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Meg D, the CHF NP

@moxietocin.bsky.social
288 followers 642 following 157 posts

Acute care nurse practitioner 🩺 Structural cards nerd 🫀 Houseplant addict 🌿 Scottie lover 🐾

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Meg D, the CHF NP @moxietocin.bsky.social · 04/04/2025
Having a background in both business management and clinical medicine is such a weird combo. After combing through the billing practices of my new clinic for a month now, I've run across SO many great services we provide that just...aren't being billed for, for no discernible reason whatsoever.
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Meg D, the CHF NP @moxietocin.bsky.social · 02/04/2025
Just booked our tickets to Ireland. If things look good over there I might not come back 😂
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Meg D, the CHF NP @moxietocin.bsky.social · 28/03/2025
My beloved celestial blue Mazda3 hatchback is on the verge of coding. Do I go ahead and buy a new car before the 25% tariffs hit or roll the dice on it surviving and trying to save money in the event that my Fed employee husband gets shitcanned for zero logical reason? Are we great again yet? 🙃
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Michael Hobbes @michaelhobbes.bsky.social · 21/03/2025
Reminder that 'savvy' political fact checkers spent the entire campaign telling voters that Trump was not going to do the things he obviously was going to do.
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Jon Rauch @jonrauch.bsky.social · 20/03/2025
A friend drove two hours today for her breast cancer chemotherapy only to learn it was canceled due to NIH cuts. Clinical trial ended midstream. No treatment, no restart, no plan, no information. Her bro-in-law's chemo was also canceled.
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Structural Heart: The Journal of the Heart Team @crfshj.bsky.social · 19/03/2025
New data indicates that the use of structural heart interventions in patients with amyloidosis is on the rise. More research is needed to identify the optimal treatment approach for this growing population. www.structuralheartjournal.org/article/S247... #CardioSky #MedSky #CardioResearch
structuralheartjournal.org
Temporal Trends in Utilization of Structural Heart Interventions Among Patients With Amyloidosis
The prevalence of cardiac amyloidosis (CA) has been increasing regardless of gender, race, or geographic variation.1 Atrial fibrillation (AF) can be seen in up to 70% of patients with CA. Additionally...
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Meg D, the CHF NP @moxietocin.bsky.social · 14/03/2025
In today's episode of "Why Do We Tolerate This Nightmarish Healthcare System, Seriously What In the Actual Fuck," watch me fill out a digital pre-authorization for rosuvastatin, a medication that costs less than a venti double shot macchiato at Starbucks.
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Meg D, the CHF NP @moxietocin.bsky.social · 12/03/2025
Cardiology vs Nephrology: Round 4,195,682
media.tenor.com
two men are standing in front of a monitor that says status docked
ALT: two men are standing in front of a monitor that says status docked
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Meg D, the CHF NP @moxietocin.bsky.social · 11/03/2025
Me, after an hour of new EMR training: Trainer: Okay, that's the basic gist of this new system! Me: Neat. How many patients am I seeing tomorrow? Trainer: We usually start with 3-5 on your first day solo, but you've got more. Me: How many more? Trainer: 17. Me: .... Trainer: ....
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Meg D, the CHF NP @moxietocin.bsky.social · 08/03/2025
New job is going great! I'm totally basking in the culture of respect that seems to be ingrained in this organization. Admin leaves a bit to be desired, but you can't win em all. Overall: 8.5/10. 10/10 with rice.
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Meg D, the CHF NP @moxietocin.bsky.social · 07/03/2025
Fighting with hospital administration should be an Olympic event.
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Meg D, the CHF NP @moxietocin.bsky.social · 06/03/2025
Booked solid, but work a patient into clinic in order to be nice. BP on arrival: 70/38 😐
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News Eye @newseye.bsky.social · 12/02/2025
JFC. It’s out in the open now. Republicans want to cut Medicaid by at least $880 billion. The ENTIRE budget of Medicaid is $880 billion.
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Meg D, the CHF NP @moxietocin.bsky.social · 12/02/2025
First week new job impressions: - Athena is great. Medhost is not. - Credentialing, as always, continues to suck. - Outpatient medicine is way more flexible than I thought it'd be. - I'm going to spend a million dollars a week at Bigfoot Little Donuts.
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💉Josh Rubin, MD @drsandman11.medsky.social · 10/02/2025
The Chiefs can still win if Mike Pence has the courage
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Meg D, the CHF NP @moxietocin.bsky.social · 02/02/2025
I really just cannot overstate how fucking done I am. Civility is out the window. Oh, you wanna talk about how killing the Dept of Ed could be fine? Go fuck yourself. You think tariffs might be helpful? Go suckstart a shotgun. I'm serious, I'm bringin the pain to these conversations. Let's go.
