@RepGregMurphy This graph looks similar to the decay I've seen in medicine over the past 25 years.
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Charles Preston, MD
4.2K posts
Charles Preston, MD
@DocPreston
Orthopaedic Sports Surgeon. Sports, Sports Science, Healthcare Politics. IHS/UCI/UCICOM/NYU/USC Posts are my own and not reflective of anyone but me. 🙂
Walnut Creek, CA Katılım Temmuz 2011
408 Takip Edilen597 Takipçiler
Unless our Medical Schools do a better job of screening admission candidates, we won’t have any Doctors. If you don’t want to practice FULL time for at least 20-25 years, pick another profession.
Paleoncologist@JOSEPH45075332
This graph tells a better story than the average. Almost immediately after graduation, doctors start quitting, and it drops at a continuous pace for 25 years. No plateau. Just continuous decay. Looks as bad as some of the survival curves in oncology! 20% are gone in 5 years! 5 years!! They train for 7 years after college and quit in less than that. They get out as soon as they can! That says one thing clearly - Graduating doctors are realizing that this is not what they signed up for The gaslighting during med school and residency fades fast in private practice. Doctors are not dumb.
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Charles Preston, MD retweetledi
Over 100 years ago medical education was changed for the better. Abraham Flexner provided a report on the status of American and Canadian medical schools that led to standardization of medical education and dramatically advanced the field. Nurse Practitioners need their Flexner Report.
A recent article by @business outlined what many of us in medicine already know…. The field of Nurse Practitioners has been overtaken by those motivated purely by profit who have preyed on unsuspecting nurses looking to advance their careers. Far too many graduates have no experience and are ill prepared for the critical function that midlevels perform in our medical systems. This @BeckersHR article outlines the key problems facing nursing education and I encourage everyone to read and better understand the issue.
There is a significant need for physician assistants and nurse practitioners alike given the increased demand for healthcare in the United States, but that need cannot be used as justification to provide subpar education that puts patients at risk. As a society and a country we must demand better.
beckershospitalreview.com/nursing/the-sh…
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Thank you @SMC_Baseball for the opportunity to care for your athletes. The trust you place in my @GoldStateOrtho colleagues and myself is a privilege.
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Charles Preston, MD retweetledi
PHOTOS! Irvine takes control early, captures CIF playoff victory over Moreno Valley
Photos courtesy John Luciano, For OC Sports Zone
CLICK LINK:
ocsportszone.com/photos-irvine-…
@OCSportsZone @FernandoMDonado @Irvinebaseball @James_Escarcega @JAC0BRAM0S
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Trent Rush, who did the TV games in Toronto over the weekend, will now be the backup play by play voice when Wayne Randazzo is not available.
Also, Kent French will be returning to work on the pre- and post-game shows.
Angels PR@LAAngelsPR
The #Angels released the following statement on Patrick O'Neal's departure from the broadcast team: The Angels organization would like to thank Patrick O’Neal for his 13 years of dedication to the Angels broadcast team. He brought a sense of pride to each telecast, something that was felt by Angels fans watching at home.
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Budget neutrality. There is only one pie and the government pits physicians against each other for the pieces. All subspecialty lobbyist hit congressional offices arguing for their peace while the AMA laughs its way to the bank with the CPT code Monopoly.
That's a crude way of saying it but true.
Hopefully more recent collaboration in the AMA can breakthrough and stop the vicious cycle.
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We absolutely need to worry about the future of specialty care.
If I do a craniotomy for a TBI at 2am, the payment system now financially rewards me more for billing the ICU care afterward than for performing the actual surgery itself.
We can increase primary care reimbursement without creating these kinds of central planning distortions.
Dan O'Neill@dp_oneill
Top-tier #MedTwitter click bait in @Health_Affairs. Here's the thing: 1) We don't need to worry about "sacrificing specialty care." The average specialist makes >$400K. 2) It is entirely reasonable to evaluate the impact of recent payment increases before doing more.
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Our medial knees absorb 2 to 4 times body weight through routine walking and 4 to 6 times body weight while running.
While Mike is bowlegged (Genu Varum) it's safe to say that example is more so in him.
A 10 pound weight loss is going to give a minimum of 50 pound reduction in force through the knees while running.
You can pick up a 45 pound plate in the weight room and feel what that is like.
Great to see him feeling better and playing better this season.
#SportsMedicine
@GoldStateOrtho
Buster Olney@Buster_ESPN
The Angels' slugger is showing glimpses of his former MVP self, but will it last? He thinks so. Here's why. espn.com/mlb/story/_/id…
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Yes, no, maybe here.
