@gruntdoc@theblanketdog I love ED docs. Y'all work an insane job. Let me tell you though my call schedule is forced! I lose privileges if I don’t do it. I despise call. I also didn’t sign up for the increasing frequency and intensity our call has become. We are on the same team. Hate these X beefs
@jimhumd@VickersBiostats I’d much rather have a microscopic positive margin and function for most patients. Chance those remaining cells send out lethal mets is very low and likely you can salvage before that if needed.
@returntoquality This is the real marketing. Us talking about it and thinking about uncrustables and lab putters. The plan isn’t about people buying these. It’s working on both of us! Dammit
@FranWalsh73 If you don’t get the $1000 these accounts are stupid. Might as well put in a regular brokerage you control completely. If you could deduct your contributions from gross that would be cool. You probably also buy whole life insurance lol
@still_critical Not much of a critical thinker if you look at that data and those noisy charts with low number of participants and find it horrifying. Scatter plot looks like got hit by birdshot
@DrSohrab@daviesbj I paid the tax! Bowel/ivc surgery highly underpaid agree. Also takes a team and not super feasible at community hospitals. It’s not a game. Just sayin general uro surgical reimbursement isn’t what it used to be. Infighting isn’t productive. I want you to make more!
@TylerSbrt@midjourney Because that would take decades assuming you can run a clean trial (you can’t in the US, look at rates of contamination in the plco trial). Set it up in Sweden or something where they can do this and we’ll see in 15 years. Agree though
@DrSohrab@daviesbj I do onc and general urology. In a wrvu system 3 ralp day crushes any general urology day crammed with cystos and scrotology. I get more for clinic time than circs/vas/complex stones. BPH surgery wrvu took a huge hit in 2026 as well.
@StasLazarev Need to make promotion, fellowship, meeting attendance, etc not dependent on churning research. People publish slop because that’s the game; and everyone needs to publish multiple times per year. Super unrealistic. Unfortunately this slop will is now feeding AI
@VickersBiostats@DavidDan_Ngn Sort of a derivative but complication of management of side effects of primary treatment (pde5i hypotension and fall, sepsis from infected IPP or aus). Staging reveals another lesion with subsequent complications of treatment (I’ve found renal masses and thyroid cancers).
@DrSpratticus@eldredevans Agree. Until there’s better data focal therapy is a prolonged diagnostic test with side effects. Hopefully we’ll find a better way to ID patients who don’t require treatment for pca (which is the majority!)
@john_damianosMD Totally anecdotal but I had UC/Crohns colitis and recurrent admissions for abdominal pain in my late teens. After appy age 19 not another admit. Mesalamine only. No significant flares. Very mild inflammation on c scopes. My peds GI said I was headed toward colectomy