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MDchat Transcript October 11, 2011
MDchat Transcript October 11, 2011
Explore the world of healthcare social media: Healthcare Conferences - Healthcare Tweet Chats - All Healthcare Hashtags
RichmondDoc
Mark, family doc in #RVA; mostly lurking tonight as I get ready to head out on the road soon. #mdchat
Tue Oct 11 18:01:13 PDT 2011
MedPedsDoctor
Alex Djuricich, Med-Peds doc in Indianapolis, just getting to Tw since early am. #mdchat
Tue Oct 11 18:02:33 PDT 2011
NateOsit
Hi all! Nate here, your friendly Health IT geek! Tuning in tonight to chat with #MDchat and #mhsm
Tue Oct 11 18:03:11 PDT 2011
apjonas
@MD_chat Hi, Phil and all. Pat Jonas, MD here, Holistic Family Physician in OH. Looking fwd to learning on #MDChat
Tue Oct 11 18:03:56 PDT 2011
MD_chat
T1 OccupyHealth: How might OccupyWallStreet impact discourse re: healthcare reform? What are your hopes/concerns? #MDchat
Tue Oct 11 18:05:03 PDT 2011
EMIMDoc
Hi! David Marcus, EM/IM in Queens, NY. Will be on for a bit then will have to go... #MDchat.
Tue Oct 11 18:05:33 PDT 2011
T1 We should be outraged at the condition of our healthcare. We pay more for care
RichmondDoc ElinSilveous
Hi everyone. Elin here, sitting in for awhile from Southern Oregon. #MDChat
Tue Oct 11 18:08:04 PDT 2011
RichmondDoc
T1 We are first per capita in #healthcare costs, yet we are 37th in @WHONews rankings of health outcomes. #mdchat
Tue Oct 11 18:08:09 PDT 2011
MedPedsDoctor
Given that health care costs are the biggest impact on the GDP, discussions about what to do with HC are a BIG deal #mdchat
Tue Oct 11 18:08:14 PDT 2011
RichmondDoc
T1 We are the worst among developed Western nations in the quality of the healthcare we provide...despite the costs. #mdchat
Tue Oct 11 18:08:39 PDT 2011
EMIMDoc
Agree with all you guys are saying, but for some reason people become sheepish around healthcare. There is no rage. #MDchat
Tue Oct 11 18:09:15 PDT 2011
RichmondDoc
EMIMDoc
@RichmondDoc I wish. I think the only way that will happen is if this movement develops into a mature, long term type of thing. #MDchat
Tue Oct 11 18:10:36 PDT 2011
JediPD
Part of the cost differential between US & other Western countries is their SUBSIDIZED pharma drugs. In US it is 24c of each HC $ #mdchat
Tue Oct 11 18:11:14 PDT 2011
RichmondDoc
@EMIMDoc Long term movement is indeed necessary...but every long term movement has to start with a kernel of activism. #mdchat
Tue Oct 11 18:11:34 PDT 2011
ElinSilveous
apjonas
T1 Focus on insurance reform is over emphasized. Changing Health Care (2 words) is more important well addressed. 2 much blurr #MDChat
Tue Oct 11 18:11:59 PDT 2011
MedPedsDoctor
Great article on how docs can help control costs: http://t.co/WukKcvs5 #mdchat
Tue Oct 11 18:12:21 PDT 2011
MedPedsDoctor
Mark: love your phrase: kernel of activism. Now THAT is how advocacy truly starts! #mdchat
Tue Oct 11 18:13:02 PDT 2011
RichmondDoc
@ElinSilveous And we should *all* be outraged...but for now many of the costs are borne by employers--but this is changing. #mdchat
Tue Oct 11 18:13:05 PDT 2011
RichmondDoc
@ElinSilveous There is more and more cost shifting onto patients/employees/families. There is a limit to what can be tolerated. #mdchat
Tue Oct 11 18:13:39 PDT 2011
JediPD
Over there it is subsidized and Negotiated down by Foreign relations of each country. @RichmondDoc #mdchat
Tue Oct 11 18:13:42 PDT 2011
katellington
T1 The relationship between health and life for 99%. Example, foreclosures are making people sick, literally. #OccupyHealth #MDChat
Tue Oct 11 18:13:44 PDT 2011
RichmondDoc
@NateOsit @JediPD PhRMA has more lobbyists on Capitol Hill than there are legislators. Deck is notably stacked. #mdchat
