Good community note. This person is a grifter.

Dr. Tolis is right. It’s becoming more and more clear to me that the autonomy of doctors has been eroded because we’ve been too busy patting each other on the back for vanity awards while there has been systematic encroachment into the patient-physician relationship by outside

Interesting, but retrospective evidence, and indicates opportunities. 1) improving endovascular therapy with embolic protection devices, which wasn’t mentioned in manuscript and 2) continued potential for open surgical bypass on selected patients.

In case you needed the reminder, CMS is yet again reducing the physician conversion factor: $33.29 in 2024 to $32.35 in 2025. It was #36.68 in 1998. If it kept up with inflation, it would have been $68.58 in 2023. If you're not sure what the conversion factor means for

My favorite Sonntagisms: 1. “Chiefy, the cat is already out of the barn” 2. “We’ll burn that bridge when we get there” 3. “Half of one, 6 dozen of another” 4. “Don’t get lost in the shovel”

Per CMS, same services offered by physicians are worth half (50%) what they did 25 years ago.. “Show me the incentive and I’ll show you the outcome” -decreased access -increased wait times -shorter visits -smart students running away from medicine -more non-physician rendered

If Department of Government Efficiency wants to make progress on larger federal line items, this would be a good place to start: tackling the intermediaries siphoning off Medicare dollars. The post below from Brent A. Williams, MD explains how this chart happens:

Martin Shkreli Yea…no Martin Shkreli. There is no effective doctor lobby. AMA is just a wrapper for CPT licensing and I think about 15% of docs are members. It’s the admin burden that inflates spending. Docs are reimbursed less by govt payors than in 2000. The facts are out there

I think it’s extremely important for physicians and scientists to see how we arrived at the point of massive changes being made to scientific and biomedical funding. I think there’s also a broad solution that we should consider to improve our bureaucracy going forward to avoid

Intraoperative surgical humidification with CO2. Neat. thejns.org/caselessons/ca…

Interesting to watch this lawsuit to understand the extent to which walls are closing in on the academic publishing-industrial complex

Ever since the TO-ACT trial was halted for futility, I’ll periodically look for new options in medically-refractory venous sinus thrombosis. Recently saw: venous sinus-specific stentriever, seems promising.

60 hours. That’s how much administrative work is generated per U.S. physician, every single week. Roughly 9 hours by the doctor, and 50+ hours by staff — just to keep up with the bureaucracy. That’s 60 hours not directed toward patient care. No other developed country comes

Trigger Warning (for Neurologists)‼️ Long-Term Follow-Up of #CMOSS reveals superiority of Bypass vs Medical. Why is the Neuro community playing the sound of silence 🤫? Time for a paradigm shift? ⁦JAMA⁩ jamanetwork.com/journals/jama/…