SaltyMD (@RealityDiplomat) profile picture

Posting about medicine, travel, politics, and things that piss me off. And I happened to have been published in Nature.

Joined July 2021
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I’m operating tomorrow. Have concepts of plans. Don’t really need to know what to do until I’m in the OR. Who am I? #TrumpHarris
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One has to ask themselves, why are hospitals and healthcare corporations replacing physicians with NPs? Hint: it’s not to give you better care
Bloomberg: NPs may be endangering patients VUMC: NPs lead our teams! 🧐 @pppforpatients
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Trump is a RINO surrounded by CHINOs- Christians in name only #chino @krassenstein @bone00afide
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So MAGA supporters are ok with this? A presidential candidate who incited an insurrection and is now making it abundantly clear that he’s going to fix our election process such that people won’t “have to vote anymore”??? Smells like a dictatorship. Prove me wrong
Trump: You have to get out and vote. You won’t have to do it anymore. Four years, it will be fixed, it will be fine. You won’t have to vote anymore.. In four years, you won’t have to vote again.
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As corporations and private equity take over healthcare, we all get less as patients and physicians have their practices compromised so that these companies can make money. The majority suffers so the few can fill their bottomless well of greed
Notable & quotable #5 from the @FTC's workshop last week on #privateequity in #healthcare. Thank you for your leadership on this issue, @linakhanFTC! #PEHealthcareFTC #medtwitter #moralinjury #fixmi #health #patients #FTC @HHSGov @SecBecerra @JusticeATR @TheJusticeDept @WDeanMD
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Analogous to a female physician introducing herself as such and the patient thinking they spoke to the nurse. “But when am I going to see the doctor?!”
“I’m a Minneapolis based pilot for Delta airlines.” “Tell me what a typical workweek is like for you as a stewardess.”
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Excellent video describing how one company is monopolizing all of healthcare. While people think those who provide care cause rising prices, the real criminal is UnitedHealth that owns almost every aspect of the system. As patients, we pay them to deny us care. @TakeMedBack
The Justice Department has launched an antitrust case against UnitedHealth, owner of the biggest health insurer in the U.S. and Optum health-services. UnitedHealth had $372 billion in revenue last year. Its insurance arm covers 53 million people, and Optum has 90,000 doctors.
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Surround yourself with those who make you a better version of yourself. It’s like a business partnership; in order to grow we must choose relationships that build us up and make us stronger.
You are the sum of the five to seven people you listen to most. Make sure you’re listening to the right 5-7. If you’re not, it’s ok to change. Want to be physically fit? Hang out with fit people. Want your finances to be in order? Hang out with financially responsible people. Want to have more wisdom? Hang out with wise people. Want to be a good investor? Hang out with those who successfully invest. Want to understand intelligent design? Hang out with physicists, astronomers, and biologists. Want to stop complaining? Stop hanging out with complainers. Want to stop being a victim? Stop hanging out with those who blame everything on others instead of looking inward. Want to understand the 100 facets of healthcare? Hang out with those who know. Surround yourself with the right and appropriate people. Life is meant to be full. Make it so. #healthcare
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Please sign this letter in support of reversing the CMS cuts that went into effect this year and contact your state senators today. Deadline to sign is Feb 22. physiciansgrassrootsnetwork.…
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When a hospital system admits it was never committed to quality of care, we must work to ensure that no such entity can ever own a healthcare system again. It’s a matter of public safety. @FTC @POTUS @SenWarren @RepKatiePorter
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Time to stop corporations from practicing medicine and for our healthcare system to truly take care of us @shycollie @GallaherCaren @Suburbanbella
#MedTwitter - Save the Date if You Want to Live. 2/10/24 We will be co-hosting the Summit to Take our Profession Back from C Practice in the state of the Governator, with California - @aaeminfo Join us in the Coachella Valley. Registration opens soon.
