30 Days of US Healthcare: Neurology Peer to Peer

Day 17
30 Days of US Healthcare
kzbin.info/aero/PLpMVXO0TkGpdvjujyXuvMBNy6ZgkiNb4W

[@bainbonic]

Neurology being the good guy is actually pretty sweet to see.

[@julia.95]

he isn't being good guy here as an exception, he is being himself. all his insults always have motivational component, be it making other ppl learn something about neurology (and become better drs) or make insurance company guy understand what exactly he is doing and how much harm he brings to patients life. I'm sorry you have to deal with it in the US... hope it changes. we have many problems in our healthcare but at least we don't need to call insurance

[@tianranzhou968]

He may seems like a werido to the other doctors but he's really always a good doctor to his patients :D just look at how he enjoys spliting hairs about all the details! It shows his reponsibility

[@24105252]

You see, no matter how much he insults and make residents and other doctors feel inferior, he actually cares about his patients, even if only as proof that he is a good doctor

[@justahugenerd1278]

I don't think he was ever really a bad guy, just someone that's passionate about what he does and wants to make sure that everyone gets the care they deserve. He just happens to be... really blunt about it.

[@hg-ir8tb]

Just as the other comments point out. Neurology cares about patients, he just has a prickly personality. UHC doesn't have a personality and doesn't care about patients because UHC is not a person, it's a company: All it legally cares about is money.

[@tscimb]

He needs to call every member of Congress, and explain this. So clear, so important.

[@user-mp9id6yt1p]

They still wouldn't get it! 😂Well, except for Katie Porter.🎉

[@vyndaio]

They wouldn't be able to hear him over the insurance lobbyists.

[@michaelgoodrich5309]

It’s your responsibility to reach out to your elected representatives who are hopefully not receiving the same kickbacks 😂

[@NadirAgha]

I'm not sure, they will listen. They will probably be occupied with counting the millions of "lobbying" money (see: corruption) they've received from big insurance and pharma companies

[@whysocurious7366]

It’s hard to get people to understand something when their paychecks require them to misunderstand.

[@beornthebear9023]

As a peds neurologist this is pretty much how it goes. I rarely act like the neuro in the videos who I love. But when I do it’s usually with blasted insurance companies

[@erinnorwood6124]

Do you win?

[@beornthebear9023]

@@erinnorwood6124 I do I think more than some of my friends in other fields. And this video goes pretty similar to some of my calls actually lol. Unfortunately I don’t think any of us win all the time

[@LexYeen]

the insurance companies are the ones deserving of your professional ire. good job, well done, please continue doing so for as long as is feasible.

[@andynonymous6769]

Pediatric neurology! Christ you must be intimidating. That's quite the specialty

[@bigredmed]

Peds hem. He needs to do one on having to get prior Auth on refills of meds without as much as a dose change. And an episode on medicaid restriction on iv iron preps where the single dose drug isn't approved till a kid fails on two versions that are no longer indicated for children.

[@b_charging]

My old boss in Critical Care used to say, "You have to EARN the right to arrogance." No one has earned it more than the erudite, brilliant neurologist.

[@2-minutephysiatry506]

That's a superb comment !! The nearest parallel I can think of is what our Microbiology Professor told us -- "Comand the marks in the viva exams, do not beg for them"

[@chrispap4766]

😮 I was thinking something similar today..

[@keard558]

How about no one earns arrogance maybe there wouldn't be such a toxic work environment 🤔

[@chriswright1160]

I’m a neurologist. I’ve pretty much had this conversation with UHC on a regular basis. I used to have my patients call their “medical director” who at the time was a practicing OBGYN in Grand Rapids Michigan to get advice for their neurological problems after denying care and appropriate testing. It was pretty easy to figure out with a google search. She did not appreciate that. Now the communications I receive are vague and no longer have the name of the medical director. Tricky bastards.

[@cptnbinky]

We have no doubt you will be able to find a new way to make them at least partially accountable for their wrongdoings.

[@fp6889]

My suggestion, have them keep calling that Medical Director until she gives up a better name. Since no one has told you the director has changed you're just following established practices. Someone is going to feel pain, it's either your patient or the Grand Rapids Michigan OBGYN director who denied a lot of claims. Unlike your patient the Director can stop her pain, all she has to do is tell who the new person is.

