Dr. Ruben Kalra MD, MBA
204 posts

Dr. Ruben Kalra MD, MBA
@DownWithThePain
Harvard trained Critical Care/Anesthesiology/ Chronic Pain M.D. leading a paradigm shift in how we assess & treat chronic pain. DE&I official-city of Tiburon
San Francisco, CA Katılım Ağustos 2009
258 Takip Edilen215 Takipçiler

Here’s the Chest X-Ray of a young boy suffering from a condition that is now the #1 cause of death in children and adolescents in the U.S.
What’s the diagnosis?

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@BillAckman @SecYellen @firstrepublic The inefficiency of the set of heterogeneous resource allocation databases we call money is astounding
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.@SecYellen has apparently pushed the SIBs to recycle some of the deposits they received from @firstrepublic back into FRB for 120 days. The result is that FRB default risk is now being spread to our largest banks.
Spreading the risk of financial contagion to achieve a false sense of confidence in FRB is bad policy. The SIBs would never have made this low return investment in deposits unless they were pressured to do so and without assurances that FRB deposits would be backstopped if it failed.
The market has responded to this fictional vote of confidence with a 35% after-market decline in FRB stock.
FRB is no SVB. It is a well-managed, well-capitalized, high-service bank with good assets that is beloved by its clients. It is caught up in a bank run due to no fault of its own. It does not deserve to fail.
We need a temporary systemwide deposit guarantee immediately until expanded and modernized @FDICgov insurance system is made widely available.
The press release announcing the $30B of deposits raised more questions than it answers. Lack of transparency causes market participants to assume the worst.
I have said before that hours matter. We have allowed days to go by. Half measures don’t work when there is a crisis of confidence.
Again, I have no investments long or short in the banking sector. I am simply extremely concerned about financial contagion risk spiraling out of control and causing severe economic damage and hardship.
We need to stop this now. We are beyond the point where the private sector can solve the problem and are in the hands of our government and regulators. Tick-tock.
Genevieve Roch-Decter, CFA@GRDecter
Banks making deposits into First Republic Bank: $5 billion each: Bank of America, Wells Fargo, Citigroup and JPMorgan Chase $2.5 billion each: Goldman Sachs and Morgan Stanley $1 billion each: Truist, PNC, U.S. Bancorp, State Street and Bank of New York Mellon.
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Rhythm Strip from @AliveCor This is "serious" First Degree AV block with a PR interval of 343 msec! There is probably a pacemaker in this patient's future.

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Rhythm Strip from @AliveCor Here is a variation on Electrical Alternans where every other beat of this SVT (168 bpm) is RBBB. Mechanism? @narrowQRS @dlschermd @adribaran @gregorymmarcus

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@chrissyfarr Happy to be one of the Last of the Mohicans.
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@chrissyfarr This is not about entrepreneurship if there is an insurance oligopoly that strangles private practice physicians. Even with this record inflation, physician reimbursement has been cut for many private practices. US healthcare will not improve till payor issues are resolved
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@chrissyfarr You sound moderately-complex. It’s a compliment- level 4!
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@halletecco Spirit Rock in person spiritrock.org
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@Sonoma__Harvest @AviatorNation Thanks for bringing some cups to the water station
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We are excited to announce our Sonoma Harvest Merch Partnership with @AviatorNation!
Get exclusive Sonoma Harvest x @AviatorNation co-branded Merch at the @AviatorNation store within the festival! 🙌

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@Sonoma__Harvest @AviatorNation Great concert. Unless you want some casualties, Get some cups over to the water station asap. I already advised Rock Med, but they saud tgeir hands were tied. Medical team is swamped and only getting hotter, a shout out by the bands to hydrate- critical care doc advice- Dr. K
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