Jeff Van Eps, MD

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⚾ GAME DAY 📍 Second Baptist School #BroncoNation

Wanna see a dead body?

In case you want watch it over and over and over and over…..

@KelbermanNFL So if Payton just steamrolls him and continues as play caller, we’ll continue to see these BS wide receiver screens thrown behind the line of scrimmage going no where every 3rd play, never using the middle of the field or a TE. Awesome. Not sure it matters who has the OC title.

The #Broncos are likely to have Davis Webb as OC and Vance Joseph as DC for the 2026 season.

@SeanLangenfeld This is spot on

Agreed regarding "argument from authority." However, there is an opposite phenomenon which is also gross. Maybe grosser. Newly-minted surgeons with fancy pedigrees are often assumed to be incompetent by the local, experienced surgeons who are waiting with bated breath for a mistake or inadequacy that supports their confirmation bias that the surgeon sucks and the fancy pedigree is worthless. They bask in the irony, and share it widely among friends/consultants/OR staff, who then develop the same confirmation bias. In my experience, the local aces often have a hyperfixation on technical skills, and bash the new surgeon's "hands" while greatly underappreciating the importance of judgment, or what that surgeon could do in the long-term to improve patient care. Speed is also a major topic of discussion. "It took Dr ____ 5 hours to do this surgery, but Dr LocalBad@$$ can do it in 45 minutes!!!" Meanwhile, these new surgeons are simply new, slow, and uncertain like many fresh grads, and they need support/mentorship rather than active or passive sabotage. The new surgeon eventually sees how unsupportive the environment is, and leaves for another job. The senior surgeons then conclude that "Dr X couldn't make it five minutes in this town" without recognizing that they were a big reason why. I was admittedly lucky as a new grad since I was decently fast and had good social skills, but I watched many people suffer different fates. Surgeons reading this may very well have been on the delivering or receiving end but not fully understood what was happening.

@DrBruggeman This trend will continue to drive dissatisfaction with our profession which will inevitably be born out in our care whether we realize it or not. Surgeons need to unionize. We underestimate the power we have and continue to just put our heads down and complain while we grind on.

We have some final numbers for the impact on Orthopedics as it relates to the final rule for the physician fee schedule. There is no other way to spin it other than the numbers are bleak for independent physicians. While employed physicians will see a 2.5% reduction across the board, independent (non-vertically-integrated) physicians will feel the full brunt of the CMS decisions. These policies have the opposite effect of what was intended by CMS. When CMS proposed their rules, they stated that they were overpaying for facility fees and trying to account for consolidation. As a result of the changes, though, independent physicians like myself are being encouraged to go to hospital systems and insurers to ask for RVU-based contracts which are largely insulated from the major changes being proposed. Scoreboard for physicians: Employed (RVU-based) orthopedic surgeons - 2.5% decline Independent orthopedic surgeons - 2.3% to 11.6% decline @CMSGov needs to rethink their policy here. It has the effect of consolidating the market and increasing costs while simultaneously reducing quality, which was the opposite of their stated goals. Lack of inflationary updates and concerning policy changes like efficiency updates and facility/non-facility updates are leading to the substantially increased premiums that every person in the US is feeling.

@DrBruggeman This will be true for all subspecialty surgeons sadly. It seems many of us got into medicine at just the wrong time and physicians will continue to get bulldozed, with ever-increasing expectations for documentation perpetuating workaholism and burnout only to earn less pay.

@kylekeefetv Moser and JML asking the cameraman if he farted but Ryker and his lip sweater know…he got away with it.

Best caption wins….something.

@gunsnrosesgirl3 A wife

What's the most overpriced thing people buy just to show off

@MAGAVoice I think you mean Yuuuuge

BREAKING 🚨 Donald Trump said he’s looking at a bill that would ELIMINATE all Capital Gains Tax on Home Sales THIS IS HUGE 🔥

@AjthorsenL @justinmaykel @AnnLowry12 @ClaireSokas @shreyaguptaMD @cmf2x @mikavarma @mncolonrectal @UMNSurgery How did we not get a picture?!

MN dinner 2025- so many to catch up with! ⁦@justinmaykel⁩ ⁦@AnnLowry12⁩ ⁦@ClaireSokas⁩ ⁦@shreyaguptaMD⁩ ⁦@cmf2x⁩ ⁦@mikavarma⁩ ⁦@mncolonrectal⁩ ⁦@UMNSurgery⁩

@guerillasports @gs_off_ice Maybe Pete is finally in agreement that THESE are the calls that shouldn’t happen this time of year. Maybe he’s embarrassed by the weak, cheap, pussy brand of hockey his club is displaying from the captain down. x.com/altitudetv/sta…

🗣️Pete Deboer "I'm so disappointed by the bounces and some of the calls... Shouldn't happen this time of year." Powered By🍎: #AppleJack #GoAvsGo | @gs_off_ice

How are we feeling about the current state of the Colorado Avalanche?

@citchmook By raising Lord Stanley again. Followed by lots of beers

How are we going to celebrate Gabe Landeskog's postseason return?

@GuntherEagleman @SenatorSlotkin ABSOLUTELY approve of DOGE. DOGE for days. The preceding administrations (not just Biden but decades of democrat and republican leadership) has acted like a stupid teenager with a credit card with no limit. Unsustainable. Trim the fat. Reinstate some accountability

.@SenatorSlotkin wants to know if you approve of DOGE. Let her know. She's tagged and will see your response.

@VetanzeTherapy Ashton Jeanty. I might just be hopeful

Okay #BroncosCountry    I want you to call your shot right here, right now. Who will the #Broncos draft with their first pick?? If you're right, I'll buy you the jersey of that player! If multiple people are correct, I'll choose one winner. (Must be following me to win!)

@RespectMyCos Hard pass

Lmk if ur doing this corny ass chant so I can unfollow your ass In-Com-Plete >>>

@iamnot_elon A

@loganclarkhall Nah that’s our next NEXT president. My dude. Bringing presidential back

this is our next vice president btw