Sail

@KamalaHarris Wait so rather than address rampant college inflation fueled by unlimited credit to 18 yo in student loans you are just going to say "nah no benefit to college?". Really strong policy there

For far too long, our nation has encouraged one path to success: a four-year college degree. As president, I will get rid of the unnecessary degree requirement for federal jobs.

@aftab_usa Pt shows up to pre-op with recent positive COVID test wants to proceed with surgery. Asked to leave. Called after my the doc to educate about that being inappropriate and to plan next steps. Doc gets a call from admin chastising him for confronting pt. The effing OR.

What would you say to someone who tested positive for #Covid19? Walks into your clinic without wearing a mask, And wants to be treated for cough & congestion.

@RickABright @BrianRWasik @CDCFlu @GISAID "Room for improvement" is a nice euphemism for abject public health incompetence

It's unclear what lengthy process the sample took from collection to sequence release, but it took over 3 weeks. This is too long to be able to detect & respond to an infection w/ a pathogen of pandemic potential. Highlights room for improvement to be responsive to an outbreak.

🚨📣 Anticipated sequence from human #H5N1 case in Missouri w/ lack of clear exposure source, just released by @CDCFlu through @GISAID [EPI_ISL_19413343]. Clade 2.3.4.4b, similar to dairy cattle H5N1 virus. Sample collected 8/22/24, sequence took over 3 weeks to release! Source of infection investigation ongoing, but very interesting to see HA sequence relation to Texas dairy cow in April. H/t @HealthyLivingMO @cdcflu for sharing data. gisaid.org/resources/gisa…

I’m hearing so many people cite conflict of interest as the reason physicians shouldn’t own hospitals. This also happens to be the main strategy the American Hospital Association used to lobby Congress to ban POHs in the Affordable Care Act, paving the way for the consolidated corporate nightmare we enjoy today. The conflict of interest argument is absurd in a for profit healthcare system. Hospitals force their employed physicians to refer to other specialists within their own hospital system. Physicians recommend surgery then do the surgery themselves collecting both a clinic fee and a surgery fee. Optum forces patients to see their doctors, use their pharmacies, and be admitted to their own hospitals. If there is profit to be made in patient care, there will be a conflict of interest among the entities/people collecting that profit. The closest thing to a conflict of interest free system is one that is devoid of profit. Call me cynical, but that will not happen in the US. So we can wring our hands about the potential corruption and malfeasance evil greedy doctors will inflict upon our great country if physicians owned hospitals, while ignoring the actual corruption and malfeasance already displayed by hospital corporations. We can ignore data that shows POHs as a whole (~250 in the US, holdovers from pre-ACA times) have better outcomes at lower costs. Or we can introduce some actual competition in the healthcare marketplace to give patients a chance for better care from people who actually got into this business to treat patients, care that is not dictated by a private equity company or insurance company. Just give physicians a chance to show that we can do a better job. That’s all we’re asking. If we suck at it, we won’t get very far, right? Isn’t that what the free market is for? Repeal the ban on physician owned hospital.

@realdocspeaks ALL physicians need to unite and pitch $500/yr to an ALL physician lobbying arm. We aren't engaging in the "political process" through lobbying. Money speaks, there are a lot of us. Not AHA money but we can compete regardless because our mission is noble, there's is not.

@confusedrv @DrBruggeman Good questions. Bruggeman has the answers

@DrBruggeman My insurance costs go up every year so someone is getting more. Even if the pie is fixed, where do you take some from to give to the Doctors? I agree that the massive consolidation is not good for the industry in multiple ways.

Physician pay over last 4 years: -7.76% Yet physicians (as small businesses) have helped carry the economy through every downturn, generate new jobs, and pay taxes to their local economy. Let’s fix this problem. Physicians are critical to local and national economies and require payment updates commensurate with the cost of doing business.

@confusedrv Because of antiquated budget neutrality rules that force the government to pay doctors less every year. It’s leading to massive consolidation where doctors sell their practices to hospitals and insurers to make ends meet…. Which ultimately leads to higher costs

@DeeSTEM_Teach If I were a teacher I would look to build a business where a single teacher teaches a pod of I don't know six kids. Those six kids parents pay the entire salary of the teacher, and that teacher provides high quality highly focused safe education. Rotate homes.

