30 Days of US Healthcare: Psychiatry Peer to Peer

Day 28
Inspiration: x.com/dglaucom...
30 Days of US Healthcare
• 30 Days of US Healthcare

[@MJ-98]

The psychiatrist using the little known superpowers of "your dad being proud of you" to the best advantage

[@MinkasTNR]

❤❤❤❤

[@somebodyelse6673]

That strategy only works on people with a conscience and working moral compass. There are exactly none of those people in UHC at a level higher than "stick to this script, or be fired".

[@tyrongkojy]

What is this "proud" you people are speaking of? Is it like shame? Familiar, familiar shame?

[@majarini]

The psychiatrist used "your dad being proud of you"! It was super effective!

[@madsellers4933]

I can't wait until I hit my 40s and I can be like "I'm sorry your dad wasn't there for you." and give all the relational healing vibes.

[@LadyAnuB]

Rural medicine outwitted private equity. Neurology used his condescension for good. ED juked private equity out of buying. Now psychiatry using his fatherly ways to subdue UHC. There are some victories in this series.

[@Ganurath]

Generalized approaches aimed at maximizing profit are ill-prepared for specialized techniques.

[@vancetang2288]

Can thirty-days of Glaucomfleken (UHC) not end? @Dr.Glaucomfleken. 😂😂

[@natetv1494]

@@vancetang2288that would kill him. I’m sure these aren’t always fun to make😂

[@erikkennedy8725]

@@natetv1494 I don't know that we could take more than 30 days either...

[@driftwolf]

Sadly, I fear that's the "fiction" part of the series. Quite sad really.

[@alma4938]

Im just glad to hear that a collective of doctors across the nation are getting together to sue places like United healthcare for practicing medicine without a license.

[@souldancersbyjennifer]

Would really really like to see that happen

[@HelenCamile63]

More and more every day. Hallelujah!

[@kelimutscheller1960]

It’s a nice thought….

[@maggiekelley259]

Please someone @ me in regards to Medicare plans 😂

[@matthewgould954]

@ZeraSeraphim It does if you realize medical licensing is state-based. Most people have insurance through and employer either as the primary or a dependent (or alternatively have medicare). EIRSA, is a federal law standardizing employer health insurance. Due to the supremacy clause, that means it trumps state base licensing. So insurance companies are allowed to practice medicine without a license. The only people who can object to this are people who independently have health insurance, which is a small percentage of people. www.lsc.ohio.gov/assets/organizations/legislative-service-commission/files/prior-authorization-and-the-practice-of-medicine.pdf

[@shovel12]

I lost a patient to this exact thing. I know its portrayed comically here but I was told by my patient "if I leave here I will drink and probably kill myself." UHC - "See the patient said probably and its a conditional statement so the patient can choose not to" Patient was unhoused and found 2 weeks later after an OD. This series has been terrible and so good. UHC is the worst.

[@souldancersbyjennifer]

That is terrible... I'm so sorry for your loss... 😕

[@lh3540]

sue them for accessory to murder

[@safaiaryu12]

Jesus Christ. That must be at least manslaughter, right???

[@Phroggster]

I just want you to remember that it's not your fault. UHC was the cause of death, and not whatever the coroner labeled it.

[@tanzghiboyiddle6420]

I'm so sorry for your loss..

[@IRLTheGreatZarquon]

The Psychiatrist really just cracked the United Healthcare code, what an absolute legend.

[@erikkennedy8725]

Only going to work once, though.

[@ebubechiibegbula5968]

​@@erikkennedy8725and psychiatry wins!!!

[@lambentlamprey]

@@erikkennedy8725 Only if he gets the same rep. As a non-Usian, I'm assuming that's not likely.

[@janelliot5643]

Sorry, this is fictional

[@tymon5349]

in the follow up we see the uhc worker being fired for not meeting the minimum of 100% denied request standard

[@sox1085]

Help me. My comment up above. ^ thank you. Ima get an ambulance bill for being kidnapped admitted to a psych ward, they took bloodwork figured out I had 3 different bacterial infections and was , released from psych ward after 3 hours, Zack prescription in hand.

