Nikunj Patel

NFL DFS/Prop bets | PC: Justin Herbert, Davis Mills, Manning era Colts

[Nikunj Patel @NickOfTimeDFS]

I think it’s about time for me to do this. Might need it in the near future (👀), can I get some vouches if I’ve ever broke or purchased from you? I’d greatly appreciate it! RTs appreciated!
@joshuaj53556460 @jgriffey85 @TJCardCollector @Qsrazz_Cards @CMen08 @JsSportsCards21

[Nikunj Patel @NickOfTimeDFS]

@SleeperColts Clearly you're not a real fan... DANNY DIMES DANNY DIMES DANNY DIMES.

[Wil Ward @Wil_Ward_]

The ACGME is closing the residency program I graduated from 8 months ago.

When the hospital ownership changed late 2022, there was a drastic degradation in the resources available to staff, the quality of care, and support for education programs.

The last time the CEO attended a residency related function was when he publicly fired the program director in June 2023. Since then, ALL faculty fled the program after co-authoring a letter to the ACGME pleading for intervention.

From my experience, the ACGME is rightfully closing the program. The CEO has no business overseeing the training of physicians in the United States. His remarks in the press simply reek of arrogance.

Now, the CEO refuses to release CMS funds, which residents could use to facilitate transition to another residency program. If the CEO does not release CMS funding, very few programs will take residents under their wing, given the absence of financial incentive. The CEO is holding on to CMS funds intended for education, even though he abandoned the idea of training physicians long ago. 

Fundamentally, the CEO is simply responding to the incentive structures in place. He has no reason to release CMS funds. He is financially benefiting and there is no downside to him holding on to them.

This is not the first time this has happened. In 2019, Hahnemann Hospital closed in Philadelphia, displacing 550+ residents. In that case, the bankruptcy of the Hospital facilitated the purchase of residency slots from local hospitals.

Back then, local officials, CMS, and the ACGME went to bat for trainees. But when it comes to smaller community hospitals like West Suburban, there seems to be an absence of established processes to place residents in new programs. 

It is not hard to imagine a better incentive system:

1. The ACGME should not accredit hospitals unless they agree to release CMS funds in the event of accredidation loss.
2. CMS, HHS, and Congress should set higher standards for hospitals training physicians. Payments should be automatically phased out upon a hospital's loss of accreditation. The CEO should not be involved. Temporary CMS-funded slots should go wherever residents can find a willing training program.
3. State regulators could also enforce more penalties upon bad actors. 

With the current system, the ACGME has little leverage to force hospitals to remedy bad practices. And there is a broader problem: there is zero oversight to determine whether CMS funds are properly allocated for medical education by hospitals. There are no established mechanisms to facilitate a smooth transition in the wake of a program closure.

The system needs to be fixed.

And the residents at West Suburban need help from wherever it might arise.

Articles on the closure below 👇

[Nikunj Patel @NickOfTimeDFS]

@mchappell51 Congratulations!! Well deserved

[Nikunj Patel @NickOfTimeDFS]

@adamteicher Yes! That one specifically

[Nikunj Patel @NickOfTimeDFS]

@vegasdrew420 @ars99654

[Nikunj Patel @NickOfTimeDFS]

@ezmxney @HobbyConnector @CardboardEchoes @FBCardsConnect @Hobby_Connect It is not, unfortunately and I'm not sure who I sold it to. @SandmanBen any chance it was you?

[Nikunj Patel @NickOfTimeDFS]

Drew Bledsoe rookie card PSA 9. $30

@HobbyConnector @CardboardEchoes @FBCardsConnect @Hobby_Connect

[Nikunj Patel @NickOfTimeDFS]

@TexxCards @cardtrader20 😳🥹😍

[Nikunj Patel @NickOfTimeDFS]

@CheckCardsDown @2624Nick @3BrothersCards @b_marderosian @JudgeFemUp @BradleyPetty15

[Texx Cards @TexxCards]

Etienne /9

$60

[Nikunj Patel @NickOfTimeDFS]

Who's the Marino collector? I can't remember now. He has a lot of old school cards. 0lease tag if you know, he's a very nice guy.

[Texx Cards @TexxCards]

Marino Genesis BGS 9.5 with all 9.5 sub grades

$70

[magic_city_rips @joshuaj53556460]

2 box pyt + 1 random.
2 x 2023 luminance
6 autos & 2 mems
$40 a spot gets you a team of your choice plus one random team
6 spots remaining!
@HobbyRetweet_ @sports_sell @HobbyConnector

[magic_city_rips @joshuaj53556460]

2 box pyt + 1 random.
2 x 2023 luminance
6 autos & 2 mems
$40 a spot gets you a team of your choice plus one random team
6 spots remaining!
@HobbyRetweet_ @sports_sell @HobbyConnector

[ShotCaller77 @ShotCaller77_]

Reducing the cost of my 🔥🔥🔥 2022 Rookie RePacks!!!

10 cards. 2 autos. 2 numbered. 6 non-base. Tremendous value.

Usually sold random by number.

$30 pick a pack based on front autographed card.

$25 pick a random number.

Take 5 RANDOM packs for $100!!!

[Nikunj Patel @NickOfTimeDFS]

@shaneconnlly44 @joshuaj53556460 I'm high on loading up on high end RBs. We did an auction draft so it's very different, but I ended up with Saquon, Chubb, and Pollard. Obviously had to use up quite a bit of my budget. But there's decent enough WR depth to make up for it

[Nikunj Patel @NickOfTimeDFS]

@shaneconnlly44 @joshuaj53556460 You might be able to get both with 1st and 2nd picks

[Nikunj Patel @NickOfTimeDFS]

@shaneconnlly44 Saquon

[Off season champs are BACK @nyjetspleasewin]

Come see me Booth 129 Raleigh come see me @ WheredYouGet_That

[Nikunj Patel @NickOfTimeDFS]

@Hobby_Connect Nice Collie!

[Nikunj Patel @NickOfTimeDFS]

@joshuaj53556460 @TexxCards But also...

https://t.co/smJ6VmxnHj

[Nikunj Patel @NickOfTimeDFS]

@joshuaj53556460 @TexxCards It was supposedly just the one