@mcuban It takes attention from people like @mcuban to make effective change. I'm glad to see he is using his platform and resources to push real change in our healthcare system. @costplusdrugs is one of the biggest game changers in health in the 25 years I've been practicing, no doubt.
@hillraiser27@TheRoctor_MD@DutchRojas@BrentAWilliams2 Everyone operates for dollars, and I'm not sure the ethics is much different when pushed to create profits for hospitals (especially the "non-for-profit" ones). Most in medicine have a master, one way or another.
@hillraiser27@TheRoctor_MD@DutchRojas@BrentAWilliams2 But, I also know a spine surgeon that went ALL PI 15 years ago... he is the wealthiest spine surgeon I've ever known. Maybe he has to deal with lawyers, but is it any worse than dealing with Medicare? Let that sink in.
@RogerSeheult Reminds me of 99% of conversations on testosterone, peptides, nutrition/protein, or exercise. Everyone with a social media account is an expert.
@RogerSeheult I wake up around 3:30-4:30 am every day, regardless of my schedule, and have for over 90% of my adult life (probably even before that). I am most productive, away, clear-headed, and focused between 4 and 6 a.m., before the sun comes up. I haven't used an alarm in 20+ years.
The biggest problem is that most people don't research their careers enough to discover the realities BEFORE they start... and then are disappointed when they enter the real world. Huge issue in medicine. You have the option to do your own thing, but it requires an entirely different skill set and a higher level of risk-taking.
@GaltMD@hubermanlab One reasons I like AI ambient programs is because the patient can't change their story or say I didn't cover something, because we have a transcript.
I was telling my son yesterday that his children will not know a world where the leading cause of death in young people is car accidents. Imagine doctors and police NOT having to make that call to a parent ever again. What we are witnessing is not just "cool", it literally changes the landscape of human existence and life.
@DonRoss820076@JordanAbbottMD You know this "fact" isn't true... right? If you want people to stick with facts and truth, then just fact check yourself first.
But, in a larger sense, we can not dedicate -- we can not consecrate -- we can not hallow -- this ground. The brave men, living and dead, who struggled here, have consecrated it, far above our poor power to add or detract. The world will little note, nor long remember what we say here, but it can never forget what they did here. It is for us the living, rather, to be dedicated here to the unfinished work which they who fought here have thus far so nobly advanced. It is rather for us to be here dedicated to the great task remaining before us -- that from these honored dead we take increased devotion to that cause for which they gave the last full measure of devotion -- that we here highly resolve that these dead shall not have died in vain -- that this nation, under God, shall have a new birth of freedom -- and that government of the people, by the people, for the people, shall not perish from the earth.
Abraham Lincoln
November 19, 1863
Memorial Day isn't a day off. It's a day of remembrance and respect.
I think about the ones who never came home. The family that sets the table this weekend with one fewer place, knowing the seat will never be filled again.
I remember my father, a proud Army soldier, who lies beneath that sacred headstone.
I reflect as a father whose son wears the cadet gray at The Citadel, and his classmates, who will also carry the burden of protecting each of us and our country.
For years in practice and in the VA health system, I have cared for men and women who answered the call and sacrificed in the name of freedom. They wear it quietly. They learned in uniform what it means to put the mission and the person next to them above themselves.
But today isn't about the ones who came home. Today is about the ones who didn't.
I hope we all take this day to appreciate and remember them.
"Greater love has no one than this: that someone lay down his life for his friends." John 15:13
May we live in a way that is worthy of what they gave.
Stop a statin and your LDL cholesterol rises 30% in four days. Nobody writes a WSJ feature about it. Stop certain blood pressure medications and your BP can spike within hours. Nobody calls it a design flaw.
Levothyroxine, antidepressants, insulin, metformin, antihistamines. Chronic treatments for chronic conditions, and all of them stop working when you stop taking them. None of them generate think-pieces questioning whether patients should have started.
The AMA classified obesity as a disease in 2013. Thirteen years later, it’s still the only chronic condition where “you have to take it forever” is framed as an argument against treatment rather than a description of how medicine works.