[@james.telfer]

@@fp6889 EXACTLY THIS ^^^^^^^^^^^^ 👆☝👍👍👍👍

[@shadow6224]

I support this@@fp6889

[@burdeegirl]

UHC is the worst at covering meds out of all the insurances I've ever had. The asthma meds that keep me alive cost me $100 a month because of them when the copay has always been $30 with every other insurance I've had.

[@WoWFREAK1336]

Neurology is terrifyingly self assured and just throws big words at people until they give in... the true final boss for UHC.

[@mtdnspirit]

The final boss must be neurosurgery - his mere presence on the phone will render UHC speechless and terrified

[@kshitizlakhey9468]

​@@mtdnspirit I'm still waiting for Cardiothoracic Surgery. He's the final boss in NewGame+

[@shieraseastar9300]

Neurosurgery: the Secret Final Boss

[@timm8860]

Yeah except they also have neurologists

[@Zosio]

​@mtdnspirit I work in a neurosurgery practice. Can confirm. Something that's said pretty often in there is "Do you really want to tell a neurosurgeon that they're *wrong?*" What I'd give to be a fly on the wall for a peer-to-peer with the practice President. Also had the pleasure of sending a fax to the lawyer of a Worker's Comp company that was refusing to approve a recommended treatment. They got an Internal Medicine doctor for their IME. The reply to that was essentially "Did this hack even read through my notes? It looks like he just copy-pasted his response from a generic template. Your behavior is cruel, callous, and unethical." 😂

[@exp2745]

UHC: We don't want these Doctors experimenting on our patients with such unproven treatment options as EpiPens. Also UHC: You will experiment on patients who've been having success with a pre-existing treatment, potentially causing untold complications, as long as we receive a "rebate"... Loved the Neurologist in this one too. He really does care for his patients, or at least the nervous systems contained within them and most certainly knows a hundred ways of shortening someones life using only his Trömner.

[@666Tomato666]

Oh, you think he would already go for lethal options? There are _so many_ ways to cause untold pain with no lasting damage, which is exactly what's needed to make those sociopathic scum do what's ethical.

[@deeceepnw]

I just had to wait for a PA for my EpiPens. (Not UHC, but the cancer spreads).

[@sarahaltizer2285]

My dad suddenly became allergic to wasps at 70 and since he works outside constantly, his doctor prescribed him some epipens…180 freaking dollars for TWO!! He has Medicare and a supplemental…but they live on a tight budget. Shit is ridiculous. Im also on a lot of medications, but currently have Medicaid. Which doesn’t cover 3 of my meds. One of them, Pristiq…I literally get a different generic almost every time I pick them up. Ya know, it’s not like my mental stability is on the line or anything 🙄🤦🏻‍♀️

[@papayaprojects]

1:06 Jean Martin Charcot = a 19th century French neurologist and professor of anatomical pathology, known as "the founder of modern neurology" and "the Napoleon of the neuroses". First to name and describe multiple sclerosis, the disease neurology is talking about. His name is associated with least 15 medical eponyms (things named after him). --- Had to look him up (since I'm not a med person), and decided to paste a short bio here to save people some time! :D

[@one-seventh]

Thank you!

[@CountEagleHydra]

I am a Malaysian medical student and I love studying Neurology! This is a fascinating piece of history you have shared, thank you so much

[@NafisaTurabilifeisamazing]

I remember one of them: charcot joint

[@mariacargille1396]

Thank you, time saved! Have a cookie 🍪

[@EvilPaladin11]

Not all heroes wear capes

[@4and20blackbirdsbakedinapi6]

The neurologist has The Force on his side, hence, he said, “You WILL think of something”, using the old Jedi mind trick. Only thing is that he doesn’t use a lightsaber. Instead, he has a heavy reflex hammer. He may be our only hope against the empire that UHC had built.

[@whysocurious7366]

Nerd! Lol

[@Psychx_]

Ahh yes, the good ol' heavy reflex sledgehammer. It's feared among patients and insurance alike, but ortho likes it for some kind of reason.

[@gadgetgirl02]

I went Marvel Universe with it -- specifically when the Night Nurse teaches Daredevil which nerve to hit on the bad guy for maximum pain and minimum damage.

[@karyncatt3240]

Neurologist here. Here’s what gets their attention. If my patient is forced to switch her immune modulating treatment, she will be in the ER and hospitalized because “x” has been the only medication that both works for her and is tolerated. Therefore, It will be more expensive for you to NOT continue to cover this medically necessary medication. Also, what’s your full name so I can tell the family? I will encourage the family to personally sue you when she dies because of your poor decision.

