Michael Noble, MD

@NotWholeMilk @bluewmist I have a synik 26 for a personal item/under the seat. I think you might be able to get by with a synik 30 but the 26 is no problem.

@DrMikeNoble @bluewmist I’m looking through their store now, these bags look incredible. Do you use any of these as airplane travel carry-on?

What is a 'buy it for life' item that is offensively expensive, but the moment you use it, you realize your entire life before that point was a lie?

I choose taste! This is my #PepsiEntry for a chance to win $25K playing the @Pepsi #PepsiTasteWins jackpot! Tap below and post to enter to win yourself! U.S. res, 18+. Ends 2/8/26, 9:45pm ET. Rules: bit.ly/4sPVh5F

Suppose that once a week, ten men go out for beer and the bill for all ten comes to £100. If they paid their bill the way we pay our taxes, it would go something like this: The first four men (the poorest) would pay nothing. The fifth would pay £1. The sixth would pay £3. The seventh would pay £7. The eighth would pay £12. The ninth would pay £18. And the tenth man (the richest) would pay £59.　 So, that’s what they decided to do. The ten men drank in the bar every week and seemed quite happy with the arrangement until, one day, the owner caused them a little problem. “Since you are all such good customers,” he said, “I’m going to reduce the cost of your weekly beer by £20.” Drinks for the ten men would now cost just £80. The group still wanted to pay their bill the way we pay our taxes. So the first four men were unaffected. They would still drink for free but what about the other six men? The paying customers? How could they divide the £20 windfall so that everyone would get his fair share? They realized that £20 divided by six is £3.33, but if they subtracted that from everybody’s share then not only would the first four men still be drinking for free but the fifth and sixth man would each end up being paid to drink his beer.　 So, the bar owner suggested that it would be fairer to reduce each man’s bill by a higher percentage. They decided to follow the principle of the tax system they had been using and he proceeded to work out the amounts he suggested that each should now pay. And so, the fifth man, like the first four, now paid nothing (a 100% saving). The sixth man now paid £2 instead of £3 (a 33% saving). The seventh man now paid £5 instead of £7 (a 28% saving). The eighth man now paid £9 instead of £12 (a 25% saving). The ninth man now paid £14 instead of £18 (a 22% saving). And the tenth man now paid £49 instead of £59 (a 16% saving).　 Each of the last six was better off than before with the first four continuing to drink for free.　 But, once outside the bar, the men began to compare their savings. “I only got £1 out of the £20 saving,” declared the sixth man. He pointed to the tenth man, “but he got £10!“　 “Yeah, that’s right,” exclaimed the fifth man. “I only saved a £1 too. It’s unfair that he got ten times more benefit than me!”　 “That’s true!” shouted the seventh man. “Why should he get £10 back, when I only got £2? The wealthy get all the breaks!”　 “Wait a minute,” yelled the first four men in unison, “we didn’t get anything at all. This new tax system exploits the poor!” The nine men surrounded the tenth and beat him up.　 The next week the tenth man didn’t show up for drinks, so the nine sat down and had their beers without him. But when it came time to pay the bill, they discovered something important – they didn’t have enough money between all of them to pay for even half of the bill!　 And that’s how it works. Tax them too much, attack them for being wealthy and they just might not show up anymore. In fact, they might start drinking overseas, where the atmosphere is somewhat friendlier.　 For those who understand, no explanation is needed. For those who do not understand, no explanation is possible.

Physicians should be paid like plumbers. Plumbers don't have there rates set by a federal agency. Plumbers don't have to wait for an insurance company to determine if they deserve to get paid. Plumbers can decide to charge more for evening, weekend, and holiday services. Physicians need plumber freedom! @DutchRojas @noahkaufmanmd @notaproviderMD @Freddy_Media

Gold Pass Giveaway! Thank you for 100K Followers. As ever I highly appreciate the support so this Giveaway has 5 Gold Passes. Please read the full post and image. To Enter: 🔁 Retweet this post and Follow Me! 5 x Winners of 1 Gold Pass will be drawn on Friday 4th July. Thank you and good luck!

