$8M for a hospital to advertise to the nation. 🤔🤦🏽‍♂️ Why do “nonprofit” health systems have chief marketing officers making 7figures? But employed doctors are limited by (un)fair market value.

Screw @nyulangone Lobby congress to get higher reimbursement from @cms and then use the $$$$ for a Super Bowl ad. Yeah, they care about patients and lower premiums… Not #healthcare

There is no “doctor lobby” or “physician cartel”.

NEWS UnitedHealth has retained Claire Locke, one of the top defamation law firms in the country, to issue threats of legal action over social media posts about the insurer’s refusal to provide coverage to patients. Full Story:

First, I am private practice… if an administrator told me it was ok that people put themselves in harms way… I would move to another hospital Second, If you think your administrator is OK with you… not wearing lead or being willy-nilly about safety… you are wrong when it comes to safety… you follow the rules… and I am quite sure the administrator will see it my way…based simply on history… so yes your freedoms don’t matter in my OR… and the administrator and I would agree on that

@surgeonvents I run my OR…. It’s no place for ‘freedom or choice’… it is a dictatorship and for me, it’s around my team and patients safety If you don’t respect the rules… you put people yourself or other people in harms way… I am happy to have you assert your freedoms elsewhere

@KDubNola @generalorthomd If you aren't comfortable with the common complications then perhaps don't do the surgery.

Every man’s TRT journey is fairly similar. I’m going to speak in generalities that cover the highlights. Don’t get bogged down in those weeds. The brush strokes are broad. Usually somewhere around age 35+ guys start feeling “off”. These aren’t lazy guys. Often hard charging guys. Stressful lives and jobs. Family men with a wife, kids, and responsibilities. They notice they’re putting on a bit of weight. But it’s not ridiculous and they decide to get more serious about the gym or exercise and their diet and this keeps much at bay for a long time. This often actually improves things and sometimes by a lot at this stage. Which lasts usually 3-5 years. Then they begin to notice the creep again. As hard charging guys they know they are just being babies and double down on hard but find that doubling down isn’t working. The extra gear they always used to have just doesn’t seem to be there any longer. And for a period of time the extra gear will occasionally rear its head and fool a guy making him think it’s back. But it’s not. It eventually disappears. This is usually the point when the weight begins to slide again. It’s also a common time for many guys to just begin the “giving up” process, “embrace”middle age and getting old and out of shape and fat. The guy that eventually moves onto TRT doesn’t find the giving up satisfactory. At all. He begins to try longer rest periods. He begins looking into why he’s feeling blah with low energy, low motivation, low libido, no gains in the gym, and long recoveries. Hes even mildly depressed. And weight at this point may be sliding up even faster than is comfortable and he knows it. Maybe his wife or kids have said something. Maybe he had to buy new sized pants for the first time in a decade. He’s not stupid and correctly identifies that he’s having symptoms of low testosterone. And he spends the next 18-24 months reading, watching videos and trying supplements. The tongkat, fadogia, fenugreek, tribulus, pine pollen. Maybe he finds the Peaters and goes ham on pregnenolone. He probably sees his regular doctor who argues about checking his testosterone, finally dies grudgingly, and then refuses to do anything about a low number because it’s not low enough. They might also be reading online scolds about giving into treatment with testosterone when all they need to do is be better men. It’s not a medical issue, it’s a … moral one. And the reason that testosterone isn’t naturally high is because they are too fat, don’t eat good, don’t sleep good, and won’t manage their stress (as if quitting their jobs, not making the mortgage, and feeding the kids is an option). They might see an influencer who lives on the beach, single, no kids, sleeps when he wants, works out when he wants, eats fresh local meat, fruit, and veggies only, swims in the ocean every day getting that grounding and that magnesium. High natural T. Looks great. If only … They get told that once you are taking testosterone that you can never stop. Which isn’t true. But the ignorant and the liars seem very persuasive at times. So they stew. Just cook in it. But finally they get sick and tired of being sick and tired and they find a doc who is facile with testosterone in the man with symptomatically low levels. They reach out. They pull that trigger. And … they don’t realize how down bad they were or awful they felt until they start feeling better. And sometimes it’ll take a month or two to notice a huge difference while some guys notice improvements in a few days. The life is changed. He feels confident again and strong. He loses weight. He makes gains in the gym. Him and his wife … get “friendly” 😉 again, regularly. That’s the arc. And if you’re wondering about it reach out to a doc who is familiar. You’re not a bad guy trying to get good. No moral failings. You’re a regular guy that stress, life, and age put into a state. You don’t need to stay there. You don’t. Please don’t. Take it back today.