Patrick McGrade

Texas A&M '14 Texas Tech SOM '19 Christ follower and sports fanatic

[Camron Costa @ccosta_6]

A&M caught a ton of flack last year for missing postseason after being preseason #1

There is a very good case LSU has had a much worse season, and they didn’t have near the injury bug A&M did

[College Football Report @CFBReport]

Schools With Most NFL Draft Picks Rounds 1-3:

Ohio State - 8
Texas A&M - 7
Georgia - 6
Miami - 6
Clemson - 5
Texas Tech - 5
Indiana - 4
Mizzou - 4
Notre Dame - 4
Alabama - 3
Florida - 3
LSU - 3
Michigan - 3
Oregon - 3

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

Imagine your surgeon preparing for your operation.

They see you in pre-op, answer your questions, calm your fears, examine you, confirm the plan, and go get ready for the case. They review the imaging and think through the critical parts of the operation.

Then a nurse interrupts them:

“Doctor, your pre-op documentation isn’t good enough. You can’t just say you discussed the risks and benefits. You need a full H&P.”

The surgeon points out that the H&P was already done in clinic. The note is right there in the chart.

“No. That note is 31 days old. It has to be within 30 days. But it’s fine if you just copy and paste that old note.”

Think about how insane that is.

There is no new clinical information. There is no patient benefit. There is no improvement in safety or quality. The only thing being demanded is duplication. A pointless bureaucratic ritual to satisfy the machine.

So now you have a frustrated surgeon, a delayed case, a bloated chart, and one more example of modern medicine confusing clerical box-checking with patient care.

This is exactly what is wrong with the system. Endless note bloat. Pointless duplication. Administrative nonsense dressed up as professionalism. If there are no changes, there are no changes. Forcing a doctor to re-paste an unchanged H&P adds absolutely nothing for the patient.

And the most insulting part is the tone. That smug, condescending “of course you have to do it this way” attitude, as if this is self-evidently necessary instead of obviously stupid.

At this point, a lot of doctors would probably take a substantial pay cut to never touch a computer again. Cut the salary and use the savings to hire people to do the computer garbage. Epic. CDI queries. Coding queries. H&P updates. Order entry. Case booking. Inbox nonsense. All of it.

Never touch Epic again. Never answer another coding query. Never update another unchanged H&P. Never place another order that a clerk or protocolized team could enter. Never do another ounce of hospital data-entry cosplay.

Just let us be goddamn doctors instead of highly trained documentation technicians.

[salaryDr @SalaryDr]

The average nonprofit hospital CEO earns $3.5M a year.

The average primary care physician earns $260K.

One of them sets your doctor's salary.

[Mary Talley Bowden MD @MaryBowdenMD]

The most profitable “nonprofit” in Texas is Houston Methodist hospital. They paid their executives over $47MM in 2024.

- CEO Mark Boom $7.25MM
- Kevin Burns $3MM
- Roberta Schwartz $2.8MM
- Mick Cantu (legal) $2.5MM
- Dirk Sotsman $2MM
- Shlomit Schall $1.4MM
11 more between $900-$1.1MM

[Dutch Rojas @DutchRojas]

Your doctor went to medical school for 12 years. The person denying your claim went through a two-week training module.

[Robert Behrens @rcb05]

The streak continues.

[Paul Sax @PaulSaxMD]

Hey look! @nejm moved my writing to a new spot.
Here's the first post, a rant about a particularly annoying requirement for those of us in work in hospitals
(link below)
1/3

[Real Doc Speaks @realdocspeaks]

Medicare pays a CT surgeon $1,700 and change for a CABG and the hospital receives $50K.

The patient sees to $50,000 bill and thinks it all went to the surgeon.

In reality the surgeon received under 4% of the total charge.

It takes 17 years to become a CT surgeon after high school.

Someone explained to me why it’s worth it!

[Austin @rtraustin_]

Terrible time to be a child in a hospital in Louisiana

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

The nurse that made this policy probably makes $300k a year.

[Patrick McGrade @patrickmcgrade]

@chrisgb002000 @Spencerkelley7

[Dutch Rojas @DutchRojas]

The top 5 “nonprofit” hospital CEOs made $63.8 million combined. The average primary care physician makes $260,000.

[David Pollack @davidpollack47]

This is how you do a Heisman campaign @AggieFootball 👏👏

[string @propjoesays]

hmm

[Anish Koka, MD @anish_koka]

Point I’m making is that the rural shortage was used to get wide public support for independent practice of NPs— that didn’t fix rural access issues.

Similarly you can’t fix this with h1bs from Lahore , who are even less excited than NPs to raise a family in Jingleberry, PA

[Roy May @RoyMay15]

Snagged this from @TexAgs poster URDeparted. Past 5 seasons % of home night games. This is insane:

Alabama-49%
Arkansas-23%
Auburn-41%
Florida-50%
Georgia-28%
Kentucky-53%
LSU-🚩83%🚩
Miss St-42%
Missouri-39%
Ole Miss-44%
South Carolina-54%
Tennessee-31%
Texas A&M-49%
Vandy-40%

[Patrick McGrade @patrickmcgrade]

@dallasnews my grandfather-in-law wants me to cancel his subscription to your paper after over 30 years because “all they cover is those damn longhorns the aggies are undefeated!”

[C3 @C_3C_3]

They never leave Congress because the grift is too good.

Chuck Grassley: 91
Eleanor Norton: 88
Hal Rogers: 87
Maxine Waters: 87
Steny Hoyer: 86
Nancy Pelosi: 85
Jim Clyburn: 85
Danny Davis: 84
John Carter: 83
Bernie Sanders: 83
Etc

Congress ends up being a corrupt nursing home.