The risk of recurrent ischemic stroke can be reduced by managing modifiable risk factors and instituting a regimen of mechanism-specific secondary stroke prevention. Strategies for secondary prevention should be instituted as early as possible. Learn more: https://nej.md/3OFpJ2C
The response to Jesse Singal’s NYT oped about the unreliability of US medical organizations regarding pediatric gender medicine is best characterized as a 24-hour tantrum, one with violent overtones.
💬 Editorial: The SHARP study finds that ERCP with minor papillotomy does not reduce recurrence of acute #pancreatitis in patients with pancreas divisum and idiopathic recurrent pancreatitis compared with sham ERCP.
https://ja.ma/3ZUKJVO
Let me tell you what happened before I got to the OR this week.
My patient needed surgery. I recommended it. My training, my board certification, and my years of clinical experience all pointed to one answer. The insurance company had a different one: not yet.
That’s prior authorization and it is breaking American medicine.
Here’s the number that should stop you cold: in a prospective multicenter study of orthopedic subspecialty practices across 6 states, 98.5% of prior authorization requests were ultimately approved when recommended by a fellowship-trained, board-certified orthopedic surgeon.
98.5%.
The system isn’t catching bad medicine. It is a delay machine that consumes enormous resources, causes real patient harm, and exists primarily to make the economics of denial work in the insurer’s favor.
The 2024 AMA survey of 1,000 physicians put numbers to what every physician already knows:
- 39 prior authorizations per physician per week averaging 13 hours of physician and staff time
- 93% of physicians say PA delays patient care
- 82% say patients commonly abandon their recommended treatment because of PA
- 29% report PA caused a serious adverse event — hospitalization, permanent damage, or death
- 61% are concerned insurers are now using AI to systematically increase denial rates, with some tools producing denials up to 16 times higher
This is not utilization management. This is obstruction at scale. Surgery is precision and focused on minimizing collateral damage. Prior authorization is brute force with disregard for the collateral damage.
In my world, delay has a clinical cost. A patient waiting on PA for fracture repair, joint replacement, or spinal stabilization is losing function and sometimes losing the window for the best possible outcome. That cost never shows up on an insurer’s earnings call. Given that the average patient is on an insurer’s books go 3 years, delays can sometimes mean making someone else pay the bill for the necessary treatments.
The consensus statement insurers signed in 2018, promising PA reform? Seven years later, only 16% of physicians working with UnitedHealthcare say anything has actually changed. They made another promise to Secretary Kennedy and Administrator Oz recently but is there any real change coming?
Voluntary reform has failed. Legislative and regulatory action is the only path forward and physicians need to be loud enough for long enough that lawmakers act.
Here is what @usask medical school students are learning in MEDC 409.8, Preparation for Residency
Die SÜDDEUTSCHE ZEITUNG berichtet über die Plagiatsvorwürfe gegen Alena Buyx:
https://www.sueddeutsche.de/wissen/plagiatsvorwuerfe-alena-buyx-muenchen-li.3394133?reduced=true
Announcing the Covid Justice Resolution!
From Children's Health Defense this morning:
Dear Friends,
Last night during the State of the Union, President Donald Trump focused heavily on how he is working hard to repair America's economy. But what wasn't mentioned was the original sin that truly destroyed our economy; the government response to the COVID crisis.
For years, Americans have waited for an honest reckoning with the COVID-19 response. We have called for truth, accountability, and constitutional principle rather than the institutional amnesia we have seen.
Today, we are proud to officially launch a new national initiative in partnership with a coalition of leading medical freedom, civil liberties, and public policy organizations: The COVID Justice Resolution.
This landmark resolution, if adopted by the U.S. Senate, will represent a unified stand to examine what occurred during the COVID-19 era, repudiate the most harmful emergency policies, and establish binding principles to ensure these violations of liberty are never repeated.
Add your name today to urge the Senate to officially adopt this resolution.
Sign the Resolution here: https://covidjustice.org/
From prolonged school closures and business shutdowns to medical mandates, censorship, and emergency powers that bypassed constitutional limits — the last several years saw an unprecedented suspension of civil liberties in the United States.
