Luke Stephens

Board Certified Family Medicine and Primary Care Sports Medicine Physician. Rural health advocate. Opinions are my own. Retweets are not endorsements.

[Columbia Tribune @columbiatribune]

Homelessness in Columbia rises as first-time cases surge https://t.co/fjk2kvgCJb

[Eric Topol @EricTopol]

Link https://t.co/HIrGAGkbZJ

[NEJM @NEJM]

Spatial analysis in South Carolina revealed that measles infections were clustered in areas where public school vaccination rates were lower. Full study results: https://t.co/ISglo3BdTI

[Norman Negre @NegreNorman]

@NASCAR Happy to see Larry elected into @NASCARHall . I remember in the early 60s sitting in the grandstands with mom and my sister watching dad and Larry race against each other in Springfield, Mo. #LarryPhillips #EdNegre #RIP #Legends

[NASCAR @NASCAR]

He raced here, there and everywhere on dirt and asphalt.

Larry Phillips is elected to the #NASCARHOF!

[Luke Stephens @StephenSportsMD]

@Jordan_Bianchi @DirtyMoMedia Finally Larry Phillips where he belongs.

[Jordan Bianchi @Jordan_Bianchi]

NASCAR Hall of Fame, Class of 2027

--Kevin Harvick (modern)
--Jeff Burton (modern)
--Larry Phillips (pioneer)
--Lesa France Kennedy (Landmark Award)

[Medical Education @MedEd_Cases]

The plica activation test evaluates for media patellar plica syndrome.

The patient is seated and asked to quickly and actively extend the knee in a motion similar to kicking a ball. A positive test occurs when this maneuver reproduces the patient’s pain.

Diagnostic accuracy is unknown.

Read: https://t.co/6ZLHnCMYcp

Watch: https://t.co/Rd15Ud1Y8K

#SportsMedicine #KneePain #PhysicalExam #Orthopedics #MedEd

[Dr² Philip Skiba @DrPhilipSkiba]

First copy (to my knowledge) of my debut novel We Make You Feel Sane received by a reader…close to a week before the official publication date. Exciting to see it out in the wild! Available at Amazon, or even better, from your local indie shop.

[Mark Cuban @mcuban]

If you think all we need to do in healthcare is let people shop for prices and they will fall, is ridiculous

The number of hospitals and insurance comps walking away from each other, particularly for Med Adv, tell us everything

That the entire HC system is designed to make it IMPOSSIBLE to price shop

Hospitals don't know their costs and can't set prices to insurance companies 
Insurance companies do their best to manipulate transactions (latelq, underpay, deny, etc) 

All of MA is an attempt by the carriers at arbitrage   They bet that they can break the law, and never adhere to reporting regs  and the worse that can happen is they might get fined  

They bet that hospitals don't know their margins or profits on a per plan or carrier basis and they will make stupid decisions  That is starting to change  

Now they are using AI to manipulate prices and costs in real time, knowing providers use consultants for Rev mgt, making them unable to respond in months, let alone real time

They bet that by gaming MLR with subsidiaries, they can further break the law and not get caught 

Bottom line , it's not an efficient market , due to zero transparency at the transaction level ,and the concept that individuals can shop based on price , when neither hospitals or insurance companies know what their actual costs and prices are , is insane 

Carriers manipulate and obfuscate every number they can with the goal of making it impossible to know actual prices

Good luck shopping for prices on all bu the simplest, most obvious services

[Medical Education @MedEd_Cases]

The thumb UCL is one of the most important stabilizers of grip and pinch strength 👍

The ulnar collateral ligament (UCL) of the thumb stabilizes the MCP joint during grasping and pinching activities. Injury to this ligament can lead to pain, weakness, instability, and difficulty holding objects.

Complete UCL tears may develop a Stener lesion, which can prevent normal healing and often requires surgical repair.

Have you ever injured your thumb playing sports or after a fall?

Follow for more sports medicine and anatomy content — link in bio.

#Anatomy #HandInjury #SportsMedicine #Orthopedics #PhysicalTherapy

[Sports Medicine Review @SportsMedReview]

The cross bracing protocol for ACL injuries emphasizes early controlled range of motion and progressive loading to promote ligament healing without immediate surgery. By combining structured rehabilitation with targeted bracing, it offers select patients a nonoperative pathway to restore stability and function.

Read: https://t.co/fvost3A3aW

#SportsMedicine #Orthopedics #PhysicalTherapy #AthleticTraining #Rehab #InjuryPrevention #Physio #SportsInjury #SportsRehab #PhysioTherapy #Meded #ATC #FOAMed

[MU School of Medicine @mumedicine]

CONGRATS to Dr. Laura Morris, professor of Family and Community Medicine at the #Mizzou School of Medicine and chief medical officer-ambulatory at @muhealth who has been accepted into the Executive Leadership in Health Care (ELH) Program!

Learn more: ➡️ https://t.co/Fk3Wle8T8i

[Luke Stephens @StephenSportsMD]

Come visit our booth at the #AMSSM2026 fellowship fair!

[David Epstein @DavidEpstein]

We love the myth of limitless freedom producing breakthroughs.

But research shows the opposite: Total freedom leads to conformity. We default to what's familiar, the “path of least resistance,” as some psychologists call it.

Constraints can push us to explore territory we'd never visit otherwise. As Picasso put it: “Forcing yourself to use restricted means is the sort of restraint that liberates invention. It obliges you to make a kind of progress that you can’t even imagine in advance.”

Mendeleev didn't need to think outside the box. He needed the right box in which to think.

[Mizzou Softball @MizzouSoftball]

T7 | MIZ 7 🥎 SIUE 0

AND THAT'S A PERFECT GAME FOR MARISSA McCANN!

#MIZ 🐯🥎 | #OwnIt

[Ben Jacobs @Bencjacobs]

Amazing correction here https://t.co/mOhbg56vIs

[NEJM @NEJM]

Combined oral contraceptives and hormone-replacement therapy increase the risk of venous thromboembolism, although the absolute risk is low. Transdermal estradiol and micronized progesterone carry lower risk.

Learn more in the Review Article “Sex Hormone Influences on Venous Thrombotic and Cardiovascular Risk” by Leslie Skeith, MD, MHPE, and Shannon M. Bates, MDCM, from @ucalgary and @mcmasteru: https://t.co/aJBy0Qga6d

[Mark Cuban @mcuban]

The one debt you can’t ever pay off ? Your insurance premiums. You literally will pay an insurance premium monthly, till you die.

But we don’t look at it like it’s a debt paid to an insurance company that will do all it possibly can never spend it on your care.

We are working on a non -insurance solution.

The day HSAs no longer require an insurance policy, it all will change.

https://t.co/K1epDbA8J3

[AOSSM Journals @aossmjournals]

Ultrasound can reliably measure posterior shoulder capsule thickness in baseball pitchers. Findings show strong agreement with MRI, supporting a practical tool to assess injury risk and shoulder mechanics.

https://t.co/MO1Vzwj1Q8

#SportsMed #Baseball