How Can We Do Better at a County Hospital - Lecture to UCSF Staff and Nurses

[@shereetedrow8645]

Vinay is a voice of reason, common sense and a breath of fresh air in such a complicated healthcare system…

[@rnbham39]

This is so enlightening. I can’t wait to share it with my colleagues across the isle in heme/onc.

[@kathya1956]

Patients, please think for yourself. Don’t be scared. Think first!

[@AnthonyGonzalez-rx2jh]

The brilliant Vinay Prasad and BOBA?? I'm definitely coming to the next one ahahaha. Great lecture doctor

[@FourthWayRanch]

Remember the eff dee eh is staffed with PhD chemists and biologists who would rather have a high paying job in bigly farm aahh. They won't challenge farm ah cause they will get blackballed.

[@olibertosoto5470]

Yes, it's broken, I know! So let's find us some incorruptible, unselfish, caring and fair people to run this system and...! Never mind!

[@EmmettStewart-t4k]

I worked in Oncology as a nurse for almost 4 years - I love his practical approach

[@spectator-o8h]

Perhaps record with another phone and you can cut back and forth between the video angles.

[@ImNoclue]

If you give a radiation oncologist a lung cancer screening he’s going to want a glass of milk.

[@aron.gortman]

He's more likely to refer to the MDT and ask the surgeons and chemo deliverers if it's safe to have a glass of milk.

[@grthrndowl]

Unfortunately, until the cares act funding and incentives for destructive, expensive protocols and denial of less expensive successful protocols is ended, it will only get worse.

[@FourthWayRanch]

it's the county hospital that has to deal with the lack of health insurance in this country. It would be cheaper to provide basic universal Healthcare

[@Paintsplash4]

Love your lecture. Sad that the camera focused on the snacks rather than you, ha.

[@Meantforthis]

The Boba looks good.

[@kathya1956]

I wonder what he thinks about metabolic cancer therapy.

[@brooke_ann]

Love ur vids dr Prasad keep it up :) !

[@Tim-uh-thee]

More videos bashing Fauci and Collins please.

[@kathya1956]

Please look up Prof. Thomas Seyfried.

[@michaelburatovich]

I agree. Sotorasib is a regulatory failure.

[@nancienordwick4169]

We need to take a lesson from veterinary medicine. Ask ourselves before getting aggressive with lumps if there's a 5 year survival chance even with treatment if a dog is 8 years or older, its wise to leave them be. This 77yo man should have been left alone unless he had a goal to live past 85. Sounds like he didn't mind life progressing naturally. ?

[@barbaragaona7785]

This video not allowing a 👍

[@Hibernia2324]

It has 52 likes already.

[@elkegreiser1799]

Lo escucho perfectamente bien.

[@joevarga5982]

It's just you.

[@moralesjjvideo]

These discussions seem so US centric. How does drug usage (Which are approved, used, etc) compares to other countries like in Europe? Looking at Covid and flu shot/booster approvals, the US and European countries could not be more different? How is that possible? Why is it not discussed?

[@woojinjoo241]

How much of the budget for the county hospital though is driven by quality metrics. Quality metrics, like % of patients who get cancer screenings? In private private practice, I participate with various value based care organizations. There is definitely pressure to perform screenings by means of financial incentives. And it's not only pressure on me to recommend a test. But also pressure on patients to "ask your PCP" about getting screenings done. You're making an argument that a county hospital with a fixed budget should prioritize high value care. And cancer screening is one thing that, in your opinion, is low value care. I don't know how the budget is determined in the county hospital system. But I suspect their revenue is significantly impacted by their performance on quality measures, like cancer screenings. If so, your argument that spending money on cancer screening is a poor use of money makes no sense. Cancer screening is a revenue generator. Rather your argument would be better served for CMS or whichever organization dictates the quality metrics and incentives.

[@davidjuliesmiththomas7983]

what a shame about the focus on the video.

[@aron.gortman]

Vin pushing hard for surgery when patients are better off with RT.

[@MK-ft3qt]

This is despicable

[@waotzimprett6403]

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