[@erinnorwood6124]

Does it work?

[@karyncatt3240]

@@erinnorwood6124 Much more detail about which medications have failed is needed, but it can work if the medication is “on formulary”. I’ve used the threat successfully for CT of the brain to rule out a life threatening bleed. The key is to ask for the full name beforehand, or else they refuse to give their name.

[@knockeledup]

Usually the threat of the cost of hospitalization versus not paying for the drug you’ve requested is enough to get an approval.

[@ChanceNP]

Also ask for their NPI number.

[@safaiaryu12]

Yep... I'm a patient, not a doctor, but from what I've heard from my docs, threatening a more expensive repercussion DOES work. Sometimes.

[@imcarlosreyes]

At 20 years old I was diagnosed with Ms. I'm 26 now and my neurologist started me right away on Tysabri. 6 years in and still JC negative and living great with Daily life as much as a can. Thanks to the great team of health professionals!

[@CosmicPhilosopher]

I did Tysabri for a year before my neuro recommended something else since I'm JC positive. Now I'm on Ocrevus and it's been going great. No new lesions on my last two MRIs.

[@timm8860]

@@CosmicPhilosopheri was going to start Ocrevus but my primary (Anthem) denied it while secondary (Optima Medicaid) approved it. So we went with Kesimpta which was approved with no peer to peer required. Considering the cost it was actually very easy and fast getting this stuff approved. Also this is my first treatment ever

[@CosmicPhilosopher]

@@timm8860 I'm on Medicare and they were only willing to cover $20k something, leaving me with a bill of $4k for each infusion. I live on SS, so that was still out of the question. Genentech has a patient support program. I applied and they are picking up the balance. Gotta love 'Murican health insurance, right?

[@s.engelsman4521]

What is J. C. if you don't mind?

[@imcarlosreyes]

@@s.engelsman4521 JC is a virus. If tested positive through blood draws one would have to consult with their medical professionals to find the best plan of action for them. Since I haven't tested positive for it I've been blessed to be able to keep taking my medicine (Tysabri). If one does test positive for JC virus it could be fatal through what is called pml. I am not a medical professional. Please consult your provider for more information.

[@Aaroncvx]

Love to see Neurology sticking up for the patient instead of relentlessly berating the other specialties. I wouldn't mind if he goes right back to that in the next one though.

[@DaTimmeh]

Neurology isn’t picky about who they berate. They just look for maximum impact/satisfaction.

[@j.adamwegs2882]

Neurology only picks on people who should know better. Patients go to neurology because they need someone who knows better. He still confuses them with big words, but in a less condescending manner

[@AnthonyL0401]

Nice point. I wonder if he can go back now. When we realize that interdisciplinary squabbles are nothing compared to the evil of insurance companies, we almost owe it to patients to get along with each other.

[@SugarandSarcasm]

@@AnthonyL0401band together. Make the neurologists the captains. -Overthrow- Topple the UHS together! MUAAHAHAHAHAHAHAAA!

[@AnthonyL0401]

@@SugarandSarcasm and the nephrologist is a salty dog who can be first mate

[@0nthemend]

This literally happened to me as a patient. UH said they weren’t going to cover my med because I wasn’t “improving” my neurologist had “a talk” with them where he said not nice things to them 😅

[@IcyPheonix3]

Neurology when he's talking to Med students, residents, or anyone calling him for a referral: Abrasive, condescending, terrifying, borderline unreasonable in his expectations. Neurology when he's talking to United Healthcare: Saying what we're all thinking, speaking truth to power, unafraid of opposing injustice, a hero.

[@cphilips502]

I think all specialities should just get Neurology on the UHC hotline for each case. It was an odd experience to be cheering for Neurology, but when your health insurance specialist has never heard of MS, then desperate times mean desperate measures.

[@chri-k]

Why should neurology assist his peers

[@MirrimBlackfox]

@@chri-k The opportunity to screw with the insurance company? The satisfaction of being more BA then his peers? Ooh! I know! Because he actually cares about the patents (it is just everybody else he can't stand).

[@kirikun5636]

​@@MirrimBlackfoxoh my

[@UltraZulwarn]

there must be a sequel to this!!! Finally the neurologist can have a legitimate target for roasting

[@HisameArtwork]

they'll just replace the numbskulls answering with AI. we gotta start burning yachts to get any results.

