Nathan R. DO, MBA retweeted
In Wisconsin, nobody ever tells a guest that it is time to go home.
Instead, they use an ancient military signal involving both kneecaps and a word that does not exist in any English dictionary.
Last Sunday night at my friend Dave's house, six of us were sitting on the living room sofa eating apple pie.
It was 8:45 p.m. Nobody had yawned. Nobody had looked at a clock.
Suddenly, Dave set his fork down, placed both palms high in the air, and slapped his own thighs with a sharp crack that echoed off the drywall.
Then he inhaled through his nose and spoke the word.
"Welp."
He followed it with a sentence that broke my understanding of the English language:
"Suppose I shouldn't keep you folks."
Keep us. We were sitting in his house, eating his pie, drinking his coffee, and he apologized for holding us hostage.
Before the syllable finished echoing, all five American guests rose to their feet in unison like cavalry hearing the bugle at dawn.
Plates were stacked in four seconds. Coats materialized from closets. Boots were laced at combat speed.
I stood up in a panic, assuming the house was on fire.
Then the strangest thing of all happened.
The retreat stopped entirely at the front rug.
We walked twelve feet from the sofa to the front door, and then stood in the entryway with our coats fully zipped, holding Tupperware, and talked for forty-two additional minutes about snow tires.
Dave had his hand on the brass doorknob for half an hour and did not turn it once.
I have learned that in the Midwest, a departure is divided into three mandatory campaigns:
The Couch Goodbye, which means put your boots on.
The Hallway Goodbye, where the actual conversation of the evening begins while everyone sweats inside winter parkas.
And the Driveway Goodbye, conducted through a half-rolled-down car window in twenty-degree wind.
It was 9:40 p.m. when I finally backed my car down Dave's icy driveway.
I looked into my rearview mirror.
Dave was still standing on his wooden front porch in his wool socks, arms crossed against the freezing snow, watching my car.
He did not go back inside. He did not turn off the yellow porch light.
He stood there in the cold until my tires safely reached the plowed county highway and I flashed my hazards twice.
Only then did the porch light go dark.
I understand now why it takes them forty-five minutes to let you out the door.
In a winter that cold, nobody wants to be the first one to let go of a friend.
Nathan R. DO, MBA retweeted
"Give me an example of why I should care about PBM reform."
Drug for Multiple Sclerosis: Teriflunomide
Cost: $16
What Caremark insurance reimburses their own "specialty" pharmacy: $6,229
A 38,000% markup. That profit markup is paid out of everyone's premiums with Caremark insurance, and it is paid to their own pharmacy, which is owned by shareholders of CVS stock. If you have Caremark insurance and pay your premiums, this is why it's more expensive than what it should be. This is why medications are so expensive in America.
This is why you should care about #pbmreform
Nathan R. DO, MBA retweeted
Lots of wrong answers in the replies. As the former King of SMS, it’s simple:
It’s to warm the number.
You cannot send bulk texts containing a URL until your number has earned credibility with phone carriers.
To earn credibility, it needs to have replies from other numbers. So the message they send is always something that tries to elicit a response from you.
Once response rate is high and the phone number is warmed, they send tens of thousands of spam links to people.
Best way to fight back? Replying STOP in all caps will immediately flag the number.
Nathan R. DO, MBA retweeted
XRISM satellite - exploring the hidden X-ray cosmos
JAXA, NASA & European Space Agency joint initiative
Nice lay video explaining the science
youtu.be/WebVRTusuF4?si=59wO…
@DrIanWeissman
@nkagetsu
@mmahesh1
@DrFerdowsi
@rstraxMD
@Nigelj08223326
@RadRural – at Los Angeles, CA
Nathan R. DO, MBA retweeted
Quantum 'yin-yang' shows two photons being entangled in real-time
new method - could be used to massively speed up future quantum measurements
@DrIanWeissman
@DrFerdowsi
@Emil_LeeMD
@rstraxMD
@mmahesh1
@RadRural apple.news/AX1SsV83gRsaxblWL…
Nathan R. DO, MBA retweeted
Clinics in #rural areas with fewer doctors, dentists and nurses are turning to mobile health care clinics to take care to where it's most needed. @FriedbergEric
npr.org/sections/health-shot…
Nathan R. DO, MBA retweeted
Told a peer to peer reviewer this week that if they refuse my patients standard of care imaging, I would need their full name so I could include it in the chart for why care was being denied to protect myself in case I was sued...Imaging approved #FixThePriorAuth
Nathan R. DO, MBA retweeted
A high school freshman and Army Junior Reserve Officers’ Training Corps (JROTC) cadet was recently nominated for the Medal of Heroism for #MakingaDifference by performing lifesaving actions in an emergency situation.
Read more ➡️ army.mil/article/263050

ALT Army JROTC Cadet C’Azia Hamilton, a freshman at Kirby High School in Memphis, is nominated for the Medal of Heroism – the highest Department of the Army medal exclusively awarded to ROTC and JROTC Cadets. Hamilton provided first aid to a fellow student who was shot right next to their school on Nov. 30, 2022. (Photo provided by Kirby High School Army JROTC)
Nathan R. DO, MBA retweeted
These closure calculations do not likely account for the impact of > 100K of physicians #NoSurprisesAct claims logged jammed in the IDR system— among their best payor ERISA claims— & that hospital doc requests for support will > increase. @ahahospitals beckershospitalreview.com/fi…
Nathan R. DO, MBA retweeted
Healthcare physician PE rollups taking advantage of our healthcare system for the past decade only to shut down business development in a rising rate environment and recession in 2023 and come to the realization that nobody wants to buy their shitty piecemeal company in 2023
Nathan R. DO, MBA retweeted
This is your reminder that evil corporations like CVS hate social media bc it's the only thing they can't control. They own politicians, laws, patients, doctors, hospitals, medical decisions, but they don't own social media and it bothers them. We should all be brand terrorists.
Nathan R. DO, MBA retweeted
Chicago Ironworkers Local 1 remaking the "lunch on a skyscraper" originally captured in 1932. Ironworkers are badass.
Nathan R. DO, MBA retweeted
Main Points:
▶️ DO rads represent a fast-growing earlier-career component of the workforce
▶️ DO rads are more likely to practice GENERAL RADIOLOGY & in RURAL COMMUNITIES
▶️ Despite an overall ⬇️ in rural radiologists by 11%, *rural DO rads* actually ⬆️ by 4.4%
Nathan R. DO, MBA retweeted
COVID: summary of lab-origin hypothesis:
1) Pandemic caused by a bat SARS-like coronavirus emerged in Wuhan--a city 1,000 miles from nearest wild bats with SARS-like coronaviruses, but that contains labs conducting world's largest research program on bat SARS-like coronaviruses.






























