True. Also true: the system ultimately doesn't care because it has architected a dispensatory model for the profession; we are "replaceable" organizational widgets. Our skill set was our competitive advantage. Not anymore. Professional licensure was the last defensible moat. That has eroded through APP scope creep, community hospitals leveraging H1B to import a lower-cost workforce, and efforts to shift clinical decision-making to AI algorithms. At this point, the few points of leverage revolve around covering calls and still being the principal gatekeepers for signing off on clinical decisions. (Someone has to take the fall.) Being a physician has slowly morphed into being a skinsuit for large corporatized conglomerates, often helmed by academic lightweights who couldn't carry water for the premed autists laser-focused on getting into medical school; yet are still expected to bend the knee to their agenda. I cannot imagine what intelligent, high-functioning individual wouldn't resent this and not want out.

"Someone once told me that time was a predator that stalked us all our lives. I rather believe that time is a companion who goes with us on the journey and reminds us to cherish every moment, because it will never come again. What we leave behind is not as important as how we've lived." Rest well, Captain.

“Someone once told me that time was a predator that stalked us all our lives. I rather believe that time is a companion who goes with us on the journey and reminds us to cherish every moment, because it will never come again. What we leave behind is not as important as how we've lived.” — Patrick Stewart as Capt. Jean-Luc Picard

Almost jealous I’m not 20 years younger as a neurosurgeon. This is what I always envisioned neurosurgery would be-and it’s wonderful.

Early Neuralink speech restoration data: We are enabling speech to text and voice at conversational rates in participants with ALS. One participant achieved 75 WPM at 5.8% WER on a 125k-word vocabulary in their first week.

Ask him why he doesn’t have a real job as a journalist anymore.

As a neurosurgeon, let me tell you how frightening this injury actually is - an occipital compound depressed skull fracture treated with a WIDE craniotomy (outer staple line). What's scary isn't the fracture; it's what's adjacent to the damaged skull. The axe blows (that tree-branch scar at the center) hit right over the posterior superior sagittal sinus, a large vein that runs lengthwise between the 2 cerebral hemispheres and carries blood from the brain to the heart. Penetrating injuries to the sinus can carry upwards of a 40% morbidity/mortality - partially because a transection of the sinus can be difficult to repair and can result in extreme blood loss, venous air embolism, or thrombosis - all of which can be fatal. There's scary, and then there's the "you go to elevate the fracture and risk unroofing the sinus, losing 2 liters of blood in a minute" scary. The surgeons likely had their hands full and did an amazing job. Divine providence called many heroes into service that day. Damn fine work. धन्यवाद

An absolutely dishonest take on an avoidable tragedy.

Discussing the No Surprises Act and the IDR process w @DrBruggeman

The Doctor's Lounge - Dr. Adam Bruggeman nitter.siddz.com/i/broadcasts/1vJpPNyDz…

Friendly reminder that Obama saying healthcare is too expensive is like Bill Cosby saying the drinks are too strong. You MADE IT dude.

A newspaper clipping from 2003.

Your party told us we were white adjacent, suffered from privilege and deserve to get discriminated against. Sit this one out sis.

Medicare For All is a delusional proposal. Universal coverage always ends the same way: societies can't afford it, systems become overburdened, wait times explode. Over 10 years, waits for elective care in England have ~doubled. Wait time in Canada for an MRI is up 42% between 2019 and today. Australia, Brazil, Mexico, it's all the same. How many examples do you need before you start acknowledging facts are facts? In every case a failing public system is paired with a burgeoning cash-pay private healthcare system used by the wealthy to avoid waits. This would I'm sure do wonders for class conflict and tensions over wealth inequality in the United States. It would be one thing to consider M4A if we were running a fiscal surplus. But with a $2T deficit, $40T in debt, and shaky 10Y treasury yields you have to be out of your mind. Young adults especially should be up in arms. It's tempting to see universal healthcare as a solution to the cost of living crisis we face. But just as rent control does not expand the supply of housing, universal healthcare is a golden calf that does nothing but double mortgage your future. We will live in poverty paying the debts of our parents. The way to get what you want is to make more of it. Have you considered that supply side reforms and embracing technology, particularly AI, might be the right answer?

My musical tastes as a late teen summed up in 2 pics.