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My jaw dropped watching this video. It’s not complicated. Calling for the genocide of a people is bullying and harassment yet these supposedly intelligent presidents of Ivy Leagues can’t get the answer right. If they’re smart, hate to see what dumb looks like #Penn #MIT #Harvard
The presidents of @Harvard, @MIT, and @Penn were all asked the following question under oath at today’s congressional hearing on antisemitism: Does calling for the genocide of Jews violate [your university’s] code of conduct or rules regarding bullying or harassment? The answers they gave reflect the profound moral bankruptcy of Presidents Gay, Magill and Kornbluth. Representative @EliseStefanik was so shocked with the answers that she asked each of them the same question over and over again, and they gave the same answers over and over again. In short, they said: It ‘depends on the context’ and ‘whether the speech turns into conduct,’ that is, actually killing Jews. This could be the most extraordinary testimony ever elicited in the Congress, certainly on the topic of genocide, which to remind us all is: “the deliberate killing of a large number of people from a particular nation or ethnic group with the aim of destroying that nation or group” The presidents’ answers reflect the profound educational, moral and ethical failures that pervade certain of our elite educational institutions due in large part to their failed leadership. Don’t take my word for it. You must watch the following three minutes. By the end, you will be where I am. They must all resign in disgrace. If a CEO of one of our companies gave a similar answer, he or she would be toast within the hour. Why has antisemitism exploded on campus and around the world? Because of leaders like Presidents Gay, Magill and Kornbluth who believe genocide depends on the context. To think that these are the leaders of Ivy League institutions that are charged with the responsibility to educate our best and brightest. On the bright side, our congressional leaders deserve accolades for showing tremendous leadership and moral clarity in their statements, by the questions they asked, and the respectfulness with which they conducted the hearing. It was a masterclass of how our government and democracy should operate. If you have time, please watch the entire hearing. Throughout the hearing, the three behaved like hostile witnesses, exhibiting a profound disdain for the Congress with their smiles and smirks, and their outright refusal to answer basic questions with a yes or no answer.
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Psilocybin Shows Promise in Treatment-Resistant Bipolar Type II Depression | MedPage Today. “Aaronson and colleagues noted that the intensity of the psychedelic experience correlated with clinical benefit.” medpagetoday.com/psychiatry/…
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In a world where physicians have at least 15000 hours of clinical training, the USA has chosen to value the NP with less than 500 hours of experience in medicine; 12.5% of the experience hours of a cheese expert. “But NPs are soooo nice!”
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So the person reading the CT scan is a nurse practitioner mislabeled as a “reading physician.” Might as well have been a barista. No offense to baristas. Why can’t you nurses stay within your scope of training? NPs = Egos over patient safety every single day
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NPs are trained to work in particular fields. If you, as a physician, hire them to work outside of their trained field of practice, you’re liable for their incompetence and also you’re just a crappy person
Are you a surgeon considering hiring an NP? You may be sued for negligent hiring. Are you an NP being forced to work a subspecialty? You may be sued for practicing outside of scope. #MedTwitter #Nurse #ARNP
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There is no training program that allows an NP to be working in orthopedic surgery. None. So who thinks this is ok??? This is healthcare in the United States @AANP_NEWS
#orthotwitter what do you think of the remote consult recommendations by orthoNP. Appropriate? In my opinion it was not appropriate and potentially harmful. Also is orthoNP a legit board certified medical specialty?
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Just another ordinary day in an American classroom. 😢😢😢 We all need to see these pictures and be reminded that our lawmakers MUST do something to prevent further tragedies
Reminder that the only place in the world where classrooms look like this as a matter of routine is in the United States of America. No other country puts up with this. This photo is from Robb Elementary School in Uvalde, Texas.
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Time to call out @Cigna. Can @DGlaucomflecken help?
A thread about our depraved healthcare system, and a plea. In 2021, my friend Carole was diagnosed with terminal stage four cancer. A single parent with two kids, she had just turned 43. In 2017, she had watched her brother Chris die of the same cancer. He too was in his 40s.
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It’s time we take medicine back. We need to infiltrate the AMA so that we direct the future of medicine instead of those who want to examine how a fire starts while the house is already burning. Time to put the fire out. NO to the corporate practice of medicine @AmerMedicalAssn
🚨BREAKING🚨 Authors of @NEJM "A Doctrine in Name Only: Strengthening Prohibitions on #CPOM," & one of the most-cited ⚖️ health scholars contradict @AmerMedicalAssn #CouncilOnLegislation testimony at #AMAmtg opposing Res 233 #CPOM. From @Hayrook @efusebrown & Mark Hall JD
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