[@grekiki]

​@@sox1085You should go to the police if you were kidnapped, I think kidnapping is still illegal in US.

[@erinnorwood6124]

​@@sox1085I believe it 😢

[@wsue1038]

I was told by a friend that her friend was told to throw out every 7th claim. Is it that far fetched?

[@isaiasvasquez8586]

Glad to see anyone working for UHC can practice medicine whenever they want😢

[@goliathcleric]

Here I was, thinking I needed to go to medical school and residency to practice medicine when all I actually needed to do was fill out an app at UHC for an entry level position!

[@HisameArtwork]

all the failed asia kids can now get the toxic approval from their parents they always craved for. Murica really is the land of all possibilities.

[@badkyttiez]

Unfortunately UHC does this all the time - they just denied my hospital stay even though I was actively in afib with a heart rate of 165 bpm and had to be cardioverted to get me back into sinus rhythm. Total jack holes

[@rayzerot]

​@@badkyttiezBecause capitalism!

[@marjieestivill]

Here in Iowa, where Republicanism replaced Christianity, insurance lobbies give hefty kickbacks to the Trump fraudsters-in-charge. Besides UHC going full tilt on denials and their usual alliances with pharma, you also have auto insurance companies allowed to not give senior citizen discounts when they do business in almost every other state. In Iowa, Covid was embraced as a natural blameless way to cull the sickly elderly.

[@jenniferellsworth1226]

Thanks, dad. To my sister who also watches this channel, and lost her husband to suicide during a mental healthcare runaround, We love you, sis! Rest in Peace, Paul. 4/15/2018. Take heed, VA. this applies to you, too. Our Marines give their life so you can sit on a call line denying necessary services.

[@l.alexander4696]

Hard to give this a thumbs up. But yes! Love, rip, and VA, pls stand at attention

[@aidanhancock2117]

Its sad veterans don't get what they need when not only did they serve but even from a cold hearted perspective ptsd is one of the easier mental illnesses to treat. The majority are fine on medication without or with little therapy which I would of thought ideal for insurers.

[@bootmii98]

​@@aidanhancock2117it's their fault they shot brown people. They deserve to be haunted by the ghosts of Vietnamese, Afghans, and Iraqis

[@jenniferellsworth1226]

Thank you for your compassion.@@l.alexander4696

[@jenniferellsworth1226]

I agree. Saving the strongest members of society should be an automatic.@@aidanhancock2117

[@bluedevil0133]

Psychiatry: The only doctors capable of performing a Jedi mind trick.

[@Dr.joshibanez]

You should see a DO... I once had preceptor feel the cranial rhythmic motion of a pt I was treating with compression of CV4 while touching my shoulder.

[@NanoMan737400]

He didn't even need to wave his hand 😂

[@devinayaz9210]

i know this was a good ending...but ...it still doesnt feel good knowing that this is the common practice and people who are suicidal get denied like this constantly..

[@dormantlime215]

As an attempt survivor who has had a history of needing hospitalizations, I was hardly ever able to access any help like that because of the denials and gut wrenching fear of bankrupting my family and being even more of a burden. I've spent many nights I should have been hospitalized in far more danger and causing far more harm to myself than would have otherwise occurred. It also begins to insert the thought in many patients of "how seriously do I have to harm myself, how far below rock bottom do I have to fall before the system will help me"- which I feel is very self explanatory as to how horrifying the results of that line of thinking can be. It is a complete and utter mess.

[@archangel98632]

I'm a board-certified psychiatrist, and I fully endorse, agree with, support, and applaud this skit. FACTS! 😊❤

[@wordzmyth]

Thank you for holding a very challenging line

[@Virdice]

"Is your patient actively trying to kill himself?" "He did untill his weapon was taken and he was sedated" "Ah so he is no longer a threat, give him back his weapon and send him home sedated

[@RBAWintrow]

But make sure to bill him BEFORE he kills himself!

