Board of Governors of the Bitcoin Reserve System
United States
Joined November 2022
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Decentral Banker, MD retweeted
Decentral Banker, MD retweeted
BREAKING: The 11 House Democrats who missed the vote that killed Thomas Massie's Hegseth impeachment resolution have all received significant pro-Israel AIPAC money in Congress.
Just seven of them voting against the referral motion would have flipped the 211-204 result.
Haley Stevens (MI): $15.9M
Laura Gillen (NY): $551K
Marilyn Strickland (WA): $371K
Steven Horsford (NV): $214K
Nancy Pelosi (CA): $166K
Julia Brownley (CA): $134K
Brittany Pettersen (CO): $125K
Lou Correa (CA): $80K
Frederica Wilson (FL): $39K
Melanie Stansbury (NM): $28K
Jonathan Jackson (IL): $21K
Haley Stevens is the highest AIPAC recipient in Congress.
Decentral Banker, MD retweeted
Strategy has acquired 1,036 $BTC and repurchased $188M of $STRC. As of 11/8/26, we hold 850,364 BTC and $4.9B of USD Assets. $MSTR
strategy.com/press/strategy-…
Decentral Banker, MD retweeted
You only get one spin on the wheel.
Make it count. Live a life worth living.
Decentral Banker, MD retweeted
Hospitals hide these rules hoping you panic and reach for a credit card.
Bypass the phone operators and send this exact email to their billing department:
"I am formally disputing this balance under the Federal No Surprises Act. Please send a fully itemized statement with all CPT billing codes, along with your Financial Assistance Policy and application mandated by IRS Section 501(r). Place this account on a mandatory 30-day billing hold while I review these codes and complete the federal paperwork."
Once Legal sees "CPT codes" and "Section 501(r)" in writing, they usually wipe or slash the balance just to avoid an audit.
Why is it legal for non-profit hospitals to charge $4,000 for an ER visit while hiding the exact federal laws meant to protect patients?
Decentral Banker, MD retweeted
🚨Radiologists, read this if you don't want to get sued 🚨
I see this mistake a lot and it drives me bananas.
Radiology sees an opacity on chest radiograph and diagnoses pneumonia.
But, pneumonia is a *clinical* diagnosis that shouldn't be made in the radiology reading room.
When the radiologist makes an excessively confident diagnosis of pneumonia, this may lead to premature diagnostic closure & unnecessary antibiotics. (These over-aggressive "pneumonia" interpretations put a LOT of pressure on the treating team to give antibiotics.)
Usually in the cases I'm involved with the "pneumonia" ends up being atelectasis or CHF, but it could also be an unusual cancer or PE. Chest radiograph is a blunt survey tool that isn't good at making a specific diagnosis.
Folks make fun of radiologists for hedging on their reads, but that's a conservative & safe way that they should be practicing.
(PS - There's also a LOT else wrong with this case, like not getting a PE protocol CT scan. The differential diagnosis on this retrocardiac opacity may include pulmonary infarct due to PE. For a patient with 30 pack-years tobacco history presenting with hemoptysis, only getting a chest radiograph is like bringing a knife to a gun fight. The chest radiograph will generally be insufficient and you're almost always going to need a PE protocol CT. Not ordering a CT angiogram isn't the radiologist's fault.)
Decentral Banker, MD retweeted
BREAKING: Nasdaq 100 futures fall over -1% in their first reaction to Nvidia, $NVDA, CEO Jensen Huang confirming his "romantic relationship" with a Chinese spy.
Decentral Banker, MD retweeted
10 DIRTY MOVES THAT MAKE YOU DANGEROUS:
1. Sit next to the boss in meetings.
Decentral Banker, MD retweeted
Senator-elect Dr. Abdul El-Sayed overcame >$68 MILLION in spending by AIPAC and their allies. #MISEN
Decentral Banker, MD retweeted
You can’t be a practicing radiologist if you are verifying the clinical context of every CXR by contacting the referring provider.
You might have a 10 RVU day with that workflow. You would spend more time on the phone or on hold.
Just say “clinical correlation” and move on
Decentral Banker, MD retweeted
My final observation is that CXRs are some of the most challenging exams we read in radiology. The findings are visually subtle and nonspecific. The ROC curve is unforgiving.
Help out your radiologists. Give pertinent history and a clinical question.
(shown: localization ROC for lung cancer on CXR, 10.1148/radiol.09091308)
Decentral Banker, MD retweeted
The plaintiff's radiology expert stated that on his blind review, he identified the right infrahilar prominence suspicious for a mass or adenopathy. He opined that missing this was a departure from standard of care.
Decentral Banker, MD retweeted
The first radiologist and his practice were sued.
The complaint alleged that a cancerous right lower lobe mass was already visible on the original film and had not been identified or reported. It described stage IIIA disease at diagnosis.
The plaintiff’s theory was that a missed right hilar/infrahilar abnormality (arrow) delayed diagnosis and allowed tumor progression. The interval from the first film to the tissue diagnosis was more than eight months.
