Doc Rotten MD

Neurology Epilepsy Brain Injury Sleep Disorders Behavioral Neurology - Infants Children Young Adults.

[Doc Rotten MD @BrainSleeps]

The content published on this website and blog is provided for general informational and educational purposes only. It does not constitute, and should not be construed as, professional medical advice, a medical opinion, a clinical recommendation, or the establishment of a physician-patient relationship.

The views expressed herein reflect general medical and scientific information available in the published literature and are not intended to represent the professional opinion of any individual clinician with respect to any specific patient, case, or clinical circumstance. Nothing on this site should be relied upon as a substitute for consultation with a licensed physician or other qualified healthcare provider who has examined you or your child and is familiar with your specific medical history.

No physician-patient relationship is created by your use of this website, your reading of any content posted here, or any electronic communication initiated through this site. Under Texas law and applicable federal standards, a physician-patient relationship requires a mutual agreement to enter into that relationship, a complete and appropriate evaluation of the patient's condition, and an affirmative undertaking by the physician to provide care. None of those elements exist here.

Content on this site is not intended to be used — and must not be used — as evidence of a professional opinion, standard of care determination, or expert opinion in any legal, administrative, or regulatory proceeding. Blog posts, articles, and educational materials published here do not reflect individualized clinical judgment and are not admissible as expert medical testimony under Daubert v. Merrell Dow Pharmaceuticals, Inc., 509 U.S. 579 (1993), Texas Rule of Evidence 702, or any analogous evidentiary standard. Any attempt to characterize this content as an expert opinion or standard-of-care statement in litigation is expressly disclaimed.

Medical knowledge evolves continuously. Information presented here may not reflect the most current research, clinical guidelines, or accepted standards of practice at the time you read it. Always seek the advice of your physician or a qualified specialist regarding any medical condition or treatment.

If you are experiencing a medical emergency, call 911 or go to the nearest emergency room immediately. Do not rely on any content on this website in situations that may involve risk to life or health.

See disclaimer here :

[Rafael Dahan ✡︎ @rafaeldahan]

EEN COLLECTIEVE AFDALING NAAR HET KWAAD

Onderstaande trailer — die ik heb ondertiteld in de Nederlandse taal — wordt als volledige documentaire in september 2026 in zijn geheel uitgezonden. Het kwaad is al aanwezig binnen onze beschaafde wereld en het zal zich nog verder uitbreiden. Het kan immers altijd nóg erger.

EEN OMSCHRIJVING

Een uitzonderlijke groep analisten, journalisten en wetenschappers verdiept zich grondig in de geschiedenis, ideologieën, strategieën en doelstellingen die ten grondslag liggen aan de bloeddorstige vijanden van de Joden, Israël en het Westen.

Terwijl in alle lagen van de samenleving en over het hele politieke spectrum de leus "globaliseer de intifada" wordt gescandeerd, maakt deze indringende documentaire duidelijk wat er op het spel staat en wat er moet gebeuren om deze kwaadaardige krachten te verslaan.

Profetische woorden die ik hier plaats? Nee hoor, wij zien de teloorgang al in de gehele westerse wereld.

Jullie toch ook?

#SuicidaleEmpathie

[Mark Changizi @MarkChangizi]

I put together this info sheet because I’ve had to repeat these points a gazillion times to Jew-haters. It shows the Gaza civilian-to-combatant ratio, the extraordinary measures Israel takes to reduce civilian casualties, and the striking age/sex distribution of the dead.

And for perspective: the Islamic Republic slaughtered roughly 30,000 protesters in just two days in January. Imagine what Israel could have done in two years if killing civilians were actually the objective.

[Doc Rotten MD @BrainSleeps]

@BenBenBen75932 @MollyforTexas Good news.
Medical cannabis is legal & available in Texas.

https://t.co/RMc8tFoaUc

[Doc Rotten MD @BrainSleeps]

Impeach RFK

[End Tribalism in Politics @EndTribalism]

RFK Jr. just said on national television that Lyme disease and RSV came from gain-of-function research.

“Lyme disease almost certainly came from these experiments and is now devastating our country.”

“RSV came from a laboratory, which is now the biggest killer of children in our country.”

“And of course, the COVID-19 pandemic, which was a trauma for the whole globe.”

“All of those have been linked credibly to gain-of-function research.”

“It’s something with enormous costs and no proven benefits.”

[Harshi Peiris, Ph.D. @Neuroscope_mp]

BREAKING: The shingles vaccine is linked to a 51% lower risk of dementia in the largest study yet — 329,000 people, published this year.

This is now the 6th major peer-reviewed study to find the same thing. (Paper published February 2026 in Nature Medicine)

Thread 🧵👇

[Nate Friedman @NateFriedman97]

I won't stop making these videos. If you want to support my show after this episode got demonetized, you can subscribe on X or use this link https://t.co/Hz4VTCjBCC.

[Vivid.🇮🇱 @VividProwess]

⚠️EXPOSED!! An underground Hezbollah terror tunnel 200 meters long and 25 meters deep, with 4 launch shafts and massive number of weapons.

