This is not a knock on anesthesiologists or nurses, both of whom are some of my favorite people; it simply is another example of how middleman who create these “peer-to-peer” reviews not only delay care (e.g. an extensor tendon laceration should be repaired immediately without need for peer review), but they also don't even have the cases reviewed by doctors in the same specialty. 👉 If you want to start cutting out the middleman in healthcare, the power needs to go back to the doctors. In my mind, the best way to do that is to go independent and get back to private practice. If you're a physician who is ready to do just that, be sure to follow this account. ✅ I start my own practice four years ago, and it was the best professional decision I ever made. If you want any tips, feel free to reach out to me here or my email nickpappasmd@gmail.com * BTW… For those wondering, TFCC stands for triangular fibrocartilage complex, and it's located in the wrist. #privatepractice #physician ...