Datasolids

@MaryBowdenMD This NEVER would have been possible under the previous leadership.

Small but very significant progress for the vaccine-injured! We have a code for vaccine hesitancy but not one for people injured by the COVID shots. Codes are necessary to acknowledge and track disease. Having these codes is the 1st step towards helping the injured. Great work @React19org!

@DrPlantel Dang it, Dr. Patel...why must you point out such things in an insightful, penetrating manner? Don't you understand the answers are downright inconvenient & threatening to their illusions??

Every time I talk about evidence-based medicine, someone pops up with “Big Pharma owns you.” Do you genuinely think I get paid per prescription? Because I don’t, $0 of my yearly salary comes from Pharm.. Meanwhile, plenty of wellness influencers are making commission off every supplement they push… but that doesn’t seem to bother you.

@mass_marion @gothburz @kevinmd @econliberties @felixprehn @WHYYNews @SayNo2SocialMed @DrDeepMD @somedocs @RobertKennedyJr @SenWarren You ensured that you just got added to- & purged from- many Christmas card lists...

Hi there, Federation of American Hospitals! I found the members of your Board of Directors on your website, used AI to pull up their 'day jobs', ownership structures, the kinds of medical facilities they own and their reach across the nation. -Can you fill in the blank numbers (in pink)? -Is there no conflicts of interest within their systems or other systems that your organization, representing for-profit hospitals represents? -Do any of the hospitals you represent attempt to steer within their systems, as was pointed out yesterday at the @HouseCommerce in questioning with @aafp and @DrDiGiorgio ? -Do you represent all PE owned or backed hospitals in America? I ask because there are many 'scrubs' that care for patients concerned that when PE acquisition happens, employees get cut, quality may decline and hospitals close.

@LisaBritton The vocation of teaching is a noble pursuit. The career of being an "educator" is something else entirely. And men know it.

I believe more male teachers could help fix so many problems… We need more male teachers! How can we do this?

@jonbrooks Heck, we have kids who are steadfastly refusing to get their drivers licenses. It's too much responsibility. It demands performance & accountability. Tha's too high a bar for them to clear...

My friends in their 30s are deciding not to have kids They’re saying two things: They don’t have the money It’s inconvenient to their lifestyle This is not good. What do we do?

@RobertKennedyJc "The more you do at age 50, the more you'll be able to do at age 70..."

You don't "suddenly" lose mobility. It slips away quietly the moment you stop moving. Just 10 minutes of daily stretching floods your muscles with fresh blood, slashes injury risk, keeps joints supple, & literally slows the aging clock. Use it. Or lose it. Stretching? MAHA

@MaryBowdenMD They're afraid their competitors will compete on price, too...

The (obvious) reason hospitals don’t list their prices is because then people would know how much they’re price gouging. Houston Methodist was charging almost $3000 for a covid shot last year (cash price.)

@RepGregMurphy @WaysandMeansGOP Patient data control & portability would significantly improve the experience on their extended care journeys...

The @WaysandMeansGOP Health Subcommittee held a hearing on improving care for patients with chronic kidney disease. We need better prevention, early detection, and innovative treatments to improve outcomes and lower costs.

@PtRightsAdvoc @RepJames Get the 837p & 837i loops in the hands of patients & watch what happens...

.@RepJames on the lack of price transparency: “When prices are hidden, patients lose power. When patients lose power, prices go up.” “If you’re charging patients, you should be transparent with patients. Post the real price. Post the rates. Make it accessible, accurate, and enforceable.”

@alt_w_v_g McKinsey didn't turn their nose up at a paltry $4M contract??

NYC gave McKinsey a $4M contract to answer one question Should trash go in a trash can They studied it for 20 weeks Looked at Paris Looked at Amsterdam Looked at Barcelona Produced a 95-slide deck Titled "The Future of Trash" $42,000 per slide The conclusion after 20 weeks and 95 slides Yes Trash should go in a bin Not on the sidewalk They called it "containerization" Which is a $4 million word for "trash can" The mayor then stood at a podium and unveiled a bin A bin With wheels And a lid Like the one in your garage right now The one you bought at Home Depot for $50 He presented it like he had discovered gravity Camera crews were there Photographers Press releases For a bin I run the finances of an entire company If I handed my board a 95-slide deck that concluded "put the thing in the container" I would be fired by slide 2 My analyst could have done this in an afternoon With one slide That said "yes" And I would have redlined it for being too long But this is government Where common sense costs $4,000,000 And comes with a PowerPoint Make common sense common again Plz fix. Thx. Sent from my iPhone

Insurers have tried mutuals for Professional Liability for decades. The challenge isn't in claims that pay out to policy limits, it's the Duty to Defend policy provision costs that often exceed the policy limits themselves. Even large risk pools have the same problem. The litigation costs are astounding...

The mutual is one of the oldest financial structures in the Western world. It exists specifically so that a group of people with shared risk can pool it, price it, and own the upside together. Physicians face shared risk every single day. They have largely decided the mutual is something insurance companies do.

