UroSkeptic @Uro_Skeptic Twitter profile

Last Seen Profiles

@soffibunda

@KasihLudah

@weber_mg

@jandakembangstw

@md340555064

@Darman040891

@M__M785

@MINYGD3

@ARKOM76

@Shannondr

@mogahed787

@_JIAOYU

@cocosnack2

@AkariNeo

@Glabsterii

@freckle_ss121

@Ger_Carrizo

@Policrate2

@Ja_Bling

@MoisesG71868859

@hotcherry_ton

@fahan_ih

@BelongieLab

@zssao_

@markyz99

@rr_michaki5248

@DaymDrops

@JohnFret1126175

@AfgAyesha

@SO_SARA3

@darkhatez

@iskanhsn0

@ilo

@far_art_gallery

@unchartedmovie

@CBS19

UroSkeptic

@Uro_Skeptic

3 years

@parastie @kjdelay1 @olsonplanner Physician income represents 8-9% of total healthcare costs in the United States. The majority of cost overruns come from hospitals, drug prices, and health insurance companies. Do you feel like you’re unfairly paid too much money? If so, feel free to give it back

1

4

125

UroSkeptic

@Uro_Skeptic

2 years

@jfitzgeraldMD Nah OB was different. My surgery rotation as a Med student and my intern year in general surgery was predominantly women. High stakes but still felt like we’re in this together. OB rotation was like lord of the flies. Very clique-y and not remotely inclusive.

2

1

66

UroSkeptic

@Uro_Skeptic

2 years

@ChrisM_SF @justinamash @elonmusk Current progressive movement serves special interests and uses force and coercion all the time when it serves their interests

3

0

38

UroSkeptic

@Uro_Skeptic

3 years

@AshleyGWinter I have to hide ice cream from my wife. Or get a flavor she doesn’t like. Mint chocolate chip is my go to - not my favorite flavor but it’s good enough and, more importantly, safe from the ice cream marauders in my house

2

0

37

UroSkeptic

@Uro_Skeptic

2 years

@IDdocAdi Nephrology and urology

1

0

32

UroSkeptic

@Uro_Skeptic

6 months

@CMerandi All due respect, but you’re misrepresenting what ERAS is. Goal is to minimize opioids and use a multimodal approach to reduce postoperative pain and quicken recovery after surgery. People aren’t left to suffer. Please keep your uninformed (and biased) opinions to yourself.

17

0

29

UroSkeptic

@Uro_Skeptic

2 years

@BrielleOchoaMD @DrYetasook @MIS_Christian @RobertYu_11 @drpearlma @CPark_MD All due respect, don’t answer this way. Patients are very nervous when it comes to surgery. They generally don’t mean anything malicious by it. Best way to play off statements like this is with humor. Not condescension.

4

0

27

UroSkeptic

@Uro_Skeptic

1 year

@ShawnIzadi @acgme @OHSUsurgery Interns don’t know anything when they start, they require time and effort to grow into capable doctors Unions will improve short term QOL of residents at the expense of the quality of training If people’s feeling are that easily hurt, they should choose a different profession

12

1

20

UroSkeptic

@Uro_Skeptic

6 months

@AustinWhittRE Better to slightly underprice, get a bunch of interest, and have the price bid up

2

0

20

UroSkeptic

@Uro_Skeptic

7 months

@olsonplanner 12k/month??? Never gonna happen. More reasonable would be 1000/yr with 600 patient roster

1

0

19

UroSkeptic

@Uro_Skeptic

3 years

@doctornontrad Why is this weird? I don’t understand. At this rate there will be no questions that are “safe” to ask without risking offending someone.

3

0

18

UroSkeptic

@Uro_Skeptic

2 years

@Vancbromycin I had one of those when I was an intern. Nice as could be, proactive and hard working. It was amazing. I wrote him a glowing review and told clerkship director that he should be able to go and do and whatever he wants. He does pediatric cardiac surgery now. Seems appropriate

0

17

UroSkeptic

@Uro_Skeptic

2 years

@joshmcgoo How else can I have someone describe the degree of hematuria? Fruit punch. Cherry kool aid. Pink lemonade. Ketchup. There’s no better way.

