Profile avatar
jmamd.bsky.social
Rural family practice physician New England .advocate for primary care .member of ideal medical practices project . author of proposed innovative payment model to the physicians technical advisory committee. member ofNCQA PCMH 2017 review committee
223 posts 46 followers 7 following
Regular Contributor
Active Commenter

#MedSky #PrimaryCare Does everyone know that primary care no longer has to sign off on PT/OT plans of care? this was effective January 1 I don’t think anyone knew and I would love to know who did it maybe the physical therapist this is one less chore for primary care!!!

#Maine #PrimaryCare #MedSky. I would like to know why a nurse practitioner license cost $100 and mine cost $600 going up to $700. I would like a detailed explanation.

#MedSky #PrimaryCare. Please let organize -a group that will make phone calls and put out press releases Our trade organizations. Just don’t do it.

#Medco #PrimaryCare anyone see Dr. Landon‘s article in NEJM about the burdens of administrative stuff in primary care ?who wants to get organized with me ?let’s stand up and speak

#MedSky #PrimaryCare it has become clear to me the reason we are so stuck and no one helps us in primary care is specialists. AMA coddles them for instance why should I ever have to pay staff /stop work to write a referral to radiation oncology of course patients need to go there.

#MedSky #Democracy. I have long sense observed in taking care of patients that patients don’t think ,they feel advthey are two different things and it’s now true of America.

#FamilyMedicine recent conference reminders lead is everywhere test for it celiac diseases everywhere test for it

#Medco #Primarycare here in the state of Maine 48 bed hospital has just closed another has closed its statical unit some whole counties have no OB unit.

#MedSky #PrimaryCare. Money money ….money is needed for drug addiction for prevention for primary care for HIV. Where is the money money money? Oh Congress sent it to defense

Med sky #PrimaryCare. #MedSky. Someone had better story to look carefully at who’s going to handle the complex cases and let NP’s and doctors share panels. Why isn’t this being done??

#MedSky #PrimaryCare. I am semi retired working one day a week. Just lost my job as the hospital is losing money can you imagine the country needs primary care there’s ways to make for a time work we better look at it.

#Democracy. I just wish Congress could begin a conversation without saying the Republicans… The Democrats, blah blah blah. Please stop hating each other so much.

#Democracy, #Trump. As he dismantle every guard rail, dismantle universities, ignores, judges, do those house Republicans not understand he will dismantle congress next?

#PrimaryCare,MedSky. It used to be that I could evaluate a patient , and refer to nephrology or cardiology etc,but now consultants look at the chart and insist that I order all kinds of tests before they will even be seen. I suggest they order tests needed. Stop dumping on primary care.

#MedSky #FamilyMedicine. It used to be that a woman with a breast mass was sent to the surgeon who did a biopsy and informed her of results and referred her to oncology, etc. now the radiologist does the biopsy and dumps it back on us to tell her the results more and more work for primary care.

#MedSky #PrimaryCare. Primary care needs a Martin Luther King Jr. our. Colleagues may have their own troubles, but they have no clue no clue and make no effort to support us. The entire country needs to face primary care and support us but docs won’t do it. We need a MLK Jr. to organize us.