runnERdr

@NeilFlochMD No sir. Give me a good reason someone in their 80s with advanced dementia should be on a DOAC for afib. Or why someone who falls frequently is on Coumadin. I see it all the time. Every. Single. Day.

@RdrRunn Monday morning quarterback

As a trauma surgeon I have seen so many horror stories from elderly patients using anticoagulants such as Eloquis, Xarelto and others - I see brain bleeds, hemorrhagic stroke, retroperitoneal bleeding…. But I know that although I may see 10 of these patients every time I am on call…. There are millions of others where these medications have saved lives, prevented stroke, prevented embolization and infarcts and many other beneficial effects. As a physician any patients with a bariatric complication will contact you because you are their doctor- realize you are the front line and you see the complications- we must rely on data and studies that give a big picture that is more accurate than opinion.

@Philosornis @PaulSkallas Welcome to 2026! Your claim was debunked years ago. It was the Ukrainians, no CIA assistance

@PaulSkallas Europe will return to the Russian energy market immediately. How long does it take until the CIA’s destroying Nord Stream leaves a bad taste in European’s mouths?

Think of what Putin did during this war. Took 20 percent of Ukrainian territory Killed 500,000 Ukrainian men Sent a unified multi-religious, multi-ethnic army to fight for the Russian federation Russian economy did not collapse under sanctions Sent 500,000 Ukrainian women into the brothels of Europe Stared down the US and EU

@PaulSkallas It has cost him $1 billion per day — $1.3 trillion and counting — plus 350,000 dead Russians amid an already severe demographic crisis, and the exodus of more than a million of the country’s most talented people...plus complete depletion of soviet arms.

@OmarBaddar Terrible comparison. Billionaires don't own cash. It's abstract speculation.

If we were a small community of 50 people & one person decided to hoard half the collective food available while several people were starving, we'd immediately recognize the grotesque unfairness. But when you scale up to 350 million people & diffuse the injustice, you start believing that some people "earned" their billions while millions of people who work infinitely harder deserve not being able to have basic financial security.

@JDabknee tell me you've never been to Utah without telling me lol

Reminder that suburbs are parasites that leech off of the city’s agglomeration effects without contributing to her prosperity

@anishmoonka Are you arguing that sponges are making people ill? Because they aren't. Did you know you have far more bacteria on your body(and in) than you have your own cells? By an order of magnitude.

The research behind this is wild. Your kitchen sponge has the same density of bacteria as human stool. German scientists found 54 billion bacterial cells per cubic centimeter inside used sponges in 2017. Yours is sitting right next to your sink. Sponges are the perfect home for bacteria. They are wet, warm, full of food bits, and never fully dry between washes. Across all 14 sponges, the team found 362 different types of bacteria. The most common species include strains that can make people sick. In 2011, the public health group NSF International swabbed 30 things in 22 American homes. The dirtiest object in the entire house was the kitchen sponge. It was dirtier than the toilet seat. 75% of the sponges tested positive for the kind of bacteria that includes Salmonella and E. coli. Microwaving does not clean the sponge. The 2017 study found microwaved sponges had higher amounts of the smelliest, most harmful bacteria. Heat kills the weak strains. The strong ones survive and refill the sponge with no competition for space. A 2021 Norwegian study compared kitchen sponges to dish brushes. In brushes, Salmonella was wiped out within three days because the bristles dry out between uses. In sponges, bacteria climbed to about a billion cells per sponge. The lead researcher told CNN that one kitchen sponge can hold more bacteria than there are people on Earth. Three things actually work. Switch to a dish brush, because brushes dry fully between uses while sponges stay wet for hours. Replace your sponge every one to two weeks. Never leave it sitting wet in the sink. Norway and Denmark already do this by default, but most other countries don't. The detergent is fine. Your sponge is the problem.

@MyLordBebo powerhouses

🇷🇺 Russia's MFA publishes list of foreign delegations arriving in Moscow for Victory Day celebrations: 1. President of Republic of Belarus, Alexander Lukashenko 🇧🇾 2. President of the Lao People's Democratic Republic's, Thongloun Sisoulith 🇱🇦 3. Supreme Ruler of Malaysia, Sultan Ibrahim 🇲🇾 4. Prime Minister of Slovakia, Robert Fico 🇸🇰 5. President of Republika Srpska (Bosnia and Herzegovina) 🇧🇦 6. Chairman of the National Assembly of Republika Srpska Nenad Stevandić 🇧🇦 7. Chairman of the Union of Independent Social Democrats of Republika Srpska, Milorad Dodik 🇧🇦 8. President of Republic of South Ossetia, Alan Gagloev 9. President of Republic of Abkhazia Badra Gunba

@follard We found a rare non-hoa community in Arizona. 7 years later, next door neighbors still have a pile of dirt and weeds in front of their $2 million home. Buyers remorse.

America has quietly become an HOA country. Drive through almost any new neighborhood and ask yourself, "how much freedom do you actually have here?" Can't park here, can't build that, can't paint this, can't rent that, can't store this. People say they want affordable / attainable housing but then regulate every ounce of flexibility out of it.

@DanFriedman81 No sir. Sample size. Google it.

Endurance running is one of the only athletic events where women outperform men at the highest levels.

@bikelakecity Humans are the most adaptable species on the planet. We have cities in every imaginable climate. Your opinion is retarded

Utah County pushing its growth to Eagle Mountain and Saratoga Springs is clear evidence of housing policy failure if you have eyes to see it. Next they'll say we have no choice but to subsidize new freeways out to where people shouldn't be moving in the first place #utpol #slc

@KATUNews This isn't rocket science. It's unconstitutional. I'm assuming it requires a 2/3 congressional amendment....how amendments are always passed.

