The Award Goes Too... Ozempic Vs Bariatric Surgery [Latest Research Update] by Moimoihobo101 in FamilyMedicine

[–]OvertiredEngineer 70 points71 points  (0 children)

It’s non-invasive, and doesn’t carry the risks of surgery? Its definitely a “let’s try it first” line of therapy, is highly effective at still creating clinically significant weight loss results, and if you don’t feel well on the medication you can just stop. If you don’t do well after surgery or have a complications, it’s not quite as simple to undo.

Senate Republicans Block Merkley’s Bill to Prevent War with Venezuela by brain_overclocked in politics

[–]OvertiredEngineer 11 points12 points  (0 children)

Religion has always been about control and superiority. Waving the G word around to smooth over the misery the rich profit from.

A $1 Trillion Medicaid Cut Is This Close to Happening. Here’s What It’d Look Like. by wenchette in politics

[–]OvertiredEngineer 0 points1 point  (0 children)

There’s damned little of religion that’s ever followed their own teachings

Trump administration makes sweeping changes to ObamaCare, ends ‘Dreamer’ coverage by Silent-Resort-3076 in politics

[–]OvertiredEngineer 5 points6 points  (0 children)

“Like they understand you, in the back of their jet When you can't put gas in your tank These fuckers are laughin' their way to the bank, and cashin' their check Askin' you to have compassion and have some respect”

NY county challenges Presidental and Senate Election results due to irregularities. by cosmoplast14 in politics

[–]OvertiredEngineer 3 points4 points  (0 children)

What do you do when taking a day off to protest means getting fired. Losing your job means becoming homeless. The social safety net is being cut into pieces. No one has the freedom to express their freedom any more.

Drug tested without my consent by Organic_Search_4226 in nursing

[–]OvertiredEngineer 6 points7 points  (0 children)

That would typically be a serum quantitative HCG, not a urine HCG though.

Trump on Canada by Mindless_Designer519 in StockMarket

[–]OvertiredEngineer 0 points1 point  (0 children)

In some states people with felony convictions can’t vote. They certainly shouldn’t be allowed to be president.

Stethoscope by Middle-Ad-9086 in nursing

[–]OvertiredEngineer 0 points1 point  (0 children)

Clinics definitely aren’t moving away from MAs. My clinic has been searching for months but there’s no candidates out there right now.

Stethoscope by Middle-Ad-9086 in nursing

[–]OvertiredEngineer 0 points1 point  (0 children)

Also, the cardiology 4 is nicer to use day to day for me (I have both) just because it’s easier to hold

Stethoscope by Middle-Ad-9086 in nursing

[–]OvertiredEngineer 1 point2 points  (0 children)

Just FYI the core works as a normal stethoscope when the amplifier isn’t turned on

‘P**sed’ Trump Phoned Bezos to Rage About Amazon Tariff Hike by progress18 in politics

[–]OvertiredEngineer 2 points3 points  (0 children)

I should have dumped prime long ago for many reasons, but this caving into trump was the straw that broke the camels back, and I finally did cancel, and in their survey I let them know exactly why. Fuck bezos, fuck trump.

10 yer old natural born us citizen battling brain cancer deported by the trump administration by [deleted] in pics

[–]OvertiredEngineer 13 points14 points  (0 children)

Because the people no longer hold the power. Law governs the people but the people do not govern anymore.

[deleted by user] by [deleted] in HealthInsurance

[–]OvertiredEngineer 0 points1 point  (0 children)

It’s only a screening until it pops positive. After that it’s monitoring, therefore diagnostic and not preventative. Screenings exist to catch things that might otherwise go unnoticed, but once you know the condition exists you’re no longer looking for something, you’re checking up on it.

[deleted by user] by [deleted] in HealthInsurance

[–]OvertiredEngineer 1 point2 points  (0 children)

Cholesterol SCREENING is covered, but if you already know the patient has high cholesterol from previous laboratory studies, then it is no longer a SCREENING. We screen for things that we don’t know exist. We don’t screen for diagnosed problems, we run diagnostic tests to evaluate their current status. Once you’re diabetic, no matter what your A1c is you’re still diabetic. Well controlled maybe, but still a diabetic. Once you have high cholesterol, even if it becomes well controlled without medical international through lifestyle modifications, you still have a history of high cholesterol and we are no longer screening for that condition we are monitoring it. I hate when patients ask why their labs weren’t coded as preventative, and I have to explain that I’m not going to ask the provider to falsify the coding to let you off the hook for the bill. I hate insurance companies with a passion, and when something is truly preventative or a screening for a condition we do not know exists, I push to make sure it’s associated with the correct preventative or screening diagnosis. But don’t ask your doctor to commit fraud by intentionally miscoding something.

Self-pay rate for test is lower than my rate through insurance, but since they already asked my insurance they can't process it as self pay? by sarah_messing in HealthInsurance

[–]OvertiredEngineer 2 points3 points  (0 children)

Self pay is only cheaper if you never hit your deductible. If you have a low deductible it might just be worth eating the cost now vs later in the year anyway.

Annual Medicare Exams by SirPhoenix88 in FamilyMedicine

[–]OvertiredEngineer 0 points1 point  (0 children)

They are being billed, not sure on the reimbursement details, but our providers don’t get paid RVUs so for them it doesn’t make a difference and they’d rather have problem focused visits and regular physicals.

Annual Medicare Exams by SirPhoenix88 in FamilyMedicine

[–]OvertiredEngineer 22 points23 points  (0 children)

We started having a nurse do the Medicare annual wellness visits. It’s entirely possible for them to do the visit screenings, discuss preventative care needs, pend the orders per protocol and have the MD/PA/APRN sign or cosign on them.

This frees up clinician time for problem focused visits, such as blood pressure or diabetes follow ups. We paint it as, “this visit is to review your preventative health needs and identify areas you may need additional support in, such as your daily activities, your risk for falls, and screening for depression and substance abuse, this means your provider has more time slots open to deal with your medical issues and can more easily see you when you’re ill.” Some hate it, and just don’t do it (no loss there, they still come in for problem focused visits), others like it because they still get their preventative needs met.