Peter Robinson

1.1K posts

Peter Robinson

Peter Robinson

@PeterRobinsonMD

how is your headache doing

Katılım Şubat 2021
724 Takip Edilen354 Takipçiler
Peter Robinson
Peter Robinson@PeterRobinsonMD·
*Drastically* is subjective, but anybody would rather suffer a gunshot wound or traumatic subarachnoid in 2026 than 1996. FAST ultrasound, hemorrhage control, resuscitation protocols, CT quality and speed, neurosurgical approaches are all better, in part because of Iraq/Afghanistan.
zixi@I_luv_ix

The lethality of gun shot wounds, head injuries, and massive trauma has not drastically improved since the 90s (the invention of antibiotics and 911 did help but that happened way earlier). There was some rise in crime post 2020 that is now ending, but there is still increased

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Emma Camp
Emma Camp@emmma_camp_·
The Body Keeps The Score has cooked so many brains. Truly a world-historical work of pseudoscience.
Peyton Elroy@PeytonElroy

I’ve had this done and let me tell you…. Her reaction is completely warranted. Mind you, it is an uncontrollable response if your jaw is that tight and finally released Ancient medicine documented jaw tension release dating back thousands of years If you get this done before having kids, and especially as a woman, it can deeply heal your future bloodline because of the emotional binds you’re loosening up and potentially NOT passing along in the womb or in later parenting style Even if you’re already a parent or just someone who wants to heal, this is valuable because you can free up a lot of frustration and stifled feelings you’ve bottled up. The jaw tends to take on a lot because it controls (or prevents) the movement of words that come out of our mouth Women AND men benefit from jaw release! When you release the jaw you also release the pelvic floor muscles that contribute to keeping your reproductive organs and surrounding systems healthy with free flowing energy Jaw tension release can help all kinds of emotional healing but also physical healing such as: ✅ pain free periods ✅ easier childbirth ✅ stronger orgasms (both women & men) ✅ consistent bowel movements ✅ more frequent erections ✅ properly functioning bladder Think it’s too good to be true? Give this a try and test on yourself to see what happens. You can do jaw releases on yourself at minimum with tutorials from Youtube. Obviously it is great to have someone help but don’t think you have to hire someone for this…. it can cost you $0. Do them every couple days for a month and report back Healing is always possible 💚

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MW
MW@mwintid·
@ESPNCleveland After two achilles tendon ruptures, rotator cuff injury, a displaced glenoid fracture, torn right ACL, bruised lungs and rib injuries, and a lumbar sprain, and at age 30, sure. Let me ask my unicorn what he thinks.
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ESPN Cleveland
ESPN Cleveland@ESPNCleveland·
Browns owner Jimmy Haslam said that it's possible for Deshaun Watson to go from a "swing and a mis" to "home run" this year. Do you think it could happen?
ESPN Cleveland tweet media
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Peter Robinson
Peter Robinson@PeterRobinsonMD·
@22z700 You can (a few American programs do) combine undergrad and med school into a six year program and shave off two years that way. Very hard to cut any residency shorter than three years IMO.
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Peter Robinson
Peter Robinson@PeterRobinsonMD·
There is no solution for the shortage of physicians outside of desirable metropolitan areas in the US. This is a consequence of these areas being 60-70 years into a process of outmigration. Doctors match the distribution of other skilled professions, but people somehow imagine physicians will choose to move to the towns that architects, engineers, scientists and even athletes and artists leave.
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Adam Gaffney
Adam Gaffney@awgaffney·
A year ago I wrote about the condition that some committee members now want enshrined in diagnostic code — "post-acute COVID-19 vaccination syndrome" — a constellation of non-specific symptoms whose causal relationship with vaccination is questionable. statnews.com/2025/03/03/pos…
Amesh Adalja@AmeshAA

“A clinical entity whose prevalence cannot be estimated within three orders of magnitude is not ready for ICD-10 codification. It is ready for more research” axios.com/2026/03/26/cdc…