[@DeathnoteBB]

“Are they actively suicidal?” “Like, currently committing? No, they would be dead or in the ICU.” “Then sounds like they’re fine. *click*”

[@Virdice]

@@RBAWintrow Bold of you to assume it matters to them, they can just bill his familly

[@ericwolf9664]

​@@Virdicethat only works if he is fiscally tied to his family through either a joint bank account or if they had paid for part of the treatment regimen for said issue the provider is billing for. Otherwise they would have to fight it out with everyone else who is trying to collect against the estate.

[@grmpEqweer]

​@@RBAWintrow Getting the bill will definitely help increase suicidality.

[@SamHeaton264]

Honestly this series has made me wonder how physicians in the US don't end up in psychiatric care en masse themselves, because if I had to deal with the companies they do, I'd have a full on rage quit breakdown in under 20 minutes.

[@josephwalker6688]

300 to 400 physicians die by suicide each year. According to the 2022 Medscape National Physician Burnout & Suicide Report, on average 10% of physicians have had thoughts of suicide.

[@laurenwheeler4819]

They do. Physicians have a very high suicide rate, around 1 doctor per day. AND if they seek mental health care, they can lose their license because "mental illness means they aren't fit to practice " according to some states.

[@karacline686]

Unfortunately, physicians do have one of the highest suicide rates when compared to other jobs. 😢

[@SamHeaton264]

@@laurenwheeler4819 It breaks my heart to read that. That seems completely unconscionable to me.

[@SamHeaton264]

@@karacline686 That's terrible to read 😢 Clearly this is something the authorities should address.

[@krbrandt82]

I always liked the trick of asking the reviewer for their full name and address so I can send the patient to them to manage after they are discharged, since they’re perfectly safe and not suicidal.

[@finnmcool2]

The joke here is that there is an available psychiatric bed anywhere in the US. Good one Dr. G.

[@pkwings5265]

So sad this is true.

[@janets7291]

Or Canada.

[@Oudia777]

Doing pre-authorization and continuing authorization for mental health psychiatric care is so incredibly difficult. The patient literally has be actively suicidal, severely mentally unstable, and/or homicidal for the insurance company to approve it. Even then they only approve for a few days and then you have to call every 2-3 days after that.

[@haruhisuzumiya6650]

What kind of hellscape is the us mental health care system?

[@Oudia777]

Funny you should ask. Have you ever seen “Repo! The Genetic Opera”? Well, imagine being a few degrees from that and welcome to America!

[@magnusmalmborn8665]

At least that's a depth they haven't sunken to yet: You've exceeded you lifetime coverage, so your kidneys will be sent to collections...

[@Oudia777]

@@magnusmalmborn8665​​⁠ Lol true. If they could make a profit doing that and if the kidneys would still be healthy enough to continuously transplant, they would. 😅

[@tierras6085]

Yes, psychiatry. Keep them in line. I'm so for all the doctors coming through and putting them in place.

[@uniayang]

As a psychiatrist outside of the US, I actually cried a little

[@Trrip000]

Psychiatry used daddy issues: it was very effective

[@Omnicloud7strife]

Psychiatry doesn’t ask for anyone to be put in the hospital unless it’s *really* bad. They also typically aren’t asking at that point. If they say you’re going to stay in the hospital, it’s not a request. Personally, I’m a psychology fan. But I respect the psychiatric other half. Good for them.

[@jamesoreilly1]

I actually laughed out loud on this one. That "thanks dad" at the end just killed me. Plus I've had this problem too. Worst was insurance demanding a peer to peer on day one because they felt patient was not sufficiently suicidal.

[@grmpEqweer]

...What, a peer counselor was supposed to make them all better?🤡

[@waffles3629]

​@@grmpEqweer probably the same thing my insurance thought a peer to peer would accomplish- annoy the physician until they gave up. Though in my case it was to explain I can't take a medication I'm allergic to. Apparently because it didn't send me into anaphylaxis I needed to try it again.

[@grmpEqweer]

@@waffles3629 Ugh. Sympathies.