There has been no real reckoning.
This resolution is a first step.
Developed by several, powerful partner organizations, including @AutismActionNet, @ChildrensHD, Health Freedom Defense Fund, @standforhealth1, and @brownstoneinst, this resolution:
- Repudiates the most harmful COVID-era policies
- Affirms constitutional rights during public-health emergencies
- Establishes guardrails on future emergency powers
- Protects bodily autonomy, free speech, and religious liberty
We are drawing a clear line for the future.
Click the link below to Add Your Name Today!
Thank you for standing with us in truth for justice.
The Children’s Health Defense Team
Coalition for COVID Justice
Remember what happened.
Ensure it never happens again.
Kentucky Medical Freedom Coalition 💞
I wish I knew how many signatures this needs before national press starts writing about it. 500K? 1M? https://covidjustice.org
Rachida Dati wuchs in einfachen Verhältnissen auf. Sie wurde Richterin, Ministerin, Europaabgeordnete. Nun will sie Bürgermeisterin von Paris werden. Und könnte an ihrem Anspruch scheitern. https://www.nzz.ch/international/kampf-um-das-pariser-rathaus-rachida-dati-will-einmal-mehr-beweisen-dass-man-in-frankreich-alles-schaffen-kann-ld.1924819?utm_campaign=mrf-twitter-NZZ&mrfcid=20260225699bfcf444c4e21fcfd7cf88
What if we just accepted femme men, butch women, and androgyny? And let people keep their nerve endings, nonconformity, and sex?
Why isn't that the goal?
"Schauspielende" 🙄🙄🙄
#GenderSprech
Green beret @DocPeteChambers was fired for giving informed consent to his troops. He has less money because unlike Abbott, he can’t be bought.
BREAKING: Global broad money supply surged +$13.6 trillion YoY, or +10.4%, in December 2025, to a record $144 trillion.
This marks the 3rd consecutive monthly acceleration in growth.
Since 2000, global money supply has risen +$118 trillion, a +7.0% compounded annual growth rate over 25 years.
Since the 2020 pandemic alone, money supply has surged +$44 trillion, or +44%.
The fastest increase over this period was recorded in February 2021, at +18.7%.
Global money creation has never moved this fast outside of a crisis.
R to @LancetChildAdol: 2⃣ SPIRIT-Children and Adolescents (SPIRIT-C) 2026 extension statement: http://tinyurl.com/3bdu5sm3
NIUS Exklusiv! Vor den 1.100 versammelten Mitarbeitern gesteht ZDF-Chefredakteurin Bettina Schausten: Das KI-Video wurde wissentlich verwendet. #zdf
R to @LancetChildAdol: 1⃣ CONSORT-Children and Adolescents (CONSORT-C) 2026 extension statement: http://tinyurl.com/3rpcpj2j
R to @Quo_vadis_BRD: 5/ „Die Ergebnisse liefern eine Erklärung für die aktuellen Rekord-Krankenstände.“
https://www.ad-hoc-news.de/boerse/news/ueberblick/nako-studie-pandemie-hinterlaesst-mentale-langzeitfolgen/68603744
Uncertainty remains in the evidence base for child and adolescent health. Trial quality is inconsistent, numbers lag behind adults, and young people’s needs are often inadequately considered.
🆕 in >@LancetChildAdol, CONSORT-C and SPIRIT-C guideline extensions mark a new era for child and adolescent health research.
Adopt today: http://spkl.io/6017Av4tP
R to @Quo_vadis_BRD: 4/ Brisant: „Besonders belastet waren in der Analyse der NAKO-Studie jüngere Erwachsene unter 40 Jahren sowie Frauen. Mittleres und höheres Alter wirkten dagegen eher schützend.“
Diejenigen, die also aufgrund ihres Alters durch das Virus SARS-CoV-2 so gut wie nicht ernsthaft gefährdet waren, litten demnach - vermutlich durch das drakonische polit. Corona-Management - verstärkt an psychischen Problemen. Was für ein Public-Health-Versagen!
https://www.aerzteblatt.de/news/depressions-und-angstsymptome-haben-wahrend-der-coronapandemie-zugenommen-5bb4390e-4383-4906-a6de-ec08beca4c14
https://archive.is/r2fLK
President Trump,
When you announce his elimination, make sure you say "he died like a rat", instead of your iconic "he died like a dog".
