, and maybe now not so politely, challenged this by asking question after question. Like the fact that doctors and yes respiratory therapists too risk their lives every time they intubate a COVID patient. So, why then would they intentionally do this just to either make
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@Doctor_Eric_B
It’s absurd. If you wanna have a discussion you HAVE to also listen to the other smart people in the room who were ACTUALLY there. You can disagree in the end, but automatically shutting down anyone who doesn’t agree with you isnt how true “intellectuals” act. Instead, we get
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@VidyaSzym
@olsonplanner
You do understand that most of the “service” problems within healthcare have actually nothing to do with physicians. Why should a physician’s salary be therefor determined by factors outside of their control? Do you really think that those with bright minds would enter into a
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@TwoQuoque
@ironjustice
@birgitomo
The vaccines ABSOLUTELY prevent serious illness and death. This is the same for flu, H1N1 etc, it's not just a COVID concept. Vaccine benefit isn't just about trying to slow transmission.
There is a laundry list of requirements for someone to be a transplant recipient. Most of
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@crazyclipsonly
What’s crazy is the number of people on here actually defending this employee. Look, no employee should put with abuse, but ACTUAL abuse. A customer, who DIDNT MAKE THE PRICING MISTAKE IN THE FIRST PLACE shouldn’t be expected to have to solve the problem. Going back and taking a
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@Doctor_Eric_B
I’m so tired of this narrative. Honestly, when backed into a corners its all they got. Meanwhile it doesnt even make sense.
Here is mine, straight up zero. Even when you look at US mean and specialty mean-at best its between $3k-$4K per year. Which is a tiny fraction of our
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@RosenthalHealth
There is NO “proceduralist” that makes $3K an hour. Absolutely not. Not even close. I think you’re confusing the total charge with what the physician actually makes, which is only a small percentage of that charge.
And physicians that do a lot of procedures do tend to have
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@NohaAboelataMD
I think COVID fatigue has people throwing caution to the wind, even when they know better.
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@jointdocShields
@WellcarePlans
Same thing on patient end, EVERY SINGLE TIME YOU CALL. At what point do they enter the story in the computer so the first person who answers can pull up the previous conversation and see right away where to direct your call, without repeating yourself a million times. It’s
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@moberlee
I once made a joke in the ICU referencing that scene in the movie Airplane, you know with the sick girl and her IV pops out…literally NO ONE around me knew what I was talking about. Nurses etc, not a soul. But then I realized they were all about 12 years old so..yeah.
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@DrSuneelDhand
Asymptomatic infection, breakthrough infection and mild myocarditis are not new. “Sudden adult death syndrome” not something I’ve heard before, only “sudden cardiac death”
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@wingnutsrus1
@nypost
Interesting point you raise about humanity and their best interest. Do you think its in their best interest for a politician, looking to only score political points, to raise the “we’re open” flag encouraging migrants to sell their souls to the cartel, risk their lives making the
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@nypost
10 agents on the new “anti-threat” unit. Did they even dedicate that many to the Hunter Biden probe? Probably not and if they had, they wouldnt now have an “unprecedented” number of threats. Threats are never okay, but they shouldnt be surprised at the “unprecedented” level of
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@aplusk
Pregnancy from rape (1 %) and incest (0.5%) accounts for a very small number of abortions and in many of the states poised to ban abortions, there still will be exceptions for these cases. While sad, focusing only on these cases won’t drive the argument on either side.
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@WesElyMD
Hey Wes, just want to clarify what you mean by poor “palliative care.” Do you mean poor end of life care? I’m assuming that’s what you mean and if so I agree with you wholeheartedly.
But palliative care is not just end of life care. So when we use that term, you have to be
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