Robert Palmer

Turning cancer data into better decisions. CEO @potentiametrics | @palmerleasing | Analytic model builder | Husband to 1. Dad to 4. | Former Tennis Player

[Robert Palmer @robertdpalmer]

A cancer diagnosis changes everything.

When my father was diagnosed, our family had one question no one could answer: "What happened to people like him?"

One in two people will face that moment in their lifetime.

When they do, they'll need more than hope. They'll need information. They'll need support. They'll need someone in their corner.

If that's you or someone you love right now - this video may help.

If it's not, please share it anyway. You never know who needs it today.

https://t.co/UwMrALlUU2

[Billie Jean King @BillieJeanKing]

Congratulations to @AlexZverev on his very first Grand Slam Singles title!

He is also the first man with Type 1 Diabetes to win a major.

What a victory for everyone living with this disease.

[Yashar Ali 🐘 @yashar]

UPDATE in Los Angeles

L.A. County adds another 58,558 votes in the Mayor’s race.

This batch breaks:

40.16% for Nithya Raman (+23,514 votes)
32.98% for Karen Bass (+19,312 votes)
17.65% for Spencer Pratt (+10,336 votes)

Raman won more than 40% of all newly counted ballots while Pratt remained below 18%.

Raman gained 13,178 votes on Pratt in this batch alone.

Current totals:

Karen Bass: 235,180 (34.81%)
Spencer Pratt: 184,596 (27.32%)
Nithya Raman: 177,102 (26.21%)

Pratt’s lead over Raman now stands at just 7,494 votes, down from:

At the current pace, Pratt’s lead could disappear in the very next major vote update.

[Mark Kaplan @markkaplan20]

I was on a tennis court in Darien, Connecticut. Tokoneke Tennis Club. My friend Mitch had called and asked if I wanted to hit some balls. I said yes the same way I had said yes to tennis a thousand times since I was six years old.

I grabbed my racket. Walked onto the court. Same optimism. Same stubbornness that had carried me from Johannesburg to Wimbledon to a world ranking of 117.

I was 52. I had everything. An amazing wife. Three incredible children. A successful business. I played competitive tennis multiple times a week. I was the fittest person in most rooms I walked into.

I was invincible.

For about ten more minutes.

[Dovi Safier @safier]

“It was one of the most monumentally unselfish things one group of people did for another.”

-#DDay veteran Andy Rooney on the young 🇺🇸 🇨🇦 🇬🇧 soldiers who stormed the beaches of Normandy 82 years ago.

Required watching for every young person today!

[Heatherheather007 @LibertyValkyrie]

A Dad should be the one man in your life, who wishes you do better than him, and is more happy for you, than you are, when you do.

[Igor🎾 @MariaSupporter]

I genuinely believe Monica Seles would have around 25 Slams in total if she wasn’t stabbed, literally the biggest IF in tennis history 🥺

[New York Basketball @NBA_NewYork]

Q: "You're up 2-0…Are you not happy?"

Kobe: "What's there to be happy about?"

Q: "You're up 2-0"

Kobe: "Job's not finished.
Job finished?
I don't think so."

On this weekend in 2009

[Robert Palmer @robertdpalmer]

@pavyg @rolandgarros I agree

[Kevin Carpenter @kejca]

Warren Buffett: "The bottom 2% in terms of income in the United States, the bottom 5%, and for sure the top 1% all live better than John D. Rockefeller was living when I was six years old."

"John D. Rockefeller was the richest man in the world and, today, you can get better medicine, better education, better entertainment, better transportation. You can do everything better than he could."

"When I was born, the dentist didn't use novocaine!"

[Robert Palmer @robertdpalmer]

Novak posted 71% first serves, 70 winners, 39 unforced errors. A 1.79 winner/error ratio. That level wins 90% of clay Grand Slam matches. Fonseca's ratio was 1.45. He had no business winning on the numbers. He hit lines and aces on the biggest points. Novak did not lose this match. Fonseca won it. Novak is going to win another major with results like this.

[Massimo @Rainmaker1973]

King’s College Hospital in London has opened a rooftop garden for critical care patients, with its first patient, a 29-year-old woman dependent on feeding tubes, saying the outdoor space gave her “a real boost to keep on going.”

[Tiempo De Tenis @Tiempodetenis1]

Con 39 años.
Luego de 5 horas.
Contra un chico 20 años menor.

Dejó absolutamente todo lo que tenía y no le alcanzó, pero para nosotros eso no importa.