[@jimbelter2]

Neurology cannot be intimidated by anyone. To make UHC stutter that much was pure gold. I have a newfound respect for him

[@basilmemories]

Something I noticed early on- and I'm glad to see continue- is that the Neurologist is unflinchingly savage mostly to people who are potentially doing harm to *patients*. We haven't seen him go off on a patient or do anything other than be in their corner (and tell other medical professionals to stop assuming things without full evidence). It's honestly why he's one of my favorite characters, a lot of the time the patient has to be very assertive in advocating for themselves, especially when they fall into certain marginalized groups or have chronic medical conditions. His direct advocacy is something i really wish i would see in more of my loved one's lives.

[@naharismaiel630]

It's heartwarming to see the neurologist stand up for his patients. I am a med student and this video reminded me of my late great mentor who was a neurologist and for us med students she was like a mother to us. She used to stand up for us and for her patients. Sadly we lost her in the recent earthquake that hit Syria several months ago. Thank you doc for reminding me of her ❤️❤️

[@IsyAweigh]

That was devastating. I'm so sorry she was in it. What a loss to the world.

[@normalaming3943]

Goodness I’m so sorry. She’s obviously an inspiration for you, which is an excellent memorial

[@davidgoodnow269]

Much love!

[@josephheliotrope4556]

I was diagnosed with MS this year and it's honestly terrifying. Just woke up one day and my left leg wasn't working anymore. Took six months to be able to walk properly again, and various symptoms just come and go. I've still yet to start proper treatment due to the NHS strikes delaying each Neurology appointment, and I'm pretty scared that before I find a stable treatment I'll have lost even more. I wish I had your Neurologist. After waiting two months for my last appointment, mine read me a letter I'd been sent a month prior, then said he'd send me to a nurse to discuss treatment options in another two months. In the meantime, I'm just sat at home, dealing with a sensation which feels like a constant hangover, waiting. Bah. Weird place to vent. But even in a YT comments section nobody is gonna read, sometimes you just gotta unload. 32 year old former soldier turned English teacher, and MS has put my professional and personal life in tatters.

[@mercikalu]

I read your comment and I'm rooting for you

[@rookregent5623]

We're reading. We're with you. You can make it. I'm in my own circle of medical hell and I'm rooting for you. We can both do this.

[@CosmicPhilosopher]

I was diagnosed in 2006, but I'm doing okay now. It was really unsettling at first, but getting an official diagnosis made things a little better. I'm currently on Ocrevus and haven't had any new lesions on my last two MRIs. I'm feeling good about being stable even though I still have to deal with fatigue, muscle cramps, spasms, and bouts of numbness on my right side. Hang in there; you'll get through this and adapt to your new normal.

[@lemonpeelangelfish]

That absolutely sucks- so sorry. Please demand an appointment- you are right - time is brain. Why on Earth didn’t the neurologist put you on a medication??!! Complain until they know your voice when you call - it is totally unacceptable!! You’ve got this!!!

[@joyh6770]

Hello stranger, my mom has MS. It is something I don't talk about with people in real life, not to sound dark but it is a relief to see others talk about it. To know we are not alone. Thank you for sharing, God bless you friend :)

[@bennyboy641]

Turns out that neurologist insults is a force that can be used for good after all!

[@Mike-zf7lo]

Neurology doesn't do peer to peers. Neurology only does superior to subordinates.

[@Peace2920]

This is gold 😂

[@laurenkirby97]

Neurology is peerless

[@IRLTheGreatZarquon]

The Neurologist going absolutely ham on United Healthcare was so good that I may have overloaded my limbic cortex.

[@HarryPotterFreak623]

Haven't actually watched it yet, but golly am I crossing my fingers for a neurology win!

[@HarryPotterFreak623]

7 seconds in and it's just 1000/10 😂😊😂

[@HarryPotterFreak623]

Yup. That was everything I needed! 👏well 👏 done 👏 neurology 👏☺️

[@oplemath]

Not the hero we deserved, but the hero we needed.

[@tksharkbait]

I was diagnosed with MS in 2020 (2020 had one final middle finger for me, apparently)- this hits hard. I dare say it out loud for fear of invoking Murphy's Law, but I'm doing just fine. In large part to my awesome neurologist. It's pretty sad when I talk about being diagnosed and having MS, and the single worst part of my journey, by a long shot, has been dealing with insurance. Though I still love the typical Neurologist here, it's wonderful to see his verbal ripping apart of someone truly deserving (even if the rep is just a rep doing a job and it's the company truly at fault).

