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Be sure to check out our website at obstats.com where we provide statistical consulting services as well as epidemiological consulting services to researchers who are conducting clinical research projects.
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David L Howard, MD PhD
5.5K posts
David L Howard, MD PhD
@obstatsinc
Obstetrics/Gynecology Specialist. Founder and CEO of OBSTATS.
New York, New York Katılım Aralık 2016
4.3K Takip Edilen3.4K Takipçiler
@anish_koka I would love to come back on your podcast and talk about EHRs in general here in the US. I've now seen it from both sides: as a regular employed doctor and as the owner of a now national Telehealth company.
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Meaningful use was the beginning of the end of lightweight / efficient / inexpensive EMR’s
Anthony DiGiorgio, DO, MHA@DrDiGiorgio
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Just saw a headline that Walgreens in talks to sell itself to private equity. Damn, PE buying up every single thing that can be bought in healthcare.
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@alexmd2 @Agalvanmd @anish_koka Dr Andrianov. I don't know you. But thank you for bringing in some reality and sanity to the discussion. There is the world that some want it to be and then there is the real world as we know it. And you hit the nail on the head in your recent comments/posts
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@Agalvanmd @anish_koka In reality they just do surgery all day and PAs rounds on these pt Medicine manages everything else.
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Medicare pays a spine surgeon ~$1300 for a microdiscectomy - this includes 3 post-operative visits within 90 days.
Want to become a spine surgeon? Top 1% of high school, Top 1% of undergraduates, Top 10% of medical students. Then navigate the hardest surgical training program for 7 years. Many do a spine fellowship after.
Annual malpractice premium : $100,000 - $300,000 per year
Crémieux@cremieuxrecueil
The ASA was protesting Anthem's decision to try to stop anesthesiologists billing them for work they didn't actually do by paying them the same rate that Medicare pays them for the procedures they do. Medicare's rate is fair, but anesthesiologists hate it.
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To all the EM Physicians left out in the cold by NES, just wanna express solidarity and hope you all will be able to quickly find new sources of income to support yourselves and your family.
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@CollinRugg @BillAckman @realDonaldTrump Last time Trump said he would get Mexico to pay for a wall. It never happened. Trump is full of shit and everyone who knows Trump for real knows that.
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@BillAckman @realDonaldTrump It’s a bargaining chip and will be very effective.
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To be clear, according to Trump the 25% tariffs will not be implemented, or if implemented will be removed, once Mexico and Canada stop the flow of illegal immigrants and fentanyl into the U.S.
In other words, @realDonaldTrump is going to use tariffs as a weapon to achieve economic and political outcomes which are in the best interest of America, fulfilling his America first policy.
This is a great way for Trump to effect foreign policy changes even before he takes office.
Nick Timiraos@NickTimiraos
Trump issues a threat to impose a 25% tariff on all imports from Canada and Mexico on the day he takes office.
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@anish_koka That’s a great question. There’s another post by a pediatrician here on X that goes into that question.
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@obstatsinc The question is why every newborn in the U.S. is asked to take a hep b vaccine
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Good thread to go through the rationale for vaccinating newborn babies with HepB.
Questions :
1. Why not test mom for Hep B ?
2. Scientists care so much about vaccine safety in the US that they continue to recommend healthy young teenagers get the Covid booster in 2024.
Doesn’t inspire much confidence.
Leora Horwitz@leorahorwitzmd
@BillAckman @mattyglesias @shaunmmaguire Hi @mattyglesias @BillAckman, I'd be glad to provide some information about hep B vaccine. First: why do we give hep B vaccine at all? Hep B is transmitted through sex and blood. Chronic hep B causes liver failure (cirrhosis), liver cancer and death. The vaccine prevents these.
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@anish_koka Remember Anish, a large percent of women were vaccinated against hepatitis B as children. We don’t offer the hepatitis b vaccine to women who are immune already. We only “offer” it to women who are non immune (based on testing)
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@obstatsinc To clarify, why give the hep b vaccine to mothers who test -ve for hep b ?