The Washington Supreme Court denied a bid to allow a public referendum on the state’s newly enacted "millionaires tax" on Monday, ruling that the measure is exempt from voter challenge under the state constitution. katu.com/news/local/was…

@MissJilianne It should all be funded by magic fairies

I think it’s disgusting the United States charges $100 per person visiting our country to enter a National Park. Embarrassing too!

@MrsFrizzled @operationdanish Let me guess, they gave you steroids and antibiotics for your cold?

@RdrRunn @operationdanish I disagree fully. I have had excellent care every time I went to an urgent care office.

Why Urgent Cares are bad for your health (and healthcare). A funny thing happened over the last decade. We started building urgent care centers on every corner and told ourselves this meant healthcare had become more accessible. But if you look a little closer, it starts to feel like the opposite. Urgent care works the way a convenience store works. It’s there when you need something quickly. It solves the immediate problem. But no one would argue that a convenience store is a substitute for a real food system. It’s what shows up when the real thing isn’t doing its job. Primary care used to be the place where someone actually knew you. Not just your chart, but your patterns. The way your blood pressure creeps up when you’re stressed. The fact that your “sinus infections” always come back in the winter. The small things that only matter because they repeat. Urgent care can’t see any of that. It drops into your life for a single moment, makes a decision with incomplete context, and disappears. Then it happens again, somewhere else, with someone new. Over time, you end up with a pile of disconnected decisions instead of a coherent plan. And that’s the part no one talks about. The system feels faster, but it’s also thinner. More touchpoints, less understanding. So the spread of urgent care isn’t really progress. It’s what fills the vacuum when primary care stops being available, or stops being enough. The question isn’t why urgent care is everywhere. It’s why it had to be.

@wahlstedt007 As an American who just got back from London where the underground was completely locked down for days due to never ending strikes, it often felt like a banana republic.

As a German, I find the political situation in United States very stressful. How hard must it be for the American people???

@wahlstedt007 Maybe Europeans misunderstand the American political system? Our executive branch is the weakest in the developed world. Enormous restrictions from checks and balances. Republicans are about to get destroyed in the midterms. House and senate gone for Trump.

@jonburkeUK While you're MASSIVELY overstating the environmental impact, I find these lids to be a super cool solution to a tiny problem. Never had even the slightest issue with the design in Europe. Paper straws though? I'll die on that hill. Massively inconvenient, minimum benefits

Bottle caps are a major source of pollution, with up to 128 caps per kilometre of beach recorded in some areas. Linking the cap to the bottle creates one item of waste & reduces litter. The fact that Tom Harwood doesn’t know how to use a drinks bottle is the problem here.

It's brutally competitive for an unhooked kid(no legacy/URM) to get into an elite school. MAYBE 10,000 spots per year available out of ~2 million college-bound seniors. You need a 4.0 GPA (loads of AP classes) plus >99th percentile SAT, standout extracurriculars. That's A TON of studying.

@aakashgupta So they get into an elite school where they are nowhere near ready to compete intellectually with their peers? Not because they're stupid, but because they spent all their free time practicing and no time studying.

Let me explain exactly why parents pay $25,000 a year for youth sports their kid will never play professionally, because the math is more interesting than the headlines suggest. The $25K is buying admissions arbitrage at elite colleges. Run it both ways. Scholarship math first. The US has 8 million high school athletes. Roughly 7% play in college, 2% at D1. Total NCAA athletic scholarship spend is $3.6 billion across about 175,000 D1 athletes, mostly partial aid in the low teens per year. A family putting in $25K annually from age 6 to 18 spends $300K chasing a maximum return of about $80K. The expected value is a lottery ticket. Admissions math second. The SFFA v. Harvard trial disclosed that recruited athletes get admitted at 86%. The non-athlete rate sits around 5%. Even academically weak applicants jump to a 98% admit probability if recruited. A non-athlete with a 1397 SAT has roughly 0.08% odds at Harvard. The same kid recruited for crew has 70%+. The athletic hook is the largest single advantage in elite admissions, bigger than legacy or dean's list. Ivies don't even offer athletic scholarships. The value is purely the admissions ticket. This is what $25K buys. Year-round travel ball is the qualifier round for an admissions process operating on different rules than the one your kid's classmates compete in. The "country club sports" pipeline (squash, lacrosse, crew, fencing, golf) is a feature. Barrier to entry is the product. 90% of Ivy League squash players come from $30K-a-year private high schools. The math works because the alternative pool is small. PE arrived after the demand existed. Unrivaled Sports, Perfect Game, regional travel-ball roll-ups. Upper-middle-class parents had already turned youth sports into a class transmission mechanism. PE consolidated the supply chain and raised prices because the buyers were already there at $25K. $300K to convert a 4% admit rate at an Ivy into an 86% one. Plus the alumni network and pre-professional sorting that follows. That's the actual equation. The trade is rational at the top of the income distribution. Brutal everywhere else.

@farazamiruddin Most people in Paris will never own a car, will never know what it's like to have their own backyard. Americans freely chose to leave dense urban cityscapes for the suburbs post WWII. They voted with their feet...err wheels

I suspect more than 18% don’t want to drive. Most people in America will NEVER experience what it’s like to live in a walkable city. Visiting NYC for a week doesn’t count. You don’t know what you don’t know.