[@lisasharf1442]

Hope you continue doing well! MS is a real bitch.

[@superzova]

Insurance really would be like “so your patient has MS and this specific drug works wonders for them? No we won’t cover it unless you try them on Amlodipine (a blood pressure med) for 6 months first”

[@IsyAweigh]

People consent to work for insurance. People who work for insurance have a choice about whether to ise their reason or their capacity for weaseling evil. I do not buy the Nuremberg defense. I have had one -- one! -- adjuster make a good decision for me, and it was the final determination & award *while she was on her way out the door.* I gather, from inferential evidence, that she chose to use her reason rather than her underwhelming capacity for weaseling evil, and left her job. The rest? All weaselingly evil AH. Deliberate mistakes, lies, delays, losing triple-backed-up forms (which means they were deliberately erased)... the whole 9 yards.

[@nomorecrazyplease4923]

As always, spot on Doc Gloc!!! 30 days of US healthcare should be sent out to everyone so they can see what providers go through to try and protect them from their health insurers!!

[@sunflower9611]

I so agree! This really explains it in a more understandable way! Spread it everywhere!!!

[@energy_ninja]

This is one of the best things I have ever seen after the past 16 episodes of this series. Small victories, I hope. Hearing the neurologist dismantle the United Healthcare employee was great.

[@colfaxschuyler3675]

The entertainment value is certainly there, but much entertainment relies on fantasy. The reality is, those who can make a difference are probably not the ones answering the phones. The phones answerers are low-level sacrificial agents. "Your job here is to deny, refuse, obfuscate, stall, delay, misdirect, obstruct, delay, or otherwise interfere with a parent's treatment..." And how many patients get a doctor who had the time, patience, and drive to call and argue with the patient's health insurance, when he/she has another 20 or 100 patients who also need treatment, and follow-on calls to THEIR insurance companies? At some point, the doctor had to practice medicine.

[@energy_ninja]

@@colfaxschuyler3675 What about my comment made you think I didn't know the skit was an idealized fantasy?

[@colfaxschuyler3675]

@@energy_ninjaBasically, your comment. You didn't seem to know, or your response gave the appearance that you thought it was real. Sorry if I ruffled feathers. I have a special father comb, if you'd like to borrow it. I need it back, tho', as I often have use of it. If it is of any comfort, evidently my feathers weren't lying correctly, or I wouldn't have felt the need to reply to your comment. That's the strange thing about feathers, or even getting a significant trim... You are very sensitive to the same breeze that you were habituated to, just beforehand.

[@BaronRathorne]

I am disturbed to be rooting for Neurology. My neurologist (sitting next to me) is disturbed (while laughing profusely) to be rooting for neurology.

[@carriehare6796]

As an MS patient, we love you Neurologist!!!

[@Blazingbeard]

Those big ego's in Neurology, Neuro- and general surgery, Cardiology and Nephrology are so helpfull in these kinds of battles. Once heard a story from a collegue who then worked at a hospital as clinical psychologist, that the attending neurosurgeon completely developed his own patient administrative system, because the new bought system was lacking severely and was prone to cause administrative errors and thus potential surgery errors. Also when management tried to reduce costs by reducing care, this neurosurgeon was like a mother hen protecting his flock against the enemy. It's just that you don't want them to be your enemy. But when they fight for you, it's a pleasant sight to behold.

[@andreikovacs3476]

First of all, I am simply elated to see that my suggestion became reality Second of all, I've never loved neurology more, it was fantastic Kudos!

[@Twinkie989]

I imagine this was what my neurologist went through trying to get my MRI approved a couple of weeks ago. He was the third to order it- after the ENT was denied, the vestibular doctor was denied after I failed the VNG... they said the CT scan I had after a thunderclap headache was the same thing as an MRI. Not MS. Chronic migraines with lesions on my brain. It should not have been that difficult. Thank you for making these videos.

[@piyawatamornthatri4179]

We need more neurologist to fight the insurance!

[@HisameArtwork]

he didn't get anywhere, he still got denied.

[@Birdsong-Annalee]

The AMA needs to push back too

[@karyncatt3240]

We fight them on a regular basis. It’s why so many neurologists are burned out.