Tue Oct 11 18:14:20 PDT 2011
EMIMDoc
@apjonas And also, health insurance does NOT equal health care. They are in business to make money, provide certain benefits, etc. #MDchat
Tue Oct 11 18:14:20 PDT 2011
RichmondDoc
@JediPD And as a result, patients pay far less for necessary medications... #mdchat
Tue Oct 11 18:14:36 PDT 2011
RichmondDoc
ElinSilveous
Understood RT @RichmondDoc: @ElinSilveous There is more and more cost shifting onto patients/employees/families. There is a limit.. #mdchat
Tue Oct 11 18:15:17 PDT 2011
NateOsit
miller7
For those not familiar with 1st order change and 2nd order change (Bateson), most #healthcare change is 1st order #MDchat
Tue Oct 11 18:15:36 PDT 2011
apjonas
RichmondDoc
T1 The road to lower costs will be tough. More preventive care, actually *valuing* health (not illness), more primary care... #mdchat
Tue Oct 11 18:16:04 PDT 2011
JediPD
Medicare Part D cost $58 Billion over 5 years. CMS did not negotiate due to lobbying
@RichmondDoc #mdchat
Tue Oct 11 18:16:18 PDT 2011
yayayarndiva
katellington
ElinSilveous
EMIMDoc
This looks to be a fascinating discussion, unfortunately, must leave Will try to follow. #MDchat
Tue Oct 11 18:16:50 PDT 2011
MedPedsDoctor
Agree! MT @EMIMDoc: @apjonas And also, health insurance does NOT equal health care. #mdchat
Tue Oct 11 18:16:57 PDT 2011
yayayarndiva
NateOsit
@RichmondDoc I think the fundamental issue w/ hc in the U.S. is there are several large industry who profit from our suffering #MDchat
Tue Oct 11 18:17:08 PDT 2011
RichmondDoc
@JediPD Yeah. Interesting that Rep. Billy Tozin got Part D passed w/ PhRMA benefits, then was hired by PhRMA as exec director... #mdchat
Tue Oct 11 18:17:27 PDT 2011
MD_chat
apjonas
T1 Canadians have shortage of cardiovascular surgeons. We have shortage of primary care. Our System makes more $ w/less primary care #MDChat
Tue Oct 11 18:18:05 PDT 2011
NateOsit
Indeed. It can be an nightmarish cycle RT @yayayarndiva: medical debt- make people sick- literally #MDchat
Tue Oct 11 18:18:33 PDT 2011
JediPD
Besides the clinical outcomes (specific to oncology) Europe include UK has a 8% survival for lung cancer vs 16% in the US. #mdchat
Tue Oct 11 18:18:54 PDT 2011
miller7
ElinSilveous
Should there be more emphasis on medical self-care as way to contain coats by eliminating unnecessary visits to docs & ERs? #MDChat
Tue Oct 11 18:19:14 PDT 2011
RichmondDoc
@miller7 We need to make primary care readily available to all and make healthy lifestyle choices easily available to all. #mdchat
Tue Oct 11 18:19:44 PDT 2011
NateOsit
RichmondDoc
@JediPD We are top-notch in certain high-tech, high-intervention conditions...while lagging in neonatal mortality/life expectancy. #mdchat
Tue Oct 11 18:20:24 PDT 2011
miller7
@RichmondDoc Lifestyle choices are available to all - the rub is having providers available to help patients who want change #MDchat
Tue Oct 11 18:20:56 PDT 2011
yayayarndiva
katellington
yeah, I need to give this some thought. RT @yayayarndiva: #occupyhealth caught my attention #mdchat
Tue Oct 11 18:21:16 PDT 2011
RichmondDoc
@NateOsit @yayayarndiva Wait...you mean that for-profit constructs surround necessary services are unjust in some way? #mdchat
Tue Oct 11 18:21:19 PDT 2011
yayayarndiva
@miller7 Lifestyle choices are more than just having the "right kind" of provider #mdchat
Tue Oct 11 18:21:41 PDT 2011
miller7
apjonas
T1 Parallel movement like Direct Primary Care, Multilevel PC marketing (Dr. Amway?), Radical & disruptive= good start #MDChat
Tue Oct 11 18:22:43 PDT 2011
miller7
@yayayarndiva Oh, totally agree!! My point was having a provider tell you what to do is very different than a provider showing you. #MDchat