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Meg D, the CHF NP @moxietocin.bsky.social · 31/01/2025
The impact from these EOs have been devastating and immediate. This student, a refuge on TPS from Venezuela, has lost their legal status and will likely have to abandon their collegiate aspirations. What about the nursing shortage?! Are we really going to deport legal, documented nursing students?
reddit.com
From the prenursing community on Reddit
Explore this post and more from the prenursing community
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Meg D, the CHF NP @moxietocin.bsky.social · 31/01/2025
Seriously considering attempting to take a travel nurse contract to Canada as a first step on a path towards permanent residency. I cannot stomach all the cruelty that has occurred in the last nine days. Dear God...
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Thanh Neville, MD, MSHS @thanh-neville.bsky.social · 23/01/2025
As doctors and nurses, it is our moral duty to care for every person who walks through the door & needs medical help. Allowing ICE to raid hospitals & clinics is immoral and will lead to needless suffering & death. Reading this made me cry...what nation have we become? #medsky
statnews.com
Allowing ICE in hospitals is a public health catastrophe in the making
Allowing ICE to conduct raids in hospitals and medical clinics is not only cruel; it is a public health catastrophe in the making, writes Eric Reinhart.
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News Eye @newseye.bsky.social · 22/01/2025
Pin this, save it, we’ll need it. “When a prison camp opens in your town…when a DREAMer is disappeared from your classroom…when the President destroys what’s left of the Constitution…They will all say they didn’t know this was coming. And I want the American people to know that they did.” AOC 🔥🎯
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Meg D, the CHF NP @moxietocin.bsky.social · 22/01/2025
Surprise! I'm in NYC! Got invited to an internal event at Reddit HQ to be on a panel of moderators. We toured the office and I've eaten half my bodyweight in fresh pasta. Looking forward to the actual event tomorrow!
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Meg D, the CHF NP @moxietocin.bsky.social · 19/01/2025
More credentialing woes. It's going to be at least another week before I can start my new job. I've now been home for a month. I'm baking banana bread. I'm making candles. I haven't worn shoes in weeks. Suddenly I have opinions about sourdough starters. Guys help, I'm going domestic #MedSky
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Alex Blechman @alexblechman.bsky.social · 14/01/2025
Senator: I’ll speak in his defense because to err is human. Who among us hasn’t shown up drunk to work? Who here hasn’t cheated on their wife? Hegseth: Please stop helping me Senator: Who hasn’t taken off their pants at the zoo?
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Meg D, the CHF NP @moxietocin.bsky.social · 13/01/2025
My MIL gifted me a pink princess philodendron. Through the mail. In the middle of an ice storm. Is there any point in trying to cut it back to bare roots and save it? Help me out #Plantsky
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Harriette Van Spall MD MPH 🇨🇦 @hvanspall.bsky.social · 05/01/2025
What’s new in #Antihypertensive therapies? 📍Aldosterone synthase inhibitors 📍Angiotensinogen targeted therapies 📍GLP1/GIP receptor agonists 📍Natriuretic peptide 1 receptor agonists And more.. @circaha.bsky.social buff.ly/4h45ULk www.ahajournals.org/doi/epub/10....
buff.ly
Future of Antihypertensive Therapies
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David Warner (he/him) @davidwarner2.bsky.social · 10/01/2025
Hypothyroidism has various cardiovascular manifestations including arrhythmias, high blood pressure, dyslipidemia, heart failure, and pericardial effusion. What are the physiologic mechanisms underlying these associations? Welcome to another #PhysiologyFriday! A 🧵 #MedSky #CardioSky
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Meg D, the CHF NP @moxietocin.bsky.social · 11/01/2025
There IS one benefit of being stuck in credentialing hell and in between jobs. For the first time in almost 15 years, I didn't have to sleep at the hospital because 2" of snow is the end of the world here in the South. First proper snow day I've had since high school!
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Meg D, the CHF NP @moxietocin.bsky.social · 09/01/2025
The current state of humanity in one image
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Meg D, the CHF NP @moxietocin.bsky.social · 08/01/2025
Starting to notice the trend of travel nurse contract pay creeping up again. It's up $800-$1,000 more per week versus last year. Not sure what's driving the change, but considering the concern of avian flu it doesn't bode well for any of us at the moment #nursesky
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Meg D, the CHF NP @moxietocin.bsky.social · 08/01/2025
Been growing this monstera adansonii albo out from a single rootless node for several months now. It's finally starting to really take off and I can't wait to grow it on a pole. Go lil buddy go!
