Shawn Rowland, MD

“Without question, if China stopped exporting ingredients, within months the world's pharmacies would be pretty empty.” - Guy Villax, CEO, Hovione

@Jamesshort @salsa770 They don’t. Plenty of high quality studies showing the tale and its application technique to be no better than placebo.

@salsa770 Can someone explain how theses actually help?

@drabdulhameed07 Ascites is not a diagnosis. It is a finding or symptom associated with a diagnosis like cirrhosis.

Diagnose this in ONE word 🧠🤯

@elonmusk Unfortunately lost my Plaid to North Shore, Oahu floods the other week. Now what do I replace it with??? So sad!

Custom orders of the Tesla Model S & X have come to an end. All that’s left are some in inventory. We will have an official ceremony to mark the ending of an era. I love those cars. This was me at production launch 14 years ago:

Elon Musk just told the world to stop training surgeons. Not slow down. Stop. Musk: “There’ll probably be more Optimus robots that are great surgeons than there are all surgeons on Earth.” The entire global surgical workforce. Redundant. Before a current med student finishes residency. “Don’t go to medical school?” Musk: “Yes. Pointless.” Twelve years. Half a million dollars. One word. Optimus does not shake. Does not fatigue. Does not flinch at hour eleven of a twelve-hour operation. It improves every night while the surgeon sleeps. By year four, Musk says he’d stake everything on it. By year five, it is not close. Then came the line that rewrites who medicine has ever belonged to. Musk: “Everyone will have access to medical care that is better than what the president receives right now.” Medicine has always been rationed by wealth. The best surgeons on Earth have always belonged to the powerful. That ends. Completely. Within five years. The machine does not calibrate its precision to your net worth. It does not save its best work for the wealthy. Full capacity, every time, for everyone. One day, choosing a human surgeon over a robot will feel like refusing the anesthesia. Human hands are no longer medicine’s highest standard. The ones who doubted this will understand it the day they need surgery, not a surgeon.

@j_divis This was actually proposed during David McKay’s time

Thoughts on a temple ship that could visit all the areas that don’t have temples?

@Mr_Husky1 So many: packpack for “backpack”, Banghawk for “Bangkok”, chicken fish for “tuna” to name a few

Admit it: Your kid mispronounced a word three years ago and now the whole family says it that way. What's the word in your house? (We still say 'pasketti' and I’m not stopping anytime soon.)

Quick update from the medical relief efforts post North Shore Oahu flood disaster. Due to an amazing outpouring of support in the form of supplies and clinical volunteers we have been able to meet the needs of both flood victims and volunteers over the past few days. It has been incredible seeing first hand the love and concern from the hundreds of volunteers who are coming from all over to lend a hand.

There's a story developing behind the headlines right now that I think you need to see. You've probably heard the surface level coverage: the U.S. and Iran are in a dangerous escalation. Strikes, counter-strikes, rising tensions in the Gulf. But there are several threads that aren't being connected in mainstream reporting and when you lay them side by side the picture gets a lot more serious. Here's what I'm tracking: The Wall Street Journal reported that Russia has been sharing satellite imagery and advanced drone technology with Iran. This technology is being used to target U.S. forces. The Kremlin called it "fake news." But lets connect some dots: — The Institute for the Study of War is identifying Russian-produced (and possibly modified) Shahed drones being used in attacks on U.S. bases in Bahrain, Jordan, Kuwait, and the UAE. — Since this escalation began, the threat of a Hormuz Strait closure has sent oil prices up roughly 40%. Russia is one of the world's largest oil exporters and is now selling at a significant premium. — And just last week, the Treasury Department quietly granted a 30-day sanctions waiver on Russian oil "already at sea." Critics on both sides of the aisle say this effectively handed Moscow a financial windfall at the worst possible moment. Connect those dots and an uncomfortable picture emerges: Russia may be actively helping Iran target American service members, and getting paid handsomely for it, without firing a single shot. When conflicts escalate in the Gulf, pharmaceutical supply chains are among the first things to buckle. Roughly 80% of active pharmaceutical ingredients used in U.S. medications are manufactured overseas. The ripple effect felt by closer of the Strait of Hormuz is real. A sustained closure or even significant disruption doesn't just raise gas prices, it threatens the availability of medications millions of Americans depend on every day. This is why I started Jase Medical 5 years ago. Not for the headlines, but for the moments when the headlines catch everyone else off guard. Be safe. Be informed. Be prepared.

@TrumpDailyPosts The entire ariticle attributed to Todd was written by AI

The numbers cited here are from a flawed and oft criticized study from 2016 in BMJ. There are a laundry list of problems with the informal analysis with more likely estimates putting the preventable death toll at around 1/10th of the reported numbers. We are a society of sensationalism and conflicted interests branding themselves as “truth”.

