A Prayer In Spring
by Robert Frost
Oh, give us pleasure in the flowers today;
And give us not to think so far away
As the uncertain harvest; keep us here
All simply in the springing of the year.
Oh, give us pleasure in the orchard white,
Like nothing else by day, like ghosts by night;
And make us happy in the happy bees,
The swarm dilating round the perfect trees.
And make us happy in the darting bird
That suddenly above the bees is heard,
The meteor that thrusts in with needle bill,
And off a blossom in mid air stands still.
For this is love and nothing else is love,
To which it is reserved for God above
To sanctify to what far ends he will,
But which it only needs that we fulfill.
https://t.co/AFMpH1xjj5
The Groundbreaking Alzheimer's Therapy Improving Cognition | Dr. David Haase
Today, I am very honored to introduce Dr. David Haase. David Haase, MD, holds dual board certifications in Family Medicine and Integrative Holistic Medicine, along with certification in Apheresis (QIA). A graduate of Vanderbilt University School of Medicine, he completed his residency at the Mayo Clinic. Dr. Haase educates physicians globally on managing Alzheimer's, dementia, and chronic illnesses.
In 2003, Dr. Haase founded the MaxWell Clinic in Brentwood, TN, a 12,000-square-foot facility dedicated to advanced diagnostics, nutrition, and brain optimization. He is the innovator behind the H.O.P.E.: Habitat Optimizing Plasma Exchange program, a groundbreaking treatment designed to enhance cognitive function and slow cognitive decline in conditions such as Alzheimer's and dementia. This program uses advanced plasma exchange techniques to improve brain health and overall well-being.
Dr. Haase is also committed to building ever-better clinical data platforms that empower relationship-based clinicians to integrate systems medicine more seamlessly into patient care. In addition to his clinical work, he actively consults for and serves on the boards of several biotech and medical science companies, contributing to cutting-edge research in Alzheimer's disease, longevity, and cognitive performance. Dr. Haase was also one of the six lead investigators on the Evanthea Dementia Reversal Randomized Controlled Trial that just concluded. His commitment to advancing medical science and improving patient outcomes has established him as a leader in functional and integrative medicine and I am very honored to have him with us today.
Hope this is helpful for you and your family!
@DavidHaaseMD@MaxWellClinic
#alzheimers #alzheimersprevention #alzheimersreversal #evantheadementiareversal #plasmaexchange #therapeuticplasmaexchange #maxwellclinic
@TheChiefNerd@grok I was tying to do the same thing another poster requested.. and they got a bizzare response- totally off base. This is closer by far
Most people don't understand how incredibly complex 340B is. I barely get it myself.
340B creates a pricing spread. Hospitals buy drugs at a steep federally mandated discount and get reimbursed at a much higher rate. That difference is a huge revenue stream for hospitals.
Manufacturers have tried to limit some contract pharmacy arrangements, which squeezed certain middlemen.
So what happens next?
Instead of losing access to that spread, insurers and PBMs move deeper into the hospital itself.
Insurer owns the PBM. PBM buys a specialty pharmacy platform. That specialty pharmacy operates inside a 340B hospital. Now the same corporate family can still capture the margin. Different structure. Same spread.
This is what a federally created arbitrage program does. It does not lower costs. It does not simplify care. It encourages vertical integration so the largest players can internalize the subsidy.
When government creates a guaranteed pricing distortion, capital reorganizes around harvesting it.
Sanjay, where did you get the data for this? Because I think wrapped inside a physician services are a tremendous amount of administrative cost.
Having another graph where there are dark and light bands to each of these sections that delineate out the contribution of clinical versus administrative, I think would be very instructive.
Thanks for the post.
I did not say money had no effect…. It usually has huge and often unrecognized effect.
And I also find that human nature has a pretty wide scope of variation .. that’s why the same end can be pushed by two very different - even contradictory philosophies or positions.
Muddy the water often is. (insert wry yoda accent)
I agree with you. When you’re only tool is a hammer (or a prescription ) everything looks like a nail. For those clinicians who have more tools in their toolbox, higher standards have the potential to lead to better outcomes. But sadly that is absolutely not our current standard of care.
It is a fair question. I think there is some co-evolution happening here. On one hand, we have known for a very long time that increased inflammatory markers mark elevated risk for heart disease and cancer and neurodegeneration, however, that never got any attention until there was a subtle shift in the C reactive protein level levels after statin administration then it got a lot of Press and there was more pressure to assess and treat with statins when finding the underlying cause would be a much more rational and effective approach.
But the standard for blood glucose optimization has continued to be tightened and tightened, even as it is clear that drug therapy to accomplish This is often more problematic than beneficial.
And I think your underlying point is valid, when you can’t understand something it’s almost always useful to follow the money and follow the ego.
Well, even as I appreciate the poster I think he has it incorrect.
Improving our standard of what is optimally healthy (which is how the standards should be set) by tightening our ranges does not have to mean treating more people with drugs.
One of the most intuitive ways to understand vibrant health and physiology is to consider the standard to be that of the average fit, healthy and happy 25 year-old person
Those “lowered” glucose numbers and cholesterol members would still be high given that standard.
Instead I think these numbers are a better description of truth, as it applies to the optimal health of a human rather than just defining what made-up threshold determines disease.
Like any tool, a standard can be misused.
If you’re only tool is a hammer, everything will look like a nail.
Therefore, if you are a medical mental midget and can only think of drugs as the solution to a problem, then the standards will be applied in that way, and that is not a problem with excellent standards that is a problem with the mindset of the health and medical community.
So not a conspiracy but a miss-application of a better standard is my take on it.