Rico Posted June 20, 2022 Share Posted June 20, 2022 2 hours ago, Nextmanup said: Is there actually any content in this thread commenting on Kim Pegula's health? It seems to be about everything other than that. Maybe you should start a new thread then. 2 Link to comment Share on other sites More sharing options...
Beerball Posted June 20, 2022 Share Posted June 20, 2022 7 hours ago, John from Riverside said: Something about a guy cutting my hair and telling me to say cough at the same time… Your doctor tells you to say cough? 1 1 Link to comment Share on other sites More sharing options...
MasterStrategist Posted June 21, 2022 Share Posted June 21, 2022 2 hours ago, Mr. WEO said: I was responding to the claim this info simply cannot be known. That’s not true. The law went into effect just last year. Poor compliance doesn’t make it impossible to get this info from a hospital. Pointing out how this can be done fairly simply isn’t obscure. As you likely know, these recent "transparency" laws don't mean much yet. Hospitals are super inconsistent, even if they comply, with what they put out there (ie: charge master price, specific insurer or medicare price levels). There's also very little consistency with billing patterns, unless as a consumer you know exactly what procedure code and modifiers will be billed/approved, 'shopping' is not necessarily like going onto Amazon and knowing the price. Information that it sounds like you understand, but why it's difficult for many to track 1 Link to comment Share on other sites More sharing options...
RunTheBall Posted June 21, 2022 Share Posted June 21, 2022 10 hours ago, Mr. WEO said: Most "medical consumers" know exactly what they are paying for (more accurately, what their insurer or the public is paying for). It has been routine for decades in this country for patients to see providers other than an MD/DO. NP's have long been licensed to practice unsupervised. PAs less so. MDs aren't being "replaced"--there simply aren't enough of them (and a lot of them aren't very good). Your "attending physician" doesn't need close to "a minimum of 21,000 hours of clinical training before practicing independently". A Primary Care or Family Medicine or Pediatric MD trains for 3 years and at most 80 hours a week (they don't come close to this). The most hours they could log would be 12,000. And still in their frist year of practice may be less useful to the patient than their seasoned NP/PA. You are conveniently forgetting the 4 years of medical school prior to residency training of which 2.5 years is pure clinical training to become a physician. But whether it’s 12000 or 21000 it’s still over 10x the amount of hands on supervised training before practicing independently as opposed to 500 hours of shadowing an NP can do. If you want your initial cardiology appointment to be with a “cardiology NP” who has no specialized training in cardiology then be my guest. To the poster I responded to, I recommended he make sure his initial appointment was with a MD/DO cardiologist. Follow up and routine care can absolutely be done by mid-level practitioners. As for most medical consumers knowing exactly what they are paying for, I don’t agree at all. Medical billing/insurance is deliberately obtuse. 4 Link to comment Share on other sites More sharing options...
NyQuil Posted June 21, 2022 Share Posted June 21, 2022 (edited) . IMO we are going to have to wait for a family statement. No one in the media is going to speculate and risk being blackballed from both the Sabres and the Bills. Edited June 21, 2022 by NyQuil 1 Link to comment Share on other sites More sharing options...
Mr. WEO Posted June 21, 2022 Share Posted June 21, 2022 15 minutes ago, MasterStrategist said: As you likely know, these recent "transparency" laws don't mean much yet. Hospitals are super inconsistent, even if they comply, with what they put out there (ie: charge master price, specific insurer or medicare price levels). There's also very little consistency with billing patterns, unless as a consumer you know exactly what procedure code and modifiers will be billed/approved, 'shopping' is not necessarily like going onto Amazon and knowing the price. Information that it sounds like you understand, but why it's difficult for many to track That's why the place to start is the Medicare local reimbursement. Multiple products make it straightforward to get local pricing info--in fact to make obvious if your hospital is in compliance. Link to comment Share on other sites More sharing options...
