A cardiologist in the practice eventually decided to come over and see what the fuss was over. Once she tried to explain, he took the phone from her, apologized and hung up.

I’ve seen much more evil and stupid in the decade since this, but this was one of the big ones that struck me as ego.

Another one was where a big time specialist got up in front of a state Medicaid P&T committee and said that the state should follow AASLD guidelines on treating Hep C with the new antivirals. The state agreed and copy/pasted AASLD as their criteria.

Next month all his PAs we’re getting denied for not following treatment guidelines. He called into one of the Medicaid plans and had an absolute screaming tantrum at the pharmacy director. The guidelines were for ‘lesser doctors’ and he obviously knew what he was doing and shouldn’t be subject to them.