In America, a stranger will rename you in a single breath, and you are simply expected to come when called.
I went to eat at a busy restaurant. A young man at the front asked for my name, to mark my place in line. I gave it the weight it has carried for eight hundred years.
"Nobunaga."
He smiled, nodded, and wrote it down with great confidence. Then he read it back to me, to be sure he had honored it correctly.
"Perfect. Banana, party of one."
Banana. He had heard my name, held it a moment, and returned to me something rounder and more cheerful. To refuse the name a host gives is to refuse his welcome. I bowed. I was Banana now.
Then he handed me a small black disc, said it would "light up and buzz" when my table was ready, and turned to the next guest as though he had not just placed a living thing in my hands.
I held it in both palms, the way one holds a small sleeping beast that may wake. I found a place to stand. I waited, ready.
It woke.
It screamed. It flashed red. It leapt and shook in my hands like a captured spirit demanding release. A lesser man would have dropped it. I did not. I gripped it, steady, looked into its blinking lights, and told it, in a low voice, that its time had come. Then I carried it back to the host with both hands, the way one returns a hawk to its master.
He took it without looking and shouted across the entire room.
"BANANA! Party of one, your table's ready!"
A hundred strangers turned. I rose. I crossed that floor as Banana, spine straight, chin level, a man answering to his name. A child pointed at me. I gave the child a small bow. He had recognized me.
All through the meal they kept me. "How's it tasting, Banana?" "More water, Banana?" The check, when it came, said Banana, and thanked me for visiting. By the end the whole staff knew me. They waved as I left. "Night, Banana!"
So tell me honestly.
For eight hundred years my clan answered to one name. Tonight I answered to a fruit, calmed a screaming relic in my bare hands, and ate among people who were glad I came.
When the little disc lights up, is the table truly mine, or am I only keeping it warm for the next Banana?
Because I have already decided to return on Friday, and to ask, very humbly, for the same disc.
If legislators always vote with the President, we have a king.
If legislators always vote with the prevailing wind, we have mob rule.
If legislators always vote with the Constitution, we have a Republic.
When Surgery Center of Oklahoma opened in 1997, the idea that patients should know the price of surgery in advance was really unusual.
Rather than follow the status quo, founders Dr. Keith Smith and Dr. Steven Lantier believed patients deserved clarity before deciding on surgery.
In 2009, we began publishing our bundled procedure prices online, allowing patients to see one all-inclusive price before scheduling care.
This radical departure in healthcare communication started a movement that continues to grow.
Price your procedure today: https://t.co/9AMqge6CA3
Among elite chess players, those with the lowest IQ are the best.
Among NBA players, the shortest ones are the best.
Among Hollywood actors, the least attractive are the most talented.
Among elite academics, those with poorer early academic performance are the best.
Among people with high LDL & high plaque burden, LDL is barely correlated with plaque burden.
Learn collider bias. Nice catch by @AlexTISYoung
Found a tool worth sharing for anyone running their own panels.
LabHackr (https://t.co/FaQy1OAHlG) catalogs every direct-to-consumer lab test in the US, then runs a matching algorithm to align identical Quest or LabCorp assays sold under different brand names across 52 retailers. Same lab. Same assay. Same LOINC code. Same printed result. The only thing that differs is what the retailer charges.
The price spread is genuinely absurd.
A Comprehensive Metabolic Panel at Jason Health is $8. The identical panel at LabCorp OnDemand is $60+. Same blood draw at the same patient service center. Same Quest or LabCorp lab running the analysis. Same LOINC code on the result.
A typical Vitamin D test ranges from $35 to $311 across retailers for the same test.
A bundled annual physical panel (CBC, CMP, Lipid, TSH, Vitamin D) ranges from $89 cheapest to $589 most expensive across the 21 retailers that carry it. Same five tests. 56x price range.
How it works:
You search the markers you want or pick from pre-built bundles. Their algorithm finds the single retailer that carries everything cheapest, including the requisition fee. You click through, pay direct, get drawn at any Quest or LabCorp patient service center near you, and have results in 1 to 3 days. No insurance. No referral. No markup.
Why this matters:
The case for running your own panels gets stronger every year. Most insurance won’t cover ApoB or Lp(a) without a specific diagnosis code. Most physicians won’t order fasting insulin, hsCRP, homocysteine, or omega-3 index in routine care. The data you actually need to track metabolic, cardiovascular, and longevity health upstream is largely DTC territory now.
When you can run a basic metabolic and lipid panel for under $30 cash, the economics flip. Quarterly comprehensive testing becomes accessible for the price of a couple coffees a week. You stop arguing with your physician about coverage and start arriving with the data already in hand.
What I’d recommend you build a quarterly basket around:
CBC, CMP, fasting insulin, HbA1c, full lipid panel, ApoB, Lp(a) (one time only, it’s genetic and stable), hsCRP, homocysteine, vitamin D, ferritin with iron studies, full thyroid (TSH, Free T4, Free T3), and basic hormones (testosterone with SHBG for men, estradiol and progesterone for women).
That’s the comprehensive metabolic and cardiovascular foundation that lets you trend your own physiology over time. Built quarterly, that data becomes a longitudinal record nothing else in healthcare can match.
Two honest disclosures from their site that I appreciate: they’re transparent that affiliate revenue covers server costs first, and anything beyond that goes to Partners In Health, who bring the same diagnostics to people in Haiti, Rwanda, Sierra Leone, Peru, and Malawi who have never seen a lab panel. They also flag that as of now they haven’t crossed server cost so nothing has been donated yet. When it does they’ll post receipts. That’s the right way to run a transparent affiliate model.
Not sponsored. I make zero income from anything I post. Just sharing tools that actually serve patients trying to take control of their own data.
Quarterly testing was already the brand thesis here. LabHackr just made the math friendlier for the people doing it.
Don’t wait for the diagnosis.
Read the label.
We've just open sourced ORAL Semaglutide, Retatrutide and the whole metabolic class.
Big pharma can no longer patent and exclusively profit from this approach, and these drugs will be much cheaper when produced.
I don't want any money, I just want less fat people.
Published as defensive publication under 35 U.S.C. §102.
https://t.co/dB39IYwlRP
holy fuck, a hair dryer at a Paris airport broke Polymarket weather markets & made someone $34,000 richer
- polymarket was settling Paris temperature bets on a single Météo France sensor sitting near the Charles de Gaulle runway perimeter - basically unguarded
- the guy bought the long-shot outcome (like "22°C" when everyone expected 18°C) for pennies, since nobody thought it'd hit
- then he walked up to the probe and briefly heated the air around it with a portable heat source, spiking the reading just long enough to register as the daily max
- temperature snapped back to normal in minutes, the market resolved in his favor, and he cashed out - twice, on April 6 and April 15, before Météo France caught on and filed charges
hyperstitions.
When Brazil outsourced public hospital management to private contractors, hospitals improved immediately🧵
Let's go over what happened.
Private operators began admitting more patients:
#BREAKING: New Report Exposes How Medical Residency Hiring Monopoly Harms Patients and Doctors
Newly obtained documents reveal how the Match placement system for resident physicians operates as a monopoly in the medical residency hiring market.
Its monopolistic practices harm resident physicians, impede patients' access to care, and constrain the growth of America's physician workforce.
A special-interest antitrust exemption currently shields the Match’s anticompetitive conduct from scrutiny, allowing it to harm the public while avoiding judicial oversight.
Read the full report here: https://t.co/iopdLVzUtz