Simon

ABA Diplomate. Hoosier. #iubb #ZZZZMD

[Simon @NxSimon]

@TomBrady with the S bomb on live TV. Love it.

[Simon @NxSimon]

@tcbybeetweets @FanDuel You know I did. All Kiffin tonight.

[Simon @NxSimon]

The real incentive lies with the institutions and employers that dominate ACGME governance, while residents themselves hold only a small minority of seats. When ACGME proposes more scheduling flexibility, ask who actually benefits.

And this doesn’t end when residency does. Raise the workload during training so it redefines what a new physician considers normal. That higher baseline follows them straight into their first attending contract: more hours, more patients, more administrative garbage, with no corresponding increase in pay. This will condition future trainees to work more for less.

[Simon @NxSimon]

@AATSHQ @CleClinicHVTI @FaisalBakaeen Is this really the kind of innovation Cleveland Clinic is showcasing as moving the field forward?

[Simon @NxSimon]

@greta Around 1996.

[Dutch Rojas @DutchRojas]

Physicians subsidize the healthcare innovation economy every day.

Your labor validates products.

Your workflows absorb bad software.

Your outcomes de-risk business models.

Your credibility opens doors.

And when value is created, it accrues somewhere else.

[Simon @NxSimon]

@HeathVeuleman They are the next too big to fail entities.

[Joel Berry @JoelWBerry]

100,000 government employees resigned today, the government is shutting down tonight, and no one will feel a difference because 90% of the government is a useless leech on our nation’s hard-earned wealth. Cut it all out.

[Jason Locasale @LocasaleLab]

A soft-money scam is a common scheme medical schools use to expand.

Universities hire people as "professors" but provide limited to no salary, minimal research support, and little real involvement with the university. Instead, they’re expected to pay to play - covering their own wages through NIH grants. They become grant-chasing guns for hire, sold on the illusion of an academic career.

[Sloan Rachmuth @SloanRachmuth]

North Carolina just passed a law allowing doctors from these countries to practice without completing a US residency or passing a US qualification exam.

Not good. #ncpol.

[Dr. Edward Oates @traumaticum]

why do we always frame 'Outside Hospitals' like theyre stuffed full of incompetent and retarded doctors?

this pathological disdain for colleagues from 'St Elsewhere' has always irked me

[Dan Choi, MD, FAAOS @drdanchoi]

Local hospital system forced to pay $1 BILLION to change over to Epic electronic health records with terrible usability scores

“Usability: 45.9/100
Bottom 9% of ALL software”

Must read thread 🧵 👇 on maddening domination of Epic EHR in American healthcare

Another crazy inefficiency in the US healthcare system. Doctors & nurses being forced to use a crappy overpriced EHR that is a monopoly. Valuable healthcare dollars being redirected away from patient care

[Dr. Glaucomflecken @DGlaucomflecken]

By the way, an oculoplastics specialist does eyeball residency followed by 1-2 years of facial plastics. If an ophthalmologist examines your breasts, please call the police. I’m so glad she is documenting the absolute farce that is peer to peer review.

[Elisabeth Potter MD @EPotterMD]

I’m sharing an actual recent peer-to-peer call that shows what physicians and patients face when trying to get a surgery approved. This call felt as absurd as it sounds.

The peer-to-peer call was to advocate for surgery to prevent and treat lymphedema for a patient with breast cancer. Her risk is high and we can perform a surgery to lower it.

The doctors from the insurance company on the call were an ophthalmologist with a subspecialty in oculoplastic surgery and a plastic surgeon who currently has a cosmetic practice. Neither doctor has ever performed lymph venous bypass…the surgery I was trying to get approved for my patient.

Neither doctor would provide their name or license number.

At the conclusion of the call, the doctors told me that they didn’t have the power to make a determination or decision to perform the surgery. They were just there to inform me of United’s decision to deny it.

The Medical Decision was not up to the doctors on the call. It had already been made by United.

So here I am, appealing again.

Medical decisions should be made by doctors who are well informed and patient-centered. Patients deserve access to the care that they paid for with their premiums.

[Simon @NxSimon]

@donoharm Who?

[Joe Tipton @JoeTipton]

NEWS: Serbian 6-foot-4 guard Aleksa Ristic has committed to Indiana, @Agency55NIL tells @On3Recruits.

The 19-year-old will join the Hoosiers for the upcoming season.

An elite shooter, Ristic most recently played for KK Dynamic, a top professional club in Serbia, where he averaged 13.8 PPG on nearly 39% from three.

https://t.co/Qka2v6Ahsu

[Sanat Dixit MD FACS @sdixitmd]

Them: "Chat GPT will replace your doctor."
ChatGPT:

[Anesthesia&Analgesia @IARS_Journals]

Rethinking Anesthesia & Climate: Analysis challenges use of GWP in assessing anesthetic gases climate impact. The reality? Desflurane’s climate impact is negligible & reversible w/in decades—unlike CO₂ (eg, TIVA), which lingers for centuries

https://t.co/ML2ydXsEUU

@Laumarin85

[Robert Gergely, MD @rgergelymd]

I am excited to announce that my patent has been granted today for "Universally Accessible Personal Records," primarily focused on medical records. This patent outlines a decentralized medical records system that utilizes blockchain technology. With this system, every citizen will have ownership, control, and secure storage of their medical records.

You can view the full published patent here:https://t.co/WE3iHt93st