Prad George

Trauma Surgeon hitch hiking through the galaxy. Aspiring Cook, Geopolitics and Macroeconomics noob.

[Prad George @PradGeorge]

@SawyerMerritt It’s scary watching people who are in ICE banging away at their phones with their heads down at 70 miles/hr

[Prad George @PradGeorge]

@vtchakarova Isn’t the shale under the US the SPR

[Prad George @PradGeorge]

@ssdhall the governemtn prob made more by allowing easy fraud of govt programs and by feeding the NGO beast

[Prad George @PradGeorge]

@DutchRojas @TenetHealthcare @UHS_Inc @FAHhospitals @physicianhosp @HHSGov @GOPDoctors You forgot CHS!!!

[Prad George @PradGeorge]

How many patients do you see in the time it takes me to do a severe diverticulitis resection or a SBO with extensive adhesions and multiple hernias?
Per the official AMA/RUC vignettes:
• A typical Level 3 visit (99213: stable chronic illness) is valued at 1.30 wRVU and takes 20-29 min. Busy internists/hospitalists average 3 per hour → 3.9 wRVU/hour (realistic mix pushes 5-6+).
• My case (CPT 44120 small bowel resection ± extensive LOA) is valued at ~20-25 wRVU total, but the RUC vignette assumes a typical case. These complex ones routinely take 3.5-5+ hours of surgeon time. That drops me to ~4-6.3 wRVU/hour, often equal or lower than the internist in the same window.
I guarantee that for unit of time you actually generate more (or at least comparable) wRVUs than I do, and if in traditional private practice paid by insurance collections, you probably make more per unit too.
Let’s not forget that in most cases I get no separate credit for any of the post-op care (it’s all bundled in the 90-day global package).
Also let’s not forget the emotional toll a surgeon takes when they cut on a patient and, God forbid, there’s a complication.
I agree, you are underpaid. We all are, relative to inflation and purchasing power from about 1997 onward.

[Prad George @PradGeorge]

Genuinely curious how you square "reserve asset" with compute rot. A frontier cluster obsoletes on ~3 years (Colossus 2 already supersedes 1). Gold stores value; compute is a capital treadmill you rebuild every cycle. Hoard, or perpetual capex?

Couple angles your post doesn't touch that I'd throw in. The durable one: Tesla/SpaceX/xAI cross-staff engineers, so the systems capability compounds across the ecosystem. The chips decay, that talent doesn't. Also worth noting Google buys SpaceX compute despite its own TPU pile, though I'd hold that one loosely, since Google is an investor in both SpaceX and Anthropic and some of that "demand" may just be the same dollars circling. Which way do you read it?

[Prad George @PradGeorge]

@MCCCANM https://t.co/5U8VDwlmTP. Costco has em…I love mine

[Prad George @PradGeorge]

@DrDiGiorgio So a buyout of assets by the “non-profit” is the exit strategy/liquidity event for the Private Equity partners???

[Prad George @PradGeorge]

You're right that individual names are tricky, but I found I actually enjoy that side, reading 10-Ks and digging through financials, so in my pivot I run a mix of ETFs and single names rather than going full index. Which is what makes me curious how you're set up: total-market core (VTI/VOO) or more growth-tilted (VUG)? Only reason I ask is that's exactly what made me nervous in the first place: I was tilted really heavy toward growth and it was starting to cause me some anxiety. "Index funds win long term" is rock solid for the broad market, but a growth index is kind of its own bet on large growth.

[Prad George @PradGeorge]

@averagemoneymd 😂 for sure that’s risk mitigation

[Prad George @PradGeorge]

Yeah, so on the risk mitigation piece: honestly most of mine is still in a couple of high-conviction growth names that have gone to the moon. I just got uncomfortable with how much was riding on one factor, so I started building diversification around them rather than betting the whole thing on growth staying hot.

Also found some of my own blind spots, like freezing instead of doubling down on PLTR at $6. So I started reading Howard Marks and some academic papers, wrote myself an actual investment policy statement (basically a personal rulebook for what I buy and when), and began diversifying: some small-cap and value, plus some real assets and a little gold I've held for a while. Stuff that tends to zig when growth zags.

You doing any of that, or mostly letting VUG ride?

[Prad George @PradGeorge]

@MAGAVoice Not just Collins and Murkowski themselves, but their staffers are the real problem. The aides control what actually gets done. They’re the modern-day version of the scheming imperial court eunuchs: unelected, unaccountable, and wielding the real power behind the throne.

[Prad George @PradGeorge]

@ArkansasAngie Not just Collins and Murkowski themselves, but their staffers are the real problem. The aides control what actually gets done. They’re the modern-day version of the scheming imperial court eunuchs: unelected, unaccountable, and wielding the real power behind the throne.

[Prad George @PradGeorge]

@SenMcConnell Yea but hey to the staffer that wrote this post, why are you blocking an agenda that the base truly wants?

[Prad George @PradGeorge]

@MAGAVoice I think John Thunes Staff should be fired

[Prad George @PradGeorge]

@DrMagier @delestoile This the correct way

[Prad George @PradGeorge]

@infantrydort @PeteHegseth Damn you hit this nail square on its head

[Prad George @PradGeorge]

I really just know what was said in X.
Based solely on the publicly available information in that thread, the court sentencing remarks, bodycam footage, and 999 call details (reviewed by me only as open-source information, not as formal medical records or expert testimony, as a US trauma surgeon):
The reported 1200 ml hemothorax with lung nick suggests death was likely from progressive tension hemopneumothorax rather than exsanguination.
The interval from police arrival to time of death was about 60 minutes. A major trauma center was reportedly 2 to 3 km away.
Public reports indicate the victim’s phone was taken during the incident and the initial 999 call did not mention that the victim had been stabbed.
A retroclavicular subclavian vein laceration is potentially survivable with rapid intervention in a trauma center.
It is interesting that testimony came only from the forensic pathologist, with no apparent trauma surgeon input.
These are informal personal observations for discussion purposes only.

[Prad George @PradGeorge]

@Kingbingo_ Will they be eligible for Jury trials? I thought I read the UK got rid of jury trial for offenses that have less than 3 years of prison time?