Tue Oct 11 18:22:49 PDT 2011
RichmondDoc
@miller7 Social determinants of health are huge in affecting health/wellness, and require solutions far beyond indiv. Dr/pt pairs. #mdchat
Tue Oct 11 18:23:03 PDT 2011
NateOsit JediPD
I agree. Primary care in Neonate, Pediatrics and Adults must be addressed. #mdchat @RichmondDoc
Tue Oct 11 18:23:07 PDT 2011
DrJonathan
@EllenRichter Great article! I think pts do absolutely own their lab results, but Drs should suggest they interpret it together. #mdchat
Tue Oct 11 18:23:29 PDT 2011
yayayarndiva
@miller7 show and tell just a part: also need engagement and the resources for change- not a level playing field in the US #mdchat
Tue Oct 11 18:23:47 PDT 2011
RichmondDoc
@JediPD But we fund high-cost, inpatient care long before we adequately fund primary care... #mdchat
Tue Oct 11 18:23:53 PDT 2011
miller7
RichmondDoc
@JediPD My recall: fastest increasing costs in Medicare are chemotherapy and advanced imaging. Not primary care. #mdchat
Tue Oct 11 18:24:21 PDT 2011
NateOsit
True. Why is that? RT @RichmondDoc: @JediPD But we fund high-cost, inpatient care long before we adequately fund primary care... #MDchat
Tue Oct 11 18:24:29 PDT 2011
yayayarndiva
@miller7 "Behavior" also very loaded- need proper cultural context- awareness of resources #mdchat
Tue Oct 11 18:24:49 PDT 2011
JediPD
Also, personal health is advanced by education and peer pressure. Not by mandates. In US screening is under pressure due to costs. #mdchat
Tue Oct 11 18:24:59 PDT 2011
kdhoffman2
Unfortunately the focus has been on individual change not social change-- #mdchat
Tue Oct 11 18:25:32 PDT 2011
MedPedsDoctor
Ounce of prevention worth a pound of cure. Public health needs more funding: not happening. Newest scans: gotta have it! Problem #mdchat
Tue Oct 11 18:26:10 PDT 2011
RichmondDoc
T1 Other nations fund primary care (low cost, low-tech interventions) first and subspecialty care later--lower cost, better outcomes #mdchat
Tue Oct 11 18:26:12 PDT 2011
katellington
Right, systems and environments matter. @kdhoffman2: Unfortunately the focus has been on individual change not social change-- #mdchat
JediPD
Bingo. And also the hardware in ortho, cardio and electronic enhancements. Forget free scooters. @RichmondDoc #mdchat
Tue Oct 11 18:26:46 PDT 2011
RichmondDoc
@MedPedsDoctor Even worse: 50% of local health departments cut programs in the last year. Cutting safety net as need increases. #mdchat
Tue Oct 11 18:26:55 PDT 2011
MedPedsDoctor
Mark, you are right. We ARE on the same page, just in different cities. #mdchat
Tue Oct 11 18:27:26 PDT 2011
yayayarndiva
@katellington @kdhoffman- families, neighborhoods, communities matter- need to look at human factor on many levels #mdchat
Tue Oct 11 18:27:41 PDT 2011
NateOsit
@RichmondDoc It would be worth having the discussion again, IMHO. #OWS needs targets if they want to #occupyhealthcare #MDchat
Tue Oct 11 18:27:55 PDT 2011
RichmondDoc
@JediPD Right. How many stents/pacemakers/IEDs have been implanted inappropriately and against best evidence? Many = much $. #mdchat
Tue Oct 11 18:27:56 PDT 2011
RichmondDoc
T1 I know this group knows this, but http://t.co/JW1azKZg is a great overview of social determinants of health. #mdchat
Tue Oct 11 18:28:40 PDT 2011
RichmondDoc
@MedPedsDoctor How many readmissions could have been prevented by paying a nurse to visit pts in home and help after discharge? #mdchat
Tue Oct 11 18:29:44 PDT 2011
katellington
T1 We can hope for the reality of basic primary care as a national concern with full attention across sectors. #OccupyHealth #MDchat
Tue Oct 11 18:29:58 PDT 2011
