Anthony S

497 posts

Anthony S

Anthony S

@BattleBornMD

Reno Sumali Ocak 2017
220 Sinusundan90 Mga Tagasunod
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Anthony S
Anthony S@BattleBornMD·
@Gautam__Baid Respect the honesty here. It takes skin in the game and hard lessons to find your way…doesn’t have to be this way, we can learn from others. But it might be the only way that really works. #TheJoysOfCompounding
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Anthony S
Anthony S@BattleBornMD·
@DrDiGiorgio Nice that someone has a multi step plan. Hard to wrap my head around putting all these people on legal holds…ERs already struggle with boarding and limited facilities to transfer out to.
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M Mohan
M Mohan@mukund·
We had to replace our roof. It was replaced 20 years ago or so. Got a person to come and give us an assessment first. It was Cedar Shake roof. Many parts of it were broken. Ok. The guy came and did an inspection. Said you need to replace. Estimated $47K. Ok. Went to my brother’s home in El dorado hills this week. He got an estimate for his home. Similar sized roof in terms of square foot. His estimate was $34K. California. Cheaper. Than. Washington. What? How ?
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Amp
Amp@ampdotxyz·
How long have we been working with @coinbase? About 6-7 years. 😏 But seriously, shoutout to @coinbase for DOING THE WORK to push crypto forward. @dannymccb @TyrantBroken ethereum:0xff20817765cb7f73d4bde2e66e067e58d11095c2
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Anthony S
Anthony S@BattleBornMD·
@DellAnnaLuca I would assume from this that the effect is limited pricing competition.
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Luca Dellanna
Luca Dellanna@DellAnnaLuca·
You will never guess from this chart alone the year in which Barcelona stopped issuing new Airbnb and tourist-use licenses. (answer in the next tweet)
Luca Dellanna tweet media
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Lawson Mansell
Lawson Mansell@lawsonhmansell·
@txmedai @NiskanenCenter We are explicitly non-partisan and there is not much about this process that is determined by partisan politics. It’s mostly a fight between the affected industry players. I agree with all your points. The problem is that the arbitration process is increasing overall hc costs.
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Lawson Mansell
Lawson Mansell@lawsonhmansell·
A Philadelphia neurosurgery practice did a brain diagnostic procedure for an out-of-network patient. Their insurance offered $2,660. An arbitrator instead awarded $333,000. The No Surprises Act facilitated this. For the last 2 years, @NiskanenCenter has been working to fix it.
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Anthony S
Anthony S@BattleBornMD·
@lawsonhmansell @NiskanenCenter It’s baseball arbitration. The arbitrators have to pick one (not something in the middle) and the low offer is insanely low. No question 333k is very high as well. Where are you citing this from?
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Anthony S
Anthony S@BattleBornMD·
@_joe_harris_ Wouldn’t be surprised if they start building their own.
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Sean
Sean@runrobotrun_·
@bowtiedstocks Not a good look for Brett. The business has been doing fine and they’re clearly kicking goals. What is most concerning is Brett smelling his own farts thinking the stock is worth $13 a share right now and taking loans on that basis.
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BowTiedStocks
BowTiedStocks@bowtiedstocks·
$KPG.AX Founder Brett Kelly now getting margin called I was always a little skeptical of the value the market was ascribing to this one, as flagged in earlier tweets Just look at transaction multiples for suburban accounting firms in the private markets afr.com/companies/prof…
BowTiedStocks@bowtiedstocks

$KPG.AX Kelly Partners Now down from $13+ to $5.71 It was trading on an absolutely eye watering multiple For a collection of suburban accounting practices that privately change hands at 3-5x earnings

