When using wastewater sampling as a metric for tracking H5N1 in birds or cattle, keep in mind that this sampling takes place at municipal water treatment plants handling sewer effluent.
Commercial poultry and dairy farms are typically in rural to suburban areas where wells and septic systems are the norm for water and wastewater, not sanitary sewers and wastewater treatment facilities.
I asked for an appointment via my patient portal recently on a Thursday and I was in to see my PCP -- who was completely new to me; the last one left about 2 yrs ago and I haven't interacted with that practice since -- less than 24 hours later, on Friday morning at 9 a.m. Got bloodwork results that afternoon and had a scan done within 10 days, with results that evening. The timeframe was much better than I expected. My spouse was referred to an allergist last Oct or Nov and his appointment is in late June (and was originally scheduled for late July but he got a cancellation).
My primary care doctor guarantees less than two days to appointment if needed. I recently sprained my knee and saw the NP the next day.
I had a chat with my doctor at my regular appointment the other day and was surprised to hear Medicare reimbursement is set to decrease by 5% due to an expiring boost. Looking at EOBs, seems crazy how little Medicare pays providers. He runs an independent small clinic (pretty rare these days) and has increased the number of appointments available by having an NP and PA on staff but turns out these "mid-level" care givers are reimbursed even less under Medicare.
I suspect this poll will be useful for you as a snapshot of your readership, but not much use for anything broader - surely selection bias will skew the results? Could you comment?
Does “easy access” include ability to contact PCP via patient gateway?
Hmm! Sorta?! That’s nuance that the poll doesn’t cover haha
When using wastewater sampling as a metric for tracking H5N1 in birds or cattle, keep in mind that this sampling takes place at municipal water treatment plants handling sewer effluent.
Commercial poultry and dairy farms are typically in rural to suburban areas where wells and septic systems are the norm for water and wastewater, not sanitary sewers and wastewater treatment facilities.
That’s an interesting point.
I still say that we need to be testing milk trucks and backtracking from there.
Good point
I asked for an appointment via my patient portal recently on a Thursday and I was in to see my PCP -- who was completely new to me; the last one left about 2 yrs ago and I haven't interacted with that practice since -- less than 24 hours later, on Friday morning at 9 a.m. Got bloodwork results that afternoon and had a scan done within 10 days, with results that evening. The timeframe was much better than I expected. My spouse was referred to an allergist last Oct or Nov and his appointment is in late June (and was originally scheduled for late July but he got a cancellation).
Yes, I like the short takes as a breather between the in-depth articles you do. Those are great, but sometimes it’s nice to smorgasbord.
My primary care doctor guarantees less than two days to appointment if needed. I recently sprained my knee and saw the NP the next day.
I had a chat with my doctor at my regular appointment the other day and was surprised to hear Medicare reimbursement is set to decrease by 5% due to an expiring boost. Looking at EOBs, seems crazy how little Medicare pays providers. He runs an independent small clinic (pretty rare these days) and has increased the number of appointments available by having an NP and PA on staff but turns out these "mid-level" care givers are reimbursed even less under Medicare.
Yeah turns out that keeping everything budget neutral means pay cuts.
I suspect this poll will be useful for you as a snapshot of your readership, but not much use for anything broader - surely selection bias will skew the results? Could you comment?
Yeah that’s true of all of these polls. This is a very specific audience
It depends. Within a week for follow up ED visit, 4-6 months if for annual visit.
That’s pretty good