Thank you.
@JesslovesMJK @Kevin_McKernan @Jikkyleaks
The question you should be asking is why in December the US government made Eliquis free for US citizens.
https://finance.yahoo.com/news/bristol-myers-squibb-announces-agreement-200500200.html
Gute Arbeit in Thüringen danke.
R to @Quo_vadis_BRD: 3/ Diese katastrophalen Folgen für die mentale Gesundheit der deutschen Bundesbürger gehört zwingend in die Corona-Aufarbeitung der Enquete-Kommissionen und der U-Ausschüsse der Länder!
Entsprechende NAKO-Publikation via ÄRZTEBLATT (Paywall):
https://www.aerzteblatt.de/archiv/veraenderungen-der-mentalen-gesundheit-waehrend-der-covid-19-pandemie-4f9d2c5b-9479-45bf-8479-298cc7945bb5
Another example of how @CommunityNotes are used to push a narrative, not necessarily expose truth.
A young man I know whose body was destroyed following 2x Moderna, shared his experience. He never had “covid” only the 2 shots. He went from super fit, heathy and vibrant, to neurologically damaged, unable to walk and confined to his room.
Below is the horrific community note added to prevent his story from getting out. Gaslighting people this way and preventing others from knowing risks involved, is not what @CommunityNotes are for, right @elonmusk ? Citing bad science doesn’t make this garbage note fact.
Here at last is a clear and meaningful resolution that the Covid policy response was an attack American liberty, science, and life. To sign it means making your voice heard. The voice of the people at last.
https://covidjustice.org/
School closures. Medical mandates. Censorship. Unchecked emergency powers.
The #COVIDJusticeResolution is a national effort to restore constitutional guardrails and prevent these violations of liberty from happening again.
SIGN THE RESOLUTION: https://covidjustice.org/
R to @Quo_vadis_BRD: 2/ „Bemerkenswert war zudem der Verlauf der selbst wahrgenommenen Gesundheit auf einer 5-Punkte-Skala von schlecht bis ausgezeichnet. … Der Anteil derjenigen mit ‚sehr guter‘ Gesundheit stieg zunächst von 36,5 Prozent vor der Pandemie auf 44,4 Prozent im Jahr 2020. Bis 2022 kehrte sich dieser Trend jedoch um: Nur noch 30,5 Prozent berichteten eine ‚sehr gute‘ Gesundheit, und Angaben zu ‚weniger guter‘ Gesundheit wurden etwa doppelt so häufig gemacht wie vor der Pandemie.“
Mitverantwortlich hierfür ist gewiss das politisch durchgesetzte, jahrelange Festhalten am „Ausnahmezustand“, das den Bürgern - je mehr Zeit verstrich - jegliche Hoffnung auf Besserung nahm (Ignorieren der Pandemiepläne, Containment-Strategie bis weit in 2021 hinein, No-Covid-Initiativen, Niedriginzidenz-Strategien, erneute Lockdowns, Schulschließungen, Bundesnotbremse und Angst-Kommunikation).
🚨I just signed this. You should too. Millions should. It's the first clear statement that everyone can sign to clearly state that the Covid response, all of it, was wrong, unscientific, unconstitutional, and should never happen again. Please join me! https://covidjustice.org/
LET'S DO THIS
1/ Folgen der Angst-Politik?Große @NAKO_Studie widerlegt das gängige politische Narrativ, wonach Deutschland angeblich „gut“ durch die Pandemie gekommen sei:
„Der Ausbruch der COVID-19-Pandemie - insbesondere die anhaltenden Einschränkungen und ihre Folgen - hat weltweit Besorgnis über die Auswirkungen auf die mentale Gesundheit ausgelöst.“
Resultat: Mehr Teilnehmer mit depressiven Symptomen, moderaten bis schweren Angstsymptomen, moderatem bis starkem Stress:
https://nako.de/pressemitteilungen/mentale-gesundheit-in-der-pandemie-nako-studie-zeigt-erhoehte-belastung/
https://archive.is/54Cmo
Bei seinem Austausch mit dem chinesischen Ministerpräsidenten Li Qiang pocht Friedrich Merz auf faire Handelspraktiken und prangert den schwachen Wechselkurs der chinesischen Währung an. Chinas Regierungschef reagiert mit Belehrungen. https://www.nzz.ch/wirtschaft/bundeskanzler-merz-auf-mission-impossible-in-peking-einen-neuen-deutsch-chinesischen-fruehling-wird-es-nicht-geben-ld.1926527?utm_campaign=mrf-twitter-NZZ&mrfcid=20260225699bfcf444c4e21fcfd7cf87
We won’t be fine, here in New York, if our rights are restricted so that we are physically helpless against any attack that may come — perhaps from the Mayor.
