Ronald Hirsch, MD's Avatar

Ronald Hirsch, MD

@signaturedoc.bsky.social

Utilization review Medicare regulatory nerd. Road cyclist. 3v CAD s/p stenting (see proile pic). Fully vaccinated, still N95 masking on planes. Vote blue. Opinions my own, not those of employer

794 Followers  |  771 Following  |  522 Posts  |  Joined: 26.09.2023  |  2.7758

Latest posts by signaturedoc.bsky.social on Bluesky

JP Morgan died in 1913. Salmon Chase died in 1873. Don't think they will be in the Epstein files.

14.11.2025 15:43 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Preview
Kai Trump Has Rough Start At Prestigious Golf Tournament That Granted Her Special Spot Donald Trumpโ€™s granddaughter had been given a rare exemption to make her LPGA Tour debut in The Annika.

Nonsensical statements clearly run in the family โ€” โ€œI hit a lot of good shots just to the wrong spotsโ€????
The Trump ego has no bounds.

www.huffpost.com/entry/kai-tr...

14.11.2025 12:54 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Seriously?!!

13.11.2025 17:00 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

The paper bags full of $100 bills will be well represented here.

11.11.2025 19:23 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

"...and have the potential to prove the personal biases and beliefs of myself and RFK Jr to be wrong."

11.11.2025 14:56 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Which will be at the top of the pyramid?
McDonald's
or
road kill

10.11.2025 20:41 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Waiting for "Dr" Oz to add goji berries to the Medicare benefit list for prevention and treatment of every known disease.

10.11.2025 19:47 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Thread. Read it. Put your drink down first.

09.11.2025 12:28 โ€” ๐Ÿ‘ 70    ๐Ÿ” 17    ๐Ÿ’ฌ 4    ๐Ÿ“Œ 1
Preview
11 sickened by raw milk outbreak in Illinois The Illinois Department of Public Health reports an outbreak involving at least 11 people in the state who recently became ill after consuming raw milk.

Survival of the fittest proven true once again
I hope RFK Jr will pay all the medical bills!
fox2now-com.cdn.ampproject.org/v/s/fox2now....

09.11.2025 01:23 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

We need Nuremburg Trials for these war criminals with Kristi Noem first to be prosecuted.

07.11.2025 16:02 โ€” ๐Ÿ‘ 9    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

โ€œWalkedโ€? He bolted out of there as fast as he could.

07.11.2025 00:34 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

"He's going down! Anyone have any goji berries?"

06.11.2025 21:21 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Fake News! No Diet Coke on the list

06.11.2025 19:37 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Preview
a woman in a cardboard box costume with a ford license plate that says nc - nc - nc ALT: a woman in a cardboard box costume with a ford license plate that says nc - nc - nc

good point- not quite form fitting and maybe not appropriate for a formal event but it's the age of non-conformity

04.11.2025 18:44 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Boxy? You don't wear the box it came in! You take it out of the box then put it on... (sorry)

04.11.2025 18:38 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

And thanks to Dr Krommes for not using Dr or MD with Makary and Prasad's names. They are political monsters now and not doctors.

04.11.2025 00:43 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

anecdote? like "there was this time I bought a sweater at 2 am and felt better" or antidote like "you should shop at 2 am to feel better"? Well, actually both!

03.11.2025 15:57 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

not only does he hang with despicable people, he can't read the dress code on invitations to galas.

03.11.2025 15:54 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Whatโ€™s truly shocking is that they did something about it. Trump is all about vengeance.

02.11.2025 23:44 โ€” ๐Ÿ‘ 11    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0

This is more Republican stupidity. They obviously have no clue that men can get breast cancer and think that any breast cancer treatment was being done on transgender veterans.

01.11.2025 17:20 โ€” ๐Ÿ‘ 30    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

So let me amend my reply. The hospital messed up and should have fixed their mistake and billed the insurance company properly and the patient never should have received a bill except perhaps for their deductible and coinsurance.

01.11.2025 16:59 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Not true. Insurer determined inpatient admission was not necessary and they were right! The hospital messed this one up.

01.11.2025 12:12 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 3    ๐Ÿ“Œ 0

Won't be long before you have to submit a DNA sample. public-inspection.federalregister.gov/2025-19747.p...

31.10.2025 14:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

US Government collecting biometric data on anyone, including DNA, and including from citizens, they see fit? What could go wrong?
285 pages of regulations public-inspection.federalregister.gov/2025-19747.p...

31.10.2025 14:06 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

"Today"?? It's 8:30 am on the west coast. Are you expecting a lot more trials to drop today?

29.10.2025 15:37 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

And NICE still has not released a final decision. Someone filed an appeal of their decision (gotta think it was the manufacturer appealing a rejection).

28.10.2025 21:13 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
Louisiana officials waited months to warn public of whooping cough outbreak After a whooping cough outbreak killed two infants, Louisiana health officials waited months to officially alert physicians or do public outreach. That's not the typical public health response.

More proof Republicans are only pro-life up until birth. After that, it's all about pleasing Trump, lives of children be damned.
www.npr.org/sections/sho...

28.10.2025 14:05 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
Texas sues Tylenol company over autism claims This lawsuit comes a month after U.S. Health Secretary Robert F. Kennedy, Jr. updated guidance discouraging pregnant women from taking acetaminophen, citing it as a possible cause of autism.

Texas is suing makers of Tylenol for hiding autism risk??
Do Texas taxpayers know their legislators are spending their tax money on frivolous lawsuits simply to reward law firms they favor with lucrative govโ€™t business?

www.texastribune.org/2025/10/28/t...

28.10.2025 13:26 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Donโ€™t mess with the plastic bag manufacturer lobbyists!

28.10.2025 00:22 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

And in Finance News - Gold prices soar as White House Military Office buys thousands of ounces for upgrade of decor in renovated White House bunker.

24.10.2025 15:26 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

@signaturedoc is following 20 prominent accounts