
Scott Lake
5.6K posts

Scott Lake
@doclake
Palliative Medicine Physician - Matching Treatment to Patient Goals (tweets my own)
Charleston, SC 参加日 Mart 2009
2.6K フォロー中3.1K フォロワー

@RadioWyatt I was in the Superdome when Dontae helped bring home the SEC championship
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𝐃𝐨𝐧𝐭𝐚𝐞 𝐉𝐨𝐧𝐞𝐬, #𝟑𝟐 – He wore a Bulldog uniform for one season, but it was one to remember. 𝙎𝙏𝘼𝙏𝙀 fans still talk about the things we saw Dontae do thirty years ago during the '95-'96 season. After personally dominating the SEC Tournament, beating Kentucky in the title game, and being named SEC Tourney MVP, he helped lead 𝙎𝙏𝘼𝙏𝙀 to the Final Four in the NCAA Tournament. Dontae turned in a double-double (13pts, 10 reb) in the NCAA tourney opener vs VCU. He notched another double-double in the Sweet Sixteen vs Connecticut with 13 points and 10 rebounds. Against Cincinnati in the Elite-8, with a trip to the Final Four on the line, Jones got hot and poured in 23 points and grabbed 13 rebounds. Following the '96 season, Jones was drafted in the first round of the NBA draft by the Boston Celtics. His time at 𝙎𝙏𝘼𝙏𝙀 may have been short, but in the history of the program 𝐍𝐎𝐁𝐎𝐃𝐘 𝐰𝐚𝐬 𝐛𝐞𝐞𝐧 𝐦𝐨𝐫𝐞 𝐞𝐥𝐞𝐜𝐭𝐫𝐢𝐜 𝐢𝐧 𝐚 𝐁𝐮𝐥𝐥𝐝𝐨𝐠 𝐮𝐧𝐢𝐟𝐨𝐫𝐦 𝐭𝐡𝐚𝐧 𝐃𝐨𝐧𝐭𝐚𝐞 𝐉𝐨𝐧𝐞𝐬. –– 𝘐 𝘤𝘢𝘯'𝘵 𝘴𝘢𝘺 "𝘵𝘩𝘢𝘯𝘬𝘴" 𝘦𝘯𝘰𝘶𝘨𝘩 𝘵𝘰 𝘋𝘰𝘯𝘵𝘢𝘦 𝘧𝘰𝘳 𝘮𝘦𝘦𝘵𝘪𝘯𝘨 𝘮𝘦 𝘪𝘯 𝘕𝘢𝘴𝘩𝘷𝘪𝘭𝘭𝘦, 𝘩𝘪𝘴 𝘩𝘰𝘮𝘦𝘵𝘰𝘸𝘯, 𝘢𝘯𝘥 𝘨𝘪𝘷𝘪𝘯𝘨 𝘮𝘦 𝘴𝘰𝘮𝘦 𝘰𝘧 𝘩𝘪𝘴 𝘵𝘪𝘮𝘦 𝘪𝘯 𝘧𝘳𝘰𝘯𝘵 𝘰𝘧 𝘮𝘺 𝘤𝘢𝘮𝘦𝘳𝘢. 𝘐'𝘭𝘭 𝘢𝘥𝘮𝘪𝘵... 𝘐'𝘮 𝘴𝘵𝘪𝘭𝘭 𝘢 𝘣𝘪𝘵 𝘴𝘵𝘢𝘳𝘴𝘵𝘳𝘶𝘤𝘬 𝘢𝘳𝘰𝘶𝘯𝘥 𝘩𝘪𝘮. 🙏


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Scott Lake がリツイート

New year.
More ABIM (spending my day off doing my MOC)
More fees
Hope they are still getting awesome salaries for their executives
The only country in the world where your medical certification goes on and on♾️, helping the ABIM stay afloat…
#ABIM @doctorwes

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Despite the Democrats’ government shutdown, @DeptVetAffairs medical centers, outpatient clinics, and Vet Centers are open as usual and providing all services. VA benefits are continuing to be processed and delivered, including compensation, pension, education, and housing benefits. Learn more at: department.va.gov/contingency-pl…
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“Kiddie table” (PERFECT description). Been there done that. Silly enough to think I might make a difference once by revealing fraud of @ABIMcert -> we’re still being extorted over annual MOC fees -> All a brainchild of @AmerMedicalAssn from whom @ABMSCert and @ABIMcert sprung.
Art Fougner PGY50@sonodoc99
Well said - but saying that, just make sure that’s not the kiddie table
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@drjohnm Currently suffering with you. Have a retired neighbor that blows 30m EVERY day
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Scott Lake がリツイート