~@naomirwolf
A “Blizzard” Gives Mayor Zohran Mamdani Pretext for a “Climate Lockdown”
https://brownstone.org/articles/a-blizzard-gives-mayor-zohran-mamdani-pretext-for-a-climate-lockdown/
ONS: Jan 2020 to July 2023 under-five deaths w/bc of covid: ZERO recorded before vaccination was introduced.
Post jab rollout, 37 deaths recorded in the under one’s, 27 deaths in the one to five year age group (the first in Sep 2021, the last in Mar 2022) https://www.conservativewoman.co.uk/the-government-data-that-suggest-covid-vaccines-killed-kids/
GLP-1s are changing lives, offering hope and better self-image. But concerns arise about misuse for vanity, even by those barely overweight. The boom targets those seeking to feel skinnier, potentially suppressing natural body functions. #GLP1 #WeightLoss #Health
For years, Americans have waited for truth. Instead, we got silence.
Today, we’re launching a national effort to finally demand justice.
The Covid Justice Resolution is a call for the U.S. Senate to:
✔ Repudiate the most harmful COVID-era policies
✔ Protect bodily autonomy
✔ Defend free speech
✔ Reinforce constitutional limits on emergency powers
Sign your name below to demand accountability:🧵
SIGN THE RESOLUTION: https://covidjustice.org/
#COVIDJusticeResolution
Wir zeigen Bert Ehgartners brandneuen Film
Lebendig oder Tot – Das Impf-Paradox
Peter Aabys Entdeckung der überraschenden Auswirkungen von Kinder-Impfungen
Wann: Donnerstag, 12. März 2026
Beginn: 19:00 Uhr (Einlass ab 18:30 Uhr)
Wo: dieBasis Bürgerbüro München
Veranstalter: dieBasis München
Veranstaltung in Anwesenheit des Regisseurs
Anmeldung: anmeldung@diebasis-muenchen.de
Eintritt auf Spendenbasis
🟩🟩🟦🟦🟥🟥🟧🟧
Der Film erzählt die abenteuerliche Geschichte des dänischen Wissenschaftlers Peter Aaby, der in den 70er Jahren mit einem klaren Auftrag nach Afrika geschickt wurde: Er sollte die Ursachen für die hohe Kindersterblichkeit aufklären.
Fünf Jahrzehnte und hunderte Studien später hat er die meisten Gründe gefunden. Darunter sind jedoch einige, die der WHO ganz und gar nicht gefallen. (...)
(Dauer: 60 Min)
Mehr über Bert Ehgartner: https://bertehgartner.com/
Hier geht es zum Trailer: https://bertehgartner.com/wp-content/uploads/2025/08/250825_DOA_FINAL_TRAILER_DEUTSCH_SHORT_small.mp4
#dieBasis #kindersterblichkeit #Kinder #Impfungen #WHO #BertEhgartner #münchen
Among patients with unexplained acute recurrent #pancreatitis and pancreas divisum, endoscopic retrograde cholangiopancreatography (ERCP) with minor papillotomy does not reduce the risk of another episode of acute pancreatitis or related sequelae.
https://ja.ma/4rA5pOO
The last 40 years were essentially a long run towards replacing professional knowledge with a cheaper simulation thereof, with mixed results on the micro level and disastrous results on the macro level.