Duke toxicity

[ryanjmy]

I agree with @Howard888. While the transition can be costly and painful, it has been shown over and over that even large anesthesia groups can be replaced and business return to normal after a year or 2. For whatever reason, probably money and control, Duke unilaterally decided to replace PDC with DFP and they will more than likely succeed.

Everyone is replaceable. An old surgeon used to tell me that the graveyards are full of men that thought they were irreplaceable.

Having said that most administrators don't have the political capital to survive the inevitable **** show that replacing an entire group brings. They are just as replaceable if not more than any of us.

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[nimbus]

Everyone is replaceable. An old surgeon used to tell me that the graveyards are full of men that thought they were irreplaceable.

Having said that most administrators don't have the political capital to survive the inevitable **** show that replacing an entire group brings. They are just as replaceable if not more than any of us.

But they ALWAYS land on their feet. I’m not concerned for Dean Klotman’s future. The story will be that she guided Duke through a difficult but necessary transition and possibly even get a promotion or a higher position elsewhere. Even if she’s fired, she’ll get an 8 figure golden parachute.

 

[nimbus]

Duke is not alone. More anticompetitive practices.

New Documentary, InHospitable, Details The Big Profits In “Non-Profit” Healthcare

The rising cost of healthcare is undermining the American Dream.

www.forbes.com

 

[narcotics999]

I agree with @Howard888. While the transition can be costly and painful, it has been shown over and over that even large anesthesia groups can be replaced and business return to normal after a year or 2. For whatever reason, probably money and control, Duke unilaterally decided to replace PDC with DFP and they will more than likely succeed.

Not that easy these days. It cost $$$$, life, and the administers' job.

Duke is huge and it can make it. Community hospitals, especially out of big cities, good luck.

The worst part is that some of us look down our profession. If you don't respect your own profession, who else will?

 

[coffeebythelake]

Not that easy these days. It cost $$$$, life, and the administers' job.

Duke is huge and it can make it. Community hospitals, especially out of big cities, good luck.

The worst part is that some of us look down our profession. If you don't respect your own profession, who else will?

It's sad but true. Those among us that look down on our own profession are usually those who are lured into the business side of things and don't practice medicine much. $ over patients.

 

[Orin]

Shady as f***. Muscling to acquire an independent $1billion faculty practice for free. I’m glad this anesthesia/intensivist stood up against them and hope he prevails.

https://www.newsobserver.com/news/local/article256761697.html

Defend Medicine

Defend Medicine The purpose of DefendMedicine.com is to inform the public about the derivative lawsuit filed on behalf of Private Diagnostic Clinic, PLLC (PDC) against Duke University, its School of Medicine and the Duke University Health Systems. These entities are alleged to have been involved...

defendmedicine.com

Looks like they're crowd funding/investing for the legal defense fund. It's a crazy lawsuit. I'm enjoying the look behind the curtain for the ivory tower.

It will be interesting to see how far this goes...

 

[nimbus]

It’s funny Congress is has taken on so much concern about the anticompetitive practices of the travel nursing industry but has been unconcerned for the past 2 decades about the anticompetitive practices of regional healthcare behemoths.

 

[Gastrapathy]

That website is so strange. Invest $10-20k in a lawsuit? Donate $10-20k to a lawsuit? I don’t get it.

 

[nimbus]

That website is so strange. Invest $10-20k in a lawsuit? Donate $10-20k to a lawsuit? I don’t get it.

I thought the same thing. Maybe you get a reward if they prevail in the lawsuit. The odds don’t seem very good though.

 

[Mman]

That website is so strange. Invest $10-20k in a lawsuit? Donate $10-20k to a lawsuit? I don’t get it.

I assume you are just buying a part of the ultimate settlement/award.

 

[nimbus]

400-physician practice votes to join Duke Health after suit alleging takeover

Durham, N.C.-based Private Diagnostic Clinic has voted to dissolve and join Duke Health, ending a legal dispute alleging Duke was trying to take over the practice, Triangle Business Journal reported May 13.

www.beckersasc.com

 

[DirtDocMD]

So this was all a play to hit Duke up for more money, or what??

 

[Dr. Rude]

So this was all a play to hit Duke up for more money, or what??

This was a (successful) play by the university to access the docs revenue stream.

 

[OptionOffense]

This was a (successful) play by the university to access the docs revenue stream.

yes but likely a lot of money was paid to the physicians. Prob stupid money

 

[Ronin786]

yes but likely a lot of money was paid to the physicians. Prob stupid money

Ha.

 

[nimbus]

yes but likely a lot of money was paid to the physicians. Prob stupid money

It’s impossible to know whether nobody got paid, some people got paid, or everybody got paid. Duke might have paid nothing or they might have paid a billion dollars for the affiliated faculty practice.