[@waffles3629]

@@grmpEqweer thanks. I eventually got it after the out of pocket max was reached, because then they just covered it (because logic?). Oh and that was in January (yes, on my parents plan we hit the out of pocket max in January more than once, I'm not mixing it up with the deductible like 98% of people assume).

[@lethalogicax2474]

THANK YOU! Thank you for putting the content warning! I love your skits soooo much, but SH hits much to close to home and is extremely triggering to me as a survivor. I think Ill pass on this one as Id rather not re-live those feelings, but thank you so much for putting the content warning ahead of time!

[@ThanatosPraetor]

Glad you're in a better place now!

[@waffles3629]

​@@Giantcrabz yeah, like some content warnings are just blatantly stupid, but most are actually helpful. Cause I've seen food videos start with "Content warning- food". Like I'm pretty sure the title of "How to cook [food name]" kinda gives that away. But for some reasons the ones I see people complain about the most are actually serious ones like in this video.

[@IrisGlowingBlue]

++

[@condorscondor]

well that explains something. i have been hospitalized multiple times over my lifetime. and every time i was kept three days max. never knew why, now i do. it was never enough.

[@ArcaNiraela]

I thought I was going to get upset by this one but psychiatry came through for an amazing victory over UHC!!

[@bakaichigo]

Same!

[@jedinxf7]

right so the trick here is that the non depressing ones are the ones that are complete fantasy.

[@Phroggster]

Houndstooth, corduroy, and tweed... LMFAO! Thought doc went all-in on him, and I'm here for it. Thanks for being UHC's daddy, doc!

[@DGlaucomflecken]

Thought Doc 😂

[@queenoflammersland8562]

Thought bro!

[@jedinxf7]

​@@queenoflammersland8562feelings bro ! brain bro is neuro

[@joshuafoster5207]

As a psychiatrist, I WISH it could be this easy!

[@milan1200]

Well, maybe you should try speaking in a fatherly tone more often! 😂

[@souldancersbyjennifer]

Good luck planning your next Jedi mind trick

[@grmpEqweer]

We mental health consumers love you guys, our sanity skittles are important.

[@IW3527]

​@@grmpEqweerok thats magnificent I'm definitely adding the phrase sanity skittles to my lexicon

[@wolf310ii]

Oh it is that easy, just leave the US for a country were healthcare exist to actually help ill people, instead of make a few filthy rich people even richer.

[@Blade_291]

As an Australian, this series has been enlightening and terrifying.

[@Cruznick06]

Thank you for the content warning. My insurance provider forced me off of a medication that was working perfectly to try another, cheaper alternative. I had a bad reaction that caused me to have a mental health crisis and nearly require hospitalization. I had a support network in place for the first week of being on the new meds and that saved my life. I now refuse to change that specific medication and explicitly state if they want me to try something else, they will have to pay for a psychiatric admission. The threat works btw. Haven't had that med denied in two whole years!

[@throwingpotsandpans]

"UUUUUnited Healthcare.... Why do you even bother?!" That opening made me laugh.

[@johnjustice5208]

Psychologically speaking, it must be very cathartic to be able to console yourself in your own Dad voice.

[@abigailhay501]

This is fantastic!! As a critical care clinical pharmacist, there have been so many times when I've begged to get a psych consult for our patients! And because we are a rural hospital, we have exactly one psychiatrist that will come see them. And he had the most calming, reassuring voice you can imagine! Mental health reimbursement is entirely underfunded in the US.

[@N0rthAI]

Psychiatry being woefully underfunded and underprioritized is sadly a problem world-wide. I just work as a paramedic so obviously have less direct contact with the systems involved than the doctors out there, but the amount of times I get involved at the bottom of the cliff when we could have saved so much time, resources, money and suffering up on the edge blows my mind. And that's here in Norway, where we have an almost functioning healthcare system to begin with. I occasionally try envisioning my country as infested by private equity, health insurance companies and so on as the US and my mind just sort of... gibbers slightly and slinks away from the thought.

