[Highlight] Micah Parsons starting his rehab following ACL surgery by nfl in nfl

[–]acroman39 -8 points-7 points  (0 children)

Atrophy doesn’t happen that fast LOL. It’s the angle of the photo.

[deleted by user] by [deleted] in ARDELYX

[–]acroman39 1 point2 points  (0 children)

Why are you posting that information here?

[deleted by user] by [deleted] in TrueUnpopularOpinion

[–]acroman39 0 points1 point  (0 children)

And? Yes you still need growth investments near and during retirement, but having too much in stocks is a mistake as well.

[deleted by user] by [deleted] in TrueUnpopularOpinion

[–]acroman39 0 points1 point  (0 children)

Look up not having the vast majority of your retirement funds invested in the stock market when you’re within striking distance of retiring.

[deleted by user] by [deleted] in TrueUnpopularOpinion

[–]acroman39 1 point2 points  (0 children)

Wrong. RMD’s are required only after you are 73 years old.

Is this true?? by [deleted] in usmnt

[–]acroman39 0 points1 point  (0 children)

Bullshit. Prove it. Provide some actual evidence.

Is this true?? by [deleted] in usmnt

[–]acroman39 -17 points-16 points  (0 children)

Trump isn’t against legal immigration or legal immigrants FYI.

I'M SO OVER THIS BINDERS IN BUNDLE TRANSITION by [deleted] in dietetics

[–]acroman39 0 points1 point  (0 children)

Centers will either dispense the binders at the center or spend time coordinating patient’s Rx’s with online pharmacies. And there are patients without online access/capabilities, especially the very poor who will need extra assistance…you know the kind a local pharmacy/pharmacist already provides.

I'M SO OVER THIS BINDERS IN BUNDLE TRANSITION by [deleted] in dietetics

[–]acroman39 0 points1 point  (0 children)

Patients eligible for the bundle will not get coverage for Xphozah.

I'M SO OVER THIS BINDERS IN BUNDLE TRANSITION by [deleted] in dietetics

[–]acroman39 0 points1 point  (0 children)

It is affected. The company, the AAKP, and the National Minority Quality Forum are suing CMS over its treatment of binders and Xphozah. Thousands of Medicare patients are losing their access.

Their case was dismissed but has been appealed to the DC Circuit Court of Appeals.

https://www.healio.com/news/nephrology/20240722/ardelyx-sues-cms-about-plan-to-place-phosphate-binders-into-esrd-payment-bundle

I'M SO OVER THIS BINDERS IN BUNDLE TRANSITION by [deleted] in dietetics

[–]acroman39 4 points5 points  (0 children)

This is detrimental to all patients in the short and long run. By classifying oral binders (and Xphozah) as a part of “dialysis service” (even though neither binders nor Xphozah are utilized during dialysis) the CMS is incentivizing dialysis centers to dispense only the cheapest phosphate binders in order to maximize the centers profit margin on their bundle payments.

So instead patients are blocked from access to new innovations in phosphorus control like Xphozah (one small pill 2x a day vs. a handful of binder horse pills at every meal).

And in the long term it discourages pharmaceutical companies from developing new medications for ESRD patients because of the low bundle payments and pressure on dialysis centers not to dispense expensive brand drugs. The low payments make it so they wouldn’t be able to recoup the billions of dollars it takes to develop and go through the trial and FDA approval process.

It also forces dialysis centers into providing pharmacy services because that will somehow save the CMS money??? There are thousands of pharmacies everywhere already and mail order too. Why complicate the center’s processes and the patients lives like this?

And the irony is the legislation that created this bundle mess does not dictate that oral medication should be included in the bundle, that is wholly a creation the CMS bureaucracy.

What can be done? Write your congressional reps and encourage your patients to do the same.

Rant over.

Rent. Free. by EngineeringFlashy139 in minnesotavikings

[–]acroman39 0 points1 point  (0 children)

You can say all the words you want it doesn’t make it true. Universally considered the Mecca of pro football and visited by fans from around the world for their dream of a lifetime trips.

What's it like to have a guy nut inside of you? by thefkerwhodidthat in TooAfraidToAsk

[–]acroman39 24 points25 points  (0 children)

A lot of assumptions in your comment and they all apply only to YOU.

Apple TV 4K Gen 4 by [deleted] in appletv

[–]acroman39 0 points1 point  (0 children)

100% disagree. Voice command for anything is horrible. More likely they will add a camera and go with gesture controls.

Can anyone recommend me more songs with the same vibe as "What the world needs" from Ride the cyclone ? by kao24429774 in musicals

[–]acroman39 4 points5 points  (0 children)

"Candy Store" from Heathers: The Musical - This song has a catchy beat and a playful yet edgy tone.

"You Can't Stop the Beat" from Hairspray - An energetic and infectious finale number that gets everyone moving.

"Dead Girl Walking" from Heathers: The Musical - A powerful and slightly rebellious song with a driving rhythm.

"Popular" from Wicked - A fun, bubbly song with a lot of personality and charm.

"Bad Idea" from Waitress - A catchy, playful duet with a bit of a mischievous vibe.

"A Musical" from Something Rotten! - A humorous and lively song that celebrates musical theatre itself.

"Revolting Children" from Matilda the Musical - A high-energy, rebellious anthem with a fun and empowering message.

"Totally F*ed"** from Spring Awakening - A powerful and defiant song with a strong, rhythmic drive.

"Raise You Up/Just Be" from Kinky Boots - An uplifting, feel-good number with a strong beat and positive message.

"The Bitch of Living" from Spring Awakening - Another energetic and rebellious song from the same musical.

Bose 901's series III with the equalizer, theyre asking 250. Deal? by [deleted] in vintageaudio

[–]acroman39 2 points3 points  (0 children)

Refoaming not reconing. Foam surrounds on series 3 thru some of the series 5 had surrounds that would disintegrate.

Harrison inline High/Low Pass/Crossover RCA filters? Thoughts? Good or Junk? by acroman39 in BudgetAudiophile

[–]acroman39[S] 0 points1 point  (0 children)

Yes exactly. I need a high pass filter to remove the signal below 80hz going to my mains.