i found the first (new) im doc comment interesting:
Your nurse relative has informed you correctly.
I just found this out last week when I had to admit an elderly patient for osteomyelitis of the toe. I was horrified to learn they had not had a podiatry appointment for some time. It is not that they are not covered – it has to do with how many they have in a year, etc. I just cannot keep up with the regulations anymore. Standard Medicare has one approach and then the infinite numbers of Medicare advantage plans have all their own. I often joke that they each get together and change the plan coverage every Tuesday afternoon. There is no primary care physician or office staff on this planet that can keep up with all of this. It is absolutely overwhelming.
To add on to the nightmare, there are dozens of my patients every day now playing “dial for drugs” because there are so many shortages everywhere. The above patient could not secure antibiotics prescribed by an urgent care and did not want to “bother” my office during COVID. Yes, we are now officially sending our elders out with prescriptions that may or may not be able to be filled.
If you have elders or infirm in your sphere of influence, I urge every one of you to keep an eagle eye , on them. Things are already screwed up – and getting more screwy by the week. Many of them just do not have the mental acumen or the stamina to keep up with it.
I cannot stress enough – I have never seen this level of chaos in medicine in my life. Not even close.
It is not just baby formula, folks.
i keep getting reminded of terry gilliam's movie brazil for some reason.
Re: More IM Doc
i found the first (new) im doc comment interesting:
Your nurse relative has informed you correctly.
I just found this out last week when I had to admit an elderly patient for osteomyelitis of the toe. I was horrified to learn they had not had a podiatry appointment for some time. It is not that they are not covered – it has to do with how many they have in a year, etc. I just cannot keep up with the regulations anymore. Standard Medicare has one approach and then the infinite numbers of Medicare advantage plans have all their own. I often joke that they each get together and change the plan coverage every Tuesday afternoon. There is no primary care physician or office staff on this planet that can keep up with all of this. It is absolutely overwhelming.
To add on to the nightmare, there are dozens of my patients every day now playing “dial for drugs” because there are so many shortages everywhere. The above patient could not secure antibiotics prescribed by an urgent care and did not want to “bother” my office during COVID. Yes, we are now officially sending our elders out with prescriptions that may or may not be able to be filled.
If you have elders or infirm in your sphere of influence, I urge every one of you to keep an eagle eye , on them. Things are already screwed up – and getting more screwy by the week. Many of them just do not have the mental acumen or the stamina to keep up with it.
I cannot stress enough – I have never seen this level of chaos in medicine in my life. Not even close.
It is not just baby formula, folks.
i keep getting reminded of terry gilliam's movie brazil for some reason.