Hospitals kill between 250,000 and 400,000 Americans per year through preventable medical errors. That makes “your doctor’s mistake” the third leading cause of death in the United States, behind only cancer and heart disease. Everyone reads advice like “stay with your loved one in the hospital” as a family values tip. The actual reason is darker. A board-certified physician is publicly admitting the system he operates in has enough failure points that an untrained person sitting in a chair provides a meaningful safety layer. The math explains why. A landmark Penn study tracked 170,000+ surgeries across 168 hospitals. Each additional patient added to a nurse’s workload raised the odds of dying within 30 days by 7%. Staffing ratios across US hospitals range from 4.3 to 10.5 patients per nurse. That means one hospital gives your family member 2.4x less nursing attention than the hospital down the street, and you have zero way of knowing which one you walked into. So what does a family member in the room actually do? They catch the wrong medication bag. They notice breathing changes at 2am when the nurse is covering nine other beds. They flag a deteriorating condition 6 hours before anyone on staff would have checked. They function as an unpaid, around-the-clock monitor compensating for a staffing model designed around reimbursement rates, not patient survival. When a physician says “be cordial with staff but watch everything like a hawk,” he’s describing a system where the margin between good outcome and catastrophe is one missed check during a shift change. Hospitals don’t optimize for your family member’s recovery. They optimize for throughput. 700 people die from preventable hospital errors every single day. Your presence in that room isn’t emotional support. It’s a rounding error in a broken staffing equation that nobody has the budget to fix.

@PaulGoldEagle Not only is the photo AI generated but the entire post was written by AI.

US PILOT RESCUED IN KUWAIT BY MUSLIM LOCALS - LOVE THIS! After her F-15E Strike Eagle was mistakenly shot down in a friendly-fire incident, a female U.S. Air Force pilot ejected safely and descended into Kuwait. Uncertain of what awaited her on the ground, she landed in unfamiliar terrain. What happened next is what the world should remember. Video captured by bystanders shows Kuwaiti locals rushing toward her — not with anger, not with hostility — but with concern. A man can be heard repeatedly asking if she was okay, if she needed help. His voice carried urgency, but also compassion. Then, in a moment that has resonated across social media, he thanked her for helping them. In the middle of conflict, politics, and international tension, ordinary people chose kindness. At a time when narratives often paint entire religions or cultures with a broad brush, this moment stands as a powerful reminder: goodness is not confined to nationality, race, or faith. Compassion does not carry a passport. Kuwait is a Muslim-majority nation. The men who rushed to help that American pilot were Muslims. And in that moment, what defined them was not religion or geopolitics — it was humanity. They saw a person in need and responded. History is filled with headlines about division, extremism, and violence. But far more common — and far less reported — are everyday acts of decency. Neighbors helping neighbors. Strangers protecting strangers. Human beings recognizing shared vulnerability. The image of that pilot descending from the sky and being met not with hostility but with reassurance tells a deeper story: that beneath the noise of conflict, most people simply want peace, safety, and dignity for all. Kindness is universal. It transcends borders. It speaks every language. And sometimes, in the most unexpected places, it shines the brightest.

@DebraDilly @jfradioshow @twc_health That’s unfortunately TWC’s typical customer service response. Depending on what you order Jase will fulfill in 24-48 hrs. Compounded medications take up to a week tops.

@jfradioshow @twc_health Yes we ordered it and it's going to take 3 weeks to get here! We needed it yesterday last week why so long?

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Subject: Supply Chain Alert: Strait of Hormuz Closure and Your Medication Access This weekend, the Strait of Hormuz, the single most critical maritime chokepoint on the planet, was effectively shut down following U.S. and Israeli military strikes on Iran. Tanker traffic has dropped 70%, major shipping lines have suspended transits, and airspace across the Gulf is closed. As a physician and the founder of Jase why am I writing about this? The U.S. imports over 80% of the active pharmaceutical ingredients (APIs) used in essential medications from overseas, primarily India. India manufactures the vast majority of generic drugs Americans depend on: antibiotics, blood pressure medications, diabetes treatments, pain relievers, and more. India receives approximately 40% of its crude oil through the Strait of Hormuz. That oil powers the factories, the refineries producing pharmaceutical feedstocks, and the energy grid that keeps Indian pharmaceutical manufacturing running. Air freight costs out of affected regions have already surged 400% in 48 hours. Shipping reroutes around the Cape of Good Hope are adding weeks to transit times and over $1 million per voyage in fuel costs alone. This isn’t a theoretical risk. During COVID, when India briefly restricted exports of 26 pharmaceutical ingredients, drug shortages hit the U.S. within weeks. The current disruption is more severe and affects a broader segment of the supply chain, energy, raw materials, petrochemical feedstocks, and logistics simultaneously. Pharmaceutical shortages from this event won’t appear overnight. They build over weeks and months as existing inventory depletes and resupply slows. By the time shortages show up at your pharmacy, it will be too late to prepare. This is exactly why Jase exists. Our Jase Case provides essential emergency medications for acute situations, and our Jase Daily program gives you up to a year supply of your daily chronic condition medications. Both were designed for moments like this, when global events beyond your control threaten access to the medications your family depends on. If you’ve been considering a Jase Case or securing a year supply of your daily medications, now is the time to act. If you already have supplies on hand, verify them and check expiration dates. Stay prepared, Shawn Rowland, MD Founder & CEO, Jase Medical

The conflict isn't contained to Iran's borders. Missiles have struck Israel. Iran hit a US naval base in Bahrain with explosions at Mina Salman port. The IRGC has declared all US bases legitimate targets, with retaliatory launches toward the UAE and Qatar. This either ends fast or if outside powers expand their support of Iran, it drags on with serious global consequences.

