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Dr. Y
เข้าร่วมเมื่อ 13 ก.ย. 2019
Insulin Pen injection
This is step-by-step demo for insulin injection using an insulin pen.
มุมมอง: 13
วีดีโอ
Checking Glucose (part 5): questions and answers
มุมมอง 112 หลายเดือนก่อน
In this video, I answer various questions about finger stick checking: How to avoid pain, what readings to expect, what about difference in readings between different readings and other questions.
Checking Glucose (part 4): managing your meter
มุมมอง 62 หลายเดือนก่อน
In this video, we discuss how to set up and how to review the readings from your Glucometer
How to check glucose (part 3)
มุมมอง 102 หลายเดือนก่อน
In this video, we will talk about some of the financial considerations with finger stick checking and how to minimize the costs involved.
How to check glucose (part 2)
มุมมอง 92 หลายเดือนก่อน
In this video, we will talk about some of the most common mistakes when checking your finger stick glucose, and how to avoid them.
How to check glucose (part 1)
มุมมอง 202 หลายเดือนก่อน
This video shows you how to check finger stick glucose using a glucometer machine.
Diabetes Diet part 7 Vacations, holidays and parties The final challenge
มุมมอง 40ปีที่แล้ว
Series of videos about nutrition for patients with Diabetes, Prediabetes, insulin resistance, metabolic syndrome, Non-alcoholic fatty liver disease, weight gain and obesity
Diabetes Diet part 6 Putting it altogether
มุมมอง 129ปีที่แล้ว
Series of videos about nutrition for patients with Diabetes, Prediabetes, insulin resistance, metabolic syndrome, Non-alcoholic fatty liver disease, weight gain and obesity
Diabetes Diet part 5. The absolute worst thing you could possibly do
มุมมอง 47ปีที่แล้ว
Series of videos about nutrition for patients with Diabetes, Prediabetes, insulin resistance, metabolic syndrome, Non-alcoholic fatty liver disease, weight gain and obesity
Diabetes Diet part 4. Fruit, snacks and deadly traps
มุมมอง 62ปีที่แล้ว
Series of videos about nutrition for patients with Diabetes, Prediabetes, insulin resistance, metabolic syndrome, Non-alcoholic fatty liver disease, weight gain and obesity
Diabetes Diet Part 3 The protein factor
มุมมอง 43ปีที่แล้ว
Series of videos about nutrition for patients with Diabetes, Prediabetes, insulin resistance, metabolic syndrome, Non-alcoholic fatty liver disease, weight gain and obesity
Diabetes Diet part 2 Beware of these costly mistakes!
มุมมอง 91ปีที่แล้ว
Series of videos about nutrition for patients with Diabetes, Prediabetes, insulin resistance, metabolic syndrome, fatty liver, weight gain and obesity.
Diabetes Diet part 1: Tasty and healthy!
มุมมอง 125ปีที่แล้ว
Series of videos about nutrition for patients with Diabetes, Prediabetes, insulin resistance, metabolic syndrome, Non-alcoholic fatty liver disease, weight gain and obesity
Diabetes: I feel good so why should I care
มุมมอง 302 ปีที่แล้ว
This video will help explain why feeling good while having Diabetes doesn't necessarily mean one is actually doing well.
What is Diabetes
มุมมอง 562 ปีที่แล้ว
These podcasts are designed to explain Medical issues, how to manage them, and how to get and stay healthy.
Nutrition on a budget: Fiber, Fruit and snack myths
มุมมอง 552 ปีที่แล้ว
Nutrition on a budget: Fiber, Fruit and snack myths
Vaccine Controversy: Am I protected or not?
มุมมอง 653 ปีที่แล้ว
Vaccine Controversy: Am I protected or not?
Vaccine Controversy: What about side effects?
มุมมอง 2043 ปีที่แล้ว
Vaccine Controversy: What about side effects?
Vaccine Controversy: Is COVID a fake crisis?
มุมมอง 993 ปีที่แล้ว
Vaccine Controversy: Is COVID a fake crisis?
Vaccine Controversy: Liberty and Government Control
มุมมอง 1303 ปีที่แล้ว
Vaccine Controversy: Liberty and Government Control
2021 E&M Code changes: updates, questions and answers
มุมมอง 3723 ปีที่แล้ว
2021 E&M Code changes: updates, questions and answers
turkey or cornbread dressing!
"promo sm"
Very informative Thanku for this
I love your videos! Very very helpful! Will implement immediately! I get stuck wanting to confirm each diabetic, chol, htn, thyroid med under each diagnosis in the treatment section. OCD gets the best of me there!! I will stop commenting on each diagnosis immediately. Thank you for your guidance!
Please Like, share and subscribe. We need to get this video to as many Doctors and APPs as possible, and the Google algorithm feeds on likes, comments and shares. Feed the algo, everyone. Feed the algo.
If implemented correctly, the information in this series will save you between 10 and 30% of the time you use in EMR utilization, which translates into several million dollars over the span of your career. This information is provided for you for free on TH-cam. If you have been helped by this content, help others by donating to a charity. Here are some charities that you can donate to: Feed the hungry: Low Country Food Bank lowcountryfoodbank.org/ Help Children in need worldwide: Compassion International www.compassion.com/ Help people in distress worldwide: Samaritan's Purse Ministry www.samaritanspurse.org/ Help patients in crisis worldwide: Doctors Without Borders www.doctorswithoutborders.org/
Thank you for those series, Dr Y!
That's funny because ivermectin was discovered in a forest to my understanding! Hah!
