Dr4kujayhawks @EnhancedMD

Hike your own Hike, You do you Wild America Joined August 2016

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Dr4kujayhawks @EnhancedMD

a month ago

@TheShreddington Did you put in an earring somewhere? ;)

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Great read. Free markets finding a way. When an average American and that’s me, is paying a couple grand+/mo for crappy coverage and copays and deductibles my family has never met and therefore are paying cash for everyday healthcare and then paying a monthly fee for crap insurance. We all feel jaded, ripped off and taken advantage of. So why not take your own healthcare into your hands and make a new path. I get it. I did it. I’m healthier because of it.

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Mark Cuban @mcuban

2 months ago

What if there was a bank account available, that required you to deposit monthly, what you would have paid an insurance company in premiums, for an ACA silver plan. So for a family of 5 about $2100. The amount would then be used for Stop Loss Insurance set at $30k dollars. About $300. Another $200 would be used for local Direct Primary Care for your family The balance would be in YOUR bank account. Like an HSA, It could only be used for approved medical expenses. If you never have any medical expenses, you will get to keep the money plus checking act level interest, when you turn 65 If you have a medical event that is more than what you have saved, your bank will loan you the money you need to pay for it, up to the $30k stop loss trigger You would repay that amount using the monthly $1600 net deposit. Once the loan is paid off, the deposits start to accrue to you again. This is not insurance. It’s a specially designed bank account that gives you control, support, a doctor to work with and catastrophic financial protection. Lots of work and issues to be addressed. But I was curious what people think Let me know !

Mark Cuban @mcuban

2 months ago

The one debt you can’t ever pay off ? Your insurance premiums. You literally will pay an insurance premium monthly, till you die. But we don’t look at it like it’s a debt paid to an insurance company that will do all it possibly can never spend it on your care. We are

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Dr4kujayhawks @EnhancedMD

2 months ago

@CoffeeBlackMD @PGC1a_RB Doesn’t REM sleep work on unprocessed trauma. Hmmmm…. Sounds like another 🍄therapization may be required

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Dr4kujayhawks @EnhancedMD

2 months ago

@CoffeeBlackMD @anniodarone3

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Dr4kujayhawks @EnhancedMD

2 months ago

@CoffeeBlackMD I bet it will lower your LDL ;) hehehe

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Dr4kujayhawks @EnhancedMD

3 months ago

@paulb3rd The only ones I’ve seen are overdosed GLPs and most were early in the Ozempic upswing and would happen after a dose increase. My catchment is smaller rural area ED. I get maybe one every month or two now and 2-3d post dose. It was a weekly occurance in late 2024 - early ‘25.

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Dr4kujayhawks @EnhancedMD

3 months ago

@SuburbanDadX @SBakerMD European Golden is exceptional. Smart, sassy, expressive. We’ve had several good and great dogs. One of our favs for sure. Just got a Belgian Malinois and he looks like he’s going to give our golden a run for the championship.

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Dr4kujayhawks @EnhancedMD

3 months ago

@rkh_md Amen. I’d even suggest a new pathway for gen Surg, family med &, ED docs into an orthopedic surgical specialty. Plenty out there with aptitude who had no shot at orthopedics in med school. There are small communities desperate for Ortho care.

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Dr4kujayhawks @EnhancedMD

3 months ago

@independentMDs @BrentAWilliams2 What if an AI has abilty to do full body POCUS in a matter of minutes. Can hear interstitial sounds from 10’ away, read body temp changes real time, do lung dynamics by pt blowing into a tube…. Pop a full body xray…

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Dr4kujayhawks @EnhancedMD

3 months ago

@CoffeeBlackMD I knew I wasn’t the smartest and then I went to med school and met some ppl….O MY G. There are levels of intelligence and stratospheric levels. Like the dude in a class above us that the path prof told us, his only goal last year became to try and make David miss ONE question.

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Dr4kujayhawks @EnhancedMD

3 months ago

@nullbotto @AbudBakri If delirium involved

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Dr4kujayhawks @EnhancedMD

3 months ago

@Dr_Red_Gamer Mine is 5 letters. ER DOC 😎

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Dr4kujayhawks @EnhancedMD

3 months ago

@AbudBakri I don’t get to see backside successes. In our little hospital, Most are going in due to some infection or CHF, COPD type c/o. Add in elderly, chronic dehydration, and metformin and thiamine seemed to make sense…

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Dr4kujayhawks @EnhancedMD

3 months ago

@AbudBakri Avoid lactic acidosis,support energy metabolism, cardiac function, and possibly reduce delirium or neuropathy. I’ve noticed he leaves it about 7/10

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Dr4kujayhawks @EnhancedMD

3 months ago

@AbudBakri @TakeWeightOffMD I pass on to a Hospitalist and usually put 100mg IV daily thiamine in the tuck in orders. So, they can or may not continue the orders at their whim. He caught me one day and says, dude, what’s up with the thiamine. I’m like, glad you asked.

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Dr4kujayhawks @EnhancedMD

3 months ago

@CoffeeBlackMD Feel ya brotha’

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Dr4kujayhawks @EnhancedMD

3 months ago

@CoffeeBlackMD In ED now for aspiration? H/o CVA with dysphasia, From LTC. Did swish and spit nystatin and can’t stop coughing…

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Dr4kujayhawks @EnhancedMD

3 months ago

@DocBottsNY @CoffeeBlackMD @aclong111 For sure! As an old mentor would tell me, “You were not trained to think within the box. Anyone can follow an algorithm” We are trained to be the one a box cannot contain, to be the ones who can float within and without the algorithms and most common causes.