@taracdennehy 😂😂😂. I remember this renal fellow flipping out that a patient was drinking orange juice. Maybe @DGlaucomflecken can clarify based on his broad knowledge base but I'm pretty sure 1mEq of k+ isn't going to be clinically meaningful

My hematologist: You need to double the quantity of your potassium supplement. My brain: Have a banana split for dinner, gotcha.

@sri_srikrishna Yet if I recall recent study on paxlovid for this very indication (iirc 14 days) did not show this benefit. What am I missing (I guess I could read the manuscript 😂)

“data suggest ongoing replication and possible persistence of active SARS-CoV-2 reservoirs that could drive long-term tissue-based immune disturbances and raises the plausibility that targeting viral persistence (via antivirals) to both prevent and treat long COVID.”

@lucyveepee @Prof_J_Lawton My friend was talking to school admin to get my donated filter in their kids classroom. He said "most respiratory viruses are airborne." Her response, I can't make this up, "we wash our hands frequently."And "I called our nurse she said filters aren't needed." PAINFUL(ly stupid)

@Prof_J_Lawton This 💯. They completely don’t get this.

I’m beginning to realise that when people use the words ‘Covid is airborne’ most don’t understand what this means and why e.g. when I see my GP I’m more worried about whose been in their unventilated office in the past 48hrs than if they put on a mask for the short time I’m there

@HeyListenGames Because passwords are out of control. They are ubiquitous, require frequent changing even though that probably does nothing, things that don't need high security need ridiculous passwords.

@BarackObama This bill weakened us healthcare by strengthening hospital consolidation and insurance power driving competition out of the market. The result is massive healthcare inflation. You wrote this bill for the AHA and big insurance, not for citizens.

50 million people have now gotten health care coverage thanks to the Affordable Care Act. That’s something we’ll always be proud of. Health care is not, and never will be, a privilege — it’s a right. And I'm grateful for the work that Joe and Kamala continue to do to improve the ACA to make it more affordable and effective for everyone.

@Ericwilken1 @JeromeAdamsMD Go build a chair

@JeromeAdamsMD Society needs to toughen up. Masks are a symptom of systemic weakness in our society. Natural immunity, being outside more often and being cardiovascularly fit are the best weapons against almost all sicknesses, both medical and psychological. The experts aren’t experts.

“The dose makes the poison” is a long accepted scientific axiom. One drop in a glass of water won’t kill you, 10 might, 100 definitely will. The same is true for masking. No mask stops 100% of particles from getting through. But the more we can lower the dose, the safer we are!

@JeromeAdamsMD Very undersold concept. And an important one. It's almost as if our public health services have failed us horribly.

@byajperez @mcuban No doubt. And the cost government pays for most of those services is extremely wasteful. Fiscal responsibility doesn't mean derelict services. But no party honestly discusses fiscal responsibility. Just tax and borrow.

@saildal @mcuban We all use services (or are protected) via money collected by taxes. Roads, police, defense, schools. To have a functioning society, there's a cost.

@CDCDirector hey paxlovid costs over $300 with private insurance. We have the tools? A local school: "we're treating COVID like any other respiratory illness. Come back when you feel better." I really hope you feel shame.

@byajperez @mcuban What is the obsession with collecting more taxes. What about spending money more efficiently?

@mcuban Exactly. Federal money can’t go to non-citizens (minus some narrow exceptions) and state/local money to assist those who make this country run is minimal. There needs to be a pathway to citizenship because, right now, we are missing out on a lot of taxes.

@rangerwyld @DrGorfinkel @fordnation This is a story told perhaps hundreds of thousands of times across countries. Total public health failure. One thing is for sure, regardless of political leaning if anyone has any faith in government after this, they are not paying attention.

@DrGorfinkel I live in Ontario, Canada where Pharmacies were forced to dispose of vaccine until a new vaccine could be shipped weeks from now. I also am STILL recovering from Covid I contracted 2 weeks ago. Thanks, @fordnation ! Every time I went for the shot, it was NOT AVAILABLE!

🧪 RAPID TESTS for COVID-19 still detect the most recent variants ...but a single test may not suffice Symptom onset Test Accuracy Day 1 30-60% Day 4 93% journals.asm.org/doi/10.1128/cm…

@DrGorfinkel They are getting pretty close to useless for the general population. Without screaming educational effort, and with high costs of rapid, ppl are one and done and then off to infect others for a week. It's a pathetic state of affairs