Would love to learn more about that. If you can provide me with a link, that would be great.
I can't find the reference for where I saw that it was discovered in a Japanese forest in the soil.
It doesn't invalidate your point, I just thought it was funny you actually said it wasn't found in a forest. It's still synthesized into a drug.
#Covid_vaccine is a resistance of covid virus to create new variant, it only able to hide the symptoms after get infected, at the same time to enhance your immunity system to against the virus temporarily, "against the virus not eliminated", currently the opportunity to the death of having vaccine injection is less due to it's ineffectiveness since vaccine maker has been modified it to be safe. covid vaccine has the structure of HIV virus same as covid virus, it will permanently stay at human body. Vaccine manufacturer can be sued now after FDA fully approve those vaccine?, this is great liberty status evolution. A lot of people death or having long term adverse reaction in vaccination before, and the government still keep hiding the truth.@````
HIV and COVID are viruses that replicate themselves (multiply) inside of cells. The messenger RNA of the vaccine does not replicate itself inside of human cells, so no, vaccines do not "stay in your body forever".
If you don't have freedom you don't have anything.
Two changes occurred in December 2020 that affect how the case examples in this video are accounted for: The time documentation piece was significantly changed when CMS "Final Rule" came out, and Congress canceled payment for the "primary care code" GPC1x for the next three years. For more information about these changes, please watch the video: th-cam.com/video/7yiQIEM1UGs/w-d-xo.html
Two changes occurred in December 2020 that affect how the case examples in this video are accounted for: The time documentation piece was significantly changed when CMS "Final Rule" came out, and Congress canceled payment for the "primary care code" GPC1x for the next three years. For more information about these changes, please watch the video: th-cam.com/video/7yiQIEM1UGs/w-d-xo.html
The time documentation piece was significantly changed when CMS "Final Rule" came out in December 2020. For more information about this, please watch the video: th-cam.com/video/7yiQIEM1UGs/w-d-xo.html
Correction and clarification: I mis-spoke at 0:49 when I spoke about the elimination of a code. It is 99201 that was eliminated, not 99211. 99211 will still be in use. For more information regarding those two codes, please watch this video: th-cam.com/video/7yiQIEM1UGs/w-d-xo.html
Hi Dr y, If we choose time based coding for selecting an E&M code, do we need to document the provider time spent on the provider note? Like if provider spent total of 20 minutes on the day encounter. Should it be reflected in provider's note 10 mins consultation 5 mins documenting provider note 5 mins vitals
Thank you for your question. No, you do not need to do so. It should just be total time, and a mention of what the total time was spent on. For example: "A total of 40 minutes were spent on this case on the day of the encounter, including preparation to see the patient, review of results, meeting with patient, discussion of care, orders and documentation."
@@dr.y3383 Thanks for your response, I have one more question, the guidelines states that the time on Date of encounter shall be considered so is it the exact date or 24 hours since the start of visit. For example a provider sees a patient at the day end, next morning he comes in evaluates the patient record, documents the visit and signs the superbill, can he include this time too?
@@doorlasst293 the guidelines state "on day of encounter", not "within 24 hours of the encounter", so you have until midnight on the day of the encounter to do all and any work that would count towards your time documentation for that specific visit.
@@doorlasst293 I made a new video for updates, questions and answers, where I specifically answered your question. Here it is: th-cam.com/video/7yiQIEM1UGs/w-d-xo.html
Please like, subscribe and share.
This was fantastic information as usual. Very much appreciated.
Hey Dr. Y, If I spend 5 minutes interpreting a 95251 and bill for it, do I include this time in the total visit time?
Hello Jeremy. Great question. While there is no explicit directive that I am aware of from CMMS regarding this issue, my inclination is to say that the answer is no. The rule of thumb is that you cannot "double dip". The time used towards getting a code normally cannot be used again to get another code. It is the same concept for smoking cessation counselling. If you spend 5 minutes in smoking cessation counselling and you code 99406, I would assume those 5 minutes cannot be used again towards a 99215 for example. The good news is that the time used to prepare for the visit, including any time you spend on pump download, communication with staff about visit, reviewing labs, previous notes and even preparing the chart is all included in the "total time". However, I could be wrong about the "double dipping" theory. I will check with a coding expert and get back to you.
I did confirm that my reply was correct. BTW, I know you know this and it is just a typing error, but to clarify for anyone reading the comment, your question was about time spent on interpretation of a glucose sensor download, which is CPT code 95251, not 99251.
@@dr.y3383 thanks for the update and correcting my error.
I am on track with diet according to your videos. Thanks for the info.
Do I need one of these?
Summary starts at 14:05
Excellent lecture! I love the plate examples of what to do and what not to do! Do you have a PDF printout of the plate method that you can attach here?
Thanks. I was not able to attach pdf documents to the comment section, but it is available on Google images
What do you think about grits 1/2 cup? Also, I like Asian dishes and use Avocado and olive oil is this ok?
Grits are a starch, so OK to have in limited amount. Avocado and olive oil are healthy fats. They do not raise blood sugar.
I did not know the mixed corn,peas and green beans were a starchy vegetable. Will you be adding some recipes with tasty options?
Yes to the tasty option question. Corn, peas and all beans are starches, but green beans are different. They are vegetables.
I don't really like Kale, can spinach work?
Absolutely! Kale, spinach and collard greens all work equally well. There are a few differences between the three, but all three are great for Diabetes.
Great video! thank you for the information.
Thank you, Sylvia
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