1

0

17

UroSkeptic

@Uro_Skeptic

1 year

@JebraFaushay Don’t Asians make more money on average than white people in America?

3

0

15

UroSkeptic

@Uro_Skeptic

2 years

@odannyboy @andybudd They’re not charities. They are for profit businesses whose priority is to maximize shareholder value.

0

15

UroSkeptic

@Uro_Skeptic

2 years

@SSNaushon @olsonplanner Then why did you respond to this question?

0

15

UroSkeptic

@Uro_Skeptic

3 years

@jointdocShields @DGlaucomflecken I’m always jealous of Ortho. Urology rarely gets any love. And it’s so ripe for material

0

15

UroSkeptic

@Uro_Skeptic

3 years

@kjdelay1 This won’t get better as long as physicians continue to work for large organizations. We’ll always be cogs in the wheel. Widgets. Single specialty practices fix a lot of this. But it’s riskier and a lot of folks (particularly our generation) are afraid of that risk.

2

13

UroSkeptic

@Uro_Skeptic

6 months

@rafaelshimunov @ShaiDavidai @Columbia Non-Republican Jews still believe in a homeland

0

12

UroSkeptic

@Uro_Skeptic

6 months

@arghavan_salles The “good” men a lot of women are looking for do exist. They just aren’t interested in dating a certain brand of American women. They date/marry conservative Americans or people from other countries. There’s a particular female culture here that is just very unappealing

60

0

12

UroSkeptic

@Uro_Skeptic

5 months

@jzaraterod Yeah you’re right. The professional credentials make it worse. And that last part in particular kinda screams snake oil salesman.

1

0

12

UroSkeptic

@Uro_Skeptic

3 years

@ginorthshore @StSenka Yeah. You shouldn’t mention his job either. Or how long his shift is. Everything is so offensive all the time…

0

12

UroSkeptic

@Uro_Skeptic

8 months

@realEstateTrent Yeah those rates were probably once in a lifetime…

2

0

11

UroSkeptic

@Uro_Skeptic

2 years

Wonder how the malpractice market will price coverage after the first few lawsuits

University of Lynchburg Doctor of Medical Science

@DMSc_Lynchburg

2 years

Dr. Katy Templeton graduated from the University of Lynchburg’s MPAM in 2018 and the DMSc in 2019. As a dermatology PA, Dr. Templeton provides care for both medical and cosmetic dermatologic patients. #UniversityofLynchburg #PAsGoBeyond #DMSc #Alumni

13

0

1

2

1

11

UroSkeptic

@Uro_Skeptic

2 years

@drpillado To be clear, if faced with two candidates, one with higher demonstrated aptitude, the other with slightly lower altitude but better DEI stats, the better candidate for chest surgery is the DEI candidate?

4

2

9

UroSkeptic

@Uro_Skeptic

3 years

@DrPayItBack Saying my kidney hurts has a 99% negative predictive value for renal etiology. And similar positive predictive value for it being back pain.

2

0

11

UroSkeptic

@Uro_Skeptic

1 year

@voter_indie @AlpacaAurelius Incorrect. I have plenty of Amish patients.

0

8

UroSkeptic

@Uro_Skeptic

8 months

@arghavan_salles I can think of at least two people who only got into our training program based on the DEI paradigm. And they had multiple patient complaints, instances where patients were harmed and were still graduated and released into the world.

5

1

9

UroSkeptic

@Uro_Skeptic

3 years

@DGlaucomflecken Yes. But as cults go it’s pretty good for you.

0

9

UroSkeptic

@Uro_Skeptic

2 years

@beyrouti @ClownWorld_ How come it’s the government that failed them? And the economy? Is there no expectation for personal responsibility? How about they failed themselves?

0

8

UroSkeptic

@Uro_Skeptic

2 years

@DrPayItBack When I pay my loans off, I’m gonna withdraw a months worth of loan payments in cash and throw it up in the air and roll around on the bed in it. And then buy go on a spending spree with the cash.

