Chirag Shah, MD

Northwestern & Case Western grad, ex-healthcare investment banker, Univ of Chicago anesthesia residency, UIC regional fellowship, attending at VA Hospital

[Steven Lubka ☀️ @DzambhalaHODL]

Once again, I am pounding the table on using Gemini to analyze your genes. Get a basic Ancestry DNA test, opt into their privacy options, and once you get your results login and download your "raw DNA file"

Ask Gemini to give you the identifiers to search for high impact genes and then use it to understand your own data and suggest interventions for the ones with a detrimental impact

It's legitimately life changing

[Chirag Shah, MD @CShah85]

@thesaadsalman @nickkokonas @RoKhanna But the car isn’t an appreciating asset. If it was, the equivalency would be then passing that asset on to your heirs with a step up basis and never paying taxes on it. We need to close loopholes. I do agree that unrealized cap gains are a non starter though.

[Massimo @Rainmaker1973]

You wonder where the noise comes from?

Check this video.

[Chirag Shah, MD @CShah85]

@nickkokonas It’s a disaster but so is our current government. All we constantly do is pile up debt on future generations so the older folk can accumulate more and more wealth. This tax bill is a joke. Gets younger people to look at drastic alternatives.

[derek guy @dieworkwear]

I debated whether to share my story on here, but I guess I will.

I think there's an idea out there that millions of violent criminals are pouring across the border, carrying machetes and drugs, looking to harm Americans. Certainly, while some people fall into that category, the vast majority of undocumented immigrants don't.

My family escaped Vietnam after the Tet Offensive and went through an arduous journey that eventually landed them in the Canada. My father worked there for a time as a janitor; my mother, a secretary. When work fell through, my dad was offered to work with his sister in the United States, so he went, as our family needed money. He ended up staying in the US longer than he was supposed to — not knowing immigration laws — and asked my mom to come be with him. Of course, she went and carried me over the border while I was still a baby.

I'm still unsure whether we technically broke an immigration law. The border between Canada and the United States was pretty porous (as it is today, for the most part). But either way, since I came here without legal documentation, I eventually fell into the category of being an undocumented immigrant. Yet, I've been in the United States since I was a baby. My identity and roots are very much based in this country, no different from anyone else.

The lack of legal immigration has totally shaped my life. It has made every interaction with the law much scarier. It has shaped which opportunities I could or could not get. It has taken an emotional toll, as this legal issue hangs over your head like a black cloud.

There are millions of people in my situation — people who were brought here as children, some babies, and were unable to raise their hand during this process and say "maybe we should hire a lawyer." Parents may have crossed the border not knowing about the law, as the law can be pretty confusing and lawyers are expensive. Perhaps, in the end, they should have hired a lawyer; but sometimes life is messy. In the end, they crossed for the same reason many people rise every day: to support their families.

I think it's unreasonable to deport millions of people who have contributed positively to society. It's simply not true that the majority of these people are violent criminals carrying drugs. Many own small businesses; many work as skilled laborers (including garment workers!). The vast majority are good, honest people. For those of us who grew up in the United States, sending us "back" to our "home" country would mean sending someone to a foreign land, as they grew up in the United States. Tearing families apart based on immigration status seems inhumane.

About twenty years ago, I watched with some small measure of hope that the Dream ACT would pass and help a portion of undocumented immigrants. I saw people march angrily in the streets (something I supported). But I was dismayed to see nothing really come about. In fact, when Obama passed DACA, I was skeptical that it would be sensible to give your information to the federal government without a guaranteed path to citizenship. It seems that the Trump administration may use those lists to hunt down immigrants.

I think the ICE sweeps are inhumane. I support and admire the protestors who are putting their bodies on the line for non-violent resistance. Ultimately, I think we need to solve this issue on a systemic level. It's unreasonable to me to expect that the government will deport some 10-20 million people. Even deporting 1 million will cause an insane amount of chaos, not to mention an incredible amount of wasteful government spending. The militarization of law enforcement is over the top and only escalate the situation.

