Which ear had the cochlear implant?! This is a postop audiogram prior to activation. Gray is the preoperative. Shared with permission. Crazy that this is a regular occurrence for me. I counsel patients, "It's possible but unlikely that you may lose your residual hearing"

Reuters: U.S. SUPREME COURT REJECTS CASE THAT THREATENED ITS LANDMARK 2015 RULING RECOGNIZING A CONSTITUTIONAL RIGHT TO SAME-SEX MARRIAGE

@united have you completely given up on quality safety? Currently behind a seat that doesn’t even seem safely attached. Last flight a part of the plane could have impaled a passenger on t/o or landing! @FAANews @NTSB @flywithaopa @ALPAPilots

Hot take: Canceling a 6 gigawatt solar farm is an extremely dumb thing to do when electricity rates are skyrocketing

BREAKING: Friday night massacre underway at CDC. Dozens of "disease detectives," high-level scientists, entire Washington staff and editors of the MMWR (Morbidity and Mortality Weekly Report) have all been RIFed and received the following notice:

For every day that the government is shut down, Congress, POTUS, and their staff should permanently forego their government salary.

The video of this incident is just as bad as it sounds. The priest is standing there, not doing anything remotely illegal, and without warning a masked DHS agent on the roof shoots him in the top of his head with a pepper ball.

Stabilizing any human, legal or not, in an ER. is not healthcare. It’s triage, till they can kick them back onto the street. What’s fucked up is that neither party wants Healthcare. The Dems want to send more money to insurance companies rather than dealing with the problem of helping patients pay for care. The Reps want to rage farm about illegals for the sole purpose of creating content that the algorithms and their podcasters love. . Zero consideration for what will happen if any human is not able to get stabilized in an ER, and remains sick and/or injured in public. Have the OMB analyze that.

New KFF poll: Americans want Congress to extend the expiring, enhanced Obamacare credits by a whopping margin of 78% to 22% — a remarkable political entrenchment for subsidies that were a heavy political lift for Democrats just a few years ago, per Politico.

Pure class.

The killing of Charlie Kirk is part of a grim pattern of political violence in America. This is what the data show econ.st/4gwVO6Y

CBO projects the population to barely grow over 30 years (and decline outside of immigration). The under-65 population will begin declining next year. We can't sustain 3% economic growth or pay for Social Security & Medicare without healthy workforce growth. This will get ugly.

This political era is all about vengeance & escalation. Impose as much suffering as possible on the other side. They started it anyway and must be destroyed. Civility & grace is for losers & wimps. Real leaders fight - no apologies, no mercy. We desperately need de-escalators.

In the last few years we've seen: - The plot to kidnap Gretchen Whitmer - The Storming of the Capitol and pipe bombs left at the RNC and DNC - The break-in to kidnap Nancy Pelosi and the brutal on Paul Pelosi - Multiple assassination attempts against Trump - The assassination of Minnesota House Speaker Melissa Hortman and her husband and the shooting of on State Senator John Hoffman and his wife - Luigi Mangione's assassination of Brian Thompson - The assassination of Charlie Kirk Political violence is contagious. It is spreading. It is not confined to one side or belief system. It should terrify us all. The foundation of a free society is the ability to participate in it without fear of violence. Political violence is always an attack against us all. You have to be so blind not to see that.

I said I wanted to fix healthcare in the USA. That’s where I’m spending my money. Some people think helping Americans get out of this healthcare mess we are in is important. In fact I think it’s the most important issue Americans face. Some don’t. They want to talk about things I can’t impact, I want to talk about things I can change. Healthcare will cost the typical American Family of 5 , 5x what they pay in federal income taxes. BEFORE deductibles and max out of pocket It will cost your employer 30k for that same family. Leaving a lot Less money to pay to you. And if you have a high deductible and high out of pocket plan, you are just fucked unless you are rich. Really tough when most people who don’t qualify for medicaid barely have $500 in the bank and avoid going to the doctor and just get sicker. Costing businesses and taxpayers even more. All while there will be a debate about whether to extend ACA subsidies for 12.5m people. Which is simultaneously the most important and most worthless conversation our politicians will have. It’s important that the money be there for healthcare. It’s ridiculously worthless because that money goes right into the pockets of big insurance companies for plans that have ~5k deductibles and 18k OOP max, which few can afford when something bad happens. But hey. Let’s play gotcha about global politics instead of dealing with something that impacts all Americans and the economy more than any 1 percent interest rate cut ever will.

Urgent cares suck. I work on the opposite end of the body, graduated training almost 10y ago, and know that diarrhea isn’t an indication for a CT abdomen.

It's just unbelievable. Would love to know what percentage of patients in the ER presenting with diarrhea features automatically get a CT now in many centers. It's the chief and basically only complaint of the first CT exams of the night.

Here's a hallucination from a human!

Nine former CDC directors who served under Republican and Democratic presidents warn that the damage RFK Jr is doing to America's public health system is "unlike anything our country has ever experienced."

ICE literally arrested firefighters in the process of fighting a fire. If a dystopian comedy included this scenario, people would dismiss it as unrealistic.

The year before and after opening my independent surgical micropractice (2022/23) were the most stressful in my life. This was my “don’t leave home without it” list since my brain was always in 20 different places. One of the best decisions I ever made—hands down.