@MDPhantom99 @TheChiefNerd Is she wrong though? Ad hominems aside.

@docshawn @TheChiefNerd Dr Means is a failed physician with no post-grad general medical training, and no experience prescribing OCPs and no medical license. How do we get to the point that someone like this would be seriously considered to hold the position of Surgeon General?

SEN. MURRAY: “There are decades of evidence showing that every one of these birth control methods is safe and effective.” CASEY MEANS: *deep breath* “I'm curious if you're aware of what the side effects of hormonal contraception are?” SEN. MURRAY: 🦗🦗🦗

@RecoveringStoic @TheChiefNerd Maybe but there are plenty of generic OCPs out there. They’ve been around for a while. Not a huge Big Pharma focus. I think it’s more about a democrat senator trying to somehow corner Dr. Means into a false position of being anti “women’s choice”.

@docshawn @TheChiefNerd Safe, as in, Pharma will not be sued. Effective, as in, Pharma makes a lot of profit.

@Bazzomanifesto @ProfMJCleveland Would be epic

Margot Cleveland @ProfMJCleveland I mean, why doesn't the President pause in the middle of the SOTU and have the Senate take a voice vote on the SAVE act? They'll have a quorum, and be in session. They only need 50 yesses since JD will be there too.

Largest US military buildup in the Middle East since Iraq 2003. Strikes on Iran could come within days. Negotiations stalling. If things escalate, supply chains and energy markets get disrupted fast. Get your family prepared now — emergency meds, food, water, a plan. Don't wait for the news to tell you it's too late.

@weary_centurion HIMS already said they are backing down. Highly doubt any superbowl copycat pill promos will be aired

$HIMS SHAREHOLDERS PLEASE READ Guys please try and be objective here I have seen some crazy takes over the last 24 hours and I am genuinely concerned for many of you We all should want better and cheaper healthcare for sure and there are major issues with big pharma Holding monopolies and price gouging is completely unacceptable and needs to be addressed Having said that, I don’t think we should be celebrating $HIMS management choosing to lead the company into what is likely to become a multi year lawsuit with $NVO as well as an FDA investigation This could end very badly and whilst I can see why many of you are convinced $HIMS will shrug this off That may not be the case With the DOJ now getting involved too, the risks have increased even further Possible outcomes may be: • Injunctions • Product seizures • FDA constant supervision/auditing • Disgorgement of profits • Company executive liability charges • Criminal charges • Management banned from operating • Subsequent SEC investigation • Shareholder class action lawsuits • Marketing restrictions Worst case scenario you are looking at the company being fundamentally dismantled or required to undergo massive restructuring If they are forced to cease GLP-1 operations they should see revenue cut by 25-40% overnight If $NVO wins the lawsuit, they may have to pay back hundreds of millions in profits related to GLP-1 earnings If they negotiate with the FDA and withdraw the related products, maybe they can come to an arrangement But there are no guarantees here I want you to be aware of the risks $20 looks incredibly cheap for $HIMS But it may not be cheap if the worst happens The other risks to consider: • Lenders refuse to work with the company whilst under investigation • CEO gets removed leading the company open to hostile takeover • Board pressure to replace CEO as a result of institutional lobbying Currently, the CEO has majority voting power but that could change if the FDA choose stringent enforcement action (yes they have that power) WHAT TO WATCH NEXT WEEK • SuperBowl Ad: Will the $49 $NVO copy pill be shown? If it’s not, then the board could already be moving against Dudum or he could be deciding to back down If it is shown, then it’s a clear indication Dudum is preparing for a multi year legal battle and staying the cause • Company response to the FDA investigation and DOJ referral There hasn’t been any as of yet to my knowledge. There response will outline their intent THE FLIP SIDE I have given you a lot of doom and gloom It could be that the company does shrug this off and is allowed to operate as usual If that is the case, then $20 could indeed be dirt cheap It could be they get away with a fine It could be they win the lawsuit against $NVO and they will be fine CONCLUSION Personally I would not be entering here as I think the risks are too great But I am not a financial advisor and I am not telling you what to do You need to make your own decisions I may be wrong and the risks could be overstated This could be the best buy of the decade if I am wrong All I will say to you is be careful Exercise caution And please, don’t ignore red flags I overlooked red flags at $PYPL and look what happened there Stay safe and good luck to all of you Whatever you decide to do I hope it works out