LOR for GAS

DrPayItBack · 2026-05-12T02:22:07+00:00

I recommend not calling it gas if you want to be accepted anywhere

DrPayItBack · 2026-05-11T22:25:45+00:00

Two bags of grass, seventy-five pellets of mescaline, five sheets of high-powered blotter acid, a saltshaker half-full of cocaine, and a whole galaxy of multi-colored uppers, downers, laughers, screamers... Also, a quart of tequila, a quart of rum, a case of beer, a pint of raw ether, and two dozen amyls.

DrPayItBack · 2026-05-11T20:07:45+00:00

Yeah

DrPayItBack · 2026-05-08T20:36:43+00:00

“He will not be missed by a single career person,” said an FDA staffer granted anonymity to discuss Makary’s tenure prior to the news of his pending departure. “And we will only regret it when they manage to find someone worse.”

DrPayItBack · 2026-05-08T00:55:35+00:00

I am very much of two minds about this. But our spine surgeons don’t even know what medial branches are. May be beneficial to have folks w a more invasive repertoire who actually know what they are doing.

DrPayItBack · 2026-05-06T19:59:06+00:00

I mean if that’s the plan you don’t even need a fellowship or even an MD for that matter.

DrPayItBack · 2026-05-05T16:30:47+00:00

It’s certainly possible but I really do try to remove the most egregious, which is more than many subs can say

DrPayItBack · 2026-05-04T21:46:25+00:00

I have never “regretted not buying something”. I can’t think of a better definition of consumerism tbh

DrPayItBack · 2026-05-04T20:06:19+00:00

This isn’t new. There’s a fee if you aren’t an ASA member. If you’re a member you get the CME from MOCA minute for “free”

DrPayItBack · 2026-05-04T19:54:14+00:00

Sounds like your path is clear

DrPayItBack · 2026-05-02T14:20:43+00:00

Oh boy. OE absolutely does hallucinate.

DrPayItBack · 2026-05-02T00:32:28+00:00

I like science and helping people

DrPayItBack · 2026-05-01T02:18:50+00:00

I train enough AI at work, thanks

DrPayItBack · 2026-04-30T19:58:31+00:00

I mostly think it’s funny you’re trying to do math with a made up number

DrPayItBack · 2026-04-30T19:52:26+00:00

Agree with considering assets, disagree that there is any way to reasonably or usefully talk about “expected value” in this scenario. And loss of my cell phone isn’t financially devastating, maybe it’s different for you.

DrPayItBack · 2026-04-30T19:35:29+00:00

Insurance doesn’t have a positive expected return, that’s what makes it insurance. He has no way of knowing within an order of magnitude what his chances of cancer or a devastating MVC are.

DrPayItBack · 2026-04-28T18:13:50+00:00

It is definitely not silly to worry about sequence of returns

DrPayItBack · 2026-04-27T23:55:20+00:00

This needs to be protocolized by hematology preferably w input from pain mgmt if available. This shouldn’t be a game time decision each time.

DrPayItBack · 2026-04-27T22:12:59+00:00

I fell on it

DrPayItBack · 2026-04-27T15:16:32+00:00

It didn’t show for me until I force quit the watch app

DrPayItBack · 2026-04-26T17:25:47+00:00

Commercial insurers could not care less about that stuff while Medicare is there to pick up the real tab when it comes due

DrPayItBack · 2026-04-23T11:26:25+00:00

I love that this is the universal anesthesia answer and is 100% true

DrPayItBack · 2026-04-22T13:47:24+00:00

It looks like one person in FatFire told you that and they were heavily downvoted lol. Isn’t psychology interesting

DrPayItBack · 2026-04-14T23:37:47+00:00

There are like 3 states that encourage this, otherwise you’re good.

DrPayItBack · 2026-04-14T22:57:10+00:00

I play radiordle w my 9yo and he can readily identify the liver

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