Skeptic, Engineer, Pilot, Voxelpsychosocial Physician, Master in Organizational Sustainability, Phase II KM tick mark who is too honest

“When life itself seems lunatic, who knows where madness lies? Perhaps to be too practical is madness. To surrender dreams — this may be madness. Too much sanity may be madness — and maddest of all: to see life as it is, and not as it should be!” -Miguel de Cervantes
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My daughter is cleaning out her closet now that she is a D1 commit at Lehigh and the Patriot League. Go Mountain Hawks!!! 💪
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The cracks have been visible since at least 2011, well before the Deans and Presidents decided to swing their campuses hard left.
Dinner with a friend who’s a dean at liberal arts college in New England. “We’re pretty fucked. Enrollment is down, everyone thinks their fringe department is too valuable to cut, and leadership doesn’t have the balls to right the ship.”
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Not a broken HVAC motor, but a lesson in E&M, materials, and circuits for the kids. @rossiadam
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Hey @SecWar this 54yo body struggled too, but we both showed up. 👊🏼
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In the last century a kid applying to university would select their best option. Today, a kid applying to university stands by while they self-immolate and then chooses the last standing.
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Seth M Hardy, MD MBA retweeted
🩸 PATHFINDER 2 is now published in Nature Medicine. In >35,000 adults ≥50 years old, a blood-based multi-cancer early detection (MCED) test showed: • Specificity: 99.64% • PPV: 60.3% • Cancer detection rate: 0.54% • Sensitivity: 39.3% across all cancers • Sensitivity: 69.8% for 12 cancers responsible for ~⅔ of U.S. cancer deaths • Cancer signal origin accuracy: 91.3% • 53% of newly detected cancers were stage I–II Adding MCED to standard screening detected 6.5× more cancers. The critical question remains: Will earlier detection translate into lower cancer mortality? That will require randomized trials and longer follow-up. 📄 doi.org/10.1038/s41591-026-0… @NatureMedicine @OHSUNews @GRAIL #PATHFINDER2 #MCED @OncoAlert @oncodaily #CancerScreening #EarlyDetection
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With UST YCCing and Operation Twisting ST notes are the only place where rates properly reflect the market cost of capital.
US 2 year yield post FOMC 🚀 (chart: Bloomberg)
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…and our discussions with the coach @CarnegieMell are done.
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I’ve lived a lot of places Needham & Hingham, MA Cleveland Toledo Detroit Chicago Boston Seacoast, NH Central Maine Lancaster Boston and Plymouth county is far and away the most racist. Nowhere else is even close.
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Still have the 207 cell number, but Maine is done. Glad I got the family out.
This is the most insane footage you will see in the Bangor, Maine universe.... ....We have been officially invaded. My friend Adam Stade Bangor Maine on a Facebook post shows us what happened. Go find his page and follow him. Also, the only reason some of you know me is the Maine Wire, find them and follow them!
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“Dad, in Transportation Technology today we were talking about catalytic converters.” “That is awesome, what did you learn.” “Nothing, you already taught me everything. The teacher couldn’t even remember what precious metal was in them.” This is the way @rossiadam
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Hard to believe Sen. Warren was Harvard faculty. …well maybe not. 🙄
Best administration of my lifetime
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.@SantiagoAuFund Thank you for great questions for Dr. Hunt. 💪
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This value extraction isn’t limited to the AMA, other medical societies are trying their own versions while marginalizing members/doctors. Good luck to them. ⏳
RFK Jr. and President Trump are taking on the American Medical Association’s monopoly over the billing codes used throughout America’s healthcare system. “CPT codes are owned exclusively by the American Medical Association, the AMA.” “Decades ago, Congress gave the AMA a de facto monopoly over these codes.” “Last year alone, organizations across all of our healthcare systems paid the AMA more than three hundred million dollars just to use those CPT codes.” “Those costs don’t disappear.” “Healthcare providers and insurers and employers pass them on to their patients.” “Every American pays the price.” “Washington created a system that puts special interests ahead of the American people.” “President Trump is changing all that.”
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As a physician in Lanc Co I’ve personally witnessed the Amish choose à la carte medicine. It’s the way they live. You can’t help folks who don’t want it.
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My wife just had a session with another Mom while out walking the dog. I’m so glad my tools all require 3 phase current, liquid He, and are bolted to the basement floor. ✌🏼
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This is probably true and physicians are going to feel it coming and going. Hopefully you didn’t pay off your student loans with the good dollars.
Replying to @Geiger_Capital
Won’t work Will drive a recession And deficit rises 600-1000 bps of GDP in a recession Big debt devaluation only way out now
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We don’t do this in Medicine.
Six weeks before a TWA 727 flew into a Virginia mountain and killed all 92 people on board, a United crew made the exact same mistake on the exact same approach and missed the ridge by a few hundred feet. United wrote it up internally. Nobody outside United ever saw the memo. The crash was December 1, 1974. The controller said "cleared for the approach." The TWA crew took that as permission to descend to 1,800 feet. The controller assumed they knew to stay high until the published approach began. Pilots and controllers across the country were using the same words to mean different things, and the plane hit Mount Weather at 1,670 feet. When the NTSB found the United near miss sitting in a company file, the question wrote itself. Why did the second crew have to die to learn what the first crew already knew? Incentives. A pilot who admitted a mistake to the FAA was handing the regulator evidence against his own license. So nobody admitted anything. Every airline kept its own quiet incident folder, and none of them talked to each other. The fix, launched in April 1976, is the strangest institution in American transportation. The FAA handed the confession box to NASA, a completely different agency, because pilots would never trust the cop. File a report within 10 days of screwing up and the FAA cannot use it against you. No fine, no suspension. NASA strips your name before anyone at the FAA reads a word. Fifty years in, the system has taken more than 2 million reports and never leaked a single identity. Close to 100,000 arrive every year. Wrong altitudes, missed clearances, two planes nearly sharing a runway, fatigue nobody wants on their record. NASA reads all of it, spots the patterns, and pushes alerts back out to every carrier before the pattern kills anyone. That is the machine behind the chart. 6,581 deaths per billion passengers in 1970. 42 in 2023. At the 1970 rate, 2023's passengers would have produced around 29,000 funerals. The actual number was under 200. Every industry says it wants people to report their mistakes. Aviation is the one that made confessing cheaper than hiding.
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