La Valette

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La Valette

La Valette

@vallete_la

“may the praises of God be in their mouths and a two edged sword in their hands”

Katılım Temmuz 2020
313 Takip Edilen423 Takipçiler
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La Valette
La Valette@vallete_la·
10 things I say to my patients to help them change: I try to pick my spots or these can fall flat. I try my best to live these personally as I believe lived experience is most effective to help others. #Health #rules
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ThePersistence
ThePersistence@ScottPresler·
FAILED: The motion to attach the SAVE America Act to the budget reconciliation bill fails. ✅ 48 - ❌ 50 ❌ Collins (R-ME) ❌ McConnell (R-KY) ❌ Murkowski (R-AK) ❌ Tillis (R-NC)
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La Valette
La Valette@vallete_la·
@_Foolsandfolly_ @noahkaufmanmd agree... Doctors hands are tied. The idea being you cannot charge different parties different prices (the caveat being insurance companies will pay different doctors in the same town different amounts for same procedure)
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Noah Kaufman, MD
Noah Kaufman, MD@noahkaufmanmd·
At the neurosurgeon’s office. I am cash pay $128 Would have been $711 with insurance. Leave the system.
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La Valette
La Valette@vallete_la·
@pmarca @megbasham This statement is why I never got the Covid shot. I didn’t believe anything they said about Covid after this.
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Marc Andreessen 🇺🇸
You’ll notice there is no look-back celebration or remembrance of this or virtually any of the other great moral victories from that era. It’s all been memory holed, a will-o'-the-wisp dimming out in the far distance.
NPR@NPR

Dozens of public health and disease experts have signed an open letter in support of the nationwide anti-racism protests. "White supremacy is a lethal public health issue that predates and contributes to COVID-19," they wrote. trib.al/iVynMCH

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healthbot
healthbot@thehealthb0t·
Pfizer CEO Albert Bourla has a meltdown at the WEF over growing numbers of people refusing vaccines, saying he’s deeply concerned and frustrated, blasting what he describes as religion-driven, anti-science rhetoric.
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Amanda Milius
Amanda Milius@AmandaMilius·
Exactly. Plus the chain of title on everything he wrote at Sony, WB, studios that have been bought along with their catalogues, are now super complex bc various producers already put $ into the project to try and get them made over the years. So you’d have to pay everyone and a large amount of legal to get them freed up. It’s not impossible but not something to be done w yr usual rw investor’s $25k. Would require real money. I know how to get them and he desperately wants me to. Esp Boone which he always envisioned for me, having used me as a child for various dialog parts w Boones daughter. It’s not impossible and id like to do it while he’s alive to see it happen. And oversee it from a distance as he can since I’m one of the only people that can talk to him.
Roger Avary@AVARY

@ElodiePenna @AmandaMilius Not without paying turnaround costs, which are commonly inflated to discourage recovery.

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La Valette
La Valette@vallete_la·
@SalaryDr Same procedure based specialty with 8-5 M-F hours the best
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salaryDr
salaryDr@SalaryDr·
Attendings: if you could redo your training tomorrow, would you pick… A) Same specialty B) Same field, different sub-specialty C) Different specialty entirely D) Leave clinical medicine Curious how that mix shifts by years out.
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John Slaughter, Esq.
John Slaughter, Esq.@JSlaughterEsq·
Part of the problem is that the American that birthed Daniel Boone and Andrew Jackson is antithetical post Civil War America and most certainly post WWII America.
Matt Walsh@MattWalshBlog

One of the big reasons for the current lack of patriotism and pride in our nation’s history is that about 40 years ago our most prominent storytellers in Hollywood just basically stopped telling stories about American history altogether, unless it has something to do with WW2, civil rights, or slavery. I mean they just released a movie about the meteorologist who did the weather report for D-Day. They’ll give WW2 weathermen their own movies before they tell a story from any other era of American history. The Right has attempted to counteract this a little bit, but “conservative” attempts at American history films and TV shows are invariably hokey and kid friendly, the kind of thing you can watch with your grandmother and your 5 year old, and you’ll all be equally informed and bored by the experience. We need R-rated adult-oriented American history stories. Daniel Boone should have his own series. It would be gritty and violent and not for children, but it would also be phenomenally entertaining and put an American legend back on the cultural map, so to speak. The fact that Daniel Boone hasn’t been depicted on screen at all since like the 60s is a travesty. Throw a dart at that guy’s Wikipedia page and you’ll land on something that could be its own feature length trilogy. That’s just one example. How is there not a great R-rated movie or series about Antietam? Or Kit Carson? Or the Panama Canal? How does Theodore Roosevelt not have like 10 movies about different periods of his life? You could go much farther back to pre-American history. A movie about Cortes’s conquest of Tenochtitlan would be tremendous and horrifying and fascinating, and it would introduce into the public consciousness one of the world’s most incredible stories that most Americans know next to nothing about. And on and on. The possibilities are literally endless. All of these movies, if they’re executed to even a B+ level, could make hundreds of millions of dollars and transform the culture in a way that a million podcast monologues never could. If the Right actually wants to reclaim the culture, this is the place to start.

