Jamie Pollock MD

take a chance by abba is a creepy ass song if you think about it

@MikeBenzCyber Maybe bring back scratch and sniff books.

Sometimes I like to play a game called “Is This The New Resident Evil Video Game Or Is This The State Of California?”

@DrJBhattacharya @MargaretManto Isn't dissent science?

@MargaretManto This is clickbait. I differ on scientific matters with nearly everyone about some things. I learn much from respectful conversations about those disagreements, including especially with Sec. Kennedy.

NEWS: In a meeting with CDC staff, Jay Bhattacharya said he and RFK Jr. have disagreed on "scientific matters" and that the new CDC director nominee will be announced tomorrow: notus.org/health-science…

@EricRWeinstein I bet there a lot of yeses in the mtg.

Remember what I have been warning you. There is a new narrative: TECH BILLIONAIRES > Engineers > scientists [This is PCAST. S was for Science.]

if we're talking about a meaningful, sustainable "COLA" (or payment update) for Medicare physicians, many advocates (especially the AMA) argue it should start by addressing the full 33% cumulative real-term decline in payments since 2001, when measured against the growth in practice costs via the Medicare Economic Index (MEI). ama-assn.org Why the 33% Gap MattersFrom 2001 to 2025/2026, nominal Medicare physician payments (via the conversion factor) have been roughly flat or slightly up in some years due to temporary congressional patches. But practice costs (staff wages, rent, supplies, malpractice insurance, etc.) have risen steadily with the MEI — roughly 59% cumulatively over that period. Result: Real purchasing power of Medicare payments has fallen ~33%. This is the core erosion physician groups highlight. medicaleconomics.com

Single payer COULD cut cost and improve care but there are 2 fundamental issues. 1. All plans proposed have placed the Sec of HHS in charge of the program. You can't have a political appointee in that position and it's hard to de-politiicize HC in this country 2. They assume that they can get providers and specialists to accept whatever rates they set. You are talking about organizations that in most cases, don't even know their costs. Why ? They don't want to know their costs. For lots of reasons to long to dig into here Proponents of M4A have to first get hospitals to the point where they can define all their costs and do a Bill of Materials for procedures. You can't negotiate a price for all Americans if you don't know what your costs are It's Shark Tank 101. So we get a stalemate. Politicians don't do the work needed. Hospitals and providers avoid the work needed Other countries started on their path to universal care decades and decades ago. When healthcare was much simpler technically and fiscally. If senators won't support the Break Up Big Medicine Bill or anything comparable , there is no chance of getting to single payer. Our politicians don't have the backbone to do what is needed. You can call out all but Hawley and warren. No one else has uttered a syllable in support

@cremieuxrecueil Interesting, so genetics does make a difference.

A new study has just come out. It shows that people who naturally have lower myostatin levels due to myostatin-disrupting genetic variants are also... Healthier! They're taller, stronger, they have lower body fat percentages, and they generally look healthier!

@Kleanisklean And I had such great hope!

Game sucks amiright?

@ExxAlerts May I suggest at least a sign for the squirrels on dangers of nicotine.

ALERT: Animal groups are sounding the alarm over vaping squirrels, revealing that eating vapes is not part of their natural diet. "Eating a vape isn’t part of their natural diet. The components aren’t something they encounter in nature,” said red squirrel expert Craig Shuttleworth. ”You don’t want animals ingesting nicotine. They don’t encounter nicotine in the wild…” said an RSPCA spokesman, according to the Telegraph.

@EricRWeinstein The enforcement mechanism is what changed. Lysenko needed the state visibly. The LLM version encodes political capture invisibly, it presents laundered consensus as neutral inference. Harder to identify, harder to falsify, wider distribution.

Large numbers of people agreeing to stories that sorta make sense is a real problem in the age of AI. The LLMs are now being trained on failed consensus programs. Lysenkoism was such a consensus in biology that took over the Soviet Union. Science must defeat consensus science.

JUST IN: Delta Air Lines has SUSPENDED special escorts and some VIP airport perks for members of Congress until the partial government shutdown ends and TSA workers are paid. Statement: “Due to the impact on resources from the longstanding government shutdown, Delta will temporarily suspend specialty services to members of Congress flying Delta.” “Next to safety, Delta's No. 1 priority is taking care of our people and customers, which has become increasingly difficult in the current environment.”

