Dr Tortellini

“In a possible violation?”

How about stop soft selling it

“In a CLEAR violation of the first amendment”

As Seth mention, if you draw a line in the sand on something, they are willing to suck it up and get it done for you

So if they need to punch out early for a kid's game, school thing, etc, I'm going to be flexible

If they are not feeling well and need to go, we watch out for them

This right here ^

All of us get busy with multiple patients, calls, etc

A staff who is comfortable helping you not screw up is a huge help, being the traffic cop to tell you to pick up this room first as it will be nice for you to not have two complex cases in a row ... they watch out for you

a man is standing in a living room with his hand on his chin and a group of people standing around him . ALT: a man is standing in a living room with his hand on his chin and a group of people standing around him .

I think in the moment, there is a reflex you can't stop

My father STEPPED IN FRONT OF ME TO help a guy who went vasovagal in a store once - my dad was 78 YO at the time and had been retired from practice for 7 years

The guy pricked his finger with a staple and seeing his own blood ....

I can't believe I'm appreciating Oz actually responding like any doc should do

- RFK ran away
- Trump turned towards the patient, then turned to pose for the camera

I went to the timeline of this fool to see whether it was even worth posting a reply

Nope, I just blocked him, which is far more efficient & therapeutic

It’s nice see that Nancy Mace’s fellow home state senator and representatives are stepping up and suggesting she needs mental health help

Once we make it past midterms, will we see any of the R’s do the same with Trump?

donald trump is wearing a suit and tie and making a funny face while talking into a microphone . ALT: donald trump is wearing a suit and tie and making a funny face while talking into a microphone .

I am waiting, just waiting for his announcement of some fantastic program coming for a reporter in the pool to ask him "You're launching this in two weeks, right?"

That life-time of privilege also shielded from anyone who thought he was wrong

Windmills cause cancer
He's the "father" of IVF
Gulf of America
He cut drug prices 1500%
He's called the president of Europe

People label the comments "concerning" or "bizarre"

We should call it what it is: Dumb

Bob Plaschke, CEO
United Tactical Systems
28101 Ballard Dr, Lake Forest, IL 60045

They only have 7 Google reviews; I think people could help them out with that?

They are owned by Private Equity (of course)

ClearLight
100 Bayview Circle, Suite
5000 Newport Beach, CA

Michael Kaye
Managing Partner

There's an old adage about "girlfriends" while in government service, military, intelligence or finance

If you're a "5" and she's "7 - 8+," you're the mark in a honeypot scheme

Humana must face class action suit over use of AI in denying post-acute care Humana must face a class action lawsuit alleging that its use of artificial intelligence to deny post-acute care to Medicaid Advantage beneficiaries became fraud when those automated decisions replace...

nH Predict, the Humana AI agent platform for claims and denials, is known to have a 90% error rate

www.mcknights.com/news/humana-...

Humana is now using an AI system to process claims and it is A MESS.

While a computer algorithm was used in the past, it for the most part worked

Even simple claims are being done incorrectly

We just received an EOB for cataract surgery, stating the allowable was 92 cents

The nuance here is MA plans must spend 85% of premiums on "clinical care"

PBM fees & rebates get counted in the 15% administrative cost allowed, the amount paid to the pharmacy is considered clinical care

Ever wonder why these plans are now pushing their own mail order pharmacy plans? This is why.

"a big chunk of the money goes to the PBMs and insurance companies"

Narrator: They're the same thing.

The top 5 plans own their PBM, creating additional revenue by designing formularies which have higher cost drugs (with higher cost share) for which they receive (and keep) rebates

If you want an ethics cost in this space, look at the Pharmacy Benefits Manager (PBM) system

Originally, PBMs "uncomplicated" plan formularies, brought cost down

The top 5 MA plan entities now own a PBM & it is now a revenue stream, at a cost to patients, with rebates to plans for higher cost meds

Mayo discontinued participation in Medicare Advantage (MA) plans from both United & Humana

I see this as a MA problem, not a Mayo problem

MA plans were originally to save the government money, paying the plans about 93 cents for every dollar of cost under traditional Medicare, its now $1.20

There’s this ornament with Trump doing the flag

They couldn’t show the one with Vance and the couch

Two Nazis walk into a bar, one endorses the other

I mean we used to go there all the time to just hang out, but then they made it all fancy and stuff with gold trim ... just no fun any more

a man in a blue suit is holding a fire in his hand ALT: a man in a blue suit is holding a fire in his hand

We were talking in the clinic; I was leaning on the back of a vinyl chair.

After I moved my hand, someone else put there hand there and recoiled "OMG, it's true"

Evidently, I had heated up the chair

While the study highlights it's use in Macular Degeneration, it would be interesting to see a study for use in diabetic macular edema. Both conditions involve the growth of abnormal, leaky blood vessels in the retina that are fueled by a substance called vascular endothelial growth factor (VEGF).

The costs for current treatments can range from $50 - 100 for a first line, less effective medication to about $10,000 per injection for more effective, longer lasting medications, with patients needing anywhere from 4 to 8 injections a year.

Safety margin for an IM injection is a huge improvement

Because the hair was done at age 8, but the rest of him kept cooking for 88 years

I didn't make the rules for microwave burritos

I had completely forgotten about this until seeing the series A House of Dynamite in which much of the movie takes place in the PEOC.

Any word about the integrity of the Presidential Emergency Operations Center ... which is a bunker under the East Wing of the White House?

I have not seen any mention of this

It was a sad day when the poetry factory in town switched from work from home to 5 days a week in office.

I had a dream once, after several very long days ... I was trying to put in an IV and each kit we opened had no cannula attached ...

Boone on the couch with daddy watching football

Last few moments of our “guy’s weekend”

Momma will be coming in from the airport in about 10 minutes

If anyone asks, he was never on the couch

Never