apjonas
@MedPedsDoctor And profit to hosp and docs til new Medicare rules. Follow the $$, find the problems. #MDChat
Tue Oct 11 18:30:05 PDT 2011
NateOsit
@RichmondDoc hehe, no rush. Maybe another day? Revive #FMRevolution chat? ;) #MDchat
Tue Oct 11 18:30:15 PDT 2011
MedPedsDoctor
@RichmondDoc Agree. That would be a great program IMHO to support which would improve outcomes. Studies show it. #mdchat
Tue Oct 11 18:30:44 PDT 2011
NateOsit
Common solution! RT @apjonas: @MedPedsDoctor And profit to hosp and docs til new Medicare rules. Follow the $$, find the problems. #MDchat
JediPD
readmissions in 30 days for elderly is a problem not because of desire but for multiple comorbidities that confound #mdchat @MedPedsDoctor
Tue Oct 11 18:30:52 PDT 2011
yayayarndiva
@NateOsit include all primary care- pediatrics, internal medicine and family medicine #mdchat
Tue Oct 11 18:31:04 PDT 2011
RichmondDoc
Old quote: every system is perfectly designed to provide the results that it is getting. We know our results. Change the system. #mdchat
Tue Oct 11 18:31:53 PDT 2011
RichmondDoc
T1 #OccupyHealthcare matters because the answers to these issues are large-scale, political and public health answers. #mdchat
Tue Oct 11 18:32:20 PDT 2011
miller7
katellington
T1 Primary care for all should be a baseline for cost-containment, prevention and health care accessibility. #occupyhealth #MDChat cc@PNHP
Tue Oct 11 18:32:41 PDT 2011
ElinSilveous
T1: #OccupyHealth should include a dialogue about quality of life versus length of life & consumer/patient expectations #MDChat
Tue Oct 11 18:32:44 PDT 2011
apjonas
T1 Private networks, community & web based will innovate to bypass fecal vortex of usual suspects taking $$ from HC #MDChat
Tue Oct 11 18:32:52 PDT 2011
RichmondDoc
T1 #OccupyHealthcare is more than a one-on-one doctor/patient encounter. That is at its heart, but community focus is needed. #mdchat
Tue Oct 11 18:33:01 PDT 2011
yayayarndiva
RichmondDoc
T1 Physicians should be activists. We should be calling for reform, pointing out flaws, partnering w/ patients to #OccupyHealthcare #mdchat
Tue Oct 11 18:33:27 PDT 2011
miller7
kdhoffman2
Medicaid is also a major issue. In situations of long term care, it is what pays for everything. Not enough $$ for real care. #mdchat
miller7
T1 #Occupyhealthcare matters because the community (all of us) should be wanting more than what we are getting from healthcare #MDchat
Tue Oct 11 18:34:06 PDT 2011
yayayarndiva
MedPedsDoctor
Agree with the primary care comments, but remember, there are other primary care fields besides Fam Med. #medpeds #med #pediatrics #mdchat
Tue Oct 11 18:34:07 PDT 2011
RichmondDoc
T1 Physicians are called to improve the health in their patients, and should extend that to the community. Raise your voices! #mdchat
Tue Oct 11 18:34:39 PDT 2011
NateOsit
Agree, healthcare problems are systemic. They cut to the core of social problems in the US. I think #OWS can help address! #MDchat
Tue Oct 11 18:34:59 PDT 2011
JediPD
Cost in HC has many heads. Pharma, Hospital, Over usage of ERs, duplication of test/procedures. Yet focus is on docs as usual #mdchat
Tue Oct 11 18:34:59 PDT 2011
RichmondDoc
yayayarndiva
Preaching to the choir- methinks those participating in #mdchat are activists #mdchat
Tue Oct 11 18:35:05 PDT 2011
NateOsit
:) RT @yayayarndiva: Preaching to the choir- methinks those participating in #mdchat are activists #MDchat
Tue Oct 11 18:35:33 PDT 2011
RichmondDoc
@apjonas *Established docs* may be too content w/ jobs. Tap into the energy and commitment in students/residents. #mdchat
Tue Oct 11 18:35:39 PDT 2011
apjonas
RichmondDoc