Every free agent set up for a big money deal like that submits all medicals and MRI elbow, shoulder, lumbar spine to a potential team for review.
Elbow arthroscopy or not, the elbow will be thoroughly evaluated prior to signing a big free agent contract.
While loose bodies can be concerning for valgus extension overload and potential longer-term problems, people would be amazed what these athletes live with and can perform with.
Let's hope this phenomenal player can get back to doing what he loves soon.
Front Office Sports@FOS
Tarik Skubal was positioned to command a record-setting contract for a pitcher this coming offseason. Now, that's in doubt after news the two-time Cy Young Award winner will have arthroscopic surgery to remove loose bodies from his left elbow.
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Charles Preston, MD retweetledi
Holding people accountable to high standards is nothing to apologize for.
Failing to stretch them to their potential is.
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There is nothing to debate on E-Bikes. That is the most bipartisan issue out there.
They need to be regulated and the laws enforced.
The orthopedic injuries alone are the tip of the iceberg in the tragedy physicians see on the front line following collisions.
Ashley Zavala@ZavalaA
California Politics 360 this Sunday: • Senate Transportation Committee Chair @SenDaveCortese on High-Speed Rail. •@TonyThurmond on his run for California Governor •The debate over E-bikes in CA featuring @CalBike @AGRobBonta
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@TreadHQ You guys give a master class in the sweeper. Phenomenal content. 🙏🏼
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Sweepers are one of the most effective putaway pitches in the game. But big shapes struggle when they're not shown in zone.
Batters will narrow you down if you can't land it early in counts. If you can, you'll generate more chase and more swing and miss once you expand.
The sequencing typically goes small to big.
✅ Zone a cutter, gyro slider, or small traditional slider early
✅ Expand with the sweeper in leverage counts
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This can’t be real…
Secretary Becerra administered a patient protection bill so poorly that he was sued four times and lost all four cases in federal court. Has that even happened before?!?
Who sued him? The Texas Medical Association.
Why was he sued? Because he wrote anti-physician, anti-patient regulatory language that was at direct odds with the actual words in the patient protection bill that Congress passed
Who did his illegal language help? insurance companies. That’s right… he put insurer profits in front of patients and physicians
I don’t live in California and have not spent time dissecting each of the candidates in the California governor race, but making a statement that the Secretary has demonstrated a commitment to access, protecting patients, and supporting physicians couldn’t be further from the truth based on his last four years in office.
@IndeMedAction
California Medical Association@CMAdocs
“Xavier Becerra has demonstrated a deep and sustained commitment to improving access to care, protecting patients and supporting physicians throughout his career in public service,” said CMA President Dr. René Bravo. cmadocs.org/newsroom/news/…
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To be clear, there are bipartisan bills that move through Congress every year to help clean up healthcare delivery. They never get to the finish line.
At this point, unfortunately, the train is too far out of the station and about to go off a cliff.
Physicians voices are neutered by the consolidation and practice employment that came from the ACA. Also, by the reimbursement ceiling being lowered while the overhead floor rises.
Think of a basement slowly flooding. The water is almost overhead.
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This is a pretty solid explanation of the state of our commercial insurance healthcare system.
Both sides of the aisle are to blame for letting it get this way.
The affordable care act which was well intended to capture uninsured lives has been like gas on a fire.
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@leftcoastbsbl 💯 Just look at the example of Cal and Stanford. Two top academic institutions flying their student athletes around the country. Can a science major have a class with a lab?
Five trips a year on a chartered flight in football is so much different than every other sport.
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Go look at the record books of any non revenue sport. Before the last 10-20 years almost all games were regional. No need for tennis, golf, swimming to travel to Hawaii, Arizona, Florida and Texas all in one year. Play local and shrink the conferences back to what they were and the expense side will take care of itself.
There should be football conferences and then everything else.
Matt Jones@ByMattJones
NEWS: Arkansas is discontinuing its men's and women's tennis programs — the first programs cut by the Razorbacks since men's swimming and diving in the early 1990s. This will leave Arkansas with 17 sports. More coming later today at WholeHogSports.com.
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Charles Preston, MD retweetledi
We can show you how to reduce your risk of an ACL injury… while we make you a HIGHER PERFORMING ATHLETE!!!
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Wrapping up an outstanding #COA2026 meeting in Santa Barbara with talented colleagues from @GoldStateOrtho
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