0

8

UroSkeptic

@Uro_Skeptic

3 years

@Jamesto99541563 @dgrubbs667 @mahad_minhas The issue with rural jobs is not incentive. I work in a rural area and make way more than my city-based colleagues. There is simply way more work for me to do compared to in an over saturated city-based market. The issue is my generation doesn’t want to live out there or commute

4

0

8

UroSkeptic

@Uro_Skeptic

1 year

@MySystolic It’s a teaching strategy. My biggest advocates in residencies (and the ones I learned the most with) were also the hardest on me in the OR. Very similar to football coaches growing up

0

8

UroSkeptic

@Uro_Skeptic

1 year

@AjKavanaugh I’m gonna say it over and over. Working for large health systems is why people burn out. Loss of autonomy is the issue. We traded it away as the administrative burdens of healthcare rose while health systems were happy to take that on in exchange for control of our labor.

0

7

UroSkeptic

@Uro_Skeptic

2 years

@olsonplanner Definitely. My wife and I are both docs. We finished training with 570k in loans. I’m four years we’re down to < 100k in loans, have two rental properties (homes we previously lived in), want for nothing and have deeply satisfying jobs with great work life balance.

1

0

8

UroSkeptic

@Uro_Skeptic

2 years

@arghavan_salles Gotta jockey for position. Spread out too. When they shift a bit, go ahead and spread more. Make them push you out of the way (they won’t)

1

0

7

UroSkeptic

@Uro_Skeptic

3 years

@alextatem I’ve always thought we don’t really understand post prostatectomy ED. I’ve had patients with terrible disease, no nerve sparing, and they’re getting erections 3 months postop. And folks with beautiful nerve spares, excellent preop SHIM, and no erections afterwards. Crapshoot IMO

1

0

7

UroSkeptic

@Uro_Skeptic

3 years

@AshleyGWinter The real winner here is you. Pregnant stones = no bueno

1

0

7

UroSkeptic

@Uro_Skeptic

3 years

@eacos18 Call palliative

0

5

UroSkeptic

@Uro_Skeptic

3 years

@olsonplanner I’m gonna get all the money I spend on a monthly payment in cash and throw it up in the air and roll around it Scrooge Mcduck style

1

0

6

UroSkeptic

@Uro_Skeptic

2 years

@AmyOBG411 @arpitdave @TinaAdams72 That’s always been the rule where I’ve been. If you need to bump someone, you have to call the service you’re bumping. Never had any pushback

1

0

5

UroSkeptic

@Uro_Skeptic

3 years

@GabrielleGear It’s rough. You can do it. I remember walking down the stairs at 4am three months in thinking, ”this is a new level of tired i didn’t know was possible.” It’s like training to be an athlete. You’ll come out on the other side much stronger. Believe in yourself

1

6

UroSkeptic

@Uro_Skeptic

3 years

@SBowersMD Rocky Mountain Oysters

0

6

UroSkeptic

@Uro_Skeptic

2 years

@BryanDawsonUSA @VivekGRamaswamy You do live there. You’re just too caught up in your bubble. That and the fact that you don’t have anything real to worry about makes you look for something to make you upset…

0

6

UroSkeptic

@Uro_Skeptic

6 months

@docjlmdvm @erinlee256 @CMerandi It should be a decision made between a doctor and patient. Nothing else should matter.

0

2

5

UroSkeptic

@Uro_Skeptic

2 years

@realDrMac @olsonplanner They most certainly do not. I didn’t fully comprehend it until we had our first kid at the end of residency. Then I finally started making long term plans and realized what it was gonna take to pay off the loans…

0

6

UroSkeptic

@Uro_Skeptic

2 years

@Garbagestyleman @KurtSchlichter @tom_steely @MattWalshBlog Is there no expectation of decency or responsibility from the parent?

