Sanjay S. Dhall

@aribindi Bro, I’ve seen this headline many times over the years . But I sure hope this is the one !

@ssdhall medicine.washu.edu/news/personali… I have to tell the Neurosurgeon the latest news about advances in his own field?

Nothing in the treatment of GBM has changed in the past 12 months. Nothing …

@aribindi @DrDiGiorgio That’s definitely the C suite narrative.

@ssdhall @DrDiGiorgio Physicians are treated and paid exceptionally well in rural areas. But guess what? People who score highly on standardized tests and get into med school tend to come from rich suburban schools, and they can't imagine life outside of the amenities and city.

In other words , certain health systems are so toxic with admin burden and abusive practices towards physicians that no American doctor will work there .

Once in a blue moon, a patient takes this advice

@cscla @DrDiGiorgio @jldobrinsky People still eat Tostitos?

@ssdhall @DrDiGiorgio @jldobrinsky That’ll buy a lot of Tostitos.

Incredibly important point. Hospitals basically get to make up what they say something costs and then write it off as charity care. “Oh our charge master MRI is eleventy quadrillion dollars… look how many MRI we did for charity care.” And nobody asks any questions because nobody knows what healthcare should actually cost. People see $400k for a hip surgery and think “sure that’s normal.” But it’s not. Cash pay is way way lower. The obfuscation of prices is part of the strategy. It means when people look at the chargemasters nobody really calls them out for being insane.

Our global colleagues can text us an MRI and instantly get an opinion, but in America that is a crime thanks to HIPAA

@cscla @DrDiGiorgio @jldobrinsky Eleventy quadrillion $ … 😂

@DrDiGiorgio @jldobrinsky I wonder who could fix that…..😬

If only the OSH could just text us the CT we could know in seconds whether transfer is needed. Another way HIPAA impedes patient care .

This should free up trauma neurosurgeons to focus on the rising epidemic of e-bike injuries

No wonder he doesn’t understand healthcare! Abdul El-Sayed told a podcast in 2022 that during his only clinical rotation, his job was “to be the, like, worst doctor on the team” and that he was “cosplaying a doctor.” That four-week sub-internship at the end of medical school is the entirety of his time at a patient bedside. He is now running for U.S. Senate in Michigan calling himself a physician. El-Sayed earned an MD from Columbia in 2014, after two years at the University of Michigan Medical School and a Rhodes Scholarship at Oxford where he completed a DPhil in public health. The academic ladder is real. Two doctorates. “Dr.” is accurate. He never entered residency. He has never held a medical license in Michigan, New York, or any other state. He has never independently treated a patient. In March 2026, El-Sayed told a group of Teamsters nurses he had “been in enough codes to watch who really does the work.” On a podcast that same month: “I’ve been a doctor my whole career.” His campaign objects to the Politico report that surfaced these statements. The spokesperson’s response was that “he has earned the right to be called ‘doctor’ twice over.” That is true, and it is beside the point. The contested word is physician. In American medicine, the MD is the beginning. Residency is the apprenticeship, three to seven years long. State licensure follows residency. Independent practice follows licensure. The structure exists because patients pay the price when it is skipped. Every physician in this country surrendered most of their twenties to those steps. Eighty-hour weeks. Overnight call. Boards. Maintenance of certification. Malpractice exposure that follows them for the rest of their careers. Physician is not a credential of the classroom. It is a credential of the bedside, the licensing board, and the legal accountability of both. To borrow it without paying for it is to take something from every doctor who did. El-Sayed knows the difference. He named it himself. Excellent reporting @adamwren politico.com/news/2026/05/1…

On today’s episode of healthcare gaslighting: Me: the data on OR 1st starts is full of mistakes. We need accurate data to improve OR efficiency. Admin: why don’t you believe in this effort ? #medtwitter

Waiting for my resident’s parents to call me 😐

So much for "eat the rich" 🤡

@anish_koka Londonistan

Britain seems like a nice place.

Yes, I liked Twitter more when it was suspending me for referring to another cardiologist’s blog on vaccine myocarditis.

The sad irony is that only the physicians and nurses at “non profit” hospitals work for free

While I do not have the solution to mass school shootings , I feel it is probably not more trauma centers

Opening a level 1 trauma center in a Chicago trauma desert reduced travel time and distance to care and was associated with a significant decrease in firearm mortality in the affected area. ja.ma/4cAGIvm

Truth wsj.com/opinion/meet-t…