Here’s a proposal for DOGE to reduce physician burnout and improve physician access: revoke the nonprofit status of monopolistic federal “medical organizations” such as the American Board of Medical Specialties (ABMS) and its specialty subsidiaries, and file an injunction to stop the Maintenance of Certification (MOC) process. These organizations force physicians to “maintain” their hard-earned board certification by paying annual fees and participating in various activities that claim to maintain and improve quality. This is in addition to—and often just as burdensome, if not more so, than—the Continuing Medical Education (CME) requirements that all physicians must complete regularly.
There is no evidence that these activities, which are largely generic and disconnected from actual clinical practice, provide any meaningful benefit. They were gradually introduced over the past few decades by fiat and imposed without question, leaving no control group or clear metrics for evaluation. This is unrealistic from the outset, given that every physician manages different patients under unique circumstances.
The MOC process—now renamed the Continuing Certification Process (CCP)—directly impacts a physician’s ability to obtain insurance credentialing, hospital privileges, and malpractice insurance rates. This amounts to a cartel-like system that drains physicians of their time and money, enforced under the threat of severe financial consequences and loss of professional standing. And this happens after a physician has already completed specialty training, passed board exams, and been certified.
Ironically, these measures were introduced under the banner of “public demand.” Yet few outside the medical field even know what these boards are or what they do. Meanwhile, non-physician professionals are now creating their own “boards” and claiming “board certification,” further eroding what little public awareness or prestige the concept of board certification ever had.
In summary, the Maintenance of Certification system is a monopolistic racket that forces physicians to spend valuable resources without proven benefit. It demoralizes countless physicians, restricts patient access to care, and has become increasingly meaningless to the public with the rise of alternative professional boards.
@elonmusk
@DutchRojas
@realdocspeaks
@noahkaufmanmd
@anish_koka
@CoffeeBlackMD
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@ABIMcert portal is down. Unable to do MOC questions. And call center unavailable. Unacceptable @ABIMFoundation
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Scott Lake がリツイート

“Available data do not confirm that lecanemab and donanemab are disease-modifying.” #Alzheimers #endalz alz-journals.onlinelibrary.wiley.com/doi/full/10.10…
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@suzie_bash @LEAD_Coalition Not clinically significant and 1/4 developed cerebral edema. Think it’s hard to get an MRI now. Wait until they’re clogged up with routine scans for these drugs
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Exciting new options for patients with early #Alzheimer's disease!
Eli Lilly's #Kisunla (#donanemab) was just approved this morning by the #FDA for treatment of early AD.
This makes 2 disease-modifying amyloid-targeting therapies now available to patients with early #AD, as Eisai's #Leqembi (#lecanemab) was granted traditional FDA approval on July 6, 2023.
Kisunla slowed cognitive and functional decline by 35% compared to placebo at 18 months in the Phase 3 #Trailblazer trial, with nearly half (47%) having no disease progression at 1 year (CDR-SB).
By comparison, Leqembi slowed cognitive decline in the #Clarity-AD trial by 27% at 18 months but importantly, substudy analysis demonstrated that 76% of patients on Leqembi had no cognitive decline at 18 mo and 60% had clinical improvement (CDR-SB) at 18 mo in the low-tau group. Leqembi also targets highly toxic #protofibrils to help further mitigate against brain injury.
Patients with less advanced disease (lower Tau burden) outperformed those with more advanced disease in both the Kisunla & Leqembi trials, confirming that the earlier the treatment is initiated the higher the clinical benefit.
Symptomatic #ARIA was 6% for Kisunla and <3% for Leqembi.
Both drugs did an excellent job at removing #amyloid plaque burden from the brain on Amyloid #PET.
Kisunla's cost will be $32K/yr (compared to $26.5K/yr for Leqembi). CMS approval for broad Medicare coverage is applicable to both drugs.
Link: investor.lilly.com/news-releases/…
@RadNetImaging @RadNet_Inc @EliLillyandCo @eisaiusneuro @Eisai_SDGs @alzassociation @alzheimerssoc @TheASNR @RSNA #neurorad #radres @CMSGov @US_FDA

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Only @ABIMcert would conduct “routine” website maintenance during weekend hours when docs taking MOC exam @doctorwes

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Scott Lake がリツイート

It was such an honor to chair this panel at ASCO and to emphasize that respecting our humanity as oncologists and doctors in general means understanding the difference between cure and care, to understand our suffering alongside that of our patients.
Mark Lewis, MD, FASCO@marklewismd
.@SunitaPuriMD suggests that, if we are to heal ourselves as oncologists, we need to separate the endpoint of cure from the delivery of meaningful care What if sitting at bedside with a dying patient mattered as much to our self-worth as an exceptional response? #asco24
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Scott Lake がリツイート

Greed is destroying American health care - including hospice care! Outrage is warranted. Let's raise our voices! Sign the Declaration Against GREED in Health Care votervoice.net/Shares/B9TG9Ak…
Scott Lake@doclake
Preying on the dying: how private equity gets rich in #hospice care. #hpm @ceprdc @IraByock @DianeEMeier cepr.net/wp-content/upl…
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Preying on the dying: how private equity gets rich in #hospice care. #hpm @ceprdc @IraByock @DianeEMeier cepr.net/wp-content/upl…
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Scott Lake がリツイート

ABIM Maintenance of Certification (MOC) for physicians is a redundant imposition leading to burnout and resentment.
Physicians are voicing their concerns to the DOJ which wants to hear from us. See thread for link.
@InfoNbpas @AaronGoodman33 obroncology.com/article/oncolo…
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