[@mappingtheunknown2904]

Hey Doc. As someone who works with Medicare....and does customer service, can i request more videos i feel 30 days does not explain enough for what people have to go thru. Myself i try to give them options to get the assistance but its very limited. But these videos are very very real in healthcare U.S

[@toryroseharris6153]

My psychiatrist just dropped me Monday for being too attached too him as a father figure. He referred me to people I’ve already seen that have dropped me as well. Every single one I’ve seen in ten years has dropped me because cluster C personality disorders make me “too complex” to treat. This hits very close to home right now.💔

[@GoodnightJLH]

I’m sorry. That must be very frustrating.

[@argillaxjinana]

damn that sucks

[@rainbowconnected]

I'm so sorry. That has to be so difficult and probably creates all kinds of extra harm. I hope you are able to find one who will stick with you and help. I know it's no substitute, but I wonder if until you find professional help, you might benefit from Heidi Priebe's videos. She has a lot of super helpful stuff about anxious and avoidant attachment styles.

[@annieseaside]

My son, who we would eventually discover was severely Bipolar 1 came up against this multiple times. We are incredibly lucky he is still with us and was repeatedly saved/ resuscitated. We live in a very rural northern State where we have only a few dozen hospital beds for Mental Illness a horrendously underfunded, underserved community. 2 dear family friends were turned away from the 1 Mental Hospital and told to go to the ER where they were not found a bed. We buried 1 last fall, 1 several years prior. They begged for help. I am impotent. I have no idea what to do to fix it. My son Will go off his meds again and the cycle will repeat. He’s only 24. He is a gift I will not get to keep. 😰

[@Draco137YT]

I spent a few days in a psychiatric hospital a few years ago for a severe onset of anxiety. I was dumbfounded when I got a note from the hospital saying that my insurance company had determined that hospitalization was "no longer medically necessary." I was further blindsided by the fact that the decision had retroactive effect going back two days. Do insurance companies think a surprise $10,000 bill is going to _help_ anxiety?

[@icicleditor]

They don't, they probably know it'll put you back in and they'll say it was unnecessary to get another 10k

[@skyelord6229]

I didn't wear houndstooth, just argyle socks. Never got a hospitalization refused.

[@t.milkman7780]

This series of videos are great and entertaining, but they are also some of the most depressing things I've seen in a long time. I always knew US Healthcare was bad... but THIS bad? I'm doomed.

[@cartoonjohn]

Don't worry, we all are.

[@rayzerot]

​@@cartoonjohnIt's not like this in other countries

[@SidDrapic]

Yeah, I work in medical billing and coding, and this guy nails it every time

[@lh3540]

strike, you're their product. you hold the power over this industry. What is preventing a medical billing workers' strike? @@SidDrapic

[@DeathnoteBB]

@@rayzerotSo logically their “we” meant people in the US

[@carlhale4089]

Yep absolutely true! We are "the marginalized helping the slightly more marginalized." I can't recall who said it, but I've lived it for 27 years. How much longer before mental health professionals take a stand and opt out of every insurance plan on the planet, like me???

[@MotoDash1100]

1:39 So thaaaat's why mental care/behavioral care institutions/facilities only keep my family member for 3 days at a time. Occasionally there's been 1 week long trips to the hospital but those we've had to fight for like 2 out of 3 times.

[@Supernoxus]

It's that way over here in central Europe too. Unless the person is ACTIVELY trying to kill themselves, they are getting laughed out of the hospital. I once had a patient that said that she is going to kill herself in the next couple of days. Had a plan and everything. I could not admit her to a mental hospital. Next couple of days was not good enough for them due to how overcrowded and underfunded this place was. I had to wait until she cut through her artery before they actually took her. Then they discharged her again after 2 days. I have plenty of stories like this. The mental healthcare system is a disaster just about anywhere.

[@souldancersbyjennifer]

​@@Supernoxuswow... That's shocking. Hope your friend is doing better

[@Supernoxus]

@@souldancersbyjennifer She is not. Also not my friend. I work there.

[@CB-ys8jl]

I worked at a psych hospital for a couple years. This is spot on.

