jh

@hjluks Wolfs law applies always

Please stop telling people with osteoporosis not to lift anything heavy... I've heard it from docs, PTs, Trainers, etc... This might seem protective... but it's not. This risk calculation... A hip fracture in an older adult carries a one-year mortality rate of roughly 25 percent. Half of those who survive never walk independently again. That is the cost of fragility. The risk of a well-supervised, progressively loaded heavy (80-85% 1RM) strength program (LIFTMOR) is a muscle strain or a bruise. These are not equivalent risks, and treating them as equivalent, as avoidance does, is not caution. It is a decision to accept the larger risk in order to avoid the smaller one.

Trumps first year in office has seen the lowest amount of bills passed in modern history Biden- (122) Obama- (125) Bush- (109) Trump- (38) If you want @LeaderJohnThune to resign and let someone else lead, let him know, he'll see this.. he's simply not suited to be in this role

@RightScopee @XRP_Express_

They are traitors to the people

Congratulations to WVSSAC Girls Wrestling Invitational State 145 Champion: East Hardy senior Morganne Miller 🐾🤼‍♀️🏆💚💛🎉 14-13 Win!!!! @HardySchools @EastHardyHigh @stevenlmiller_m @S_A_Smoot @o1dmanstr3ngth @WVMat @TheWVSSAC @MetroNewsSports @WHSVScoreZone @arychwal @GEaganPXP

After two sessions East Hardy is sitting at #2 in division 3

East Hardy Wrestling junior Aaron Barb (37-3) has singlehandedly catapulted the Cougars into second team placement at the @TheWVSSAC State Wrestling Tournament in Huntington and earned a spot in tonight's semifinals 🐾🤼‍♂️💚💛🎉 @HardySchools @EastHardyHigh @stevenlmiller_m @WVMat

This right here is what has become fundamentally wrong with youth sports.

😂

@HawleyMO Blah blah blah blah. Do something then

The Minnesota Attorney General just PERJURED himself when I asked why he took campaign donations from the crooks who defrauded the US taxpayer to the tune of $250 million He should be INDICTED and PROSECUTED

Former @MLB player John Vander Wal nailed it on his @facebook post! #shegone The game is in an awful state. I scouted professionally for two organizations over a ten-year period, and a lot of what we’re seeing today is being misunderstood or flat-out misrepresented. First, velocity. Pitchers are not throwing significantly harder across the board. The perceived jump in velocity is primarily the result of technology and measurement changes — specifically where the device picks the baseball up out of the hand. As radar and tracking systems moved closer and closer to release, the readings increased. The arm didn’t change — the measurement did. Now hitting. We’ve reached a point where “gurus” who never played the game at a high level are applying golf swing principles to baseball, largely because golf embraced analytics to identify the most efficient swing paths. The problem is that a baseball bat is not a golf club. In golf, you dump the club to get it on plane. In baseball, you cannot lose the barrel on the back side and still stay on plane consistently. Yet the tech community began preaching backside barrel dump as the answer. Front offices filled with non-baseball “propeller head” GMs bought into the presentations, and this philosophy was pushed aggressively through the minor leagues. I saw this coming as early as 2014. The result? Hitters now dump the barrel in an attempt to get on plane, but they: • Struggle to stay inside the baseball • Lose adjustability • Operate with slower effective bat speed On the pitching side, it’s no better. Pitchers are taught max effort on every pitch. Starters rarely exceed 90 pitches or five innings, work almost exclusively to either arm side or glove side, and live in deep counts. Relievers are almost universally max effort, arm-side only. The consequence is obvious: • Poor command • Inconsistent control • Little ability to sequence or adjust Despite all the technology, pitching command and overall feel are as bad as I’ve ever seen at the big-league level. More data didn’t make the game smarter. It just made it louder — and in many cases, worse. facebook.com/share/p/15V3ET… @notgaetti @BobFile @twuench @billdubs @iamrags @SliderDominate @slider_sinker @CRAIG_LAPINER @hittingguru7 @BLocsports @TheRealJHair @WillClark22 @DMEASrecruiting @GDBJr5 @mikepiazza31 @JLucroy20

They’re not buying your practice because they need doctors. 𝐓𝐡𝐞𝐲’𝐫𝐞 𝐛𝐮𝐲𝐢𝐧𝐠 𝐲𝐨𝐮𝐫 𝐩𝐫𝐚𝐜𝐭𝐢𝐜𝐞 𝐛𝐞𝐜𝐚𝐮𝐬𝐞 𝐌𝐞𝐝𝐢𝐜𝐚𝐫𝐞 𝐩𝐚𝐲𝐬 𝟓𝟎–𝟏𝟒𝟓% 𝐦𝐨𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮’𝐫𝐞 𝐡𝐨𝐬𝐩𝐢𝐭𝐚𝐥-𝐨𝐰𝐧𝐞𝐝. Same procedure. Same you. Same room. That’s the facility fee. That’s the game. Catholic health systems have acquired hundreds of physician practices. Not to improve care. To capture the billing code. Once you’re inside: → You refer inside → You bill inside → You follow the ERDs Meanwhile: → $3.8 billion in fair share deficits → 2.7% charity care (below national average) → $28 million CEO compensation. → 688 communities with no alternative hospital Ministry on the letterhead. Facility fees in the spreadsheet. Full breakdown dropping today on The Rojas Report at 11:30 EST.

