Doctor D

Cedars-Sinai/UCLA-trained Nephrologist. I usually tweet about aviation, dogs, LA sports, and the Miami Dolphins. In other words, I rarely tweet about kidneys.

[Doctor D @DialysisDoctor]

@Doll_Phan72 No unexpected repairs. Mine is a 2022 I bought brand new so there have been a variety of recalls. As for road noise, I’m driving a big box on knobby tires with no carpet (washout floors in the badlands). It’s loud at 70mph+ but can still have a conversation.

[Doctor D @DialysisDoctor]

@realBrandonGill Wait was she trying to mumble “some of them have kidney issues”?! I’d like a word.

[Doctor D @DialysisDoctor]

@MichaelSapirUSA @IfindRetards found one!

[Doctor D @DialysisDoctor]

@RoKhanna Is this a joke?

[Doctor D @DialysisDoctor]

@NaKCCrit @pgipe This. 85 year old on ACEi with a one-time eGFR of 58 in the summer months. Bland UA, negative for urinary protein. “CKD and needs nephrology eval” on the auth. Wonder what @GlassockJ would say.

[Doctor D @DialysisDoctor]

@NHLRussell Why would he come here to work under Luc and Holland? Ceci and Domoulin on multi-year deals. Total dysfunction.

[Doctor D @DialysisDoctor]

@maryisbananas Gary Oldman is amazing in it.

[Doctor D @DialysisDoctor]

@BoltsBreakdown @FriedgeHNIC We’re very crushed.

[Doctor D @DialysisDoctor]

@NHLRussell Also had nothing to do with the fans, most of whom wanted him to retire a King.

[Doctor D @DialysisDoctor]

@ATRightMovies

[Doctor D @DialysisDoctor]

@ShillinChi Then it’s priceless

[Doctor D @DialysisDoctor]

@ShillinChi The things you can do when you’re winning 12 leg parlays…

[Eric Weinhandl @eric_weinhandl]

Adjusted rate of ESKD incidence in the US, as seen in the new USRDS ADR. Hang it in the Louvre.

[Doctor D @DialysisDoctor]

@wyshynski No issues with #1, but Airplane at 62 makes this entire list irrelevant to me.

[Doctor D @DialysisDoctor]

@mustbemarisa87 Is he trying to get fired?

[Doctor D @DialysisDoctor]

@seanluomdphd @JahangirAsgha10 I think you are purposely being obtuse. I made a simple point. My reimbursement is down for doing the same amount of work I did several years ago. My expenses are up. My take home is down. Period. These are facts.

[Doctor D @DialysisDoctor]

@seanluomdphd @JahangirAsgha10 You are aware that CMS reduced the CF by 2.8% in 2025, yes? So yes, my reimbursement is decreasing. If a nephrologist takes over my practice he will make less (especially when adjusted for inflation) than I made 5-7 years ago. Unless he increases his workload.

[Doctor D @DialysisDoctor]

@seanluomdphd @JahangirAsgha10 Oh sure, I’d love to go “massage my payer mix” to go after the Fortune 500 CEOs that are on dialysis. When you focus on a patient population that is 95% government-insured, your ability to do either of the things you mentioned is limited.