cajam

out here tilling the soil.

[cajam @commonskeleton]

The delivery of medical care has become an administrative nightmare:
- Regulations everywhere and complex payment structures.
- Industry players with their hands in the cookie jar, charging exorbitant prices for anything used in hospitals.
- Administrators were hired to handle non-clinical admin work.
- Soon after, MBAs began treating medicine as a profitable business while physicians struggled in a sea of paperwork.

Near-term solutions:

- Create hospitals where non-direct patient care employees are reduced and assisted by AI software and robotics. Allow physicians to run and own hospitals again. The conflict of interest concern that has prevented this is no match for the conflicts brought by MBAs focused on profit.

- Get clinical staff (nurses, physicians, RTs, etc.) off keyboards and reduce their paperwork using new technologies like ambient AI, assistive notes, clinical synopses, and decision-making algorithms to enhance quality.

- Mandate EHR interoperability and offer a public EHR option. The huge loss from not yet doing this creates delays and redundant treatments. It has also fostered massive monopolies that gouge prices with minimal competition. (Epic is a cash cow and doesn't effectively reduce costs to offset.)

[cajam @commonskeleton]

@thesigmamindset Nah… telling everyone gives you a false sense of forward production and attention. But it’s not real. Only tell people after you have succeeded at COMPLETING steps of your dream.

[cajam @commonskeleton]

@markminervini You’re an incredible trader. What has kept you from accumulating Druckenmiller type wealth? Is it that your system requires the liquidity that is not available on giant hedge fund positions?

[cajam @commonskeleton]

@ZTheTrader Looks like I should have bought those puts…. (The ones I was concerned that theta would eat up the premium on since it was hard to predict when/if the FOMC lows would be revisited).

Dangit

[cajam @commonskeleton]

@kevinxu Ceasefire

[cajam @commonskeleton]

@aakashgupta How do they deal with the mentally ill and drug addicted? Many in these categories simply won’t live indoors.

[cajam @commonskeleton]

Enough with computer test questions. Let’s do REAL WORLD SCENARIOS…

crying babies

The “I don’t smoke…” who smells like smoke

The bounding juggler vein in someone with heart failure that says they are feeling “fine”

The worsening pitting pedal edema that they haven’t even noticed because they can’t see their feet

The hard of hearing patient

The person who can’t remember their visit from 3 months ago

The unstable knee that only complains of anterior knee pain and forgot about that bad knee injury 10 years ago

Etc…

[cajam @commonskeleton]

Enough with computer test questions. Let’s do REAL WORLD SCENARIOS…

crying babies

The “I don’t smoke…” who smells like smoke

The bounding juggler vein in someone with heart failure that says they are feeling “fine”

The worsening pitting pedal edema that they haven’t even noticed because they can’t see their feet

The hard of hearing patient

The person who can’t remember their visit from 3 months ago

The unstable knee that only complains of anterior knee pain and forgot about that bad knee injury 10 years ago

Etc…

[cajam @commonskeleton]

@HazimNoelia @nayibbukele Pretty sure the US military would be happy to share some high tech intelligence with El Salvadore… and make this job easier.

Maybe that new shipment of pagers they ordered will arrive? Who knows

[cajam @commonskeleton]

@jonaniksgiggle Why did the ref just stand there?

[cajam @commonskeleton]

@ssdhall The range seems way tighter than I remember

[cajam @commonskeleton]

@JianWDong @_jasonwei Not to mention interventionalists….

[cajam @commonskeleton]

@APompliano Until it starts to cost less to build a house…

They will appreciate… bc labor and materials appreciate.

Icon anybody? https://t.co/W0qb8wyK4Q

@icon3dtech

[cajam @commonskeleton]

@APompliano Until it starts to cost less to build a house…

They will appreciate… bc labor and materials appreciate.

Icon anybody? https://t.co/W0qb8wyK4Q

@icon3dtech

[cajam @commonskeleton]

@jvisserlabs How do you interpret this Jordi?

[cajam @commonskeleton]

@Drhudasalman this is a fake account. thought these got blown up with the Russian datacenters but guess not!

[cajam @commonskeleton]

your confusing "facility fee". with surgeon "pro fee"
No doctors are getting paid 23k for a knee scope. zero. You can look it up yourself online. Here's an example for an arthroplasty (joint replacement). In some expensive cities Its becoming near impossible to run a practice by just being a surgeon any more

https://t.co/w10fz3eEG1

[cajam @commonskeleton]

@aakashgupta How will it work when patients start lying about their weight because they don't want the AI to attribute their symptoms to their obesity.

[cajam @commonskeleton]

@IlltakeACookie @aakashgupta curious for what diagnosis?

[cajam @commonskeleton]

@DocBorelli @aakashgupta not true. Most of these diagnosis can be wrong depending on the patients exam. Or other major things missed and overshadowed by the patient history.

[Tony Romeo @AnthonyRomeoMD]

Orthopedic surgeons moved joint replacements out of the hospital and saved Medicare money. Medicare is saying “thanks” by proposing to cut reimbursement to doctors by 17- 21% in 2027. Postoperative care did not disappear when patients went home the same day. It moved to the surgeons’ phones, inboxes and offices. Surgeons will be paid less than $700 for their time, mental effort, skill, and judgement for a knee, hip, or shoulder joint replacement.

Fee schedule cuts: Surgeons who move cases penalized for progress https://t.co/msVHxggrQf