Brazenly telling the truth and shining the light on the crisis facing the practice of medicine in the United States...from the inside.
Joined November 2024
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Shockdoc retweeted
AUBURN HASNT WON IN 9 YEARS
KIRBY IS 65-0 vs unranked teams
KIRBY DOESNT LOST WITH A 14+ POINT LEAD
AUBURN HASNT WON THERE SINCE 2005
INSERT HATER NARRATIVE, IT WAS THERE!!!!
AUBURN BEAT THAT ASS IN THERE CRIB
WAR DAMN EAGLE!!
Shockdoc retweeted
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Shockdoc retweeted
I don’t think the libertarian party is the key to saving America. I think libertarian ideology is.
Shockdoc retweeted
Do y’all remember, before the internet, that people thought the cause of stupidity was the lack of access to information?
Yeah. It wasn’t that. 🤦♂️
Shockdoc retweeted
🔥🩺 How your doctor presents to the ER!
🔥 If your field is not featured - just make one yourself!
Shockdoc retweeted
American medicine spends more money avoiding malpractice suits than it pays out in them. The doctor in this story won his case and left medicine anyway.
Two-thirds of malpractice suits are thrown out before they reach court. Of the ones that do reach court, eight out of ten find for the physician. On paper that is a system working as designed.
The verdict was never the point.
Jordan Grumet, MD, an internal medicine physician, was home with his kids at eight at night when a process server rang the doorbell. The case was one he barely remembered, a patient he had a glancing role with who died of something nobody was going to stop. It took five years to resolve. Near the end, the lawyer essentially admitted he had never believed Jordan did anything wrong. He was using him as leverage against a nursing home.
Jordan won. He also left clinical medicine.
That is the part the dismissal statistics hide. The best study he could find put defensive medicine at roughly 55 billion dollars a year against about 40 billion actually paid out in claims. By age 55, he says, somewhere between half and 60 percent of physicians have been sued at least once, and the risk concentrates heavily in emergency medicine and the surgical fields. The dominant cost of malpractice litigation lands outside the courtroom, in what a physician does for the rest of a career to make sure the doorbell never rings again.
Grumet's larger argument is that malpractice is one line item in a longer bill. Insurers, pharmaceutical companies, private equity, venture capital, electronic medical record vendors, malpractice attorneys. Every one of them sits between the two parties who actually generate and receive care, and every one of them takes something out on the way through.
The line worth saving from the conversation is this one. When a business entity decides that visits run ten minutes instead of fifteen, or that a given test is too expensive to order, that entity is practicing medicine. And in Grumet's framing, business entities don't take the Hippocratic Oath. They carry a fiduciary duty to shareholders instead. We have handed clinical judgment to organizations whose binding legal obligation runs to someone who is not the patient.
His conclusion is that there are only two real stakeholders in health care, the people who hold the knowledge and the people who need it, and that everyone else is a third party who has learned to bill for standing in the middle.
Listen to the full conversation on The Podcast by KevinMD. Link in the replies.
For physicians who have been through a suit: what changed in how you practiced the week after you were served?
#MedicalMalpractice #ThePodcastbyKevinMD
Shockdoc retweeted
The Constitution does NOT give you rights. You already have them.
The Constitution simply tells the government that it cannot take those s rights away.
I wish more people understood this.
Shockdoc retweeted
The World Cup ends today. One game left. By tomorrow most of you visitors will be packing up, heading to the airport, going home.
So before you go, let me say the thing I actually want to say.
A few weeks ago I wrote a silly post about all the things you were discovering here. Free refills. Free water. Ice like civilized people. Chips and salsa before you even order. Air conditioning that is a fact and not a moral debate. Drive-throughs. Ranch by the gallon. The Germans standing in the HEB meat aisle in reverent silence, finally understanding why we do not have trains. Buc-ee’s, for which there are still no words.
It blew up, because it was true, and because you were so delightfully stunned by all of it.
Even the Wall Street Journal caught on. Their headline this week: how the US lost the World Cup and won over the world. We did not lift the trophy. But apparently we lifted something else.
We even learned a few things about ourselves along the way. Like the fact that Elon Musk, the single richest man on the planet, shops at HEB. Just rolls in and queues up for fresh tortillas with everybody else. The man could buy the tortilla company, the state it is in, and the moon it sits under, and instead he is standing in line at the hot-tortilla counter like the rest of us, because that is where the good ones are. Only in America is the wealthiest human alive elbow to elbow with a mom of four at the salsa bar. That is the whole country in one aisle.
And here is the part I want every one of you to hear on your way out the door.
None of it was a show.
We did not roll all this out because you were coming. The ice was always there. The refills were always free. The grocery stores were always the size of aircraft hangars at ten on a Tuesday. The stranger who adopted your whole section, the guy who gave you a ride, the waitress who remembered your order, the family that invited you to the cookout, that is not World Cup America. That is just America. That is Tuesday.
We are exactly like this when nobody is visiting. Loud, generous, ridiculous, overfed, and genuinely thrilled you came. We will still be exactly like this tomorrow when the stands are empty and the flags come down.
