Surfer girl who traded the beach for cowboy boots & country music. Los Angeles โกTucson. UCLA, U of Arizona & KCOM Alumna. DO Rheumatologist
#GoBruins
๐๐๐ป
Welcome to AZ. Today a pharmacist denied the MTX refill for my adolescent patient. She's on 5 mg/wk to prevent AHCA Ab production. MTX denied purely because she's a female, barely a teenager. Livid! No discussion, just a denial. Now to fight for what's best for this pt.
@DGlaucomflecken
I thought you were taking a jab at the people who think primary care is a piece of cake not the other way around...sad it got misunderstood
@JJWatt
I'm so sad your protected health information was leaked. That's incredibly disappointing and evidence of horrible lack of character. The physician in me (as well as a huge JJ fan) is sending you extra positive thoughts for a boring sinus rhythm the rest of your life!!
@JennaMillerKC
Having his pup and using VR are such cool additions to the care plan!! Beyond thrilled for this young man, his parents and the team!! Such courage, determination and unending posivity from all! Let him know so many are so impressed by his toughness & sending extra love!
@DrZedZha
I know that place too! One of the highlights of many trips was making fry bread in Canyon de Chelly on open fire with the Grandmas yelling instructions in Navajo as I was cinging my eyebrows ๐คฃ
@EM_RESUS
As an intern, did the admit H&P for 50 something y.o. w/syncopal episode. Asked code status. Said DNR. Confirmed x 3 as seemingly healthy. 2 hours later ICU called a code. Had to stop it as was my admit. Autopsy = diffuse metastatic ca. That patient knew!
A moment so filled with joy!! 3/5 of
@OldDominion
singing "Save It For a Rainy Day" with
@kennychesney
and then they covered the Eagles "Take It Easy" โค๏ธโค๏ธโค๏ธ
@American8978672
@acweyand
Anti human-chimeric antibody production. The body recognizes non human parts of a medication and produces antibodies against that portion which neutralizes the desired effects of the medication.
@MiscSusan
Intern year, 1997, one of our ER docs was getting "dropped" randomly by the state board as part of his return to work after rehab. He was so open w/us 4 interns. Told us 1 in 4 would have an issue. His courage was inspiring. I pray for your love. May he recover safely ๐โค
@jtrebach
@DGlaucomflecken
My RA patient was admitted for GI issue requiring emergency surgery. I went to visit & be sure all good. Surgery resident rounded that afternoon. Pt says feeling better since Rheumatology visited. Surgery asks why. Pt says because they held my hand. Surgery graps her hand ๐คฃ๐คฃ๐คฃ
@AaronGoodman33
When was a study coordinator at a cancer center, one of RNs and I would sneak ice cream to the hospitalized stage IV patients. Will never forget the smiles ๐
@Rick_Pescatore
๐ "First do no harm" We were taught in medical school /residency that the hardest yet most appropriate thing may be to do nothing..."just in case"
@julie_hovgaard
Methotrexate is the medication. It's used to treat many different rheumatic conditions. It is also used for the treatment of ectopic pregnancy so is considered an abortifacient medication (drug causing abortion)
@ElizabethGannon
Friday a judge overturned the injunction against a law from when AZ was a territory and now all abortions are banned unless the mother is dying. This is part of the ramifications of that change. The med was filled without any problems last month.
@DGlaucomflecken
As a Rheumatoogist (aka "hoax doc") I've waited impatiently for our turn!! Totally worth the wait!! Not disappointed at all! So very true!!
#ANA
#newcytokine
@DGlaucomflecken
I had to learn the Krebs cycle in undergrad, Exercise Physiology Master's program and then that FINAL third time in Med School. Then became a rheumatologist
#complementcascade
#cytokines
I laughed like a fool at this!! So very funny!!
@TheRealRhllor
Sending all the positive healing energy possible. We know someone who had been on ecmo for 43 days. Now, no supplemental oxygen, walks without a walker and happy. So this is possible for your wife ๐
@DGlaucomflecken
55 y.o. pt. Poorly controlled T2DM. Turns out she can't read. Left school after 8th grade. Doesn't know what a carbohydrate is. We've talked diet changes โฌ56# A1c 8. I'm her Rheum. No one else willing to help. So many systems broken
WOW ๐ถ
@carlypearce
and
@Michaelraymusic
stopped by and sang some classic country...a perfect duet ๐One of the greatest Nook performances ever!! It's "When You Say Nothing At All" ๐ Full video on our FB page ๐ย
#StormeWarrenShow
@DrSuperSalty
I had an attending teach the 3 As; ability, affability and availability. They demonstrated all 3 during my rotation. It was impressive and stuck with me
@GrantFankhauser
Patient has been getting monthly refills for MTX for over 6 years. Current Rx has refills remaining. Pharmacist denied refills yesterday. Facts.
@ThatEricAlper
Richard Burton ~ I worked for a Professor at UCLA who was his neighbor in Puerto Vallarta. They had him over for dinner at their home in LA & had me serve dinner. Mr. Burton came into the kitchen after dinner to shake my hand & say thank you. Pretty crazy when you're 19 y.o.
@DGlaucomflecken
"Please come prepared for rounds next time." ๐๐คฃ๐๐คฃ
3rd year med student first day OB rotation 7AM ontime and doc was upset with me ??? RN said he expected pre-rounds with all notes in charts. Day 2 530AM pre-rounded. Notes done by 650AM. Attending happy x 4 weeks
@BuckDancerMD
Phone calls to reverse denial and take it all the way to the state level. Don't take No for answer!! I've pushed all the way to the Governor's office before and got the patient what they needed. Good luck!!