I have seen people march on this issue, only for it to be dropped later and dissolve into quiet grumbles. In the end, nothing is done for immigrants. Time passes until decades later, we have another political crisis like the one we have today. This cycle seems unsustainable. I hope people sustain this energy to solve the immigration issue and put undocumented immigrants — most who are peaceful, skilled, and hard-working citizens — on a path to citizenship. As time continues to go by, many undocumented immigrants are seeing their lives wasted away.

If you care about this issue, I hope you get involved on the long haul: volunteer for pro-immigrant groups, donate to mutual aid, and perhaps pursue career paths that help people in this situation. I was moved to read someone on here say that, when they found their employee was undocumented, they helped them get a green card. The path was difficult, as our immigration system is broken (it took them 11 years). But I can tell you that this is like pulling someone drowning in raging waters.

Ultimately, I hope me sharing this story helps push back against the idea that all undocumented immigrants are MS-13 members. I know many people in my position and they are all like your neighbors.

[Boring_Business @BoringBiz_]

underrated career advice is recognizing that you don’t work for your company’s CEO or the head of your group

you work for the person who sits directly above you in rank. always make them look good in front of their boss

the promotions and pay raises will naturally follow

[Science girl @sciencegirl]

A variety of common procedures explained

[Chirag Shah, MD @CShah85]

@DrDiGiorgio Have you worked at a VA? Are you saying UCSF works like a private hospital? The VA is like any academic center. Vets love the care they get. Data shows costs/outcomes are better.

https://t.co/62FS45cDHo

[Massimo @Rainmaker1973]

Teeth patching process illustrated

[🎞️ behelldental]

[😈 Xavier ✞ @RealXavier011]

Doctors go through a lot to make your life better and easier 🔥🤯🙌👑

[Chirag Shah, MD @CShah85]

@anish_koka So you are saying Indians were less likely to get into medical school because of their skin color and therefore that normalized Indian hate? Your tribe is selling something most of us aren’t buying.

[Ro Khanna @RoKhanna]

Are you going to tell him to apologize for saying "Normalize Indian hate" before this rehire? Just asking for the sake of both of our kids.

[Steve Liesman @steveliesman]

The whole politico story is an outright fabrication.

https://t.co/lot097wIjO

[Sheel Mohnot @pitdesi]

I find it so funny that Andrew Huberman (PhD!) falls for the dumbest shit on here, and continues to fall for it over and over again

Can’t take him seriously.

[BuccoCapital Bloke @buccocapital]

Wake me up when DOGE goes after the defense budget that’s where the real waste of our tax dollars is happening

Until then get this performative anti-woke bullshit off my timeline

[Melinda French Gates @melindagates]

Today I am thinking of the people I’ve met around the world—children, parents, health workers, teachers—who will be harmed by the Trump administration’s decision to try to dismantle USAID and walk back U.S. leadership in global health and poverty reduction.

I’m thinking, too, about the dangerous ripple effects this will cause. In an increasingly interconnected world, we’re all better off when lifesaving medicines are developed and delivered, when disease outbreaks are halted, and when nations lift themselves out of poverty.

Strong leaders throughout history have understood that foreign aid builds a heathier, safer, more prosperous world—and that’s a goal everyone should be able to get behind.

[Sheel Mohnot @pitdesi]

This was the best thing Warren had done- tax filing should be easy, free and automatic like it is in other countries.

This is the worst thing that @DOGE could possibly cut.

[Paul Graham @paulg]

Surely there's orders of magnitude more waste in the Department of Defense than USAID. But if you just show up at the Pentagon and try to push your way in and get access to every classified system, I bet there will be a good deal more resistance.

[armygirl @armygir36701799]

This guy should be an educator. The visual learning method does not disappoint.

[InnocenceCapital.AI (🍆,🍆) @InnocenceCapit1]

It’s actually fine to say we are going to replace income taxes with tariffs, but you, the American consumer are going to pay them. But to say exporters will pay for them and that your policies will also lower prices on food, energy and other goods is a lie. It’s a regressive tax.