morning thoughts

[cornerofmadness]

School Related - To whomever scheduled multiple conflicts into my anatomy student's schedules that require them to change class times, lab times or just plain miss parts of my class/lab and the class/labs of someone else, I'm coming to kick you in the face. One person wouldn't be so bad but over a half dozen??

TV related - I'm ticked that House isn't going to be on again until Feb. And last night's eppy was disturbing to me for reasons that would not have disturbed 99% of the viewers. No it wasn't the ... cut for spoilers cerebral malaria (though we are getting esoteric here)nor was it how childish the other young doctors were acting, it was House having to meet with the medicaid reviewer. (okay that's a spoiler but hardly a main plot point, just a reason to get him out of town) God the nightmares that brought back.

Most of you don't probably know that medicare/medicaid review all our billing to make sure we aren't defrauding them. Fair enough. One of the things they look at is are you doing the same procedures all the time. Um guess what if you're a specialist like I was you DO perform the same procedures all the time. That's why you're the damn specialist. Just like House's cases were all class 5 in complexity (which is the highest paying) all of mine were either palliative/preventative care or debridement of wounds. I'm a wound care specialist. Do you want to know how many times my records were flagged? Wanna know how scary that is? Let me put it this way, in Florida alone the federal governement committed hundreds of cases of fraud to prove fraud where it didn't exist, took back over 10 million dollars that were NOT fraudelent charges, lost dozens of doctors their practices and some even went to jail before someone put the brakes to the gov. I was planning on leaving medicine even before I was injured for this very reason.

Comments

[aaronlisa.livejournal.com]

That sucks about your school, you think that they'd do their registration with computers so that wouldn't happen. At my university and college, students couldn't do that. Then again all of our lab time was set in stone for when we registered.

And that sucks about medicare/medicaid. I had no idea that happened in the States. I sincerely hope that Canada doesn't revert to the private health care system that so many politicians and doctors seems to want up here.

[cornerofmadness.livejournal.com]

we do use computers they just override it!

Medicare/Medicaid is terrifying. It's very hard not to scare the shit out of teh hopeful young doctors to be here when they ask me about medicine.

[aaronlisa.livejournal.com]

OMG you're kidding. At both SFU & Douglas, it was impossible to override the system, unless you got written permission from the profs involved and then you had to go to speak to someone in person at the headoffice to do that.

No doubt, just the thought of what a system like that scares me and I have no inclination to practice medicine. That has got to be not only frustrating as all hell but just so wrong if it's making people not want to practice medicine.

[cornerofmadness.livejournal.com]

well they have to do that here too but the advisors DO IT

There's a lot of administrative reasons I wanted to quit medicine

[aaronlisa.livejournal.com]

Stupid advisors.

Yeah I can see why if you had to deal with more adminstrative garbage like that.