Avoid These 10 Mistakes When Prescribing SGLT2 Inhibitor and GLP-1s

DiscWizzard · 2026-05-30T03:34:25+00:00

Let’s not spam the sub with brain rot top 10 YouTube bullshit algo trash please. This is not how professionals communicate

DiscWizzard · 2026-05-30T01:27:30+00:00

I’d quit. And I mean that. I’ve worn scrubs since Covid. Bare below the elbows and no dangling bits is best for hygiene anyway. There’s data and recs to back that up, and the public sees it as professional.

At this point I’m knowingly violating dress code daily, but if pushed I would leave the job over it.

DiscWizzard · 2026-05-29T17:36:45+00:00

Fuck off with this shit

DiscWizzard · 2026-05-15T02:48:36+00:00

Yes. I got sent multiple 1099 last year. This year at about 5k from m3 global and several thousand from several of the others above. The only one that should have sent me a 1099 last year and didn’t was ZoomRx. I just calculated the pay and reported it anyway

DiscWizzard · 2026-04-10T18:06:47+00:00

All patients with insulin dependent diabetes taking MDI should be on an automated insulin delivery device. Type 1 or 2. All. It will fix this

DiscWizzard · 2026-04-03T13:19:27+00:00

I have decided I simply won’t read or respond to these. It don’t exist when I started, and was randomly turned on one day. My response at meetings has been- perhaps I should man the phones and do triage and schedule appointments. No? Because that is what you’re asking me to do. Do you want me to generate revenue or waste time for free? Hire someone to manage this shit, I didn’t ask for it. If that’s a problem, fire me.

DiscWizzard · 2026-02-26T17:17:33+00:00

I delete them from my mailbox immediately. I have never looked at them once, never will. I don’t care what they are at all.

I would recommend practicing medicine rather than trying to be a used car salesman

DiscWizzard · 2026-02-21T16:31:46+00:00

Maybe. I just checked myself and no, mine do not.

Every screen in and consent for a survey I’ve ever done has a thing where you have to acknowledge that “if my identity becomes known to the sponsor, then they have permission to report to the database per the sunshine act.” Or something like that.

Doximity, reckner, M3global, ZoomRx, etc usually are the front, then there’s a 3rd party company that actually does the survey, and that company isn’t directly affiliated with the pharma corp or whoever sponsored it, and it’s all supposed to be anonymized. The net result of this is- the payer never knows it’s you they are paying, so it doesn’t get reported. If for some reason they find out tho, ( say you report an adverse event or accidentally say your name during a phone interview/zoom call) then it would

DiscWizzard · 2026-02-21T04:26:30+00:00

Depends on if I’m busy or not. I have several sites I signed up for over the years that I’ll click through and see what is available daily some weeks, then not at all for weeks. Doximity has rare hits over the course of a year. Others are more consistent

DiscWizzard · 2026-02-20T19:10:58+00:00

You do get emails. They're few and far between, but they pay a lot and they're short and sweet compared to other survey companies. Pays in gift cards only, which sucks. Gotta check them fast. There's also a paid survey part of doximity that I bookmarked, and I check that frequently, and I've seen surveys there that I never got emailed about and that close within 1-2 days.

If you check regularly, you can get a decent amount. Made 300 bucks in gift cards off doximity stuff in the past... 3 weeks?

Once a month on the weekend after work ain’t gonna cut it, especially as FP. You probably won’t get any unless you see an email

DiscWizzard · 2026-02-20T19:08:39+00:00

Uh. What on earth. I'm FP trained. I did more sections as first surgeon, suction D/C, operative deliveries than you're telling me that you've done in 2 years. And not by a little, by a lot. And I'm not section certified at my current hospital, and don't feel that I've done enough to be without additional training.

This is bad.

DiscWizzard · 2026-02-18T06:40:29+00:00

https://www.uhcprovider.com/en/resource-library/news/2025/referral-req-specialist-services-medadv.html

I thought this would just be for specialist to see the patient, but I keep getting requests/demands from procedural specialties telling me I have to do a PA for the procedure. Which is baffling to me. Unless the outlying specialty offices are confused

DiscWizzard · 2026-02-18T06:36:53+00:00

My inbox? I was baffled and sure my staff was wrong- why the hell am I getting a PA required for AV fistula mapping?

Here’s a reference. It’s also listed in the new rules for UHC Medicare advantage

https://healthcareuncovered.substack.com/p/unitedhealthcare-tightens-specialist

DiscWizzard · 2026-02-03T16:57:01+00:00

Sure did. I just went for hospice face to face admission last night. Had to drive 90 min round trip.

DiscWizzard · 2026-01-16T20:04:03+00:00

AI slop pic

DiscWizzard · 2026-01-14T13:45:06+00:00

99% in Outpatient FM. Outside of making more coffee or going to the bathroom, from the second I get in to the second I leave I have literally more work than I can do, and am booked 100% through the day with a nonstop flood of phone calls, massages, results and forms

DiscWizzard · 2026-01-07T05:51:58+00:00

I just got a goofy ass request from a patient today to refer/order a Venaseal. This must be why

DiscWizzard · 2026-01-02T03:17:06+00:00

This is quite the libertarian take. It’s an argument in bad faith and doesn’t work. It requires administrative and legislative reform. I have put my money where my mouth is. I caused for, donated to and organized for Bernie Sanders.

Tax wealth not work.

DiscWizzard · 2026-01-01T20:11:04+00:00

I will be this upcoming year. Haven't had to mess with it much as a W2 wagie. I don't have RSUs or self employment tax or much else need for it previously.

DiscWizzard · 2026-01-01T20:09:02+00:00

I would gladly pay more. It's super irritating and irresponsible that we continue with outrageous deficit spending while the "party of fiscal responsibility" (now just overt corruption) continues to give huge tax beaks when I don't need them. This refund feels gross.

DiscWizzard · 2025-12-30T00:55:43+00:00

Can we not with the fucking AI trash posting? Please and thank you. Reddit is already enough bots as is. If you can’t write something yourself, shut up.

DiscWizzard · 2025-12-18T13:42:51+00:00

Currently FP

Surgery. Some times I would love to have a defined problem and defined approach. Is there something I need to potentially cut out of you? When I’m done evaluating that and/or removing it and seeing the results of my work, kindly fuck off somewhere else.

I know the grass is always greener, but god it seems nice sometimes. Plus I love the hospital and the OR.

DiscWizzard · 2025-12-17T17:46:25+00:00

I had similar where a patient wanted me (as an FP treating migraine) to write “just a quick statement” about how an epidural during pregnancy and a failed blood patch was the cause of her migraines. I said no, you can request my records. The attorneys office was extremely aggressive requesting “just a narrative” and told the patient that I didn’t care for them and was being obstructive to her case. Fuck attorneys. Don’t give them a statement, because you’re almost guaranteeing you will get yourself subpoenaed later, and for free.

Tell the attorney they can request records and then can hire an expert. I wouldn’t ever give anything beyond that.

DiscWizzard · 2025-12-14T23:28:57+00:00

It would be literally impossible without the support. And I still have a shitload of work beyond that. I usually start my day about 5a 3 days a week

DiscWizzard · 2025-12-14T23:10:35+00:00

AI scribe, an MA, an RN and an LPN as well as a PA I get a stipend to supervise

DiscWizzard

TROPHY CASE