@JediPD No doubt that cost pressures come from multiple areas...but docs write Rx, order studies, send for consults. #mdchat
Tue Oct 11 18:36:19 PDT 2011
miller7
@yayayarndiva Since we are the choir, here is one take at an old tune http://t.co/zn8zybCc #Occupyhealthcare #MDchat
Tue Oct 11 18:36:21 PDT 2011
yayayarndiva
@apjonas There are many "discontented" docs- for many medicine was a small practice- now jobs in larger systems #mdchat
Tue Oct 11 18:36:31 PDT 2011
ElinSilveous
Absolutely! RT @BHGContent4Dr: RT @RichmondDoc: T1 Physicians should be activists. We should be calling... #OccupyHealthcare #mdchat
Tue Oct 11 18:36:36 PDT 2011
RichmondDoc
@JediPD We *do not* carry all of the responsibility, but we *do* carry a certain share. #mdchat
Tue Oct 11 18:36:45 PDT 2011
MedPedsDoctor
Current gener of trainees want work-life balance, and r being trained in advocacy. Community/Advocacy required in peds training #mdchat
Tue Oct 11 18:37:01 PDT 2011
MD_chat
JediPD
True RT @RichmondDoc: @JediPD No doubt cost pressures come from multiple areas. docs write Rx, order studies, send for consults. #mdchat
Tue Oct 11 18:37:56 PDT 2011
RichmondDoc
@MedPedsDoctor When I work w/ students, I discuss and I (hope to) model how physicians must be part of the discussion. #mdchat
Tue Oct 11 18:38:05 PDT 2011
ElinSilveous
#OccupyHealthcare should also call for health to be addressed in all policies (transportation, energy, environment, food, etc.) #MDChat
Tue Oct 11 18:38:16 PDT 2011
miller7
RichmondDoc
T1 I highlight to students the failings in our system, and ways they can be addressed, and encourage them to be vocal/active. #mdchat
Tue Oct 11 18:38:47 PDT 2011
MedPedsDoctor
Mark, that is wonderful. This generation seems more engaged in advocacy interest than, say, mine 15 yrs ago #mdchat
Tue Oct 11 18:38:48 PDT 2011
katellington
T1 Primary care for all should be a baseline for cost-containment, prevention and health care accessibility. #occupyhealth #MDChat cc @PNHP
Tue Oct 11 18:39:09 PDT 2011
miller7
MT @ElinSilveous: #OccupyHealthcare should also call for #health to be addressed in all policies (transportation, energy, etc.) #MDchat
Tue Oct 11 18:39:13 PDT 2011
RichmondDoc
@MedPedsDoctor I think they truly are. I think the millenial generation entering medicine is more energized/active than we were. #mdchat
Tue Oct 11 18:39:36 PDT 2011
ElinSilveous
Oops. T1: #OccupyHealth should also call for health to be addressed in all policies (transportation, energy, environment, food...) #MDChat
Tue Oct 11 18:40:09 PDT 2011
2healthguru
DebErupts
Agree! RT @miller7 RT @ElinSilveous: #OccupyHealthcare should also call for #health to be addressed in all policies #MDchat
Tue Oct 11 18:40:35 PDT 2011
RichmondDoc
T1 Until voters make their politicians understand that business as usual = bankruptcy, then little will change. #OccupyHealthcare #mdchat
Tue Oct 11 18:41:03 PDT 2011
yayayarndiva
#Occupyhealthcare how about cost savings rather than cost containment #mdchat
Tue Oct 11 18:41:37 PDT 2011
RichmondDoc
T1 So we should make our voices heard: value people over $, value health over corporate profits. #OccupyHealthcare #mdchat
Tue Oct 11 18:41:45 PDT 2011
JediPD
Simple solution for preventing duplication of tests: A $10 USB keychain stick loaded with their med test info presented @ doc visit #mdchat
Tue Oct 11 18:41:52 PDT 2011
MedPedsDoctor
Penny saved = penny earned. Cost containment leads to cost savings. #mathisdifferenthereinIndiana #mdchat
Tue Oct 11 18:42:25 PDT 2011
yayayarndiva
.@NateOsit Go to a general assembly at an #OWS site- you will find that #health and #healthcare are already part of the dialogue #mdchat
Tue Oct 11 18:42:55 PDT 2011
