Richard Chinnock

@elonmusk Hey @elonmusk , we just traded in our 2023 14.2 FSD Model Y for the 2026 Model Y. Why wasn’t the most current version of FSD loaded into a brand new vehicle?

And it only gets better from here

@hmmm889 @talhagin @elonmusk @grok, is this true? 😉

@talhagin @elonmusk Elon purposely tinkered with Grok to sway its' answers to be less focused on fact when fact interferes with MAGA views.

On Jan 5, 2025, @elonmusk said: “Grok will be the best source of truth by far.” Beyond this, users have relied on the X LLM, known as Grok to verify information, even attempting to use its replies as Community Notes. But can we really rely on Grok?🧵

@cremieuxrecueil @grok what are the health differences between cane sugar and high fructose corn syrup?

High-fructose corn syrup does not have any more deleterious health effects than normal sugar. But it is cheaper due to subsidies it receives and the sugar tariff-rate quota. Companies would probably gladly switch to sugar if it were cheap, but it would do nothing for health.

@KNBR Welcome to my experience as a Rams fan when the Niners are at SoFi.

"Probably a little too many Dodger fans in the stands." "Not gonna lie I feel like we had to many Dodger fans here. Maybe tomorrow we get more San Francisco fans." Logan Webb and Willy Adames didn't like seeing Dodger fans take over Oracle Park tonight.

@purviparwani 🙏

Heartbroken to hear this news! The plane crashed into my Med school Hostel and in addition 242 on board- many medical students and healthcare workers are affected. Some dead. Life is so cruel! Prayers for those affected victims and their families..

@melissacousino @ACHA_Heart @ACHD_CHI @kellyerea Awesome! Do you have a URL I could post to our Loma Linda Peds heart transplant FaceBook page?

@jameserickson @anish_koka This is a key point, and one I make whenever someone says, if Mayo can do “x” why can’t we. In their last posted 990, they had $2B in donations. And as noted, their payer mix is highly private. pdf.guidestar.org/PDF_Images/202…

@anish_koka What Gawande missed, that those of us who have family members who work at Mayo know, is that Mayo is taking in massive donations. They can’t spend the money as fast as it is coming in.

The Cost Conundrum was an article written in 2007 in the New Yorker by famed surgeon and author, Atul Gawande that sought to explain the high cost of American medical care. It was inspired by data from a health policy researcher from Dartmouth named Eliot Fisher. Fisher’s group had mapped Medicare spending of every county in the U.S. McAllen, Texas had the distinction of having the second highest per capita Medicare spending in the country, and it was this town Gawande traveled to, to write his article. Gawande, an academic surgeon from one of the elite medical centers in America wrote with some distaste of a two filled with strip malls with small independent private practices dotting the landscape that were making handsome profits by billing fee for service Medicare to the max. Gawande provided a stark contrast to this low value, profit driven care by traveling to a high value, low cost county — the Mayo Clinic.  A visit to a surgeon’s clinic at the Mayo Clinic told the story of an hour long discussion with a patient followed by a cardiologist materializing within 15minutes from another floor to help ready a patient for surgery the next day.   How did they do this? Gawande’s words : “..decades ago Mayo recognized that the first thing it needed to do was eliminate the financial barriers. It pooled all the money the doctors and the hospital system received and began paying everyone a salary, so that the doctors’ goal in patient care couldn’t be increasing their income. Mayo promoted leaders who focused first on what was best for patients, and then on how to make this financially possible. No one there actually intends to do fewer expensive scans and procedures than is done elsewhere in the country. The aim is to raise quality and to help doctors and other staff members work as a team. But, almost by happenstance, the result has been lower costs.” The answer to the health care cost problem lay in this elegant article.  The plan as initially forwarded by Eliot Fisher from Dartmouth and now gracing the pages of the New Yorker was to create “Accountable Care Organizations” in the image of the Mayo Clinic.  Convert McAllen, Tx to Rochester, MN and the nations problems would be solved. As a young medical trainee reading his article, I was sold. But I never stopped to think of how Mayo was operating in this manner.  How could a surgeon at Mayo afford to spend a whole hour with a patient?  How exactly does a cardiologist have time to run down in the middle of the day to discuss a complicated patient?  If the cardiologist doesn’t bill the consultation, how is the cardiologist being paid? 1/x

Happy Medal Monday! Show off your bling today w pride! You rocked it! #lamarathon

@SheriffDicus Sheriff Dicus. Speaking for myself, but I know also for many more since I’ve been walking the wards and listening the last two days. The law enforcement response was amazing and very comforting ultimately for all. We so appreciate you!

I couldn’t be more proud of the law enforcement personnel who responded to yesterday’s swatting call at Loma Linda Hospital. Their swift and skilled response was a testament to the training and dedication they bring to the job every day. I also want to thank CHP, the Riverside County Sheriff’s Office, and the ten surrounding municipal police departments for their support. The real heroes in this situation were the staff at LLUMC. Their quick thinking and actions—at times barricading patients to keep them safe—were nothing short of incredible. We are actively working with our federal partners at the Riverside FBI office to track down the coward responsible for these threats. As I said last night—this is the wrong county to try something like this. We don’t play here! @LLUMedCenter @CHPsouthern @RSO @FontanaPD @SanBernardinoPD @RialtoPolice @OntarioPD @RedlandsPD @Colton_PD

@RepGregMurphy I’ve been training physicians for 35 years. I don’t for a minute believe this number though open minded enough to reconsider but need to see the data.

#1 reason for MD shortage is Med schools admitting students who aren’t going to practice. Only 60% of med students today plan on practicing clinical medicine. Med Schools need to focus on admitting students who want take care of patients, not just get their MD.

Update - winds now mid-teens. Fragility of infrastructure question still stands.

And lastly, my weather app says that the wind at my home is currently 1 mph, and won’t go above 7 mph for the next 5 days. Is your infrastructure so fragile that it can’t handle 7 mph winds?

@SCE our power has one out again. I totally get that you want to avoid setting a fire. So do I. But can you please tell me why my home and the surrounding two blocks of homes are the only home shut down in the entire city?

I ordered backup batteries months ago, but there’s a backlog. Hopefully the next time this happens we will be better prepared.

Sorry for the rant. I know there are way more people in SoCal with way more challenges than me. My thoughts and prayers are with them. And also for your workers who I know are doing their very best to cope with this situation.

@GerarcBradsy @JonahDispatch The rule was no description. But, this was from my back porch.

@CaptREC @JonahDispatch Wow. Please tell me where this is?

Post a picture of some landscape from a place where you've been, where the main requirement is that you NOT appear in it. Just a picture, no description. Lets travel virtually around the world.

@ShaanAmdani @mgoschu @JCardFail Strong work! Hard to compare outcomes and indications when we are often describing different things and calling them the same. Looking forward to you all using this to finally define the perfect time to transplant a “failed” Fontan. 😆

Important paper! Must read for all #CHD #ACHD physicians ! @mgoschu @JCardFail

@KFRGHeather Hugs

My husband died Saturday. It’s taken me 48 hrs to process. We had been separated for 7 years but remained the best of friends and incredible co-parents to our daughter. Grateful that we could be with him Saturday. Time to be strong for our girl. I trust Him.

@CMichaelGibson Doing nothing is under rated

I took a few days off and did nothing. I mean absolutely nothing. It was not wasted time because I enjoyed it. Sometimes you are tired and need rest. But sometimes you need peace and doing nothing helps. There is never enough time to do all of the nothing that you would like. #cmgsays nothing is everything