Taylor @TX_TMAL

Joined December 2019

Tweets

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10
Following

239
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170

Taylor @TX_TMAL

a year ago

@farkomd @AlanLumsdenMD Elon vs Trump and Arko vs Lumsden is too much for one week!

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Them: "Medicaid needs to thrive." Centene is the largest Medicaid MCO in the United States. Wait till they find out what actually happens when "Medicaid thrives." (Remember, a neurosurgeon making $650k is "greedy.") @MaxJordan_N @DrDiGiorgio

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Taylor @TX_TMAL

a year ago

@DoctorCliffyy @bostonsci @UMNRadiology Strong! I’ve done a couple lately percutaneous sono guided and it can make these cases really short

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John Asghar @JahangirAsgha10

a year ago

Physicians are not bad at business… That’s a convenient myth. And a lazy one. The data says otherwise: - Nearly 1 in 5 physicians have founded a business. - Physician-led hospitals outperform others on quality. - Private practice docs consistently score higher on patient satisfaction. - DPC, concierge, device startups? Built by physicians. So why the narrative? It’s about control… It’s why we were never taught the business of medicine. It’s why we were discouraged from asking… Because when we start asking—we become a threat. physicians are boxed in by regulations written decades ago—designed to limit, not enable. We’re the only profession that: •Can’t own equity in many health systems •Can’t freely partner across state lines •Gets buried under Stark Law and AKS language so vague it criminalizes innovation •Is told collaboration is “kickback risk” while hospitals merge without consequence Meanwhile, lawyers run firms. Engineers build empires. MBAs scale companies. Physicians? We’re told to stay in our lane. And when we don’t—we’re labeled “bad at business.” ⸻ Here’s what needs to change: •Modernize Stark. Stop blocking aligned, ethical business models. •Clarify safe harbors under AKS for physician-led ventures. •Fix corporate practice bans that prevent doctors from co-owning with technologists or innovators. •Let physicians own and build. Hospitals, and platforms, systems. •Stop forcing doctors to choose between autonomy and survival. ⸻ We’re not bad at business. We just haven’t been allowed to compete.

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John Asghar @JahangirAsgha10

a year ago

In 2023, the U.S. spent approximately $1.35 trillion on healthcare administration. That’s more than we spent on: •Physician salaries (~$350B) •Nursing salaries (~$335B) •Retail prescription drugs (~$450B) •Imaging, lab tests, EHRs, and outpatient procedures combined •Even capital investment in hospitals and equipment All the while, clinicians are being told to “do more with less.” Every cost-saving initiative aimed at doctors adds layers of compliance and complexity which only fuels the unchecked growth of bureaucracy.

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Taylor @TX_TMAL

a year ago

@RahulMehan1 @yoursexmedjour @AnthonyMBett @JosephABorrell @ThiagoFurtadoMD @RajivJayadevan @eleswarapu @UclaUrology @myaquablation @PROCEPTRobotics @dgsomucla PAE showed promising results in preserving antegrade ejaculation and erectile function.

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Taylor @TX_TMAL

a year ago

@RahulMehan1 @yoursexmedjour @AnthonyMBett @JosephABorrell @ThiagoFurtadoMD @RajivJayadevan @eleswarapu @UclaUrology @myaquablation @PROCEPTRobotics @dgsomucla Based on over 1,000 PAE procedures performed, the program reports no sexual side effects, specifically no risk of erectile dysfunction or retrograde ejaculation.

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Taylor @TX_TMAL

a year ago

@RahulMehan1 @yoursexmedjour @AnthonyMBett @JosephABorrell @ThiagoFurtadoMD @RajivJayadevan @eleswarapu @UclaUrology @myaquablation @PROCEPTRobotics @dgsomucla False. PAE was found to maintain full sexual activity, with no reported adverse effects on erectile function or ejaculation.

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Taylor @TX_TMAL

a year ago

@RahulMehan1 @yoursexmedjour @AnthonyMBett @JosephABorrell @ThiagoFurtadoMD @RajivJayadevan @eleswarapu @UclaUrology @myaquablation @PROCEPTRobotics @dgsomucla The study noted no significant negative sexual outcomes.

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Taylor @TX_TMAL

a year ago

@RahulMehan1 @yoursexmedjour @AnthonyMBett @JosephABorrell @ThiagoFurtadoMD @RajivJayadevan @eleswarapu @UclaUrology @myaquablation @PROCEPTRobotics @dgsomucla Bhatia et al. (2022), Al Rawashdah et al. (2020), Marzano et al. (2020), Pisco et al. (2017), and institutional data from the University of Miami (2023), report no adverse sexual side effects from PAE, with some noting preserved or improved erectile and ejaculatory function.

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Taylor @TX_TMAL

a year ago

@RahulMehan1 @yoursexmedjour @AnthonyMBett @JosephABorrell @ThiagoFurtadoMD @RajivJayadevan @eleswarapu @UclaUrology @myaquablation @PROCEPTRobotics @dgsomucla No that’s just an outdated claim by urologists. There’s great 10+ year data for PAE and calling it experimental is wrong. Your own society guidelines include PAE as a treatment option for PAE (changed late 2023). You referenced two weak studies with low power and poor quality

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Taylor @TX_TMAL

a year ago

@RahulMehan1 @yoursexmedjour @AnthonyMBett @JosephABorrell @ThiagoFurtadoMD @RajivJayadevan @eleswarapu @UclaUrology @myaquablation @PROCEPTRobotics @dgsomucla Thanks, I didn’t know about these two. Small sample sizes and retrospective studies limit this data

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Taylor @TX_TMAL

a year ago

@Drshiloh @USAVascularCntr @USAHemorrhoid @SandeepBaglaMD @AriIsaacsonMD @DonGarbettMD @AbhiKumar47 @AustinBourgeois @DaveJohnsonMD @KprasMD @keithppereira Team coil

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Taylor @TX_TMAL

2 years ago

@Ucheyyy2 MD here. If a child needs a blood transfusion you can prioritize the child’s best interest and transfuse, regardless of the parents religion or wishes. Consent is implied if it’s an emergency. If it’s not an emergency you can get a court order for jt.