ElinSilveous
TY RT @DebErupts Agree! RT @miller7 RT @ElinSilveous: #OccupyHealthcare should also call for #health to be addressed in all policies #MDchat
Tue Oct 11 18:43:01 PDT 2011
RichmondDoc
T1 As clinicians, we should stop ordering tests that have no value. http://t.co/oMVGMZ97 #mdchat
Tue Oct 11 18:43:34 PDT 2011
MedPedsDoctor
Maybe another savings: decrease complexity of health care system. When no one really understands costs of hospitalization: problem! #mdchat
Tue Oct 11 18:43:49 PDT 2011
apjonas
RichmondDoc
(Here is the citation to the Top 5 Good Stewardship from @NPALive: http://t.co/uoZNr0OD) #mdchat
Tue Oct 11 18:44:32 PDT 2011
miller7
@RichmondDoc This raises another issue - are providers aware of how much tests and such cost? We try to teach this. #MDChat
Tue Oct 11 18:44:46 PDT 2011
RichmondDoc
@MedPedsDoctor And we can continue to find valid, safe, effective ways to provide out-of-hospital care. #mdchat
Tue Oct 11 18:44:55 PDT 2011
ElinSilveous
kdhoffman2
MedPedsDoctor
Double retreet here: RT RT @RichmondDoc: And we can continue to find valid, safe, effective ways to provide out-of-hospital care. #mdchat
Tue Oct 11 18:45:36 PDT 2011
yayayarndiva
MedPedsDoctor
sorry: retreet should be retweet. Wonder how that slip will be interpreted! #mdchat
Tue Oct 11 18:46:11 PDT 2011
miller7
yayayarndiva
@apjonas @miller Oh a puh-leese many in primary care understand the costs of things- especially working w underserved communities #mdchat
Tue Oct 11 18:47:08 PDT 2011
ElinSilveous
#OccupyHealthcare must also address consumer/patient expectations. Sometimes, doing nothing is the best medicine. #MDChat
Tue Oct 11 18:47:25 PDT 2011
MedPedsDoctor
@apjonas I agree in general, but the literature Mark mentioned earlier is applicable to Fam Med and all primary care specialties #mdchat
Tue Oct 11 18:47:49 PDT 2011
yayayarndiva
@apjonas @miller and becoming more real for many specialities as patients lose insurance coverage and have to make cash choices #mdchat
Tue Oct 11 18:47:49 PDT 2011
BernieMD31
@miller7 @apjonas Good thing I work in a hospital that is run by us family docs and family med residents. Huge difference! #mdchat
Tue Oct 11 18:48:11 PDT 2011
yayayarndiva
@ElinSilveous not so much about doing "nothing"- rather not writing a prescription 4 every visit:) Dialogue, education is valuable #mdchat
Tue Oct 11 18:48:41 PDT 2011
yayayarndiva
@kdhoffman2 but remember many docs do "uncompensated" time- and have overhead and family bills to cover #mdchat
Tue Oct 11 18:49:09 PDT 2011
BernieMD31
@RichmondDoc Anytime I order meds on our military system, the cost for each pops up. Makes you think about it before ordering #mdchat
Tue Oct 11 18:49:37 PDT 2011
yayayarndiva
@RichmondDoc work in a FQHC for a while- you will learn about costs, rationing and compromise #mdchat
Tue Oct 11 18:49:44 PDT 2011
RichmondDoc
@kdhoffman2 If I spend 45 mins w/ a patient (in a 15 min slot), there is a cascade of unintended consequences. #mdchat
Tue Oct 11 18:49:55 PDT 2011
ElinSilveous
Excellent point mRT @yayayarndiva: @ElinSilveous ... not writing a prescription 4 every visit:) Dialogue, education is valuable #mdchat
Tue Oct 11 18:50:07 PDT 2011
yayayarndiva
@apjonas there is also defensive medicine, CYA tests, fear of being sued #mdchat
Tue Oct 11 18:50:09 PDT 2011
yayayarndiva
miller7
@MedPedsDoctor Yes! Continuity (relationship) and comprehensiveness - essential ingredients for great #primarycare #MDChat
Tue Oct 11 18:51:11 PDT 2011
RichmondDoc
@yayayarndiva So, you run the risk of going a very long time ordering high-cost, lowvalue tests before realizing the system costs. #mdchat
Tue Oct 11 18:51:19 PDT 2011
yayayarndiva