@jmugele
As a resident was asked to see ICU pt with back pain & give osteopathic manipulative treatment. Something seemed odd so I ordered x-rays 1st. Multiple Myeloma
@DGlaucomflecken
Can't you just give a lecture via TikTok explaining electrophysiology and atherosclerosis? 30 seconds should be sufficient ๐๐๐
#goodluck
I would not have known to donate today had
@jakeowen
not been playing! So thank you for giving us the chance to help the kiddos! Even w/o birdies, we still donated!
@TheRealDoctorT
๐ญ๐ญ๐ญ literally in my office right now. What an awesome gift you gave this man by your presence. So much of healing doesn't fit in an EHR or in a tablet. Kindness, empathy, listening...they all matter. *What did it take?" Is a beautiful mantra. Thank you ๐๐๐
Thank you
@jakeowen
for coming to our dry, hot town on Father's Day with Pearl and giving us everything!! Nothing but love!! Stay safe and see y'all down the road ๐ค๐ถ๐ธ
After 740 days, a decrease in AZ cases, and the good luck of outdoor concerts, I got to see Jake rock two nights in a row!! Tight band, high energy, good friends, great new songs & a few of my old faves made it amazing!
#jakeowen
#shows52and53
#anywherewithyou
@ambarkeluskar
@ElizabethGannon
In this case, the dose is so low it would take months to "collect" enough for that purpose yet not having MTX will allow underlying condition to flare. And to not communicate with the prescriber?
@TraumaSoapBoxes
It was amazing to see all the off duty first responders start helping. Even I ended up treating a gun shot laceration and removed shrapnel as a rheumatologist. I only saw EMS set up by Tropicana treating the walking injured but the whole scene was chaotic.
@Anthony_Russo97
@urbanascetic
They (thebpodcast) even added a feature "no dumb questions" and very kindly explained what a first down was for one of the Swifties. Travis was very patient. They had graphics too!
@arghavan_salles
My intern class 1997 was 4 women. That was the full class. The hospital was sure it would be a dumpster ๐ฅ. They'd never seen a group work harder or care for the patients better.
@LGlaucomflecken
@DGlaucomflecken
@YaleMed
I have tears of pride for him and I don't know either of you. I believe you both have made a difference in this world!! All the positive thoughts for you both! โจ๏ธ
@Adamhill1212
I don't understand how it is not professional. Caring stops when the patient leaves clinic? I've gone to funerals, given the eulogy, attended weddings and Quinceneras. I hope the comfort, support and love I shared added to the healing of the whole person.
#betternotaskmeeither
@PhilMickelson
The crash was by my high school in my home town. It's an area known for bad accidents. Heartfelt prayers for swift recovery and to his family
@dfreedman7
We are all sacricing so much and working so hard to keep vulnerable patients safe or treating them quickly when they get COVID-19. Can we just stop the sexism & all "isms"?
@thatnrselife
My soul aches for you and everyone working COVID-19 ICUs around the world. The enormity of the sickness in spite of all we can do is heartbreaking. Lifting you up from afar. May you see the goodness & light you bring to your patients ๐ โจ
@DGlaucomflecken
The only thing that worked was when I shared the 43 days on the vent the survivor (a person I personally know) endured before going to rehab trached on O2. I said that's part of the 99.5%. Are you okay with that?
@fuzzymittens
My dad refers to my mom as hus "trophy wife" She's his only wife and July they will celebrate 67 years of marriage. Husbands say odd things. You're fabulous so no worries!
@MichaelWarbur17
Yikes!! My friend's family was on his hit list but he was arrested before getting to them. They had a panic room in their home in the early 1980s. All too close!!
@plasticolicious
@SkipMarcucciMD
We provided Rheumatology care for the Navajo Nation while I was a fellow & attending. We had to find out if they had electricity before prescribing biologics.
@GoodishIntent
Just give it if it's appropriate or get a week's worth of samples. Treating Peds Rheumatology patients am always have to use "adult" meds
@DGlaucomflecken
I was a first year Rheum fellow. PD had me see a toddler for him. I'd done a Peds rotation as an osteopathic resident (required for IM) so not freaked out. Walked out of exam saying 'that was fun'. Then every pediatric rheum pt was referred to us & I lost my white coat!
@DGlaucomflecken
"Texaco Mike" ๐คฃ๐คฃ๐คฃ
Just had to call this week to get MRI denial reversed. Had to speak to a "nurse interceptor" before speaking to the physician for the peer to peer to reverse the denial. What?? "Interceptor"????
@BrooketheOstomy
I was forced to stay at the hospital for 3 days straight as an MS3 over Thanksgiving weekend for OBGYN. No resident on service. Just me. Who could do nothing. But I had to be there. Crazy!
"Night after night I watch Kenny at these shows and heโs found a new gear. It has been the most amazing summer where he keeps shattering his own record in so many of these NFL stadiums (Tampa, Milwaukee, Kansas etc).โ
#TripAroundTheSunTour
@DGlaucomflecken
@Surgeon_General
As I'm at the office clicking boxes in the EHR on a Saturday, this made me ๐ช thinking about what HCW have endured. WOW WOW WOW is all I've got for such a brilliant collaboration!
#hyponatremia
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