CarlArredondo

CMS reimbursement for physicians is going to be the nail in the coffin for private practice in America. I’m a surgical sub specialist in a poor southern state that is not quite as shitty as Louisiana and reimbursement here is amongst the lowest in the nation. Physicians are absolutely not benefitting from Medicare in any capacity. I currently have to limit the number of Medicare patients I see in a day as reimbursement is a fraction of private insurance here. There are surgeries I do where private insurance pays 3 times as much as Medicare. Medicare pays 20 percent of what private insurance pays for anesthesia for some of these surgeries too. It is total shite and I’m going to retire in my early 50s and do something else.

I have only fired three or four people in the past 10 or 15 years. I can tell you, if you were exceedingly difficult, rude to my staff, generally a pain in my butt, as long as I find you alternative care, I have every right to fire you.

If you fire me, it is a blessing. It means you are a Chad and I don’t want to deal with you anyway. I am a surgical subspecialist. I’m booked out two months for routine appointments, and do not need your business.

I’m 5’ 10” 140 pounds. Too skinny but I was overweight and felt shitty 7 or 8 years ago. I feel good now and labs are great. I’m in my early 40s. I don’t drink M-F. I just eat dinner during the week - whatever I want, no breakfast or lunch. Saturday and Sunday I eat and drink what I want all day. I drink lots of carbonated water. Seems to fill a void that would otherwise be occupied with alcohol. I also try to run 3-4 times a week. It’s become such a habit i don’t even think about it. I saw a picture of myself 7 or 8 years ago with my hot wife and I was so disgusted by my appearance I decided to change. No calorie counting. No formal dieting.

MRI negative. Will wear brace for a week or so.

-Jay Johnson’s wife who sat next to me at game last night.

This is from the actual Pfizer presentation to the FDA advisory committee on 10/26. Basically the study in this age group is too small to know for sure about complications but we will study it after it’s approved. Later on it says that if you vaccinate a million kids, then over a 120 day period you will decrease hospitalizations by 170. Crazy.

In.