Share this. The mainstream media won’t.

[Doc Rotten MD @BrainSleeps]

@PeterHotez Good Lord.

[Doc Rotten MD @BrainSleeps]

I call for @TheLancet editor to go!

[Jamie Metzl @JamieMetzl]

Join me in once again calling for the resignation of @TheLancet editor Richard Horton.

Publishing a petition calling for the boycott of the Israeli Medical Association is an absolute disgrace. Medicine should bring physicians together in service of patients, not weaponize professional organizations for political campaigns.

Just as it failed the public on the #COVID19 origins debate, The Lancet is again positioning itself as a political actor rather than a medical journal.

[Doc Rotten MD @BrainSleeps]

Thank you @PeterHotez !

Patriotic Americans need to see the disinformation from within health & human services as a designed psyop from our adversaries.

[Doc Rotten MD @BrainSleeps]

@cacna1a … good news…

[Israël en français @IsraelenFR]

Percée médicale en Israël :
Des médecins du Centre médical pédiatrique Schneider ont réalisé une première mondiale : l’injection d’un gène sain directement dans le cerveau d’un nourrisson de 8 mois atteint d’une maladie génétique grave.

L’enfant souffrait d’un déficit du gène WWOX, provoquant épilepsie sévère, retard de développement et atrophie cérébrale.

Cette avancée est le fruit d’une collaboration entre le centre médical, le professeur Rami Akkila de l’Hebrew University of Jerusalem et la société Mahzi Therapeutics.

Le traitement, encore expérimental, a été administré en usage compassionnel après autorisations exceptionnelles.

Le Dr Ido Ben Tzfia a réalisé la procédure.
Un mois après, aucune crise n’a été observée. La communauté médicale suit l’évolution avec attention.

📷 Crédit photo : l’équipe médicale et le professeur Rami Akkila.

[Doc Rotten MD @BrainSleeps]

Interested to learn more? Go to my website. The Buttons will guide you.

https://t.co/qrsmCbZZ81

[Doc Rotten MD @BrainSleeps]

🧵 1: Introduction
What if we coul modulate brain excitability to support neurodevelopmental and neurological conditions? Enter Transcranial Electrical Stimulation (TES). The latest peer-reviewed literature shows incredible promise. Let’s dive into the data. 👇 #Neurology #tDCS #MedEd

[Doc Rotten MD @BrainSleeps]

5: The Power of Neuromodulation
By targeting specific brain networks—like the DLPFC for mood or the motor cortex for movement—TES acts as a powerful, non-invasive catalyst. When combined with traditional therapies, it helps accelerate the brain's natural ability to rewire and heal. 📈

[Burgas Calling 🇧🇬 | חדשות האירוויזיון @EurovisionewsIL]

🇧🇬 🇮🇱 הנציגה שתמכה בישראל וסירבה לחזור בה מהתמיכה בנועם בתן ברשת - זכתה באירוויזיון 2026. ישראל מיד אחריה במקום השני. צדק פואטי

[Kevin Pho, M.D. @kevinmd]

Fifteen years ago, 75 percent of US physicians were in private practice. Today, around 25 percent are.

That is not market evolution. That is a policy outcome.

Hospitals are paid 2 to 3 times more than independent practices for the same office visit. For echo and MRI, 3 to 5 times more. Same physician work. Same diagnosis. Different check, because the door has a hospital logo on it.

Then layer the prior auth burden. The typical small practice now runs about 40 prior auths a week. Generic medications that did not require approval five years ago now require approval. Every MRI requires approval. Most denials are algorithmic, with no specialist on the other end who can actually override anything.

Then layer MIPS, MACRA, and the 2013 Misvalued Code Initiative that cut reimbursements for office-based echo and EMG by more than 50 percent while leaving hospital-employed physicians shielded.

The result, per neurologist Scott Tzorfas on The Podcast by KevinMD, is that wait times in his area now run six to nine months for a specialist and close to a year at the academic hospitals. Not because there are too few doctors. Because the small offices that used to absorb that volume have been driven into hospital systems where payment is higher and overhead is somebody else's problem.

He proposes site-neutral payment, repealing the restrictions on physician-owned hospitals, and applying the qualified business income deduction to physician practices. Reverse the financial incentives that bent the field, and the field bends back.

There is also a perverse premium incentive baked into the ACA. Insurance profits are capped at 15 to 20 percent of premiums, but that is a percentage cap, not a dollar cap. Higher hospital prices push premiums up, which pushes the dollar value of that 15 to 20 percent up too. The system is paying more for the same work and calling the result a market.

The structural fix is not complicated. The structural will is what is missing.

Search "The Podcast by KevinMD" wherever you listen to podcasts. Link in the replies.

What policy lever would actually pull more clinicians back into independent practice?

#ThePodcastbyKevinMD

[Doc Rotten MD @BrainSleeps]

@Gabe__MD AI against 2 physicians? Is this chess? Big blue?

Physicians work in teams.

Which diagnoses were missed by both.

Or by one vs the other?