@RichmondDoc very few folks "well insured"- those copays add up for even middle class patients #mdchat
Tue Oct 11 18:51:38 PDT 2011
RichmondDoc
@yayayarndiva Yes, I know exactly what you mean. So we should be teaching students re: unnecessary costs and unneeded tests/care. #mdchat
Tue Oct 11 18:51:51 PDT 2011
MedPedsDoctor
For many, the business model is still RVUs: see more patients = get bigger bonus. #problem #mdchat
Tue Oct 11 18:52:09 PDT 2011
RichmondDoc
@yayayarndiva The copays are adding up. This is why I think the idea of #OccupyHealthcare can go further than 5-10 yrs ago. #mdchat
Tue Oct 11 18:52:23 PDT 2011
yayayarndiva
@RichmondDoc Also the fine art of history and physical- get lost in a "high productivity" order every test mode of practice #mdchat
Tue Oct 11 18:52:29 PDT 2011
BernieMD31
RichmondDoc
MT @MedPedsDoctor: For many, the business model is still RVUs: see more patients = get bigger bonus. #problem #tragedy #WrongGoal #mdchat
Tue Oct 11 18:52:49 PDT 2011
MedPedsDoctor
#meded chat theme recently was exactly on costs of care and how to teach it. @RyanMadanickMD please pipe in if you are on Tw #mdchat
Tue Oct 11 18:53:05 PDT 2011
RichmondDoc
@BernieMD31 I thought it was so that you could see the world, be all that you can be, get an edge on life, and all that. #mdchat
Tue Oct 11 18:53:39 PDT 2011
kdhoffman2
MedPedsDoctor
Be all that you can be: applicable to anyone in medicine. Gr8 field, but not for the weak of heart #mdchat
Tue Oct 11 18:54:57 PDT 2011
ElinSilveous
TY for sharing this RT @kdhoffman2: an article in NYTimes http://t.co/2iountwO might be useful #mdchat
Tue Oct 11 18:55:43 PDT 2011
MedPedsDoctor
Parting thoughts: be all that you can be. Change the world: one patient, one system at a time. #mdchat
Tue Oct 11 18:56:03 PDT 2011
NateOsit
In #occupyhealthcare, the word inequality should never be in "quotes". Our system is broken, and needs to be fixed! #OWS #MDchat
Tue Oct 11 18:56:16 PDT 2011
RichmondDoc
@kdhoffman2 Interesting model...so long as it is accessible to *all* those who need it, not just those who can pay for services. #mdchat
Tue Oct 11 18:56:23 PDT 2011
kdhoffman2
RichmondDoc
@kdhoffman2 We know that those w/ #MentalHealth problems use more care, and have worse outcomes. Part of problem/solution. #mdchat
Tue Oct 11 18:56:55 PDT 2011
RichmondDoc
Final thought: we have seen the enemy, it is us. Doctors, patients: join together and push for changes that benefit *all* of us. #mdchat
Tue Oct 11 18:57:24 PDT 2011
MD_chat
ElinSilveous
MD_chat
To sit here an watch the stream as moderator is one of the coolest things to experience. :-) #MDchat
Tue Oct 11 18:58:02 PDT 2011
ElinSilveous
:) RT @MedPedsDoctor: Parting thoughts: be all that you can be. Change the world: one patient, one system at a time. #mdchat
Tue Oct 11 18:58:06 PDT 2011
apjonas
Arise, the Activist in the hearts of physicians and take back our patients and our nation from the "heart of darkness" #MDChat
Tue Oct 11 18:58:07 PDT 2011
RichmondDoc
Final thought 2: We need to discuss #OccupyHealthcare; further the movement and the discussion: http://t.co/aK5pKrH1 #mdchat
Tue Oct 11 18:58:21 PDT 2011
NateOsit
I think we shld use #OWS, no need to separate! RT @ElinSilveous: Should we use #OccupyHealth, or #OccupyHealthCare Preference? #MDchat
Tue Oct 11 18:58:23 PDT 2011
MD_chat
katellington
MD_chat
MedPedsDoctor
To sit here and watch the stream as a participant is just as incredible. Fellow chat peeps are some Gr8 people! #mdchat
ElinSilveous
:) :) Huge Smile on Face RT @MD_chat: To sit here an watch the stream as moderator is one of the coolest things to experience. :-) #MDchat
Tue Oct 11 18:59:14 PDT 2011