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@anish_koka I haven’t been on twitter in a long time so unfortunately I’m missing the context to your post
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Really sad to see the doctors leaving this place for the tenth time.. it is going to be much harder to keep track of all the unceded land in the Americas. :/
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@LeahHoustonMD To the 100 physicians abruptly laid off from Forward Health, My Virtual Physician(myvirtualphysician.com) stands ready to interview you if you need a job right away. Email Jobs@myvirtualphysician.com
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Forward Health is folding? Not surprised.
Patient care isn’t a technology product; it’s a deeply personal service industry.
The service industry workers are physicians, and we are highly skilled professionals with years of rigorous, specialized training.
Healthcare is personal, and that personal touch simply can’t be scaled like software or tech solutions.
Mindaugas Galvosas, MD@MGalvosas
After $500M+ in funding, 8 yrs in operation, Forward Health is shutting down The bold vision of high-tech Care Pods aimed to transform primary care but faced challenges with operational complexity, scaling infrastructure and reactive care limitations. Are care pods still future?
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If you are a physician or staff member of Forward Health and you just got laid off due to the abrupt closure, please contact us at My Virtual Physician. We will interview you and see whether we can absorb you onto our staff. Jobs@myvirtualphysician.com
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@KimGLiebowitz A poor excuse for a Jew? That's a harsh statement
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@KimGLiebowitz Considering her opponent is Trump, this simply reaffirms that most elections are a pick of who you hate the least rather than who you love the most. I'd rather not vote than vote for Trump. This election will be fascinating to watch
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To all my ER physicians. Can you throw a GYN doctor a bone and have more than one pelvic bed in the ER?
50 percent of all patients are female
Why such limited pelvic beds?
Please… help us help you
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@arghavan_salles Biden should not have run again in the first place. That’s the root cause. The democrats are now left with no good options.
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@GavinPrestonMD Incorrect. America has clearly chosen to treat medicine as a business. If medicine is a business then by definition patients are customers and medical practices ought to have the same kind of focus on customer service as any other service oriented business
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Patients are not "customers" or "clients."
They are frightened, suffering, vulnerable people.
The word "patient" derives from the Latin meaning "suffering."
They deserve professionals totally committed to their well-being.
#Ethics
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@KimGLiebowitz Polls showing EITHER candidate "winning" are unreliable in the context of these two candidates going at it for the second time(after the way the first one ended). I believe this election will be close. I won't be "surprised" whoever the victor is
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@anish_koka What do you mean “now?” Look at all the mass shootings we have had over the last several years? Politically, Pelosi’s husband was attacked. Then go backwards, MLK was assassinated. JFK was assassinated.
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Members of our society now have literal blood on their hands. Congrats.
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@doctorderision Trump has never cared about anyone but Trump. And no. we did not pretend an insurrection happened on J6. An insurrection actually did happen. That being said, regardless of my pers opin ofTrump, gun violence in crowded places is always tragic. I wish him peace and safety
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Democrats pretend an insurrection happened on J6. They pretend democracy matters. If every fucking red blooded American doesn't vote for Trump after this, then get the fuck out. Full stop.
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@anish_koka You’ll need to show me stats to back up your point. How many students of Asian descent with “high” grades or test scores have been completely shut out of all colleges and medical schools in the United States? I bet you the stats show the answer is zero
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@obstatsinc He was rejected based on being Asian. That’s racism.
There are Asian kids with a 1300 SAT and a 3.6 gpa that won’t get into the state college.. or not get into medical school at all.
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Racism: alive and well at America’s elite institutions and corporations.
End Wokeness@EndWokeness
His GPA score is 97.3%, SAT score is 1560, enrolled in a top high school, does tons of extracurricular work. He was rejected by multiple colleges. They call this equity and inclusion.
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