Today we celebrate the resurrection of Jesus Christ. This is a real event of history. He is RISEN! Skeptical? Here are 10 irrefutable historical facts that show the resurrection of Christ is real: 1) Jesus of Nazareth was crucified under Pontius Pilate. This is one of the most agreed upon facts of ancient history. Pagan historians like Tacitus, Jewish chroniclers like Josephus, and early Christian sources all converge: Jesus was publicly executed by Roman authority. No credible historian—Christian or atheist—denies it. The cross was not a theological metaphor; it was a state-sanctioned death penalty, delivered with maximum shame and finality. 2) He was buried in a known, accessible tomb. The Gospels name Joseph of Arimathea, a wealthy member of the Jewish council, as the man who buried Jesus. If this were a fabrication, using a public figure easily investigated by enemies would be self-defeating. The early Christian creed in 1 Corinthians 15, dated by scholars like James D.G. Dunn to within 5 years of the crucifixion, affirms the burial. This isn’t myth. It’s memory. 3) The tomb was discovered empty by women. In ancient Jewish society, a woman’s testimony was considered unreliable in court. If the resurrection story were invented, placing women at the center of the discovery would be absurd. The only reason to report this detail is because it actually happened. 4) Christianity’s fiercest enemies became its loudest witnesses. Paul (a Pharisee and persecutor) and James (Jesus’ skeptical brother) both claimed to have seen the risen Christ—and their lives were permanently, painfully reoriented. Paul lost his power and prestige. James abandoned his former doubt and was stoned to death for proclaiming his brother as Lord. What changed them? Not a metaphor. A real encounter with the risen Christ. 5) The disciples were psychologically and morally transformed. Before the resurrection, they fled, denied, and hid. Afterward, they stood in synagogues and before emperors declaring Jesus as Lord, knowing it would cost them everything. They didn’t gain wealth or comfort. They gained whips, prisons, and martyrdom. Men don’t die for what they know is a lie—and they had every opportunity to recant. 6) Over 500 people saw Jesus alive—at once. This is not folklore. Paul documents it in 1 Corinthians 15, saying “most are still alive,” effectively daring his readers to investigate. Mass hallucinations do not happen to diverse individuals across multiple locations, including skeptics and enemies, over 40 days. 7) The resurrection was proclaimed immediately—not centuries later. Unlike legends that slowly evolve, the resurrection was preached within weeks in the very city where Jesus was executed. The early creed embedded in Paul’s letters wasn’t developed by theologians in ivory towers—it was carried in the mouths of fishermen, tax collectors, and former zealots who had seen something they couldn’t unsee. 8) The message launched from Jerusalem—the least convenient location. If the tomb still had a body in it, Christianity would have been instantly crushed. The Romans and Jewish leaders had every incentive to expose the hoax. But they couldn’t. Because there was no body to show. And from the epicenter of that threat, the gospel spread like wildfire. If Jesus was dead, why not show the corpse and end the Christian movement? 9) No natural explanation fits the data. Stolen body? Then the disciples died for a con they created. Hallucination? Group sightings, physical contact, and shared meals contradict that. Legend? There wasn’t time—eyewitnesses were still alive and correcting error. Only one explanation covers it all: Jesus physically, bodily, historically rose from the dead. 10) The risen Christ continues to change lives today. Jesus is the most significant historical figure ever. He defeated death, so you may live Accept Jesus in your heart today. Jesus changes everything Thank you @DrFrankTurek for the help 🙏

Healthcare isn’t expensive. Bureaucracy is. Physicians, nurses, and clinical staff are underpaid relative to the value they deliver. The real cost drivers? Health system monopolies, bloated administrative salaries, and vertical consolidation that forces employers and patients into higher premiums and worse care. Break the monopoly. Restore competition. Bring back physician autonomy. #healthcare

@JackPilgrimKSR We didn’t play hard. We didn’t pass well. Poor substitution patterns made it worse. They wanted it more and played like it.

Kentucky gets punked on its own floor against an unranked P5 team. Arkansas won the coaching battle, better prepared and wanted it more. First serious black eye of Mark Pope's career. This is the one BBN wanted more than any other and Cats laid an egg.

@RuppToNoGood Poor effort by our guys. Poor coaching by Pope tonight. And why was chandler playing so much?

The comments are a judgement free zone Have at it

@MattSakR2NG Bad effort. Bad coaching. One of the worst games we’ve played all season. I’m disappointed in Pope especially.

I honestly don’t even care about the narratives with Cal What pisses me off is we let these bums come in our gym and dog walk us Embarrassing

Dr. Aaron Goodman, who led a petition with 20K+ signatures to end MOC, shares his shocking story on Dr. Chadi Nabhan’s podcast. Despite being a leader in hematology, Aaron was listed as "NOT CERTIFIED" by ABIM - all because he refused to pay thousands in back fees for Internal Medicine, a board he chose not to maintain. This is a prime example of how the ABMS monopoly drives physicians out of medicine, worsening the physician shortage. Listen to the podcast and join the movement for change. 🔗 buff.ly/40mn6VP

In case you needed the reminder, CMS is yet again reducing the physician conversion factor: $33.29 in 2024 to $32.35 in 2025. It was #36.68 in 1998. If it kept up with inflation, it would have been $68.58 in 2023. If you're not sure what the conversion factor means for physicians, I discussed it in a previous newsletter here: droubredigest.beehiiv.com/p/understandin… Happy 2025.

Blue Cross Blue Shield will no longer cover anesthesia for the full length of certain surgeries in Connecticut, New York, and Missouri. If a surgery exceeds a specific duration, anesthesia costs for the additional time will not be covered.

Asked and answered. Annual cost of medical insurance premium for family: 2009 $13,704 2010 Obamacare enacted 2023 $23,968 Obamacare increased costs by 75%! Source: Kaiser Family Foundation (#Obamacare supporters)

Internet: Doctors just want to keep us sick so they can keep their jobs. Doctors: Actually, we’d love for everyone to be healthy. Feel free to replace us with AI. We’ll happily go out into the real world and out-compete the lawyers, bankers, and engineers—just like we did in college. Internet: You’re just a Big Pharma shill. Bet you love those fat drug paychecks. Doctors: Wait…where is this Big Pharma money? Because we’re all still paying off student loans with interest rates that could rival a credit card. Truth is, Pharma doesn’t pay us to write prescriptions—we just like helping people. Shocking, I know.

@Joshes_Journal @BigBlueCartii About mid 1990s

@BigBlueCartii How long ago did y’all move on to basketball?

Heartbroken after seeing a young patient with no medical history, end up with a BIFFL GRADE II dissection of the vertebral artery and subsequent acute PICA infarct immediately after a neck adjustment from the chiropractor. This has to stop. Chiropractors - you HAVE to stop.

@RyanTrainorUGA Yeah I just did this. So far I’m very happy with YouTubeTV.

Canceled my DirecTV account. YoutubeTV is the play right??

I’ve known Obama since 1995. We both come out of Chicago politics. I know how it works. He’s behind the campaign to dump 15 million Dem primary voters & replace Biden with his choice. Classic Chicago Democrat machine politics. Selection over election. The bosses over the people.