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La Valette
La Valette@vallete_la·
@BMcGrewvy I watched that movie 15 times as a kid. I had a coonskin hat, boots, and swung my plastic rifle in the backyard just like he did on the top of the stairs on the Alamo.
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Bethel McGrew
Bethel McGrew@BMcGrewvy·
Disney did try with Davy Crockett, not exactly R-rated though.
Matt Walsh@MattWalshBlog

One of the big reasons for the current lack of patriotism and pride in our nation’s history is that about 40 years ago our most prominent storytellers in Hollywood just basically stopped telling stories about American history altogether, unless it has something to do with WW2, civil rights, or slavery. I mean they just released a movie about the meteorologist who did the weather report for D-Day. They’ll give WW2 weathermen their own movies before they tell a story from any other era of American history. The Right has attempted to counteract this a little bit, but “conservative” attempts at American history films and TV shows are invariably hokey and kid friendly, the kind of thing you can watch with your grandmother and your 5 year old, and you’ll all be equally informed and bored by the experience. We need R-rated adult-oriented American history stories. Daniel Boone should have his own series. It would be gritty and violent and not for children, but it would also be phenomenally entertaining and put an American legend back on the cultural map, so to speak. The fact that Daniel Boone hasn’t been depicted on screen at all since like the 60s is a travesty. Throw a dart at that guy’s Wikipedia page and you’ll land on something that could be its own feature length trilogy. That’s just one example. How is there not a great R-rated movie or series about Antietam? Or Kit Carson? Or the Panama Canal? How does Theodore Roosevelt not have like 10 movies about different periods of his life? You could go much farther back to pre-American history. A movie about Cortes’s conquest of Tenochtitlan would be tremendous and horrifying and fascinating, and it would introduce into the public consciousness one of the world’s most incredible stories that most Americans know next to nothing about. And on and on. The possibilities are literally endless. All of these movies, if they’re executed to even a B+ level, could make hundreds of millions of dollars and transform the culture in a way that a million podcast monologues never could. If the Right actually wants to reclaim the culture, this is the place to start.

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La Valette
La Valette@vallete_la·
@MattWalshBlog Indiana jones temple of doom showed some of the horrors of pagan religion- cortes showing it as a real life and not just a fictional story would break some people out of their comfortable, safe existence.
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Matt Walsh
Matt Walsh@MattWalshBlog·
One of the big reasons for the current lack of patriotism and pride in our nation’s history is that about 40 years ago our most prominent storytellers in Hollywood just basically stopped telling stories about American history altogether, unless it has something to do with WW2, civil rights, or slavery. I mean they just released a movie about the meteorologist who did the weather report for D-Day. They’ll give WW2 weathermen their own movies before they tell a story from any other era of American history. The Right has attempted to counteract this a little bit, but “conservative” attempts at American history films and TV shows are invariably hokey and kid friendly, the kind of thing you can watch with your grandmother and your 5 year old, and you’ll all be equally informed and bored by the experience. We need R-rated adult-oriented American history stories. Daniel Boone should have his own series. It would be gritty and violent and not for children, but it would also be phenomenally entertaining and put an American legend back on the cultural map, so to speak. The fact that Daniel Boone hasn’t been depicted on screen at all since like the 60s is a travesty. Throw a dart at that guy’s Wikipedia page and you’ll land on something that could be its own feature length trilogy. That’s just one example. How is there not a great R-rated movie or series about Antietam? Or Kit Carson? Or the Panama Canal? How does Theodore Roosevelt not have like 10 movies about different periods of his life? You could go much farther back to pre-American history. A movie about Cortes’s conquest of Tenochtitlan would be tremendous and horrifying and fascinating, and it would introduce into the public consciousness one of the world’s most incredible stories that most Americans know next to nothing about. And on and on. The possibilities are literally endless. All of these movies, if they’re executed to even a B+ level, could make hundreds of millions of dollars and transform the culture in a way that a million podcast monologues never could. If the Right actually wants to reclaim the culture, this is the place to start.
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Shain Bergan
Shain Bergan@KCPSShain·
Bears stadium situation dumbed down: Illinois had 5 years to give the Bears a tax deal anywhere close to every other franchise in the NFL. Politicians failed and were antagonistic every step of the way. Bears used the Indiana move first as a ploy, but then Indiana offered 1/2
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La Valette
La Valette@vallete_la·
@DrDiGiorgio The biggest issue is the Medicare replacement plans. All of which have carve outs and different pa requirements.
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Anthony DiGiorgio, DO, MHA
This is one of the most persistent myths about Medicare: it has low overhead. Medicare offloads all the billing, coding, compliance, quality metrics, EHR costs… all of it on private doctors and hospitals. Of course their numbers look pretty. Meanwhile, doctors spend 2h on the computer for every 1h of patient care time. That’s not captured in the Medicare overhead metrics. The median hospital employs 7 people full time just for quality metric compliance. That’s also not captured. Those are just a few examples. For the real story, talk to doctors that have dropped Medicare. They report a reduction in compliance costs of 90%. That’s a massive burden on our healthcare system. So spare me the low compliance cost tall tale. It’s a myth.
Andrea DeSantis DO, FAAFP@adesantisb

