Robert A DeSimone MD

[Straight Florida @StraightFlorida]

The Snow-Karens are back! ⚠️

I was followed through Publix today by a few deranged liberal women (AWFL's) trying to shame me on social media for walking by them, explaining to my son why more and more people are wearing masks. "It's when the liberals from up north come down to let us know how much more virtuous and better than us they are" I said. That was apparently enough for these two masked Winter Wench's to follow us through the entire store, filming us for their social media to shame us in their Ohio Facebook safety groups. The pretentious entitlement is so thick you could cut it with a gender affirming knife. 🤦

Look, I did not ask for you to come here; in fact, I dedicate my entire online existence to encouraging you not to come here and stay home. This is the free state of Florida, but once a year you idiots come down and try and shame us into turning into the dystopian shit holes you fled from. This is reason 96,439 why us locals cannot stand you and dread the months of October-May. Please go home; we do not need your lectures on how we are beneath you. The reality is you are some of the most vile and obnoxious human beings to exist on this planet.

If you hate us so much, please stop coming here. 😷🤡🖕

[Ben Graham @BenGrahamUK]

Our closest and most historic ally has just rushed its bombers out of RAF Fairford so urgently that some reportedly left before aerial refuelling tankers were even in position.

That suggests the threat was considered serious enough to get those aircraft back towards the United States as quickly as possible.

This whole episode has made Britain look incompetent on every level.

Security failures. Terror suspects bailed. Emergency evacuations. US bombers hurriedly departing.

A global laughing stock.

[SaltyGoat @SaltyGoat17]

Now it's accurate!!

[Commentary Trump Daily Posts @TrumpDailyPosts]

France enjoying the religion of peace

[Apple Lamps @lamps_apple]

Gov. Maura Healey bragged about it: "Remember, I stopped two gas pipelines from coming into this state."

Now your heating bill is through the roof and she wants you to blame Trump. She blocked those pipelines herself. She said so. Proudly.

That's the left, every time. Break it, brag about breaking it, blame Trump.

Massachusetts families pay for her résumé every winter. In November, remember who stopped the pipelines.

[Unite_Republicans_Lets take back America. @Sunkized01]

Seriously

[Farm Girl Carrie™️👩‍🌾 @FarmGirlCarrie]

She makes an excellent point…

[Against Islamic invasion @Crusader_1980]

A Muslim woman wearing a burqa tried to set a fire on a plane, but thanks to the alertness of the passengers, she was unsuccessful.

[California Patriot @MichaelWra34464]

Good night all

[Steve Ferguson @lsferguson]

Have you noticed the Cornell rape allegations have created far more outrage among women than the 250,000 British girls raped by Muslims

I wonder why that is?

[X @Xking332]

UAE is in serious trouble.

Israel is now suspecting the direct involvement of certain UAE officials in the attempted hijacking of FlyDubai Flight FZ1073.

Without several deliberate security violations, the hijacking would have been impossible.

To make matters even more suspicious, UAE and Saudi officials still refuse to release the name of the suicidal Omani pilot.

The pilot went through 2 body scanners, a metal detector and an X-ray scanner with a knife.

No alarm went off during the screening.

Another suspicion is that an influential airport official may have already placed the weapon inside the cockpit.

Things get even stranger.

Yesterday, Flight FZ1073 suddenly departed from a different terminal than usual.

It used Terminal 3 instead of Terminal 2.

Security screening is also much tighter at Terminal 3.

So there are questions over how the pilot could have taken a knife onto the aircraft without inside support.

Pilots on the flight are also required to be nationals of countries with diplomatic relations with Israel.

The pilot is from Oman.

And Oman has no diplomatic relations with Israel.

This is another major security breach.

The nationalities of the pilots were initially released as Russian and Ukrainian.

But later that turned out to be false.

The Omani pilot was being protected from the very beginning.

Now the pilot is being escorted to Abu Dhabi in an emergency move by Saudi authorities.

This is happening right after several questions were raised about the UAE.

All FlyDubai flights to Israel have been suspended.

Israel now wants its domestic security service, Shin Bet, to investigate the UAE.

Trump has announced that Iran was behind the hijacking.

He has promised severe retaliation against Iran after the midterms.