Mr. WEO Posted June 21, 2022 Share Posted June 21, 2022 17 minutes ago, RunTheBall said: You are conveniently forgetting the 4 years of medical school prior to residency training of which 2.5 years is pure clinical training to become a physician. But whether it’s 12000 or 21000 it’s still over 10x the amount of hands on supervised training before practicing independently as opposed to 500 hours of shadowing an NP can do. If you want your initial cardiology appointment to be with a “cardiology NP” who has no specialized training in cardiology then be my guest. To the poster I responded to, I recommended he make sure his initial appointment was with a MD/DO cardiologist. Follow up and routine care can absolutely be done by mid-level practitioners. As for most medical consumers knowing exactly what they are paying for, I don’t agree at all. Medical billing/insurance is deliberately obtuse. Medical school isn't meaningful training (you specifically said "not shadowing"). If you are concerned about a Cardiology NP not being up to snuff for your initial consult, then you certainly may request to be seen by the MD--be prepared to wait much longer for an appointment where he/she will also just order labs/EKG/ECHO/Stress test, just like the midlevel would have done. This is how it has worked in this country for decades because there aren't enough specialists in most communities to see every patient. How or why this would, in 2022, be news to you...is a mystery. 9 minutes ago, NyQuil said: Are you a resident right now? It would explain your hatred towards NPs and PAs. Also, I prefer APP to “mid-level.” wtf? Link to comment Share on other sites More sharing options...
NoHuddleKelly12 Posted June 21, 2022 Share Posted June 21, 2022 Oh no this cat found another thread to hijack! 5 2 Link to comment Share on other sites More sharing options...
Whkfc Posted June 21, 2022 Share Posted June 21, 2022 3 hours ago, The Wiz said: Isn't that like every other thread? I'm sure there's a good recipe for Bavarian chocolate cake in the OTA thread. I want some Bavarian chocolate cake. 2 Link to comment Share on other sites More sharing options...
Rhode Island Red Posted June 21, 2022 Share Posted June 21, 2022 28 minutes ago, NoHuddleKelly12 said: Oh no this cat found another thread to hijack! This is the perfect post for this time of our NFL year…idle speculation derailed by idle mischief… 1 Link to comment Share on other sites More sharing options...
Gugny Posted June 21, 2022 Share Posted June 21, 2022 4 hours ago, Beerball said: Your doctor tells you to say cough? Hopefully not his podiatrist. He might lose another toe! Link to comment Share on other sites More sharing options...
Mike in Horseheads Posted June 21, 2022 Share Posted June 21, 2022 2 minutes ago, Gugny said: Hopefully not his podiatrist. He might lose another toe! They say they to cover the moan Gugs Link to comment Share on other sites More sharing options...
Mango Posted June 21, 2022 Share Posted June 21, 2022 6 hours ago, Mr. WEO said: Mango doesn't even look...so he concluded no one does. Anyone can look it up and ask the hospital if these are cash prices or negotiated. Plus they can start the conversation already with the Medicare price info in their hands. Hospitals hat don't give the info you can avoid. Competition will compel them to comply at some point. 4 hours ago, Mr. WEO said: I was responding to the claim this info simply cannot be known. That’s not true. The law went into effect just last year. Poor compliance doesn’t make it impossible to get this info from a hospital. Pointing out how this can be done fairly simply isn’t obscure. This is a huge leap. I didn't say any of those things. I bolded one comment where you said "Most "medical consumers" know exactly what they are paying for". I said that isn't true at all. Most Americans don't know. Something like 30% of all Americans under 50 don't even have a PCP. And it gets worse as they get younger. Why would they know the cost of care before receiving it? The fact of the matter is most Americans are only seeing their doctors when absolutely necessary. Hell, 60% of us are living paycheck to paycheck. I quite literally laid out examples of not knowing how much time I would be given or if I would see the Dr. I scheduled my appointment with. that isn't knowing what I was paying for....I had a blood draw in office from a doctor and got a bill in the mail for $2k after insurance covered $3k for it. Didn't know any of that was going to be a part of my visit that day. I really dislike the term "medical consumers" rather than patients. I am not buying a Honda. I am trying to manage my quality of life. I am privileged enough to be able to shop my medical care around and leave my local hospital group to go to Cleveland Clinic and Mount Sinai. But most people in my region absolutely cannot do that. And a term like "medical consumer" only makes it seem like they are some how responsible in that. 3 Link to comment Share on other sites More sharing options...
