@We

@EastEndJoe @JaneSan99923908 Happy birthday, Jane

Please join me in wishing @JaneSan99923908 a very happy birthday! 🎉🎈🎊

@Architectolder Not liking wallpapers.

What do we not like about this image?

@SarahLarchmont At 56, Sanchez Bezos has fear of aging and not being found attractive. She chose the costly surgical remedy.

Why do rich women want to look like weird blow up dolls.

TRUMP: "When did I promise $2,000 tariff checks to Americans? I don't remember doing that." Right here, Mr. @POTUS ⬇️

@MikeSington Bad Bunny had a great idea making himself decades older.

Daily Mail torches this year’s Met Gala: “The night fashion sold its soul: Jeff Bezos and Lauren Sanchez blasted for 'worst Met Gala ever' as fans slam 'gauche and tacky' event filled with Z-listers and super-rich.” Do you agree?

BTW, did you notice Han what’s his name posted TWO DAYS ago “May the Fourth…”‽‽‽ 🤷🏼 What’s he too good to post on Monday like everyone else?😤🤣

@Lighturpathway @drjenwolkin 🤔😱

@WeJDesign @drjenwolkin It isn't that easy unfortunately. There are only a few doctors in my town that take Medicaid/Medicare and the rest are worse than the doctor I have now. One is literally a drug dealer.

My estrogen patch isn’t absorbing based on bloods, and my doctor said “well, women walk around with low levels of estrogen all the time, it’s just how it it.” She will no longer be my doctor, tomorrow.

@SimonGrunchy @Scaramucci Certainly new people would be elected before these 3 from the current administration

Everybody hates Donald Trump. -Melania. -His children. -The grandkids find him weird. Honestly, he is weird. He has orange makeup on, lifts in his shoes, the girdle on some days. He has to be the king of every single moment. You cannot tell him something he doesn't know or else he'll flip out. You can never be perceived as knowing something better than him. It all fits the same pattern of narcissism, but here's the other side. He can be charming. He can be gracious. He is the most powerful man in the world, yet still desperate to be accepted by people with real history behind them.

@Lighturpathway @drjenwolkin You can

@drjenwolkin My doctor refused to give me estrogen based on those outdated studies. I wish I could switch doctors.

@DaDi39 @drjenwolkin Which brand is better for you?

@drjenwolkin I switched ‘brands’ and immediately felt better (not sure if you tried this already)

@ArtCandee The augmented gals need to show half of breasts. Kim shows, too. They are more than big breasts.

All the money in the world and Lauren Sanchez Bezos still looks like a plastic Mar-a-Lago ho at the Met Gala.

@DollyParton Hope you recover quickly

Thank you for standing by me and showing me so much love and support over the past year. I’ve still got some healing to do, but I am on my way! See you soon. 💖 🦋

@mistressdivy I regret the property tax and school tax.

Anyone regret buying a house and just go back to renting?

@Watchman_motto It isn't too small for me. I think it is cute.

If I said, “the house is 1200sqft” you would say that’s too small. If I showed you this house you would start finding reasons why it’s the perfect size.

@elonmusk It was in the news yesterday that Elon's new goal is to make $10 trillion.

True

@WilliamShatner Star Trek was first. Star Wars was second.

Some people use the Force… 🤨 I prefer a well-timed toast and a five-year mission. 🥂 May the Fourth be with you… if you must but let’s be honest; I’ve been boldly going since before it was cool. 😉🚀

@kevinmd Maybe, nobody should buy health insurance. They should save what would be their monthly premiums for this emergency MRI and the chemo.

A 47-year-old woman asked for an MRI. By the time her insurance company let her have one, the cancer in her hip was too far gone to save her leg. Her doctor had done the X-ray. Examined her. Sent her for physical therapy, the six weeks the insurer's own published criteria said she needed to complete before an MRI was on the table. No improvement. He told her she needed the scan. The insurance company said it was not medically necessary, until she finished six weeks of physical therapy. She had finished it. They had paid for it. He appealed. 38 days later, they reversed. The MRI showed sarcoma. The hospital told her that one month earlier, they could have treated it with chemotherapy alone. Instead, they amputated her leg, her hip, and her pelvis. She died two years later. Her family sued. The federal judge called it tragic, then threw the case out. Why? Because no law in New York holds an insurance company accountable when it gives bad medical advice. Doctors are accountable. Nurses are accountable. Hospitals are accountable. Insurance companies are not. That is the contrarian thesis worth holding onto. Prior authorization is not a billing decision. It is a medical decision being made by someone who, by law, is supposed to be a specialist in the relevant field, and who, by the federal HHS inspector general's own findings, often is not. When an insurer overrides a treating physician based on criteria the insurer itself does not follow, that is medical advice. When that advice causes harm, the law treats the insurer as untouchable. Every other party to the patient's care is held to a standard. The decision-maker with the most leverage is held to none. The framework worth saving: 1. By law, the reviewer denying a prior authorization is supposed to be a doctor in the relevant specialty. 2. The federal HHS inspector general has confirmed that often, they are not. 3. The published criteria insurers cite to defend denials are not always the criteria they actually follow. 4. Most insurance plans fall under ERISA, a federal statute that makes negligence cases against insurers nearly impossible. This case is in state court because the plan is for public employees, outside ERISA. 5. The AMA, the New York State medical society, and the Vermont and Connecticut medical societies have all filed amicus briefs supporting the family. Attorney Steve Cohen argued the case before the Second Circuit. Doctors who fight these denials should know what is at stake and who fought alongside them. Listen to the full conversation on The Podcast by KevinMD. Link in the replies. What is the longest a prior authorization denial has ever delayed care for one of your patients? #PriorAuth #ThePodcastbyKevinMD

@EastEndJoe Time travel!

Almost every “Good Morning” post on the main feed is from yesterday. Happy Sunday everyone.

@moshik_temkin @RichardLWeiss The reason people today do not know is that they were not alive before president Reagan.

The highest rate of growth in the history of the US economy occurred when the US had its highest tax rate on the wealthy. The reason you didn’t know that is because of propaganda.

@Dr_Shiv_kumar_ @DocPriyamMD Anyone could remove it with a tweezer before it becomes a problem.

✅Trichiasis = eyelashes misdirected toward the globe, usually from lid margin scarring. Pathophysiology : chronic lash cornea friction which leads epithelial defects inturn results keratitis & scarring. Patients describe a constant foreign body sensation, tearing, photophobia. Management? Epilation = temporary. Definitive = electrolysis/laser or lid surgery (especially if structural).

Can you see that eyelash growing inward? Every time you blink, this tiny hair scratches your eye. Over time, it can lead to ulcers… even blindness. What is this condition called?