2

0

5

UroSkeptic

@Uro_Skeptic

6 months

@AhmedElghawyDO @bfhermann The academic rheum guy is criticizing the work ethic of only private practice hand call surgeon in town. I’m guessing that you’re not doing a bunch of middle of the night joint injections. Those can, do. Those who can’t, teach…

1

0

5

UroSkeptic

@Uro_Skeptic

6 months

@residencyreview Sounds like any surgery program. I’d much rather have a surgeon that trained in that sort of system than one who was coddled. The former will almost always be the better surgeon. Surgery is not for the faint of heart. Not everyone can do it

0

2

UroSkeptic

@Uro_Skeptic

1 year

@IMG_MATCH @ShawnIzadi @acgme @OHSUsurgery The obsession with toxicity is the problem. Anyone with common sense understands the message being conveyed. Those who take offense are looking for something to be offended by. We all started as interns and created more work than we helped with. And we mostly all became competent

0

5

UroSkeptic

@Uro_Skeptic

6 months

@HannahDCox @ImSoooRad

1

0

5

UroSkeptic

@Uro_Skeptic

3 years

@kjdelay1 @alextatem @clavelluro @AshleyGWinter @billyjaffe High volume surgeons are always better. I’ll echo @AshleyGWinter here. I always offer a referral for more complex cases but most of my patients don’t want to drive to the city. If I’m comfortable doing the case and they prefer I do it, then I’ll do it.

1

0

5

UroSkeptic

@Uro_Skeptic

3 years

@alextatem I don’t understand how that’s even survivable

0

5

UroSkeptic

@Uro_Skeptic

5 months

@sage_stage @KaitCoffee How is that racist? I didn’t see a word about race in your story. Why does skin color matter? Behavior is behavior

3

0

2

UroSkeptic

@Uro_Skeptic

6 months

@SPuro88 I used to do the same thing in reverse as a resident. Wife was internal medicine. I would work up these complex EKG changes or electrolyte abnormalities overnight. Present to my chiefs the next day and they would be like “what the fuck did you do?”

0

4

UroSkeptic

@Uro_Skeptic

6 months

@WestinWong When Israel does it, it’s genocide. When Palestine does it, a little justified intifada. Seeing everything through the lens of oppressed/oppressor isn’t always the best way to determine who’s right or wrong. Sometimes the oppressed are being oppressed because they’re wrong/bad.

1

0

5

UroSkeptic

@Uro_Skeptic

2 years

@mikestern87 That’s what I get for expecting them to do it properly without giving them any guidance…

1

0

5

UroSkeptic

@Uro_Skeptic

3 years

@WhyamIhereb Putting others down to build yourself up is pretty shitty. My dad was a physician. I worked in high school. Worked through state college. Studied my ass off in Med school. Then took the time to tutor the students who were struggling. But fuck me and my rich parents, right?

1

0

5

UroSkeptic

@Uro_Skeptic

5 months

@beth_annbloom @sage_stage The fact that this is your response to the story above, suggests you’re not going to like the answer.

0

5

UroSkeptic

@Uro_Skeptic

3 years

@DrSandman11 I’m having more and more patients show up to my office just in the past couple of weeks asking about the vaccine. I think the gravity of the situation is finally setting in

0

5

UroSkeptic

@Uro_Skeptic

6 months

@PayamKashiMD @SPuro88 @jjfitzgeraldMD I’m gonna say what every non gyn surgeon reading this is thinking but won’t say out loud. Most surgeons and OR nurses/techs agree the gynos tend to be the least technically adept surgeons.

6

1

5

UroSkeptic

@Uro_Skeptic

3 years

@generalorthomd Surgery is hard. People that don’t do this will never understand. Keep your head up. Days like this make you better.

0

5

UroSkeptic

@Uro_Skeptic

3 years

@MVGutierrezMD @kjdelay1 Respectfully disagree. Some people are just not cut out for certain careers. Practicing medicine comes with a lot of responsibility. It’s irresponsible to subject patients to substandard care in the pursuit of validating a failing trainee’s feelings.

3

0

5

UroSkeptic

@Uro_Skeptic

2 years

@ghadaal34658185 @monitoringbias For a diversity contest, sure. But for a geography contest, shouldn’t the focus be whoever is best at geography?

0

4

UroSkeptic

@Uro_Skeptic

3 years

@DrSandman11 Yeah we’re all dumb. Surely things we’re doing wouldn’t affect things like ventilation pressures (pneumo pressure, degree of trendelenburg , etc). But fuck me, right? I wasn’t competitive enough to be an anesthesiologist so I became a urologist instead

2

0

4

UroSkeptic

@Uro_Skeptic

1 year

@jbullockruns @MIT Couldn’t the system look at socioeconomic factors as opposed to skin color to help the less privileged?

