Nikhil A. Shetty, M.D.

[Kris Held,MD @kksheld]

Government has destroyed medical care in the USA. Single payer lurks as communism creeps. Silver lining: Good doctors exist to work outside the rubble on the ash heap. Better unconstrained. Middlemen cannot set your bone, remove your appendix, do your C-section, drain your subdural, excise your cancer, stent your LAD…only we can, and we will. Out from under the boot. They offer nothing but the promise of our care and skills which is not theirs to give.

[Dutch Rojas @DutchRojas]

Single payer will never need 218 votes in the House.

State-backed academic systems are constructing it through vertical integration.

They acquire hospitals, employ physicians, control referrals, operate pharmacies and, in several markets, own insurance businesses.

Tax exemption and public capital subsidize the expansion. Regulatory privilege constrains whoever might compete with it.

Multiple insurance companies can survive inside this arrangement. Their continued existence creates administrative pluralism, which looks remarkably similar to consumer choice from a sufficient distance.

Then every insurance card leads to the same medical empire.

Payer count becomes irrelevant after one institution controls the supply.

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

The point you’re missing is that there are policies which have crippled independent physician practice and enabled PE to get a foothold.

Both parties are to blame, but you democrats forced in a ban on physician ownership into the ACA. You had a HHS secretary under Biden who gutted the physician protections under the no surprises act. Your party defends 340B.

You want to get PE out of healthcare? Reverse the POH ban, support site neutral payment, reform 340B, revoke tax exemption for misbehaving hospital systems, and give directed payments to independent doctors instead of your NGO buddies.

Until you do all of that, you can’t cry about PE, a problem that you created.

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

Imagine if we had “food insurance” and the government paid McDonald’s $5 more per burger than Dutch’s Family Diner.

How long do you think Dutch’s would survive?

That’s what Medicare does with hospital-owned clinics vs independent doctors. Site-neutral payments level the playing field.

Nothing against McDonald’s, but a system that only rewards big chains kills choice, raises costs, and leaves you with bland, bureaucratic slop.

[Nikhil A. Shetty, M.D. @NikhilAShetty]

https://t.co/VsaqMM5Dmf

[Nikhil A. Shetty, M.D. @NikhilAShetty]

@DrCwoods314

[Lea Alhilali, MD @teachplaygrub]

1/Have disagreements between radiologists on the degree of cervical canal stenosis become a pain in the neck?!
Here’s a #tweetorial on cervical stenosis grading that’s easy, reproducible & evidence based
#medtwitter #spine #neurosurgery #radres #neurorad #meded #FOAMed #FOAMrad

[Mark Cuban @mcuban]

I want to share what I think about MDs. I love each and everyone that busted their ass, borrowed too much money, sacrificed more than we can ever quantify, in hopes of helping their patients. Medicine is an imprecise science. The uncertainties far outnumber the absolutes.

[Nikhil A. Shetty, M.D. @NikhilAShetty]

@DrCwoods314 Well said

[Oren Gottfried, MD @OGdukeneurosurg]

Want to go from zero to hero assessing lumbar spine MRI for central and foraminal stenosis?

[Regional Anesthesia & Pain Medicine @RAPMOnline]

Comparison of the contralateral oblique view with the lateral view for mid-thoracic epidural access under fluoroscopic guidance: a randomized controlled trial

https://t.co/BKt31mLXfF

@ESchwenkMD @dr_rajgupta

#regionalanesthesia #painmedicine #epidural

[Kristen Scheitler, M.D., Ph.D. @k_scheitler]

One of the most common consults we see in neurosurgery is the 'cauda equina syndrome (CES) rule-out.' CES can be diagnostically challenging & panic-inducing due to its highly variable presentation & grave consequences if missed.

How to evaluate suspected CES: a thread 🧵

(1/9)

[Vasco Mascarenhas @VascoMascarenh1]

💡Basic fundamentals of LUMBAR SPINE MRI !!💡
Useful for everyday practice standardization

Source: https://t.co/GsFC57Fhlm

@ESSRmsk @MskSerme @intskeletal

[Francis Deng, MD @francisdeng]

Lumbar spinal canal stenosis
Grading criteria by Lee et al. @SSRbone
Diagrams by Ko et al. @PLOSONE (CC BY) now on @Radiopaedia https://t.co/SdbpnpCr6X

[Nikhil A. Shetty, M.D. @NikhilAShetty]

@dougbeall Thanks! I need to get down to Oklahoma to see yours!! 💪🏼

[Nikhil A. Shetty, M.D. @NikhilAShetty]

Humbled and honored to host ⁦@dougbeall⁩ at our pain center today. Great discussion on VCF and the future of interventional pain. Looking forward to the next one! ⁦@ASPN_PainNeuro⁩

[Nikhil A. Shetty, M.D. @NikhilAShetty]

https://t.co/xy4UbX8RqY
Important Topics... in the spirit of debates!!

[Dr Eric Levi @DrEricLevi]

Note about covid test.

You can get tested on Monday.
Be exposed to covid on Tuesday.
Get a negative result on Wednesday.
Go out to meet people on Thursday.
Be mildly symptomatic on Friday (“But I was negative”) .
Then get tested on Saturday.
Only to be positive on Monday.

[Paul Lynch, MD (Anesthesiologist and Pain Doc) @drpaullynch]

4. Even if deaths never increase (they will) you are discounting the effect of cases on those that survive. I contracted COVID working in the ICU In NYC. 12 weeks later I’m still not back to normal. I’m profoundly tired.

[Barack Obama @BarackObama]

As millions of people across the country take to the streets and raise their voices in response to the killing of George Floyd and the ongoing problem of unequal justice, I’ve heard many ask how we can sustain momentum to bring about real change.