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Meg D, the CHF NP @moxietocin.bsky.social · 07/01/2025
Fun fact: getting the state board of nursing or board of medical examiners to do literally anything between Thanksgiving and New Years is almost impossible. Never try to change jobs in December, learn from my mistakes. Signed, somebody who's perpetually stuck in credentialing
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Meg D, the CHF NP @moxietocin.bsky.social · 05/01/2025
Only 10 months separates these two images of this monster marble queen. They don't call it "The Devil's Ivy" for nothing! #PlantSky
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Meg D, the CHF NP @moxietocin.bsky.social · 02/01/2025
5 months of growth on my favorite plant of them all. String of Pearls are so alien looking! #Plantsky
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Giuseppe Biondi-Zoccai @gbiondizoccai.bsky.social · 21/12/2024
Must-read review on atrial fibrillation in the latest issue of JAMA jamanetwork.com/journals/jam... @jama.com
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Meg D, the CHF NP @moxietocin.bsky.social · 13/12/2024
As a mother of an autistic child, this makes my blood boil. These kids have a shot at living a meaningful, independent life and UHC is intentionally blocking their access to therapies which are already monumentally difficult to obtain due to waitlists.
propublica.org
UnitedHealth Is Strategically Limiting Access to Critical Treatment for Kids With Autism
Leaked internal documents show that the insurance giant is culling providers of applied behavior analysis from its network and scrutinizing the medical necessity of therapy. Advocates say the company’...
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Gabriel Bosslet @gbosslet.bsky.social · 13/12/2024
I took 10 minutes to make this 4x4 box this morning please clap
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Doctor The Frog @skipbidder.bsky.social · 13/12/2024
Centrists: You should use the courts to police corporate misconduct. Ohio Supreme Court: The fuck you will.
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Gabriel Bosslet @gbosslet.bsky.social · 11/12/2024
Want a specific example of the death by a thousand cuts that is #PriorAuthorization? Here is an example from yesterday in clinic A short 🧵 I get a note in my inbox that a patient of mine was denied inhaled budesonide for their asthma 1/
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Meg D, the CHF NP @moxietocin.bsky.social · 11/12/2024
Somebody on Reddit suggested using the hashtag #EyeForDeny to share personal stories about how for-profit health insurance companies have impacted your health in a negative way and honestly, I'm here for that kind of energy.
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Meg D, the CHF NP @moxietocin.bsky.social · 08/12/2024
Migrated piece of a medical device that was retrieved from a patient's right atrium. Interventional cards will always be the coolest specialty on the block!
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Alan Plotzker, MD @alanplotzker.bsky.social · 06/12/2024
The thing about Prasad’s “denying claims doesn’t increase insurance company profits” thing is that 1) Yes, it often does, and 2) Even if it didn’t…how is that better?? Like you’re denying needed medical care and you’re not even making money off it? You’re just being awful for love of the game?
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Meg D, the CHF NP @moxietocin.bsky.social · 06/12/2024
Shocked, I say. Shocked!
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Meg D, the CHF NP @moxietocin.bsky.social · 04/12/2024
Fun fact: UHC once denied my patient's prescription for a Lovenox bridge on an immediately post-TAVR patient who was on chronic Coumadin. When I called to get the rationale, the pharmacist said it was because Warfarin was being reinitiated.
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Meg D, the CHF NP @moxietocin.bsky.social · 04/12/2024
This comment on r/medicine is going to live rent free in my head for awhile
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Meg D, the CHF NP @moxietocin.bsky.social · 04/12/2024
Brian Thompson, the CEO of UHC, has been murdered in a possible targeted attack. Details are sparse at the moment. When healthcare becomes a luxury instead of a right, the obvious end result is desperation and violence. Things MUST change.
nypost.com
Exclusive | UnitedHealthcare CEO Brian Thompson fatally shot outside Hilton hotel in Midtown in possible targeted attack: sources
The CEO of UnitedHealth was fatally shot in the chest Wednesday morning outside the Hilton hotel in Midtown in what police say was a targeted attack.
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Meg D, the CHF NP @moxietocin.bsky.social · 04/12/2024
Sure feels like this whole Jenga tower is on the verge of imminent collapse these days. How much longer can we function like this until we all throw up our hands and go into real estate sales?
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Meg D, the CHF NP @moxietocin.bsky.social · 03/12/2024
I just don't care one bit that Biden pardoned his son. Trump pardoned his SIL's father and then made him the literal ambassador to France, so. Everybody can just go ahead and stuff their manufactured outrage up their nepotism hole already.
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Jay Mohan DO FACC FSCAI FASE RPVI @drjaymohan.bsky.social · 28/11/2024
The dancing appendage. What a sight! #CardioSky
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Meg D, the CHF NP @moxietocin.bsky.social · 28/11/2024
T-Minus 72 hours until all the acute heart failure exacerbations start making their way into the ER. You can set your watch by it every year.
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Meg D, the CHF NP @moxietocin.bsky.social · 26/11/2024
Do you want a houseplant that's literally unkillable? Like...stick it in anything from a wet paper towel to the finest of soils, this butthole doesn't give AF. Fertilizer? You can if you wanna. Water? Anywhere from everyday to once a month, or less. Meet the invincible Stringy Stonecrop #plantsky
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