Imraan

anesthesiologist

[Mary Talley Bowden MD @MaryBowdenMD]

Dr. Maynard's stories - particularly those of his work saving trauma patients - are very difficult to listen to. I admire his bravery.

[Former Congresswoman Marjorie Taylor Greene🇺🇸 @FmrRepMTG]

Dear America,

Our tax dollars, military, intelligence, and majority of elected leaders are enabling this.

THIS.

Are you too racist, ignorant, or cold hearted to demand THIS to stop?

[Sky News @SkyNews]

An Israeli strike captured on camera has killed three paramedics in Lebanon. Just 12 hours earlier, four other medics were killed.

Sky's @AlexCrawfordSky reports

https://t.co/MTDOQ3T0vB

[Robert Berry, DO @txsportsdoc]

My Marine Vet Grandpa just got out of the hospital. Wanted to go home, but really needs 24hr care. Medicare or his pvt INS won’t pay for that care. Won’t qualify for rehab and SNF is short lived. In short he’s stuck in between, doing good enough but not bad enough to be elsewhere. Won’t likely be accepted into assisted living either. A care provider(glorified baby sitter) costs $34/hr or $24,480/month just for someone to be there. 3yrs ago we were here and he recovered. Still driving until last weeks admission. Not sure many people can afforded an extra $24k/month for a “sitter”. Many families deal with this. I’m an orthopedic surgeon and I have dealt with this professionally for yrs. It’s a tough place to be. You want to honor our seniors and family by letting them be where they want to be, but the financial impact is large. Maybe he’ll recover again, maybe he won’t. We sure could help a lot of seniors if we removed the waste,fraud and abuse in Medicare and our public safety nets. I’m not sure what families do when faced with this, without resources. Professionally, we see the cycle of bounce backs to hospitals, to SNF and then if you end up at SNF that will be $12k/month. We need better options for our seniors.

[Hanakookie @Hanakookie1]

@DrDiGiorgio Its structural. Put in 12-15 yrs of your life to find out there is no pot of gold at the end of the rainbow. Middlemen and beaurcracy destroyed the incentives of those who actually do the work.

[Anil Makam @AnilMakam]

I see this literally everytime I'm on service

Unlike sports or other crafts at the peak of their powers, I've come to expect this type of care from even the most illustrious hospitals or pedigreed doctors

Human slop is the AI benchmark

[CooperBaggs 💰🍞 @edgaralandough]

Unpopular opinion:
half of parenting is learning to regulate yourself, not your child.

[Dr. Ammous @AmmousMD]

For every 1,000 men screened with PSA:

→ 36 extra prostate cancer diagnoses
→ 1–2 fewer deaths

These over-diagnosed cases expose men to biopsies, surgery, or radiation
→ With risks including impotence and loss of bladder control

[Dr. Roger McFillin @DrMcFillin]

Post SSRI Sexual Dysfunction (PSSD) is real, much more prevalent than recognized, debilitating & serious. There are so many young people who assume they are Asexual or lack sexual attraction toward others but it's a common SSRI reaction.

[Heath Veuleman @HeathVeuleman]

“…small and elite healthcare conference…We were split into tables and asked to design the ideal healthcare system…”

This sounds like my hell.

Imagine the sophistry and omphaloskepsis of healthcare’s “elite” “leaders.”

[Imraan @iallarak]

@iatrogenicharm people who are coerced into psych meds are in a different situation than taking it voluntarily, agreed

[Imraan @iallarak]

I learned over 10 years ago that finasteride and SSRI’s had sexual side effects . It blows my mind that you would choose to take these meds as a man today. I struggle to relate to people who knew and took it anyway. At the bare minimum, google the meds before you take them

[katsu @katsuxbt]

Rasmr says he's not sure HIMS is worth it anymore

"I was alone with a girl in here for f*cking 15 minutes talking to her and I didn't make a move. We're talking about my streaming and flirting, and because I take Finasteride my d*ck is nerfed"

"I used to get bricked even talking to a girl, now I don't because I'm on hair pills that nerfed my d*ck"

"But everybody admits that I glowed up, look better and my hair is good, but is it worth it? I don't know"

[Paragon Health Institute @Paragon_Inst]

From 2000 to 2023, hospital employees per bed increased 39%—from 4.56 to 6.32.

This may reflect more complex inpatient cases as care shifts outpatient. But it may also show hospitals adding employees who do not add value, helping explain the sector’s poor productivity.

[Paragon Health Institute @Paragon_Inst]

Hospitals have dramatically failed to improve labor productivity the way other sectors of the market economy have.

Over the last three decades, labor productivity in the private nonfarm business sector increased 78%.

Hospital labor productivity was essentially flat.

Paragon’s new paper explains how government policies contribute to hospital inefficiency.
https://t.co/cPITF83ypu

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

@neoavatara Early on in the pandemic I told some friends I thought the Covid mitigation strategies would turn out more harmful than Covid itself. They looked at me like I was insane.

[George Ferman @Helios_Movement]

Some of you will probably get wiped out of existence because you've become too detached from the nature of existence and reality itself.

Log off.

[SightBringer @_The_Prophet__]

⚡️The deeper signal is youth risk did not disappear.

It migrated inward.

Teen drinking fell because the old physical world of adolescence got dismantled. Alcohol belonged to a social ecosystem: unsupervised time, cars, parties, local jobs, malls, basements, boredom, flirting, older siblings, house gatherings, and the chaotic peer world where teenagers learned who they were by colliding with other people in real space.

That ecosystem was replaced by phones, surveillance, parental tracking, algorithmic entertainment, social anxiety, online status games, and a much thinner physical commons.

So the surface looks healthier. Fewer kids drinking. Fewer kids using weed. Fewer kids doing reckless things in public.

The hidden layer looks worse. The young are less reckless because they are less socially embodied. Less initiation. Less unsupervised friction. Less courage-building. Less embarrassment and recovery. Less real dating. Less independence. Less contact with the physical world before adulthood demands it.

The old teenage world produced damage, stupidity, alcohol abuse, pregnancy risk, fights, accidents, and bad decisions. No need to romanticize it. But it also produced social reps. It forced young people through discomfort. It made them practice attraction, rejection, conflict, reputation, risk, repair, and status in the open.

The new world suppresses visible risk while increasing invisible fragility.

That is the trade.

A teenager can avoid drinking, avoid parties, avoid sex, avoid driving, avoid real confrontation, avoid rejection, avoid shame, avoid danger, and still arrive at 23 emotionally underbuilt. Cleaner behavior does not automatically mean stronger formation.

This is why the marriage chart and the teen drinking chart are the same story at different stages. People are not suddenly failing to pair in adulthood. The whole pathway into embodied adulthood has been slowing for years before marriage even becomes the question.

The real truth: society solved part of the teen vice problem by shrinking the arena where teenagers become adults.

It took away the dangerous commons and replaced it with controlled isolation.

The result is safer kids with weaker initiation into real life.

[Imraan @iallarak]

@LauraDelano @jeffreytucker I saw a young otherwise healthy patient on 5 different psychiatric meds recently. How can you even know how these drugs interact with each other ?

[Jordanreviewsittt @jordanreviewsit]

He’s going to the post office. Add 10 people in line who have never mailed anything in their entire life