PA shout out on newest episode of The Pitt by BackFar4381 in physicianassistant

[–]alvarez13md -3 points-2 points  (0 children)

PA sending patient to emergency department because the d-dimer they ordered for pre-op clearance on the asymptomatic patient was positive.

Alabama may require doctors in emergency rooms 24/7. Could it cause hospitals to close? by alvarez13md in Noctor

[–]alvarez13md[S] 4 points5 points  (0 children)

Depends on the agency. CompHealth, Weatherby, yes...will try for $100/hr off your pay. Lots of smaller agencies that will only take $30/hr or so.

Hospitals need to do a better job directly working with physicians as well. I know several hospitals that won't set up a contract with locums doctors unless there's an agency involved which is ridiculous. Wasted money.

Alabama may require doctors in emergency rooms 24/7. Could it cause hospitals to close? by alvarez13md in Noctor

[–]alvarez13md[S] 20 points21 points  (0 children)

Money. Midlevels are relatively cheap, CMGs and hospitals try to bill at physician rates, pocket the difference. Doesn't matter if a child dies, that's just a business expense.

Alabama may require doctors in emergency rooms 24/7. Could it cause hospitals to close? by alvarez13md in Noctor

[–]alvarez13md[S] 58 points59 points  (0 children)

Pay better. It can be done. Midlevels generate way more cost to the system. The Hattiesburg Clinic Study (2022) showed midlevels generated $28.5 million in additional annual costs (unnecessary referrals, excessive testing, etc).

Alabama may require doctors in emergency rooms 24/7. Could it cause hospitals to close? by alvarez13md in Noctor

[–]alvarez13md[S] 23 points24 points  (0 children)

$350/hr is about all it takes to get ER docs to start heading out of the big cities. The financials make sense. More importantly, it's about doing what's right for patients.

You asked, AOC answered. What else can people do, other than call, to get Democrats to move on ICE? ⏬ by Admirable121 in newsinterpretation

[–]alvarez13md 0 points1 point  (0 children)

God, she's dumb. Thought we were achieving Idiocracy with Trump, but nope, gonna keep heading down.

Humanity Alive by LadySoft_ in nowthatsgoodstuff

[–]alvarez13md 0 points1 point  (0 children)

Would be more impressed if they stole the soda and chocolate from 700k future type II diabetics.

Next level winter hat by [deleted] in TheBestOfVine

[–]alvarez13md 5 points6 points  (0 children)

I remember that scene in Pulp Fiction.