[@ocomvexa]

AI worked for a medical insurance company, and knew a lot about the other companies, your videos are 100% correct, Im glad that people on the US get this information so they understand how bad it is, because is not only with united healthcare, is the same with ANY other medical insurance company, really bad, die or get broke

[@gingersun535]

I work in medical billing, and while I agree that all the insurance companies have their moments of idiocy, UHC has recently risen to the top to be the hugest pain in the a@@. A few years ago, it was BCBS, and a few years before that, it was Medica. It's like they take turns being the worst of the worst.

[@Dr.Gabino]

THE HERO WE NEED!!!

[@aaliyahkishore246]

Thank you thank you thank you to the neurologist for using his abilities to defeat United Healthcare! A true hero! This man makes me want to have a wetter brain. Also you memorized those lines so well

[@addisondesalvo6184]

I never thought I would say this. Neurology, I love you. Normally I enjoy him for his arrogance and breaking down of other specialties but when it is UH that is getting destroyed, I am all for it. Go Neurology. Test their reflexes. They may not be so good so you might have to use an extra large hammer.

[@super8guy]

Dysdiadochokinesia is a great descriptive word one doesn’t hear that often. Thanks neurology for giving it some air time. 9/17/2023

[@hannahmichels5971]

This is the neurologist i know and trust, not the one terrifying med students or insulting other specialties, the one who fights for me. Thank you MDA and all the wonderful Neurologists you support

[@ILUVsSUNDROP]

Those are some nice reflexes you got there, it would be a real shame if something were to happen to them

[@aizatz6235]

we need a sequel, please give us a sequel. i wanna see the wrath of the neurologist

[@ladymurasaki26]

I am a nurse and I really enjoy your videos. It brings up the joy and sheer pain of the U.S. healthcare. On a side note... Holy shit I just saw an ophthalmologist in the hospital. I've worked here over 12 years and never saw one before!!

[@kinshra639]

Neurology going from supervillian that no one can touch to being the guardian of patients health that makes the UHC call center operator freak out is the kind of character development only Dr. Glaucomflecken can offer!

[@superzova]

I said this under a different comment, but Neurology is just Lawful Good with a MASSIVE ego

[@fakjbf3129]

I love the insistence on sticking a marker into the headset rather than just spending $20 on a headset with an actual mic.

[@phoebegilliland8897]

United Healthcare wouldn't spend money on office supplies.

[@Rrt98]

It's all fun and games until an angry and sassy neurologist calls you.

[@GaretZaugg]

As a neurologist, it’s nice to see our boi exercising his supramarginal gyrus for the patients 🫡

[@erinmacentire6376]

It's good to see Neurology use his brain for good instead of evil

[@m0n4rch911]

Correction, for good instead of himself which may or may not be evil.

[@jediping]

Gosh that is cathartic!

[@emberskies999]

Looks like United Healthcare finally met his match. And he is looking shook. I bet you Timothy, Bimothy, and Jimothy has a wide eyed Pixar smile on their face.

[@Po-YuLin_NCKUH]

Multiple sclerosis is a demyelinating disease of central nervous system. Therefore, I think it is more accurate to say "demyelination in the vagal nucleus in the medulla oblongata" rather than in vagus nerve. Very interesting and inspiring films. Thank you for producing them.

[@tfoxen7518]

Very well said. Demyelination of the vagus nerve could be Guillain-Barre Syndrome or chronic inflammatory demyelinating polyneuropathy (CIDP) and their variants. Cranial nerves are a part of the PNS.

[@luckygods1236]

Finally, the perfect job for the neurologist

[@bethwarlo46]

YAY for the Neurologist!

[@teresagabriela5806]

As someone who used to work at UHC I absolutely LOVE this series!

[@cheesedoctor1]

Absolutely love the 30 days series. As a physician myself, we all see the incredible influence health insurance companies have over the system. Year in and year our record profits all while so many Americans struggle to afford routine medical care. Need to keep sharing this information; video are meant to be humorous but unfortunately are very accurate.

[@DraknalHitdan]

That moment when the antihero steps forward to face the villain.

[@phoebegilliland8897]

Neurology is Loki. UHC is Thanos.

[@msssyMS]

As a patient with MS for 10 years, this made me crack up! This is the truth! Although my previous neurologist was not helpful and I was doing perfectly fine on my medicines. Then I got put on an infusion that has not helped at all. I was doing just fine on my first 2 MS medications. Now my condition is much worse than it has ever been. Sometimes, it really is just human error.

