Ped

[MLB @MLB]

The most scenic ballpark in the country may just belong to @BYUBaseball 🏔️😍

[Keith Siau @drkeithsiau]

You are replaceable at work, but you are NOT replaceable at home. A beautiful and poignant reflection that applies to all clinicians.

[Bryan Carmody @jbcarmody]

Sigh.

Hate to spoil the party, but…

We really DON'T want a system in which the number of U.S. medical graduates equals the number of residency positions - and the reasons why should be obvious if you think about the practicalities and second-order effects.

(🧵)

[Hollywood Horror Museum @horrormuseum]

People who have a dark sense of humor, really do think differently, and grieve differently.

Conan O'Brien lost his dad and his mom within 2 days of each other.

[Ross Prager @ross_prager]

How can a 99% accurate medical test give you a 9% chance of having the disease if it comes back positive? 🤔

If you are in medicine this is the SINGLE most important diagnostic testing concept to know.

Welcome to the difference between specificity and positive predictive value.

Sensitivity & specificity are fixed test properties.

These do not factor how common a disease is (prevalence)

Positive Predictive Value (probability a positive test reflects having a disease) factors in prevalence and is actually more important to clinicians than sens/spec.

It is harder to figure out though because we need to have a gestault for how prevalent a disease is for the EXACT patient we are seeing.

If you have very low prevalence, even with a great test, most positives are false positives.

This is why screening low-risk patients can result in many false positives and harm

To master this, just play with the calculator yourself and you will see!!!!👇

[Trung Phan @TrungTPhan]

Matt Damon and Ben Affleck on Rogan taking about how Netflix has changed filmmaking.

A major considerations is dealing with distracted viewers. To keep them tuned in, “you re-iterate the plot 3-4x in the dialogue because people are on their phones.”

Then, in action films, you change the ordering of climatic fights.

In traditional action films, you’d have “three set pieces” in every act (I, II, III) and each would “ramp up” (spend the big money on third set piece).

But streaming has to hook viewers within 5 minute, so the incentive is to put a major battle or action sequence much earlier.

Also, the directors have less incentive to make a film look great because so many people watch on laptops and phones.

They do say that streaming allows for more bets on risky projects since the theatre economics are geared towards IP, sequels and super-heroes.

Example: an independent film with a $25m budget would spend $25m on marketing (1:1 ratio). But since it splits box office with the theatre, the film needs to make $100m (1/2 of which is $50m) just to break even.

They’re realistic about the state of film and call it a supply-demand issue. If the demand is for at-home viewing (eg. Netflix 300m+ subs), then filmmaking approach will change to feed the algo.

When there’s demand for theatre, Damon will go team up with Christopher Nolan to make “The Odyssey”.

[Dutch Rojas @DutchRojas]

🧵 Health Systems didn’t beat independent physicians.

Health Systems bought Congress,
rigged the rules,
and outlawed competition.

Here are the 11 structural advantages that protect health systems and punish independent physicians.

This isn’t free-market healthcare.
It’s a policy heist.
👇

[Michael Girdley @girdley]

I considered moving out of the USA.

After some research, I realized leaving is stupid.

There is no chance the USA will stop being the global superpower.

And the best country for opportunity.

The reason surprised me:

[BYU Museum of Art @BYUMOA]

People keep asking us to "Hang this in the MOA." We're pretty sure it's already up? Is this not the same picture? #RichieSaundersIsTheGOAT

[Ped @Ped_inc]

@StonkJester100 @DutchRojas @elonmusk

[Tyler Olson, EA @olsonplanner]

Medicine may be a calling to you.

But you are not a calling to the medical industry.

It could not care less about you.

[Tyler Olson, EA @olsonplanner]

Okay let’s do this over again 😆

A redo with nuances addressed!

🚨 SAVE borrowers 🚨

PAYE and ICR are coming back!

You need to watcb this and see which of the 4 groups you fit into!

[Real Doc Speaks @realdocspeaks]

Physicians need to identify a few key issues that need reform and will benefit all physicians, regardless of specialty.

We also need to identify issues that will benefit patients, employers, and taxpayers.

Here is a list of issues:

• Site-neutral payments. Currently hospitals and
hospital outpatient departments (HOPD) can charge
a hefty facility fee. This allows them to charge
significantly more for tests, imaging, and procedures
versus a physician's office or ambulatory surgery
center.

• Eliminate the prohibition of Physician-owned
hospitals. Under the ACA, physicians can't own
hospitals, and this precludes the highest-trained
profession in healthcare from owning hospitals.

• Eliminate the Stark laws. These laws prohibit
physician self-referral and decrease innovation.

• Index the physician's Medicare physician fee
schedule to inflation.

Physicians are the only entity that
doesn't receive an inflation adjustment under
Medicare.

Please let me know what issues you think should be included.

[BYU FOOTBALL @BYUfootball]

THE CUT: Utah

[Total Blue Sports @TotalBlueSports]

The three hymn choices at church today were exceptionally spiritual for some reason.

[kyrie potter @kyrie_potter]

the downfall could not have happened to a more deserving fanbase or team or organization

[Mary Talley Bowden MD @MaryBowdenMD]

Hospitals are required to list all their prices on their website. This is how @MethodistHosp has chosen to comply.

[Cougar Larry @CougarLarry1984]

Whoever says hate is bad for the soul has not hate watched their rival drop 3 straight

[Clement Lee, MD, MSc @ClementLeeMD]

palliative care doctors in a family meeting:

[Dr. AK 🇮🇳 @docakx]

🌟 Antibiotic spectrum overview