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Anthony S
Anthony S@BattleBornMD·
@JordanBloch @DrDiGiorgio It’s not 50%. It’s more likely that one makes significantly less….or yes, needs to look at some retirement savings options.
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Anthony DiGiorgio, DO, MHA
Anthony DiGiorgio, DO, MHA@DrDiGiorgio·
Finished our taxes and came to a realization: In a two-physician household, one spouse's income is entirely confiscated by the government.
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Say No To Trading
Say No To Trading@SayNoToTrading·
Even with $7 gas in California, you will only save $7 per year driving a Tesla $TSLA. Unless you want to drive 20 mins away, after 1 am, to sit in a parking lot and maybe get 35-40 cents kWh. If not, you are paying 48-57 cents kWh during normal times people live their lives. EVs are a total scam for fuel savings. Your savings are reduced maintenance costs, that’s it.
Say No To Trading tweet mediaSay No To Trading tweet media
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Anthony S
Anthony S@BattleBornMD·
@gnoble79 You did not read is letter. Clear reasons for him closing fund and it does not include him wanting to give up on investing.
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George Noble
George Noble@gnoble79·
A $470 million Buffett disciple just closed his fund and declared stock picking is dead. This is literally the most BULLISH SIGNAL for active management I've seen in years. Guy Spier ran Aquamarine Fund for 28 years out of Zurich. Returned 1,186% since 1997. Won a charity lunch with Buffett in 2007. And he just gave up. His reason is that AI is making research obsolete. Everyone has access to the same data. The edge is gone. I've heard this EXACT argument before. In 1999, they said the internet eliminated information advantages. In 2007, they said quant models had solved investing. In 2012, they said passive indexing made stock picking pointless. Every single time, the obituary for active management was written at PRECISELY the wrong moment. Here's the data Wall Street doesn't want you to focus on: In the first half of 2025, 46% of large-cap active managers BEAT the S&P 500. Only 22% of small-cap managers underperformed their benchmark. That's the best showing for small-cap stock pickers in over two decades of SPIVA data. The moment everyone is giving up on active management is the moment active managers are performing BETTER than they have in years. Meanwhile, investors yanked $640 billion from active mutual funds in 2025. Passive funds now control 55% of total US fund assets. This is textbook contrary indicator territory. When money floods mindlessly into index funds, it creates the EXACT inefficiencies that skilled stock pickers exploit. Passive funds don't analyze balance sheets. They don't question management. They don't distinguish between a company trading at 8x earnings and one trading at 80x. They just buy whatever's in the index regardless of price or fundamentals. You can't call that investing. And I'm not done here yet: The Mag 7 stocks that drove the S&P 500 for two years are now spending $700+ billion annually on AI infrastructure with NO measurable productivity returns for most companies deploying it. As valuations continue to compress, passive investors own every single one of those overpriced names by default. Active managers can CHOOSE not to. That's literally a superpower. Spier said the Buffett-and-Munger approach of finding overlooked, high-quality companies at reasonable prices no longer works because "everybody is looking everywhere." With respect - no, they're NOT. Everybody is looking at the SAME 7 stocks. The same mega-cap tech names. The same AI narrative. Nobody is looking at small-cap energy companies trading at 5x earnings. Nobody is looking at commodity producers with fortress balance sheets. Nobody is looking at emerging markets trading at historic discounts to US equities. THAT'S where the edge lives. The best opportunities in my entire career have come when the consensus said a strategy was dead. Active management isn't dying. The lazy version of it is. And for those of us willing to do the work, ignore the noise, and think independently? We HAVE entered the GOLDEN AGE of stock picking. The herd is running in one direction. I'm going the other way.
George Noble tweet media
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Anthony S
Anthony S@BattleBornMD·
Terrible idea. Want to really drop healthcare costs from unnecessary ER visits….only pass go if you are not actively intoxicated on meth or alcohol. The costs of addiction to those two substances and all the problems that come with it are thousands of visits to just a single ER.
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dcnh
dcnh@davec_NH·
Put ICE in every Hospital ER, and watch your Healthcare cost drop.
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Anthony S
Anthony S@BattleBornMD·
@MaryBowdenMD They didn’t take them….they were matched. Someone had to give them the spots as well. Not the students fault for being better candidates.
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Mary Talley Bowden MD
Mary Talley Bowden MD@MaryBowdenMD·
150 medical students from a single school in Pakistan just took residency spots from US medical students.
Mary Talley Bowden MD tweet media
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Anthony S
Anthony S@BattleBornMD·
@lawsonhmansell There were close to 150 emergency medicine spots open when match was announced
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Lawson Mansell