The term Medicare is used to describe a federal program that has 3% overhead and that is where the similarities end. It renders all 3rd party entities illegal. It funds all inpatient care with operating costs and allows private delivery in the outpatient world. Like the UK, it allows cash payments for those docs and patients who can pay and prefer. The ultimate details are however the law is crafted. We docs either come together and come up with a workable plan or it will be done without us.

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Bull Theory
Bull Theory@BullTheoryio·
BREAKING: Google is planning to release 32 million mosquitoes across Florida and California. The company has asked the EPA for permission to proceed, with the public given until June 5 to respond. The mosquitoes are infected with Wolbachia bacteria, which stops them from reproducing and slowly collapses the wild population from within. Google's previous Debug Project trial in California's Central Valley nearly eliminated mosquitoes from three test sites entirely. A separate trial in Singapore cut dengue cases by 70% within 12 months. Google has now released over 1 billion mosquitoes across four continents. This new proposal is the largest deployment in US history.
Bull Theory tweet mediaBull Theory tweet media
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Charles Lutz
Charles Lutz@CharlesLutzMD·
At our hospital gala last night our “regional” CEO led off his speech with a spirited defense of hospitals essentially blaming big insurance, big pharma, big medical device companies, etc for the high cost of care. While he has a point and I always make the point that the hospital staff does exceptional work under the circumstances, there is a rebuttal to be made…
Mark Cuban@mcuban

Everything in the hospital could cost $1, and the insurance companies conglomerates would buy them, raise prices, and make sure their top and bottom lines grew I'm not saying hospital systems are innocent, far from it. But the big vertically integrated insurance companies create the annual plans that crush people's financial situation

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Matthew Zirwas, MD
Matthew Zirwas, MD@MattZirwas·
Spent 10 years as PD, did research on this. Resident selection, as practiced, has essentially zero utility for selecting good residents or good future physicians. Fixes aren’t complicated: -set a minimum USMLE score. Nobody sees their number, just knows it cleared the floor. -study the applications of your best residents, find markers, select for those -PD reviews all the applications to decide who gets interviewed -Nobody else sees the applications, prior exposure biases interviewers and kills interviews as an independent data point -Interview day is tasks, not conversations - see a couple standardized patients and present them to attendings; get a topic, 15 minutes and a computer, give a 5 minute presentation; navigate a typical ethical dilemma against an intentionally adversarial faculty member; etc -involve current residents on a level equal to faculty Current system selects people who know how to play ‘the game’. We need to select people who know how to be good doctors.
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The Doctor’s Lounge Podcast
Did going pass/fail give underdogs a real shot at competitive specialties? A program director who studies this data says the evidence isn't there. Here's why: "If you were an alien from outer space and you stumbled upon this system — I think you would probably look at it as a way of reproducing the existing hierarchy." Harvard and Mayo had the highest Step 1 scores. Their students matched the best too. The idea that Step 1 was lifting hardworking applicants from lesser-known schools — while Ivy League students got beaten out — never showed up in the data. Pass/fail didn't break the hierarchy. It just changed which metrics programs use to maintain it.
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Clint Warren-Davey
Clint Warren-Davey@Clint_Davey1·
In the Barbie movie Ken discovers "patriarchy" and turns out it involves fitness, excellence, fun, adventure, horses, money, power, beers with the boys. He brings this back to Barbieland and everyone is happy - men and women. Then the Barbie characters come back and have to kidnap the women and reprogram them by complaining at them. Yes I'm a just a common chud with no "media literacy" but this is just what actually happens on the screen.
Clint Warren-Davey tweet media
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Culture Crave 🍿
Culture Crave 🍿@CultureCrave·
New clip from 'The Breadwinner' starring Nate Bargatze Theaters are offering a discounted 'Nate Rate' for tickets "We want everyone to come out to this movie" In theaters today 🍿
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La Valette
La Valette@vallete_la·
@anish_koka No private practice can survive without close to 50% private insurance
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