[@celticwolff5429]

I was hoping Dr. G would collaborate with other KZbin doctors and have them call UHC to air their grievances.

[@Shtanto]

I've had MS for 13 years. Thank God I live in Ireland. Thanks for raising awareness. For MS patients who are getting messed around by their insurance companies consider LDN. Low dose naltrexone is very cheap. It'll help. Also works for long Covid

[@jaylakeane1720]

You are right about the effectiveness. Unfortunately that’s not how it works over here. The hospitals and doctor groups (now owned by investors) will not get a rebate for writing for the most expensive and new drugs. Big pharmaceutical is owned by the same investor groups that own all the media outlets. You cannot pick up a magazine without 3 or more ads for a new vaccine or drug. Most of CNN has “brought by Pfizer “ at the beginning. These outlets demonize the old drugs they cannot make as much money off of and then tout the benefits of the newer more expensive drugs. There are four pharmaceutical lobbyist for each lawmaker in the U.S. Capitol. That should rings alarms 🚨 right there

[@jesanne]

So nice to see a change of pace. Yeah Neurology I'm rooting for you!

[@M.Sajid98]

Neurologist went from being terrifying to terrifyingly amazing in 1 minutes and 48 seconds 😂

[@dnafnajo3928]

I’m glad the neurologist is on our side for once

[@Quickstein]

"We weren't expecting special forces"

[@physicistatlarge]

"For once?" More like "as always." He only fights everyone else in order to carve out turf from which he can better defend sick people.

[@Melodoniak]

As a practicing physician in the US, this beatdown of UHC was cathartic

[@lilbatz]

I almost smoked a cigarette after watching this 😂

[@Emilio1985]

At the end of the day, all the specialties have their patients' best interests in mind, and private insurance is the common enemy that gets them to set aside their differences.

[@vickiepatterson1748]

I suddenly felt the presence of Obi-Wan Kenobi when he said, "You WILL approve my patient's medication!"

[@zachelkins1229]

Good to see in spite of it all Neurology is still a doctor who cares about those under his care.

[@IsyAweigh]

I love this soooooooo much! When I worked as an RN in Telemetry, we had a cardiologist do this on the regular. He was *horrible* most of the time, but for things like this, and for almost always being right, we'd gladly put up with his attitude to us!

[@fitzmorrispr]

The fact that the one sentence made of only small words he utters is “Oh, I’ll think of something” gives it a lot more impact.

[@alexhunt3028]

Can confirm that this is how it goes. My mom has MS and had to try multiple medications that she had terrible reactions to in order for insurance to cover one that has kept her stable for a couple years now. She’s also had to fight with the insurance company on infusion centers because one started billing with the “wrong code” so they decided not to cover it anymore. Thankfully she was able to find another infusion center that used the “right code” for billing. It’s absolutely insane that we have to fight with insurance companies to do their jobs.

[@physicistatlarge]

Nerve Bro likes hammers, just like Ortho Bro.

[@elizabethgodwin7679]

Oh Neurology, you do have a heart!

[@ckvarnmass]

OMG! I absolutely loved this one. I’m laughing so hard. I’m crying.

[@megagallade4757]

I’m just impressed he was able to hear a head nod over the phone

[@caboosealmighty3735]

Neurology, not the hero we want, but the villian UHC deserves.

[@inkpenproductions3373]

As a parent/caretaker, I can imagine how challenging it must be to keep this funny. You're doing a fantastic job. Please, keep it up.

[@Commoncourtesy12]

I loved listening to a frustrated doctor go full John wick on an insurance denial. Makes my heart sing to overhear the raise in the voice pitch and then comets the sudden slot of excessive medical jargon.

[@AF-wf6vo]

I love Neurology's wild hair. You must have created this before your haircut. Btw, my brother is a neurologist and yes, he loves to throw around big words.

[@user-mp9id6yt1p]

I love and needed this!❤

[@DistanceTraveled]

Yes. This is what I was hoping for!!! I now want a part 2. Where insurance workers go for their own health check.

[@BREEZEMAYES]

Back in 90s, ins would not authorize inpatient monitoring on a patient who might benefit from temporal lobe resection of foci. After going through a clerk, clerk's supervisor, then a nurse, finally my husband,a university based epileptologist was forwarded to the neurologist. He had retired from general practice almost 20 years earlier at age 60 (graduated from med school in the 30s) & had never heard of epilepsy monitoring or surgery. Said it must be experimental (it wasn't) and denied it. I'm sure things aren't any better.

