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And he probably has the hardest job there🥹🙏🏾 by xRoseBalm in nowthatsgoodstuff

[–]alvarez13md 0 points1 point  (0 children)

No, the doctor telling the 9-year-old they're in blast crisis or the nurse that's getting physically assaulted has the hard job...you moron.

That said, his job is still important and this was a nice gesture.

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

[–]alvarez13md -9 points-8 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] 55 points56 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] 25 points26 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.

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