[@PragmaticPsychiatry]

Just love it when insurance only gives you 72 hours to "cure" the person who shot themselves in a suicide attempt and won't approve any days in the hospital beyond that. and if they're discharged without being ready you know who the liability falls on? that's right, the psychiatrist, not the insurance company.

[@firebear369]

The state of mental health services is deplorable- thanks for putting the fatherly corduroy assets to good use 😊

[@Sibyle79]

I'm going to be sad to see these end. Honestly, it has been such an eye-opening and helpful series! Thank you for the huge effort you put into these!

[@sashaa911]

I remember being 14 and insurance battling if I needed it or not. Got pushed out then right back in after my next attempt. There is a reason psych hospitals are revolving doors sometimes. Meds not covered, or only heavy side effect meds, short times for stabilization of long term illness, etc. And don't even get me started on for profit psych hospitals...that'll make anyone feel crazy.

[@jorgegalindo156]

The first win in the series

[@nicolemascarenhas7973]

This doc achieved something even neurology couldn't lmao

[@bonnie_rose]

I think the Doc thought this series was getting too depressing and gave us an insurance approval story to make us feel better. While I appreciate the effort, he’s done far too good a job educating me this past month for me to believe this skit is remotely realistic.

[@lisarice4402]

Exactly why I refuse UHC. 3 years of that BS was enough. Being denied care because the health issues (near fatal car wreck) occurred in another state according to UHC, being almost killed never happened. Never ever again!!!

[@davidreynolds7376]

There's something fitting about this whole series being a form of drama therapy for doctors

[@amandamiller6995]

I've had quite a few psychiatric hospitalizations over the years. And to the best of my abilities to understand how this works, my recovery has trended to run right along with the ending of my insurance coverage! YES 😂! I always thought THAT was pretty remarkable myself! I would be very sick as long as my insurance would be paying for the inpatient stays! However, once my days would be running out! Viola! They would decide that I would be fine transferring over back to my home and outpatient care with a regular therapist and support services only! Pretty amazing how that always seemed to work itself out so perfectly on time! After I would have been SO sick right before this! BUT who am I to question these professionals' judgement? Right 👍? Just follow their orders until my NEXT breakdown and appearance in the ER..which never seemed to take very long because they didn't seem to get to the roots of my problems.. hhhhmmm something's wrong here?.

[@deepwater3646emt]

I feel I shouldn't be laughing because the reality is this is the kind of stuff the insurance industrial complex does. Thankfully Dr G knows how to bring a little humor into an otherwise depressing series. Hopefully this will stir many to lobby our legislators to do something about this. Dr. G should testify before congress!

[@varunkodali6529]

This was simply beautiful. I want to buy a houndstooth for my dad.

[@elizabethm7163]

We have to use a specific diagnosis code for our psych patients so insurance will cover it. Certain criteria (that I'm not privy to) have to be met for us to use any other code. It's wild.

[@DeathnoteBB]

This. Validates my experiences so much. You basically had to be post-attempt before anybody lifted a finger. I stg I ideated MORE just because I knew it would finally make someone do _something_

[@ftd888]

Part of the problem lies within the field of psychology. As someone who works in this field, the label of “social” science has basically become an excuse for holding it to a (much) lower standard than the “hard” sciences. Plus, the brain is often still treated as borderline magical. So, it’s extremely easy for health insurance companies to be (extra) corrupt in what they cover. For example: To be a nurse, you have to take anatomy - and a bunch of other medical courses. To be a counselor, you don’t have to take neuroanatomy - or anatomy, much less a bunch of neurology-related courses. Even for most PhD programs, the the required courses aren’t analogous to the training that nurses receive. Another example: The DSM (the book that’s used to diagnose mental illnesses) is the only medical diagnostic book that isn’t based on anatomy. It’s entirely symptom-based. And, while the brain is much more complex than other organs, we know a lot more about neurology than most people realize. One More Example: Most abnormal psychology courses fail to cover conditions that arise from problems in other parts of the body. The brain is treated like it’s a completely separate organ. In fact, most courses don’t even cover basic neurology and it’s relation to mental health conditions.