[@princeofrain1428]

If only doctors had that kind of influence on the health insurance system.

[@knockeledup]

They sort of do, when conducting peer to peer reviews…

[@notsparks]

My neurologist had a somewhat similar call with UHC to get a medication covered. It wasn't terribly expensive, compared to my other medications, but was still more than I could swing every month. I stopped by his office since I hadn't heard back and he saw me and asked why I was there. I told him about the issue and he went around the side of the counter, picked up a phone and called and gave them an earful. Said that I had tried everything on their formulary and I needed this specific medication. I am sure that I hadn't used everything, and probably something else would work but he didn't care to play their game and gave them an earful - poof, my medication was covered. No more $293 a month. Never really liked the guy until that moment.

[@sopyleecrypt6899]

The dedication and planning shown by recording parts pre- and post-haircut is something for other KZbinrs to aspire to.

[@Maria-sg9le]

Thank you for putting this video up Dr. G. My mom has MS, and this happened to her a few months ago. She was on the phone for hours. I am in med school now, and your videos keep me smiling. But this was especially close to my heart. Thank you so much for bringing this condition and insurance issue to light. I am not even a full doctor yet, but I try to give my mom the right language to use when speaking to her insurance to better support her case.

[@HyperLuigi37]

FINALLY THE NEUROLOGIST GETS TO USE HIS POWER FOR GOOD

[@michaelshaughnessy1919]

Neurology don't mess around!

[@adenansu]

I was diagnosed with MS late last year, and having doctors fight to get me on the meds that I needed was such a nice change of pace.

[@trellises]

Hurray for Neurology! This is so very satisfying to watch!

[@quizillafreak]

Currently have this problem with Glucobay in my country. It would be nice if I could not be cripplingly hyper/hypoglycemic in intervals after eating.

[@AnthonyWilliams840]

This redemption arc I'm witnessing from Neurology is beautiful to see.

[@ligiaonofrei109]

Love it!!! and love the hammer-Neurologist approved!!!! Denials are really frustrating, especially when the insurance company is essentially practicing medicine by choosing what they do or don't approve. Sometimes you don't even need to throw big words- I once had an MRI that I was doing for MS diagnosis denied because the patient hadn't done physical therapy; I called the peer to peer and just said that and then waited in silence. After a 15 second pause the doctor on the other line said: "Oh...Sorry". Then he approved the MRI and apologized again- fastest peer to peer I've ever had. But others are really painful, where I have to educate the other physician what CIDP is and the treatment guidelines-- so it's never an actual peer if I have to explain to you what CIDP is and how it's treated

[@longwayaround7767]

I love it! Wish we all had doctors that did this for their patients.

[@sevret313]

Neurology is the Professor Snape of the Glaucomflecked universe.

[@jinksdalfang8843]

They can be pricks but I haven’t met a neurologist that wont stick up for their patient that is of course after they get done yelling at said patient.

[@whoiswillhockett]

These used to be so funny.....now they just hit too true. Thank you Dr. G, always appreciate your videos. These are fantastic

[@Just1Nora]

My neuro nurse that handles PAs is absolutely FANTASTIC! I love her so much. She finds a way to strong arm Cigna into paying for all kinds of stuff they don't cover on the formulary. Having a record of migraines dating back to the late 90s and care of my headache neurologist for the past at least three years probably makes it easier, but we shouldn't have to deal with customer service that's in a country that still uses dial-up internet, whose people's first language isn't english, and who don't know what they're talking about anymore than you do, because the insurance company saves a few thousand dollars total a year. I have two options for my Medicare advantage plan: UH and Cigna. They both suck, but Cigna pays my doctors more than UH, has lower copays, psychiatry and gp appointments cost me NOTHING for example, and has a $0 monthly premium. If my doctors' offices have to twist Cigna's arm to get me meds, well I'll take it.

[@magpy_]

What I’m getting is that if all else fails, get neurology to call UHC?

[@mindymmk]

Wish I could actually do that last part some times

[@michellebobier4471]

That Tromner is the scariest-looking reflex hammer I've ever seen. If the UHC guy could see what Neuro is brandishing, he would run screaming into the night

[@tskmaster3837]

A Hammer of Justice! Thor would be so proud/envious.