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Peter Robinson
Peter Robinson@PeterRobinsonMD·
@DanLifting99 Usually the premium is gonna match how undesirable the location is. If there were a sweet spot everybody would be there. There are just trade-offs.
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Peter Robinson
Peter Robinson@PeterRobinsonMD·
@IrishCowboy13 Yeah some docs do that. Locums work. Or there’s a few who stay at the same place but just work week on/week off and commute. I secondhand know a guy from UAE who commutes overseas monthly.
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Elliott Pearce
Elliott Pearce@IrishCowboy13·
@PeterRobinsonMD Could you fix it by treating it like oilfield work? Fly or drive in, paid for by the hospital, do 3 12-hour shifts, fly or drive back to big city?
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Patrick Michel
Patrick Michel@dampajoo1·
@PeterRobinsonMD If there wasn't you would make less money and you wouldn't be able to go around acting like you are God's gift to the lost souls of rural America who need to get it together and move to a city. MDs themselves are the cause of the shortage. The supply is artificially restricted.
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Peter Robinson
Peter Robinson@PeterRobinsonMD·
Yeah. People would fight it tooth and nail because of that. It would probably also reduce quality at the margins, and require investment in residency funding, and crowd out some mid-levels, and some areas that have depended on IMGs would oppose it. Any move that big would be a fight.
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Z@_mengde_·
@PeterRobinsonMD By painful bargains, do you mean something like increasing the number of new MDs/year (and residencies as well) by somewhere in the order of 50-100% (with the almost certain concomitant reduction in doctor income that such an expansion would entail)?
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ostbender
ostbender@ostpbender·
@PeterRobinsonMD Why even fix it? Why is everyone so obsessed with fixing decaying towns, just let them die
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Peter Robinson
Peter Robinson@PeterRobinsonMD·
@dampajoo1 There are many wonderful things about small towns and I wish there were not a doctor shortage.
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Peter Robinson
Peter Robinson@PeterRobinsonMD·
@dampajoo1 Believe it or not I even try to help people who call me a scumbag.
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Patrick Michel
Patrick Michel@dampajoo1·
@PeterRobinsonMD Yes, most doctors are scumbags like you, but there are decent ones that want to help people.
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Randy Watson
Randy Watson@randolphkwatson·
@SchizoLLC @deux_ex_max @PeterRobinsonMD Cost of living largely solves it for everyone except doctors. Every lawyer & engineer in Dayton: “it’s not fun here but damn does my money go far.” Doctors are the only group that things the laws of economics don’t apply to them.
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Peter Robinson
Peter Robinson@PeterRobinsonMD·
@DanLifting99 Lots of rural places are beautiful and often the people are very welcoming. I think the big things are actually that it’s hard to find a spouse, hard to find a job for your spouse, and hard to find the schools you prefer for your kids.
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Peter Robinson
Peter Robinson@PeterRobinsonMD·
@randolphkwatson I believe in free markets but the free market does not bring other skilled professionals to these places. These places are outbid. This is one reason they are shrinking economically and healthcare is one of the few growth industries in these places.
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Randy Watson
Randy Watson@randolphkwatson·
@PeterRobinsonMD This is a total lie. Every profession has the same “desirable cities” problem and the free market fixes it every time. Only doctors think the free market doesn’t apply to them .
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Peter Robinson
Peter Robinson@PeterRobinsonMD·
@randolphkwatson We could and we should
Peter Robinson@PeterRobinsonMD

Even people adjacent to it fail to understand the med student/resident/Match situation because it’s almost unbelievable when laid out. There are two bottlenecks, an artificially restricted number of med school spots AND an artificially restricted number of residency spots. This allows apologists to point at the other bottleneck depending on which part of the system they’re defending. If we didn’t have an artificial bottleneck at med schools far more American students could become doctors without much drop in quality. MCAT scores climbed for many years: kids who would’ve easily become doctors in the 1990s don’t have any shot today. But we prefer to keep our supply of American graduates far below demand and use international medical graduates to fill the delta, because they are a flexible pool of labor that we can expand and shrink at will and at a cartel level we don’t care if more or fewer international graduates get residency slots year to year. We do care about them once they become our residents, and want all residents to walk into jobs, so we also keep the supply of residents below demand. These bottlenecks serves the current physicians and the current med schools and residency programs because they guarantees no American med school graduate is ever without a residency and no American residency graduate is ever without a job. It does not serve patients and it does not serve young Americans who want to become doctors but haven’t yet gotten into med school, and nobody pretends it does.

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Randy Watson
Randy Watson@randolphkwatson·
@PeterRobinsonMD The gaslighting is insane. We don’t hate doctors enough. AMA could simply stop being a cartel and could allow more students to enter med school.
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Psychiatrist.
Psychiatrist.@texual·
@PeterRobinsonMD A pipeline of IMG's who continue to apply year after year to those same programs because they have a history of taking IMG's is a positive thing for the rural hospital. It keeps physicians employed for at least 3 years or more.
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Peter Robinson
Peter Robinson@PeterRobinsonMD·
@calebwatney Yeah, this kind of visa would keep people in place a couple years longer than the J-1. But people are not going to stay in a town where they can’t meet a spouse, or their spouse can’t find a good job, or they can’t access the schools they prefer for their kids.
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