2

1

4

UroSkeptic

@Uro_Skeptic

3 years

@fuzzymittens Meanwhile they come see me and then are shocked and embarrassed when I ask em to whip it out…. Dude, you came here complaining of penis pain. What did you think was gonna happen?

3

0

3

UroSkeptic

@Uro_Skeptic

1 year

@independentMDs They could never keep up in the real world. Those can, do. Those who can’t, teach.

0

4

UroSkeptic

@Uro_Skeptic

5 months

@PoleDoctress The unintended consequence of inclusion at the expense of quality is distrust. When you lower standards to allow people in that look a certain way, people will question everyone that looks like that. DEI dilutes the achievements of the URMs that actually did the work.

3

1

4

UroSkeptic

@Uro_Skeptic

3 years

@emergencyemily I’m an attending and I still do this a couple of times per week with my friends from residency

0

4

UroSkeptic

@Uro_Skeptic

3 years

@glynnlc @AshleyGWinter Physician centered healthcare is dying because independent physicians have been replaced by employed physicians that are owned by large healthcare companies. This happened because of increasingly burdensome regulation and a move towards shift-work to improve work life balance.

0

3

UroSkeptic

@Uro_Skeptic

3 years

@mahad_minhas There are 31000 1st year MD/DO positions annually. There are 34000 pgy1 spots. The issue seems more to be that foreign grads are better than some of our own.

1

0

4

UroSkeptic

@Uro_Skeptic

3 years

@Testiscancer @NarimanAhmadi @alirezaghoreifi @Hoomandjaladat @USC_Urology @APMitra @uroegg @DrJohnSfakianos @JamesPorterMD @AdityaBagrodia @AmerUrological People may fellate your ego in the tiny world of testis cancer research but remember that outside of that space, no one gives a fuck about you. This attitude is what turns so many away from a career in academics. Like a troll guarding his bridge…

0

4

UroSkeptic

@Uro_Skeptic

6 months

@AhmedElghawyDO @bfhermann It seems like he’s just saying theres a shortfall of people willing to do it, and he’s glad he was trained to be able to. All the other stuff you’re inferring suggests some insecurity and bias on your part.

1

0

2

UroSkeptic

@Uro_Skeptic

2 years

@DrPayItBack A busy private practice doctor (at least for urology) generates around $500-600 an hour in collections. Half of that goes to overhead in a lean practice. And then of course the more middle men between you and your cut, the less your share…

1

0

4

UroSkeptic

@Uro_Skeptic

3 years

@DrYetasook @MIS_Christian @OMGhanemMD @farahhusainMD @SAGES_Updates @NeilFlochMD @Herniadoc @ISorianoMD @RobertYu_11 @JJcolemanMD I had to use this thing for the past two years till we finally got the Xi. Not as bad as I thought it would be. Made me appreciate the Xi so much more afterwards. (I was spoiled in training and only had the Xi and SP)

0

4

UroSkeptic

@Uro_Skeptic

2 years

@SPuro88 Totally agree. Liability insurance for gun ownership would be a great idea.

0

4

UroSkeptic

@Uro_Skeptic

3 years

@wstyrself @WhyamIhereb Sure I can go back and live with my parents. I only made the above comment because OP explicitly states people who come from money don’t have to work for anything. Putting other people down in order to build yourself up is a shitty thing to do regardless of where you come from.

0

4

UroSkeptic

@Uro_Skeptic

7 months

@arghavan_salles Seriously. I’m sure @Dermin_ is throughly knowledgeable on the nuances of prostate cancer screening and evaluation of lower urinary tract symptoms.

0

4

UroSkeptic

@Uro_Skeptic

3 years

@jfitzgeraldMD I have a handout I give em. Tell them the front side is for their doctors. Lists uti symptoms and then quotes the guidelines regarding not treating asymptomatic bacteriuria. Please call urology clinic if any issues. They still get antibiotics…

1

0

4

UroSkeptic

@Uro_Skeptic

8 months

@arghavan_salles We also had residents who were from historically underrepresented groups that were phenomenal. And they would have gotten in regardless of their race/gender/ideology, and based purely on merit. All DEI does is tarnish those people’s accomplishments.