Things are getting catastrophic.

[Rapid Response 47 @RapidResponse47]

"South Korea says they have not signed off on this Alaska pipeline..."

@POTUS: "That's okay with me, I'll just charge them more... They said they didn't sign off? Tell them if they don't sign shortly, I'm gonna double it up."

[Oscar Cingolani, MD @cingolani_oscar]

Most Hospitals do not want good doctors. They want average providers who can see lots of patients and refer to other specialties. The more referrals, the higher the downstream revenue. This is another reason why health care cost continues to ⬆️. #perversehealth

[Robert A DeSimone MD @RADGASMAN]

This is an interesting study:

https://t.co/W2twKg1VGS

PDE5 inhibitors are not just for erectile dysfunction.

There are several large observational studies (not a double blind study) that show lower all-cause mortality in men who are being prescribed tadalafil.

A 2024 paper in Clinical Cardiology looked at men with erectile dysfunction in a large commercial insurance database linked to the National Death Index.

Researchers compared 8,156 men with at least one tadalafil claim to 21,012 men with no PDE-5 inhibitor claims. The groups were matched on age, smoking, coronary disease, diabetes, blood pressure, cholesterol, and preventive medicines.
Over about 3 years, tadalafil exposure was linked to lower rates of:

Major heart events: 19% lower
Coronary revascularization: 31% lower
Unstable angina: 45% lower
Cardiovascular death: 55% lower
Death from any cause: 44% lower

Men with the most tadalafil exposure had the lowest event rates. Smaller groups with diabetes or known coronary disease showed a similar pattern, but those results were not statistically significant.

This is an observational study, not a randomized trial. It cannot prove tadalafil caused the benefit. Healthier patients, more sexual activity, or other unmeasured factors could explain the findings. The authors say placebo-controlled trials are still needed.

The important thing to remember is that the PDE5 inhibitors block the enzyme PDE5, which helps relax blood vessel smooth muscle, increasing blood flow throughout the body.

[salaryDr @SalaryDr]

Five questions to ask before you sign your first attending contract:

1. What did the last three physicians actually earn?
2. How is call paid?
3. What triggers the bonus?
4. Who pays tail coverage?
5. How many hours does the job really require?

The salary line is question one.

[Nick Plumb @PlumbNick]

This is Korbin Colthorp.

He’s the ONLY doctor in Western Michigan University’s 28-person Family Medicine–Kalamazoo residency who attended medical school in the United States.

The other 27 went to medical school abroad.

27 out of 28. 96.4%.

Americans are told we have a doctor shortage.

Maybe we should start asking why the solution apparently isn’t training more Americans.

[Laura Loomer @LauraLoomer]

The UAE has an obligation to release the name of the terrorist pilot their airline employed. The fact that they haven’t after they violated the Abraham Accords should alarm everyone.

The UAE needs to release the name. They have his employment records. Tell us who the pilot is.

[Eric Daugherty @EricLDaugh]

🚨 BOOM! The Trump administration is now probing Rochester General Hospital NY for possible H-1B and J-1 VISA ABUSE — hiring MASS FOREIGNERS and BARELY any Americans at all

GOOD. AMERICANS FIRST.

Labor IG D'Esposito: "Show us the numbers. How many residency slots went to H‑1B and J‑1 visa holders? How many American applicants got a fair shot?"

He says the White House anti-fraud task force may soon get involved.

I am SICK AND TIRED of these medical institutions thinking Americans come last. Bring FAFO!

[Laura Loomer @LauraLoomer]

Is the Omani pilot employed by the UAE airline who hijacked a plane full of Israelis in violation of the Abraham Accords a member of a prominent Omani family?

Why are they refusing to release his name, aside from the fact that the UAE now has to explain how this violation happened?

Under the bilateral aviation agreement linked to the Abraham Accords, only nationals of countries that have diplomatic relations with Israel may serve as pilots on flights between the UAE and Israel. Using a pilot from a country that does not recognize Israel would violate that agreement.

Why are they refusing to mention his name?

The hijacker must be connected to a very powerful family. Maybe even a royal family.

[Catturd ™ @catturd2]

Just when you think you can’t hate fake news more.

Believe me, they knew when they wrote these headlines they were lies.