[@wiGoGale]

RN in Alaska- find your stuff exactly right on. Enjoy this soo much!

[@4dchessplayer516]

this is by far the best one so far

[@leonlettermann2036]

Please do a video on child and youth psychiatry!! :)

[@FooBRaP]

Damn man, this series just made me even more prouder than I already was with my country's public healthcare system (I'm brazilian and we have the SUS). God bless Dr. G for shining a lot of light into the subject, I'm sure big pharma and health"care" business will be very happy with these skits

[@phren716]

I used to work in a psychiatric hospital doing admission assessments, and you bet we went hard with risk factors and justification for LOC to help the doctors gather evidence to make their case to insurance.

[@TheFrugalVideoGamer]

Oh I fucking *felt* that with the "But he's not at home... he's in the hospital" portion.

[@alaktusarratum]

I love these series and finally some dang victories

[@maxfieldstanton4541]

Tl;Dr:TMI: this is prime example of why someone shouldn't be in charge of seeing people as dollar signs. I had a mental health crisis just before Covid hit. I had lost my job because of corporate metrics and micromanaging, I wasn't sleeping, and was under way more stress at home than I had ever been in. The doc only heard "not sleeping well" and the first thing he went to was Ambian. After about two weeks on it I shaved my head, my mood swings got worse, and then I tried to take a 100 year nap. All without actually realizing what was going on, because zolpidem is a hypnotic and completely distorts your reality. It took 7 days for me to realize what happened. That's after the first 2 days that I was just asleep...

[@BaronRathorne]

*grins* I was waiting for him to pull that card out of his pocket. I've watched many a psych resident try to hone that tone in the hospital.

[@ShannonMillerme]

This is Amazing! As someone that works in Mental Health Crisis Services this is a problem no one addresses. BAM!Well done Doc

[@msshellm8154]

👏🏻👏🏻👏🏻👏🏻👏🏻 -standing ovation- Bravo, Sir! Bravo!

[@ChinlessNoKnees]

I'm not in the healthcare world yet, but that made my blood start to boil before the ending. I really want to get into the mental health side and help as many people as I can. That was a roller coaster of emotions lol

[@FronteirWolf]

I spent 15 weeks on psych ward on the NHS. It was ridiculously hard to get a bed. Clearly Just being a danger to yourself and being very unstable is not enough, it got to a point where I deteriorated to the point I where the police were called. Suddenly they wanted to admit me. I was so relieved, but also worried there wouldn't be a bed as they had tried to get me a bed before and there wasn't one. This time there was a bed. Hospital got me stable and kept me safe until I wasn't unalival, and discharged me to supported living.

[@LeesaDeAndrea]

Finally. One that doesn't leave me feeling hopeless.

[@iamkerok]

He won round one, but they may do a retrospective review and deny coverage after the admission is done and the patient discharged.

[@coolestgyever531]

Just wait for UHC to make their own med school and raise up their own hybrid Doctor Authorization Specialists from scratch.

[@eldestmillennial3136]

Shhh, don't give them any ideas!

[@terriraymond2638]

Kaiser has been running their own medical school. These medical students will learn to put the dollar first before the patient.

[@eldestmillennial3136]

@@terriraymond2638 JFC. I had no idea. Healthcare in this country is well and truly screwed.

[@LLmoney23]

Sorry to hear those who lost their life.. been there before (suicide), heart wrenching to see and hear things like this but glad it's being put out in the open to help raise awareness and hopefully to help spread healing and better health practices. May peace be with you all, always 🙌💪💓😔

[@Steven-T]

This might be the first time I actually want to give United a hug. It makes sense that anyone who could do these awful things to other people would have some mental issues to work through.

[@atticusrussell1225]

Dr. G's guide to daddy issues

[@johnstuart1338]

As someone who struggles with suicidal thoughts, this interaction made me positively FURIOUS. Not the psychiatrist looking out for his patient, but the way United Healthcare diminishes mental health problems.