@DrDiGiorgio Patient custody of health data would go a long way to reducing this problem...

I once had a brain trauma patient transferred into our ER from an outside facility. It was a small brain bleed, but even a small bleed can be life threatening if it grows. Repeat CTs are essential to ensure it’s not growing. The patient didn’t arrive with imaging from the transferring hospital. They simply neglected to send them. We called and asked them to upload the images to an online portal (HIPAA compliant, widely used). They refused. We asked them if they could put the images on to a CD or flash drive and send it over. They refused. The only way they would release the images is if our hospital sent a courier with a records release form to their hospital to pick up a CD. The amount of time that would take made the images meaningless. So we just repeated the CT to get a new baseline. Stuff like this happens every day.

@GrumpyOpa @rgergelymd @USDS You’ll need a standard, secure way to receive your data, organize it, & meaningfully share it with whomever you like. And you’ll need to have the capability to traffic in the same data formats & schemas as providers & payors. Then you’ll be set!

@USDS No more "portals" - I want my data to stay with me

You go to different doctor’s offices and fill out the same forms over and over again when you could scan a QR code and have your information transferred instantly. We live in the 21st century. Healthcare shouldn’t feel like Groundhog Day.

@MaryBowdenMD And they have the temerity to think we should “just move on” as if none of that happened.

No, vaccination rates have dropped sharply since the government successfully bribed, coerced and bullied 80% of Americans to inject a bioweapon into their body and tried to crush anyone who stood in their way.

@alt_w_v_g It’s as if a certain cadre is bending themselves into pretzels to not admit how frivolous this whole policy is…

Update: Wednesday The department-wide meeting I was not invited I went anyway 8am Walked in Legal pad in hand The room was full Not just HR Not just finance The entire floor Someone from marketing was there She had "Identified Adjective: Creative" in her email signature I've never met her HR stood at the front PowerPoint on the screen Slide one: "Email Signature Policy: Clarification & Compliance" I sat in the front row HR looked at me I opened my legal pad She began "Effective immediately, the email signature policy will require identified pronouns only. Adjectives are not included." I raised my hand She said "we're not taking questions yet" I said "it's not a question. It's a point of order. The current policy says 'identified.' It does not specify a part of speech. You're changing the policy, not clarifying it." Legal was in the back of the room He nodded Again HR said "we've updated the language" I said "when" She said "this morning" I said "so the policy I complied with yesterday is no longer the policy today" She said "correct" I said "and I'm the one being non-compliant" The room was quiet The controller raised his hand He said "so do I remove 'Tired' or not" Someone in the back laughed HR did not laugh The analyst was standing in the doorway I didn't invite him He came anyway He was holding a legal pad I looked at him He looked at me I didn't say anything But I noted it HR said "going forward, signatures will include name, title, and identified pronouns. Nothing else." I said "I'll comply with the new policy" She looked surprised I said "effective today. As written. Until someone changes it again." My boss said "I think that's fair" HR closed the PowerPoint Meeting adjourned in 14 minutes I walked out The analyst followed me He said "so the adjectives are gone?" I said "from the signature, yes" He said "that's it?" I said "the policy changed. So I'll change." He looked confused I said "but the policy didn't say anything about the out-of-office auto-reply" He stared at me I stared back He smiled First time I've ever seen that kid smile at work I think he just earned his first adjective Updated my out-of-office to: Thank you for your email. I am currently unavailable. Best, Ethan Brooks Identified Adjectives: Smart / Handsome Identified Chromosomes: XY For urgent matters, please contact HR. They love hearing from people. Sent from my iPhone

@divergentSteve @rgergelymd @USDS So many folks trying to address this problem have no clue how incredibly complex the backend is. “Just scan a QR code & have your information transferred instantly!”. It’s obvious they don’t know what all’s involved to make that happen…

@USDS BTW: It already exists. It's called Electronic Medical Records (EMR). You should probably get more familiar with the landscape before you start suggesting new designs. My guess: who ever posted this is UNDER 50 years old... i.e. You have not yet reached the Age of Wisdom!

@anish_koka When did “noninferior” become a word, anyway? Was “superior” on vacation??

PSA: Not Noninferior = Inferior.

@USDS Yet any viable patient-side data infrastructure layer doesn't seem to exist to make this practiceable...

@IvoryHecker Patient data sovereignty would go a long way to address this...

Trump’s federal hospital price transparency rules require hospitals to publish their prices. It’s been mandatory since 2021, but many hospitals aren’t following the rule.👀 Congress is meeting about it now. How to get hospitals to stop hiding their prices and ripping patients off with surprise mega-bills? Health Subcommittee hearing happening now: youtube.com/live/SgsYVQf6Q… @MikeJohnson @HouseCommerce #hospitalfacts #partner

@MattWalshBlog Maybe it’s time to upgrade them to “The Quiet Man”?

Rebellion in our home. Some of the kids are claiming that I force them to watch this every year and it’s “boring.” Sounds like we need to increase the viewings to three times a year until morale improves.

Time for our annual St Patrick’s Day viewing of a cinematic masterpiece