Lawson Mansell@lawsonhmansell·
Today is Match Day, which is a good time to remind everyone that thousands of qualified doctors will not match to a residency program today because we don't have enough slots. This bottleneck is driving our doctor shortage.
Lawson Mansell tweet media
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Anthony S
Anthony S@BattleBornMD·
@morganhousel So you gave advil to a kid that didn’t need it? Have been seeing kids in the ER for years that do not feel better until their fever is gone.
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Morgan Housel
Morgan Housel@morganhousel·
You see the placebo effect in young kids. Give them Advil when they're sick and THIRTY SECONDS later they say, "It's working, I feel better."
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Anthony S
Anthony S@BattleBornMD·
@MachalaaAgent Still flexing because he’s showing he has enough money to dress however wherever
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Agent Big Wiz
Agent Big Wiz@MachalaaAgent·
Steph curry worth half a billion dollars and notice how he dresses, no million dollar chains, no million dollar watches and cars. People with money don’t actually show off.👏👏
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Anthony S
Anthony S@BattleBornMD·
@DrGlorioso Do you reallly need the mammogram and ct if you are already getting the full body MRI?
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Christin Glorioso, MD PhD🏳️‍🌈
I asked Claude to calculate my risk of not detecting late stage cancer in my lifetime by screening test added. He said it was 2-4% if I did whole body MRI (yearly), mammogram, pap smear, colonoscopy, Galleri, skin check, and lung CT (yearly). This compared to 15-20% risk in the gen pop without screening. This still sounded high to me so I asked how to get it below 1%. This is what he said: The EGD is the one most people overlook. It's the only way to directly visualize the esophageal and gastric mucosa, and it's standard screening in Japan and South Korea where stomach cancer rates are higher. For your remaining gap in stomach and esophageal cancer, it's more reliable than either Galleri or MRI. With all of that, you're probably at 1.5-3%. The reason you can't get to 1% is that the irreducible interval cancer risk and the imperfect sensitivity of every tool, even stacked, create a floor. Some cancers will always be biologically capable of evading everything we currently have. What would actually get you below 1% in the future: Multi-omic MCED testing with substantially higher Stage I sensitivity (the next generation of Galleri or its competitors), run quarterly rather than annually. Combined with AI-read MRI that catches things human radiologists miss. Combined with circulating tumor cell assays that are currently in development. Combined with cancer-specific methylation panels that go deeper than Galleri's broad 50+ cancer approach. The technology to get below 1% probably exists within 5-10 years. It doesn't exist today at any price point. Right now, the honest answer is that 2-3% is roughly the best you can achieve, and you'd be in an extraordinarily small group of people on the planet at that level of coverage. I might be adding EGD to my regimen and totally agree about multi-omic tests of the future. We all should be below 1% risk of missing late stage cancer. I think this is coming soon.
Christin Glorioso, MD PhD🏳️‍🌈 tweet media
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Anthony S
Anthony S@BattleBornMD·
@HeroDividend I thought they earn on use not unpaid debt/interest? That’s my understanding why they are great businesses because they are not the ones taking on risk of unpaid bills. It’s the bank/company that sponsors the card that is taking on the risk and collecting interest.
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Anthony S
Anthony S@BattleBornMD·
@Jason Plenty of people to ride with if you need a buddy. Looks pretty tracked out already, scary but at least people around
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@jason
@jason@Jason·
What a horrible season… so many lost lives from one storm. When skiing alone this past week, excited to challenge myself in deep powder, I made my first mistakes: alone is no bueno I lost a ski in the deep powder and went down Was right in the area where I took these photos and videos the day before I wasn’t off the trail, but the trail wasn’t groomed — second mistake I quickly popped back up instinctually (3rd mistake) seconds later the snow gave way beneath me and I flipped over I was now in my back with only my head and one arm above the snow I was in a mini-panic as I had now shifted five feet closer to the tree line Tree wells are no joke and I was feet from them I slowly dug myself out Positioned my skis correctly and walked slowly to someone else’s tread marks Was exhausted, but fine Next year I won’t go out alone I will wear a beacon I will carry a shovel I will get avalanche certified I will stop being an idiot my life is fantastic, I’m loved, I have purpose and I want to ski until I’m 80 I will stop being an idiot
@jason tweet media@jason tweet media@jason tweet media
SLCScanner@SLCScanner

#Breaking #BigCottonwoodCanyon #Avalanche Multiple resources on scene of an avalanche in the area of #ButlerBasin and #GobblersKnob. Reported at approx 1035 AM. At least 2 people were directly affected. Medical Helicopter and the #DPSHelicopter responded. Life saving measures in progress on at least 1 individual. The SL County Sheriff is handling this incident. Stby for updates.

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