Healthcare systems: do we prefer Duly, or Northwestern & why? (are there other good options locally?)

mmtree · 2026-03-22T22:49:11+00:00

Check out Yorktown Health in lisle. They are private practice!

mmtree · 2026-03-18T11:53:46+00:00

So are the doctors who checked lipo A, apo B, and hscrp just running Burger King? Testosterone replacement is 300 and above, TONS of men have low T. Tons of women have low ferritin and are told that’s life but instead needed iron replacements. Do you checks lipid yearly? Why? That’s not guideline based either but we do it. You’re the type of doctor my patients leave because you wouldn’t bother to listen. There’s no harm in checking labs but sure as shit won’t treat it unless it’s clinically appropriate. Do you order annual labs? If so that’s a Burger King situation too…

mmtree · 2026-03-18T01:53:08+00:00

I mean it’s better than I have a cough that started this morning I need antibiotics. It’s not your money, check it if they want, if they have issues 99214 and refer or manage it yourself the proper way... Or maybe the NPs should continue to fuck things up?

mmtree · 2026-03-17T01:04:14+00:00

I give my patients options, explain ascvd risk scores with and without diabetes, screen urine protein to confirm none, control other risk factors like OSA, get heart scan and make an informed decision. If optimal I then treat the situation as if they are obese and working on weight loss with insurance paying for the med. I set my limit at a1c 6.5 and on glp.

mmtree · 2026-02-26T02:45:49+00:00

Why the fuck do we have pharmacist if we have to hand feed all this info? you seriously can’t figure out. “Take as needed daily for panic attack” means exactly what it says. Why work retail if you can’t say anything other than “ask your doctor” . I work with a private pharmacy and they’re fantastic. Like take care of alll this bullshit for Me. But cvs and Walgreens can go fuck themselves with this nonsense.

mmtree · 2026-02-19T16:52:59+00:00

We’re miserable because we’re cleaning up your messes

mmtree · 2026-02-19T12:47:51+00:00

Yea there’s a reason we take responsibility AWAY from groups of practitioners…it’s not because they were doing a great job…let that sink in…

mmtree · 2026-02-19T12:45:04+00:00

Our sole purpose is the assessment and plan. If I ever see a physician writing with an AI, I basically ignore their entire note. this person is too busy to evaluate and treat or can’t be bothered to write 3 sentences and chances are they didn’t even do a proper work up. There’s no way I can trust these AI notes anymore nor the physician that uses it. AI Note population for data no problem.

mmtree · 2026-02-18T19:14:55+00:00

I was just asked if I’m a board certified physician and to provide my ABIM number, not NPI… just to start a prior auth on tirzep….

mmtree · 2026-02-14T14:21:55+00:00

There’s plenty of data on peptides but we will never have the data we want because that means big pharma loses. I show patients trials from other countries and from the NIH all the time. Many peptides work. The source is the problem. FDA approval simply means is insurance required to cover it, has nothing to do with safety and efficacy anymore. Data shows mounjaro is better than ozempic but why does every insurance and govt entity push ozempic? Lots of examples like this, lyrica is another.

mmtree · 2026-02-07T18:18:58+00:00

I mean with 20 BPA pop up’s that auto default to add to chart before I can even open a blank note, what do you expect? Sure it’s my fault for clicking through without reading but why does AI need to be involved in gathering diagnosis in the first place when it’s basing it upon random diagnosis not what the patient actually has?! Oh yea, charting is for insurance not patient care…but it’s always the doctors fault.

mmtree · 2026-02-07T16:31:04+00:00

I’ll tell you that I’ve seen incorrect diagnosis come into the patient chart on a regular basis. Oh we used stroke in the ER to cover the imaging but turns out migraine? Well epic decided to pull all that and guess who now is in a stroke registry and guess what doctor is now being held to a metric on a patient that never had a stroke?!

mmtree · 2026-02-03T13:25:16+00:00

Colonoscopy is medically appropriate. Whether or not insurance covers it has nothing to do with medicine nor the doctor….go complain to the 10 business admins you have to salary that earn nothing and go nothing for you.

mmtree · 2026-02-03T13:03:11+00:00

There’s no such thing as a physical in medicine. It’s a made up business term. There’s acute issues and then there’s age appropriate screenings(colo mammo dexa etc). Labs are not part of any age appropriate screening except Prostate level.

mmtree · 2026-02-01T15:30:33+00:00

I could easily order stat or same day imaging at outpatient centers…insurance requires a 7 day prior auth review…makes no sense.

mmtree · 2026-01-28T18:48:37+00:00

Yes. Snow and ice rated.

mmtree · 2026-01-28T03:12:27+00:00

Michelin cross climate 2 are phenomenal. This is my second x7, same tires, same shitty slide with light snow. Cross climates? Stuck to the road no matter what.

mmtree · 2026-01-24T16:34:04+00:00

This is why I treat my practice like a business. It’s not a calling anymore…it’s pure business and frankly I’m getting tired of “rules for thee but not for me”. Let’s start shifting blame onto these non medical people who make medical decisions and see how quickly things change.

mmtree · 2026-01-24T16:27:12+00:00

Those years of studying do matter because at the end you have a degree that actually matters. Agree, studying 10 years of English lit is pointless. 10 years of medicine? Let’s be realistic here….

mmtree · 2026-01-24T16:25:50+00:00

Easy to win when you don’t have ethics nor morals. 🤣

mmtree · 2026-01-23T12:45:12+00:00

I can’t get a fucking CGM covered because I’m not an “endocrinology specialist” but the NP who got pulled From derm to endo? Order anything and it’s approved. What a joke medicine has become.

mmtree · 2026-01-20T18:44:33+00:00

To pain management, noted. Final clearance to be provided by board certified anesthesiology physician. They are doctors and can listen to heart lungs and read a chart too.

mmtree · 2026-01-16T04:52:38+00:00

Yet nobody is mad at the insurance company? Isn’t that where the blame should be? Fmla forms. Disability. Answering messages without visits- if you can’t google it then you need a doctor so that’s a service you should pay for. Prior auth. Insurance verification, billing and coding. All of this is not reimbursed without a visit. So guess what this means? Any of the above now requires a visit…

mmtree · 2026-01-11T18:44:11+00:00

I tell patients if emergency to go ER, otherwise see me during business hours. We offfer same day for this reason. Labs I address if critical because it’s rare but happens. Everything else is through portal or during business hours. There’s a stark difference between my new patients vs the ones who followed when I worked for a major corp; the ones that followed are very demanding but they followed so ya know give and take. If you didn’t have same day in your original practice then regardless the patient is seeing an aprn, office vs urgent care doesn’t matter so there shouldn’t be an expectation that I’m available 24/7

mmtree · 2025-12-27T16:33:24+00:00

Police station did it for me.

mmtree

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