Ian Dorward

Neurosurgeon, Wharton MBA, other stuff

[Ian Dorward @IanDorwardMD]

@JusticeInMed @shycollie @nerdinmed In some states, nurse practitioners can act independently within the scope of their practice, but that does not include performing actual surgical procedures (just to clarify).

[Ian Dorward @IanDorwardMD]

@DrAlexPowers Makes it all worthwhile 😊

[Ian Dorward @IanDorwardMD]

@BowTiedYukon At some point she will likely need that trichobezoar surgically removed from her stomach

(Source: https://t.co/Zg7GVXrA2k)

[Ian Dorward @IanDorwardMD]

@drmansoorh @drdanchoi With investment banking, though, there is still career advancement and profound increases in comp over time. Physician careers generally plateau after 3-5 years, then it’s just a matter of turning the crank until you retire.

[Ian Dorward @IanDorwardMD]

@txsportsdoc @drdanchoi I think this is a huge part of it. You just have to look at the constant downward pressure (when controlled for inflation) on professional fees for the past 30 odd years. Private practice has become less financially tenable, a trend that will only continue.

[Ian Dorward @IanDorwardMD]

@Mqsley This is a really interesting idea. I’m surprised I have never encountered it before. Thank you for posting.

[Ian Dorward @IanDorwardMD]

@FischerKing64 @KeenanPeachy James Salter seems like a better incarnation of economical prose. He revealed beauty in the sparseness.

[Ian Dorward @IanDorwardMD]

@BowTiedYukon Would be a shame to lose all that in a boating accident

[Ian Dorward @IanDorwardMD]

@FischerKing64 We may need something more like a John Connor pretty soon here.

[Ian Dorward @IanDorwardMD]

@M0NST32 @notlouisck lol exactly — I came to the comments to see someone highlight the obvious parallel to Fight Club

[Ian Dorward @IanDorwardMD]

@haridigresses @garrytan @1Marc An accurate DCF also shows that high growth can be a monstrous lever of value destruction in unprofitable companies 🤷🏻‍♂️

[Ian Dorward @IanDorwardMD]

@canna_brain I felt some of your pain when I listened to him totally butcher spinal anatomy in his most recent podcast.

[Ian Dorward @IanDorwardMD]

Lol

[Ian Dorward @IanDorwardMD]

@atmghn That’s a textbook extended PSO!

[Ian Dorward @IanDorwardMD]

@elonmusk

Tesla has no roadside assistance for a flat tire in the middle of Kansas City? Seems problematic for the policy of not having spare tires.

[Ian Dorward @IanDorwardMD]

@atmghn @traumaticum The AI gets the anatomy fundamentally wrong, though. I tried repeatedly and finally gave up.

Double-layer lumbar discs?
Discs in the posterior cervical spine?
Whatever the heck is going on in that anterior cervical spine?

It doesn’t seem quite ready for prime time yet.

[Ian Dorward @IanDorwardMD]

@washingtonpost “Inflation has fallen” - that means that prices aren’t increasing as rapidly as they had been, but they are still increasing. Expecting prices to return to prior levels demonstrates a lack of understanding of both inflation and the thin profit margins in the grocery industry.

[Ian Dorward @IanDorwardMD]

@JohnsonGabbie Just remember that as a junior resident, you’re doing all the blocking and tackling. Even if it feels like a struggle, or if others seem to excel at that phase, be confident that you can do amazing things when you actually start getting the ball!

[Ian Dorward @IanDorwardMD]

@SahilBloom Interesting concept, although it could be applied more aptly to a different field. “Get[ting] to where they are” is dramatically over-indexed for academic productivity, with little relationship to clinical skill. Looking the part doesn’t mean what you might think it means.

[Ian Dorward @IanDorwardMD]

@QuintusCurtius That’s the most shocking and indelible film I’ve ever seen. Disturbed my sleep for days afterwards. Years later, I can still play back entire scenes in my head as though I just watched it.

I may not have liked the film, but I can say absolutely that I respect it.