0

4

UroSkeptic

@Uro_Skeptic

8 months

@DrPayItBack I alternate Monday and Friday. That way there are two four day weekends

0

4

UroSkeptic

@Uro_Skeptic

5 months

@alexandrite113 @pontevecchio5 You gonna address any of the other stuff she mentioned or just nitpick semantics? Clearly just click baiting without any debate in good faith. Blocked

0

4

UroSkeptic

@Uro_Skeptic

8 months

@DavidHindin I honestly never have. But I also grew up in an OR (dad was an anesthesiologist in a small town where thirty years ago, it was no big deal to bring your kid to work)

0

4

UroSkeptic

@Uro_Skeptic

3 years

@DrPayItBack Same thing happened to ours. We literally turned around as we’re walking into the ER entrance and my Ortho buddy talked me through it. And by talked me through it, I mean he told me to find a YouTube video. Immediate relief.

0

3

UroSkeptic

@Uro_Skeptic

3 years

@olsonplanner Slumlord

1

0

4

UroSkeptic

@Uro_Skeptic

7 months

@DrPayItBack Unless it’s actually your business and you have a head for the entrepreneurial side of medicine, it’s not a great risk/reward scenario. A rubber stamp medical director makes around 25-50k per year at one of these operations. Not worth the liability.

1

0

4

UroSkeptic

@Uro_Skeptic

3 years

@kjdelay1 Sadly, the intrinsic qualities that make people seek out leadership positions are rarely selfless qualities and usually ego driven (eg politicians)

0

4

UroSkeptic

@Uro_Skeptic

2 years

@shailinthomas

0

4

UroSkeptic

@Uro_Skeptic

1 year

@DrPayItBack Medicare will continue till 2024 and may extend beyond. Commercial payors, just gotta wait and see what they do (I think BCBS is gonna keep paying)

0

3

UroSkeptic

@Uro_Skeptic

2 years

@NoJustIgnore @VivekGRamaswamy @donlemon Loving that there’s no response to all of these comments. If it was actually about color than of course he’s a POC. But it’s not about color…

0

3

UroSkeptic

@Uro_Skeptic

3 years

@DrPhilG00d @AshleyGWinter Prozac

0

3

UroSkeptic

@Uro_Skeptic

3 years

@DShadowgazer Urology - catheter

1

0

3

UroSkeptic

@Uro_Skeptic

2 years

@RianKMD Reducing work hours may lead to either lower quality training or require longer time in training. There is value in those long hours. Recent paper in NEJM showed LESS complications with residents working 24hr shifts vs 16hr. Presumably due to less handoffs and more continuity.

3

0

3

UroSkeptic

@Uro_Skeptic

3 years

@jbwatterson Well, I’m a urologist. What am I supposed to do with all those squiggly lines?

0

3

UroSkeptic

@Uro_Skeptic

6 months

@AutonomousAllie @BartemyS @MattWalshBlog What about the animals displaced by the farms that produce your fruits/veggies? Or that were killed when your home was built? Or by the roads you use to get around? Or the planes you fly on?

0

3

UroSkeptic

@Uro_Skeptic

5 months

@boo2you2 This what creating an echo chamber looks like. I don’t like what someone else that a saying. It challenges my religious/tribal view of the world. I will banish that person instead of engaging in a discussion. The definition of someone that can’t be reasoned with. Bye 👋

7

0

3

UroSkeptic

@Uro_Skeptic

1 year

@SPuro88 Are you in a new house? And with the switch are you on the same side relative to who’s closer to the door. Cuz that’s usually what determines who sleeps where.

0

3

UroSkeptic

@Uro_Skeptic

3 years

@PedsPlntsPepprs I always heard about this, but I feel like the only residents the nurses were mean to were the ones that felt they had something to prove and didn’t want to take advice from a nurse.

1

0

2

UroSkeptic

@Uro_Skeptic

3 years

@joshmcgoo Eat when you can, sleep when you can, and don’t fuck with the pancreas

0

3