Groundbreaking New Study Finds Islamophobia May Be Partially Caused By Muslims Killing People All The Time buff.ly/EIXBGwL

@GeBaiDC Cash patient are no longer the poor. They are in my experience middle aged, self employed and value the visit. They listen to the advice that is given and are "lower risk" on the litigation meter. Most havent bought into the insurance scam. I love seeing them in my clinic

"When patients pay cash, physicians/providers do tend to think twice about whether each test is necessary and its true value to the patient's outcome." Tort Reform: "Imagine how many fewer tests would be ordered if doctors no longer had to practice Defensive Medicine." "When the incentives are all pointed toward getting paid more for doing higher priced stuff to sick people, you have more higher priced stuff and sicker people." "Physicians are able to value their services."

@DrDiGiorgio You forgot the cost of that steaming pile also.

Epic is a failure as a basic software in so many ways: First, basic workflow lockouts that punish clinicians for normal human behavior Cannot reopen a chart left open in an exam room after badge out or timeout Cannot seamlessly hand off an active chart between workstations Timeouts force loss of context rather than safe read only continuation Second, scheduling and order rigidity that creates busywork instead of safety Cannot reschedule a surgery once a booking is placed without full teardown Cannot change imaging location without cancelling and reentering orders Cannot modify downstream parameters without triggering cascading rework Simple corrections are treated as high risk events requiring total rebuild Third, absurd interaction costs Dozens of clicks or keystrokes to order routine imaging or labs Excessive mandatory fields unrelated to clinical decision making Forced diagnosis and billing code entry before clinical thought is complete Mouse driven workflows that ignore how clinicians actually think and type Fourth, information retrieval failures Cannot reliably filter notes by specialty or role Progress notes are bloated with copied forward junk Clinically meaningful narrative buried under templated noise Labs displayed as long scrolling lists instead of trend based summaries Fifth, patient list and signout failures Cannot create clean readable patient lists tailored to service needs Cannot generate simple signoff views highlighting problems and plans Workarounds emerge because native tools are unusable Shadow spreadsheets exist because Epic lists are cognitively unreadable Sixth, inbox and messaging dysfunction Cannot limit inbox to messages related to a physician’s own patients Cannot meaningfully filter low value administrative noise Critical clinical messages drowned in refill requests and FYIs Meaningless alerts contribute to alarm fatigue, drowning out actual critical alerts Seventh, performance and reliability problems Typing lag while the system catches up breaks clinical flow Latency increases cognitive load and error risk Eighth, analytics and research failures Operational data is unreliable without massive analyst intervention Extracted data does not reflect clinical reality Research queries require custom builds and months of lead time Clinicians cannot answer basic questions about their own practice Ninth, customization theater Dashboards are technically customizable but practically useless Relevant patient level data cannot be surfaced cleanly Displays optimized for billing metrics rather than care decisions Yes. Epic is really that bad.

Wheeling Central shouldn’t be in Single A

Congratulations to the Potomac Valley Conference Division 1 Football Team, especially Moorefield's Shawn Reed 🐝🏈💙💛🎉 @MFLD_Athletics @HardySchools @linville44 @Trojans_HHS @ravenscroft7 @ColinRotruck @OwenRotruck @arychwal @wvuramfan @GEaganPXP @WHSVScoreZone @MetroNewsSports

Steve Lipscomb saved up to 17 lives, sacrificing his own, in a mine flooding accident. “Steve was a veteran of the Marine Corps, a Purple Heart recipient, a husband, and a father of two,” Gov. @MorriseyWV said. “He spent his final moments ensuring his men could escape to safety.”

@RepOgles @MarshaBlackburn Mhmmm...

Term limits for the US Congress is a long-needed reform that will dislodge the entrenched political class and restore true representative government. Term limiting members of Congress enjoys massive public support across virtually every demographic — regardless of partisan affiliation, race, gender, or age, Americans want to see term limits. States have the ability to propose — and ultimately enact — a constitutional amendment for term limits. Florida has already certified it and so have about a dozen states. More are considering it and I anticipate the movement will continue to gain traction. Term limits can happen. We just need states to step up and do the job the founders envisioned they would do.