So thank you. To everyone who came, who sang in our streets, who cleaned our stadiums, who turned our cities orange and filled our bars and taught us your chants. You were wonderful guests, and you made a country that just turned 250 feel young and seen and loved.
And to everyone who could not make it this time, the door does not close today. We meant all of it. Come whenever. The porch light stays on, the fridge stays full, and there is always room for one more at the table.
You found out who we are these last few weeks.
Good news. We are like this all the time.
Safe travels home.
Y’all come back now, you hear. 🦋
🤖 Made with AI
Shockdoc retweeted
The next great discussion on X is malpractice reform. As we can no longer proceed to improve healthcare without it.
Currently the physician is the center of all blame for not only malpractice but poor outcomes where all has proceeded according to the standard of care.
This must change. 1/
The pager and the hallway conversation ran American medicine for decades. Nobody transcribed the hallway. Nobody archived pages in a vendor database. The law treated transient coordination as what it was: transient.
The same coordination moved to text, and HIPAA decided the conversation about the chart is the chart. Now a compliant platform converts every "bed 4 is crashing" into a centrally stored, permanently logged, legally discoverable record.
Clinicians respond the way anyone responds to friction: they route around it, back to their phones. The rule produces neither security nor compliance. It produces a paper trail for the lawyers and a shadow workflow for the actual work.
Shockdoc retweeted
More accounts need to amplify the 340B grift. This is great.
I've written extensively on the topic. We need to think about real reform that aligns the program with the intent.
Right now, hospitals make money by buying drugs for cheap and essentially selling them for revenue. Billions of dollars are generated that way.
Instead of making this complex arbitrage program, just have pharma fund a capped safety net grant that generates the same amount of money.
Then distribute that money to those who actually need it. You could give every Medicaid beneficiary several thousand dollars a year and just let them decide how the funds are spent. Or let them compound the growth if they stay healthy. Like a seed for an HSA. Or use it to explicitly support independent practicies and hospitals in poor/rural areas. Or distribute it to clinics which see large proportions of Medicaid/uninsured patients.
Right now, the program only helps large hospital corporations. We need to change that so the funds go to the patients themselves.
The medical industry is SHOCKINGLY corrupt
Do you know what 340B is?
It's a policy that allows big hospitals to buy drugs at a discount to help low income patients afford medicine
Sounds good right?
But here's the thing - it turns out hospitals are still charging insurers full price for the drugs they got for cheap, and there's nothing requiring them to actually pass along savings to their patients
For example, in 2024 Minnesota hospitals kept 98% of net 340B profits
Trump wants to change things and is pushing Congress to pass a transparency rule, but OBVIOUSLY the hospital lobby is trying to stop him
If hospitals have nothing to hide, then they shouldn't be opposing transparency
Shockdoc retweeted
The funniest thing about tech bros discovering “3D ultrasound” is watching people who have never read an imaging paper, never managed an incidentaloma, never biopsied a false positive, and never had to counsel an anxious patient suddenly lecture doctors about cancer screening.
The mistake is thinking that “seeing more” automatically means “helping patients.” It doesn’t. Radiology is not just finding random abnormalities and acting impressed. The entire discipline is built around deciding which findings matter, which findings can be safely ignored, and which findings create more harm than benefit if you chase them. Morphology, margins, vascularity, growth, enhancement, diffusion, calcifications, clinical context, pretest probability, and outcomes data are not minor details. They are the whole fucking point.
A machine that creates a futuristic-looking image and flags “abnormalities” is not a medical breakthrough unless it can prove that those findings improve net outcomes without drowning healthy people in false positives, follow-up scans, biopsies, anxiety, overtreatment, cost, and complications. Finding a blob is easy. Knowing whether the blob matters is the part that takes training, evidence, and actual responsibility for what happens next.
So @midjourney ….🖕you and your POS marketing team. You don’t give a shit about people.
Shockdoc retweeted
It is easy to mock doctors until someone you love is breathless, bleeding, septic, unconscious, or dying, and suddenly you don’t want a “textbook on rails.”
You want a human being who knows what to do and is willing to carry the responsibility.
AI will change medicine, but medicine was never just memorizing textbooks, it was carrying risk for another human life.
Shockdoc retweeted
🚨 JUST IN: HISTORIC PHOTO released where at 10:15PM, President Donald Trump rushes into the Oval Office after an assassination attempt — analyzing intel on what happened
Flanked by Marco Rubio, Pete Hegseth, JD Vance, Stephen Miller and more
Goes hard.
American history 🔥🔥🇺🇸
📸 @DanScavino
Shockdoc retweeted
🚨🇮🇱🇮🇷BREAKING: Israel fears that Tehran will launch an offensive.
High alert has been declared in all sectors.
It is estimated that fighting could resume at any given moment.
Shockdoc retweeted
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🤖 Made with AI
Shockdoc retweeted
Rejoice in your sufferings. Knowing you are accounted worthy to suffer for His Name. He lived and died, rose again, so we can rise from the ashes of hopelessness, see an empty tomb, and live for Him!