Einstein Posted June 21, 2022 Share Posted June 21, 2022 On 6/19/2022 at 8:33 PM, RunTheBall said: Make sure you see an MD or a DO for your initial evaluation, not a PA or Nurse Practitioner. With the continued bureacratization of medicine and the heavy presence of private equity, the business of medicine is destroying it. Docs are being replaced with NP’s and PA’s who are “supervised” by and MD/DO. It’s getting very scary out there. That’s not to say there aren’t good NPs and PAs who are great in their role, but how does someone not in the field know what they are getting? Put it this way, you can get an online Doctorate in Nurse Practitioner with 500 hours of shadowing (that’s not even practicing) and practice independently in many states while calling yourself “Doctor”. An attending physician has a minimum 21,000 hours of clinical training (not shadowing) before practicing independently. A barber has 1500 hours of cutting hair under supervision, and a Pet Smart groomer has over 800 hours of grooming under supervision before they can cut your dog’s hair. Medicine is a business, you are the consumer. Know what you are paying for. Where I am, NP’s must have a bachelors degree, pass nclex, get their RN, then get their masters degree, then have 500 hours of supervision and pass the national boards. On top of that, if the NP wants to work in a cardiologist office (like the example above), then they would need an additional certification for cardiology that carries an requirement of 2000 additional hours, then take another test, then join the American Board of Cardiovascular medicine. Some of the smartest people I know are NP’s and i’d trust them over some doctors at any moment. 3 hours ago, RunTheBall said: If you want your initial cardiology appointment to be with a “cardiology NP” who has no specialized training in cardiology then be my guest. No specialized training? As said above, to be a cardiology NP you need 2,000+ hours of specialized cardiology training. 1 Link to comment Share on other sites More sharing options...
Nelius Posted June 21, 2022 Share Posted June 21, 2022 Nothing but love for the entire Pegula family Been watching this thread for about a week now, and haven't responded yet because medical speculation is always weird, but hey, no news might be good news to some extent yeah? When this first popped up I was bracing for an emergency. No doubt that the possibility may still be there but it would seem she's somewhat on the mend hopefully considering no serious updates 2 Link to comment Share on other sites More sharing options...
machine gun kelly Posted June 21, 2022 Share Posted June 21, 2022 This speculation and editorials on medicine is funny. I’m both a Licensed Psychotherapist and moved onto Medical Device Sales and Mgmt, as well as Biotech for over 20 years. We do the teaching on billing an coding for new treatments, and have worked every level of medical professional. There are a lot of misconceptions written out here. I’m not going down that rabbit hole, but am waiting for someone who finds out what really happened again not because of gossip, but just wanting to know she’s ok. That’s all. From reading through this thread, there is no concrete information about how she is doing. I hope when they are in a good place they release something so we just know she’s ok. Have fun with you’re opinions on medicine. If you really want to find out as a tip who is for example the best OBGYN as you’re wife is pregnant, you go find an L&D nurse who works with all of them and ask them who is thorough and skilled. They know as they work side by side with these guys. In my industry currently I work with who are the best Nuerosurgeons and Epileptologists. I can tell anyone in my area who you’d want as you’re doctor. In the past I’ve worked with most specialties over the last 20 years. This is why I make sure my Dad goes to the right doctors for his ailments. Thankfully that old Irish Bird is a tough cookie. At 92 he still plays golf twice a week. 5 Link to comment Share on other sites More sharing options...
machine gun kelly Posted June 21, 2022 Share Posted June 21, 2022 BB, you’re aces in my book. Although anecdotal, If you believe in it, then it’s right for you. Have a good day bud. Link to comment Share on other sites More sharing options...
muppy Posted June 21, 2022 Share Posted June 21, 2022 I wish there was an update but so far nada. I'm sure it will be posted when any arrive. This just sucks on so many levels. It brings to the forefront in my mind that you can't take life/ health for granted. Kim Pegula your WNY bills fans family is keeping you lifted up in prayer during this most arduous time. 6 Link to comment Share on other sites More sharing options...
Greg S Posted June 21, 2022 Share Posted June 21, 2022 (edited) Just have to respect their privacy. It's a medical/health issue. Why would she post online or tell what is going on to the media when its a personal issue. I am sure the Pegula's will announce something when they feel the time is right. Edited June 21, 2022 by Greg S 2 Link to comment Share on other sites More sharing options...
NyQuil Posted June 21, 2022 Share Posted June 21, 2022 I do wonder if it was grave if Jessie would have pulled out of Wimbledon. Link to comment Share on other sites More sharing options...
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