@Paul_Wischmeyer Did in ER, GSW.

Emergency thoracotomy demonstrating lungs inflating and heart beating 💬 Has anyone been in the ER or OR for one of these before? This is one of the most intense, high-stakes procedures in all of medicine. Performed in the setting of catastrophic trauma, an emergency thoracotomy is a last-resort, life-saving intervention—done when seconds matter and conventional resuscitation has failed. By opening the chest, surgeons can: 🫀 Relieve cardiac tamponade and restore circulation 🫁 Directly assess lung and airway injury 🩸 Control massive hemorrhage ⚡ Cross-clamp the aorta to preserve blood flow to the brain and heart Survival is rare—but not impossible. 👉 Patients with isolated cardiac injuries have the best chance of survival 👉 Outcomes drop significantly with multi-chamber, great vessel, or pulmonary hilum injuries This is trauma care at its most raw—where anatomy, physiology, and decisive action collide in real time. 💬 Would you recognize when this is indicated? 💾 Save this to review critical trauma concepts 👥 Share to educate others on high-acuity resuscitation Thanks to @medicaltalks

@WallStreetApes Her account is historically accurate for its era. But presenting it as a 2026 indictment without acknowledging that the replacement system has its own capture architecture is incomplete analysis.

“I worked for Big Pharma. What I saw will shock you” - 5 day snorkeling vacations to doctors - California Big Pharma reps giving doctors $15,000 Birkin handbags - $6,000 Armani suits and expensed it on their expense reports - Strip clubs, lap dances, you name it - Rent a box for a big concert to Phillies games, Eagles games - Extravagant Golf trips - “They received it as gifts and bribes” And SO MUCH MORE. A pharmaceutical rep of 32 years exposes it all:

@IMAO_ Or what if you get a payout for every extra time?

Twitter needs an "Okay, I've seen this!" button so it stops putting the same tweets at the top of your feed.

@StanfordPain As well as the benefit of strong kappa antagonism.

About Intravenous Buprenorphine for Acute Pain A thread.

@noahkaufmanmd Hope someday for you to teach me about this stuff.

Holy moly

@DrIanWeissman Interesting association, but this is cross-sectional NHANES data using 1–2 day dietary recalls. It can’t establish causality, combines processed and unprocessed meat, doesn’t distinguish diabetes types, and is vulnerable to residual confounding.

Eating a lot of red meat, especially processed varieties, may increase the likelihood of developing diabetes by almost half. This risk increased with each additional serving of red meat. medicalnewstoday.com/articles/eatin…

@AbudBakri Yes, and yes.

In an era of AI and influencers, good physicians are going to become in even higher demand Any algo based medical job will be replaced But being personable, having a personal brand, thinking rigorously, and leveraging AI tools will be a golden age for doctors

@Papa_Heme @EvidenceOpen I could get with that.

@EvidenceOpen has already dethroned UpToDate. They now need to just design their own EMR which will retire Epic swiftly.

🚨 LIVE WEATHER SEGMENT COLLAPSES — HOT MIC CATCHES WHAT THEY WEREN’T SUPPOSED TO SAY This was supposed to be a routine weather forecast on KFDX in Texoma. Both smiling. Calm. Professional. She confidently says there’s no rain in the forecast. He immediately cuts her off: “Did you just say there’s no rain in the forecast?” His expression shifts. Not joking. Not playful. Sharp. She starts explaining. They begin talking over each other. You can see the tension building in real time. Then the control room suddenly cuts to a weather graphic. Too late. The mics are still hot. And now it unravels. “I just said a second ago—” “Well I’m not talking—” Voices stepping on each other. Then she fires: “Stop trying to correct people and just do your job.” He snaps back: “I just don’t know why you don’t listen to me.” She goes for the knockout: “Because you’re BORINGGG.” Him: “Oh wowww… wowwww!” This didn’t feel like a disagreement about rain. The comments are spiraling: “Are they married?” “That was personal.” “There’s history there.” “Something is going on behind the scenes.” Was this about the forecast… or something that’s been building for a long time?

@DutchRojas @BobTahara Still herding.

@BobTahara Physicians do not fight together and they do not build structure.

Physicians have become the most disempowered “stakeholders” in the entire system.