[@amyschulte7223]

Trigger warning: a psych nurse I know said many years ago she called an insurance company for authorization for a suicidal patient. Patient had a plan and the means to do carry it out & the insurance company said "Just take the gun away & he's not suicidal anymore." Every time she told that story, she got angrier & angrier. (Rightly so.)

[@hiltonian_1260]

The “thanks dad” made me cackle. Well done.

[@priscilaayala3016]

Hilarious. I like this one most of all

[@Ginea25]

Unexpectedly... This made me laugh. So far, nothing in this series had, but this did.

[@docniksnk]

My hero!!! That is why I aspire to be a psychiatrist! 🎉🎉🎉 Dont be telling me about what my patient needs! Love it! Stick it to them. 😂

[@Deltarious]

This is really revealing how powerful psychiatry is for powerscalers in the Glaucomflecken Cinematic Universe

[@TansyBlue]

Thank you for the content warning and also for ending this video with the hospitalisation actually being approved. 💖

[@GENERALTIM21]

OMG the psychiatrist has a child! The universe is expanding!

[@dominictemple]

I don't think that's psychiatrist's son, it's just the first time United Healthcare's telephonist was told someone was proud of him.

[@GENERALTIM21]

@@dominictemple I know. I was being facetious

[@dominictemple]

@@GENERALTIM21 mea culpa. Text is a difficult method to communicate tone. My bad.

[@shannonmcdougall478]

Worked insurance at a hospital...it was ridiculous what they denied. My favorite thing was getting them to pay and authorize. I battled one that broke my heart. A newborn denied a heart procedure as a preexisting condition. That baby died...

[@erinnorwood6124]

I wanted to put ❤ on this. Finally, true victory!

[@davemcconnell2491]

Love it

[@troyspiller]

This is accurate. After years of doing Utilization Management as an RN I can say it was the ins companies that drove me back to bedside. That and private for profit healthcare administrators expecting me to get an ungodly amount of services approved just to make sure revenue streams of profit kept the non-medical investors happy.

[@flyinjenny]

"That's some catch, that Catch-22." "It's the best there is."

[@deirenne]

"Are you wearing houndstooth?" Okay, wow, I knew Psychiatry peer-to-peer will be relatable, but I di not come here to get called out this early in the morning XD

[@katyasehryn8810]

Please do a series on Medicare & Medicaid. You can even do a crossover episode where the two entities blame eachother for missing info 😂

[@sierrasky2491]

Practicing medicine without a license is ugly. ❤

[@kimberleyomalley7211]

As a Psych nurse, not even sure where to start with this. First, thank you!!! The crap I’ve had to say to ‘justify’ an admission when working crisis in the ED would give you nightmares…

[@robertgibbs6154]

That's a downright Jedi mind trick right there. I wished it was that easy!!! I love Dr G the mind bro.

[@soyoucametosee7860]

We all need Dad to call the health insurance.......person.

[@chrisbeasley4727]

Strong choice of beyer dynamic headphones, Id trust this doctor with my eyeballs any day

[@scalylayde8751]

I take a med that interacted badly with my depression and caused suicidal ideation. After trying 2 or 3 types, I finally found one that did not give me that reaction and effectively managed my condition but because it was a new formula and there was no generic available yet, my insurance would only cover it for a year, and then they refused to pay for it for any longer. They said the only way they would pay for it was if I failed every drug of this type in their formulary. There are literally dozens of different ones, which are all more or less the same chemically. When my doctor pressed them they said that I could skip failing all of them if I had a "severe adverse reaction." They did not consider strong suicidal ideation to be "severe." I was without that medication and left untreated for 2 years following that until I got an insurance plan that would cover it.

[@kelsiemcveety999]

Yup i used to work for a hospital with uhc and i had to have a whole different policy with a different company for my mental health care

[@PugsyP]

I love your channel, and i am so sorry healthcare is what it is right now. I really with my full heart hope it gets better❤

[@starshinedragonsong3045]

All my mom or dad ever had to do was say "I'm very disappointed in you" and I would just crumble.