Novak Djokovic DIGNIFICA el tenis.

[Chamath Palihapitiya @chamath]

Yup.

[Robert Palmer @robertdpalmer]

A PARENT'S JOURNEY THROUGH YOUTH TENNIS

Age 5: "He's got great eye-hand coordination and drive." (Every parent says this. Every single one.)

Age 6: "He's the quickest kid out there. Coach said so." (Coach also said this to four other families.)

Age 7: "He's playing up an age group. The coach recommended it." (We mentioned it first. The coach agreed.)

Age 8: "He played his first USTA tournament. Won two matches. We have a spreadsheet now." (It tracks his wins. And his opponents' rankings. It has tabs.)

Age 9: "Private lessons at $100/hour. Summer camps at $2,000 a week." (You invest in talent. That's just parenting.)

Age 10: "He needs a dedicated private coach. Group lessons aren't challenging him anymore."

Age 11: "I am not a crazy tennis parent. The OTHER parents are crazy." (I have never once been wrong about this.)

Age 12: "We enrolled him in a full-time academy." (We moved to Florida. We told everyone it was for the weather. The invoice arrived. We did not open it for three days. Besides, when he wins Wimbledon we will buy a beach house. We have looked at listings.)

Age 13: "The academy recommended a fitness trainer. And a mental performance coach." (He's 13. He is handling all of this better than we are.)

Age 14: "This is what it takes at this level." ($60,000 a year in flights, hotels, and entry fees for national tournaments. The Orange Bowl is our family vacation. Other families go to Disney World. Everyone smiles at Disney World. There are no tears on Space Mountain. No one gets in an argument on the drive home about unforced errors.)

Age 15: "His serve is a cannon. His forehand is a weapon." (His ranking is moving in the right direction. We have a second spreadsheet now. It has D1 programs on it. It also has tabs.)

Age 16: "He just needs to get seen by the right college coach." (We have emailed 47 of them. Three responded. Two we had to look up on a map. That's fine. That's totally fine.)

Age 17: "The D1 schools want him to walk on. He'll earn a scholarship by sophomore year." (The recruits he is losing to in these showcases are 24 years old. They have been on tour. We moved to Florida. We have a spreadsheet. We are simply reassessing.)

Age 18: "A D3 coach reached out. He seems like a really good fit." (No scholarship. $90,000 a year. The college fund did not survive Florida. He may or may not try to play on the team.)

Age 19: "He's redshirting. Strategic."

Age 20: "He's focusing on school now he is majoring in economics and at the top of his class, he has a great work ethic"

Age 21: "You know what? He's so much happier." (So are we. We didn't see that coming either.)

Here is what the actual numbers look like.

About 4,300 out of every 100,000 high school tennis players compete in college -- any division. (4.3%)

About 857 out of every 100,000 reach Division I. (0.86%)

Fewer than 10 out of every 100,000 ever turn professional -- meaning they receive an ATP or WTA ranking at any point in their career. (under 0.01%)

Roughly 0.3 out of every 100,000 -- about 1 in 300,000 -- ever make a sustainable living on the pro tour. (0.0003%)

Roughly 200 players worldwide can cover their costs from tennis in any given year. Many hold that spot for a decade. Your child is competing against the entire planet for a slot that almost never opens.

I love youth sports. They changed my life. I was a D1 prospect who lost everything to a shoulder injury at 17. It took me years to understand the game was never the point.

The scoreboard isn't the legacy. They are.

@pavyg @IamPuneetX

[Anish Koka, MD @anish_koka]

Yes, the hypothesis was that PCSK9 inhibition to establish very low LDLs would abolish heart disease.

This was tested in two large trials : FOURIER & ODYSSEY.

In super high risk patients that had already had a coronary event, achieving very low LDL levels had a small effect on reducing heart attacks and no reduction in death.

This was a much smaller reduction than has been achieved with statins in high risk patients with high LDLs.

As LDL in the general population gets lower, additional risk lowering becomes harder and harder.

Biology is complicated— there’s a group of people who have high HDLs who have almost no heart disease. Artificially attempting to do this with the drug Torceptarib raised mortality.

I’m jaded perhaps, but an alternative reading of what’s happening is that this is a billion dollar play to put out something mechanistically plausible that will get a lot of hype about the putative benefit. It’s a PR campaign that eventually creates pressure we know that FDA regulators simply can’t bear.

By the way, if you want to not take a pill to do the same thing, there’s already a twice a year injection on the market that you can get at your doctor’s office. (That Medicare pays for).