Board of Governors of the Bitcoin Reserve System
United States
Joined November 2022
- Tweets30.3K
- Following2K
- Followers842
- Likes39.9K
Pinned Tweet
I believe @saifedean is correct. If BTC becomes universal money and grows 2-3% a year in an economy, I would be comfortable loaning money at 0% nominal interest. I might even loan it at -1% interest (partial forgiveness) since the value returned will be greater in both cases.
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
This is how it used to be 30 years ago.
Each RVU paid a lot more back then.
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
12
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
And remember all that trouble to only get paid $5 to read a chest xray.
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)
1
90
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.
Decentral Banker, MD retweeted
The difference between QUITTING YOUR JOB and MAKING THEM FIRE YOU that HR hides:
🔴 QUITTING YOUR JOB
- You walk out with $0 severance.
- You lose $2,500/mo in unemployment.
- Your health insurance gets cut off.
- You save your boss $25,000.
🟢 MAKING THEM FIRE YOU ↓
Decentral Banker, MD retweeted
🟢 MAKING THEM FIRE YOU
- You get paid full wages to job hunt on the clock.
- You collect $2,000 to $3,500/mo in state unemployment.
- You force HR to document every fake complaint on paper.
- You walk out with a severance check and paid COBRA.
When a company wants to cut staff without paying severance or higher unemployment taxes, they wreck your schedule, cut your remote days, dump two people's work on you, or slap you with a bogus write-up hoping you'll get mad and quit for free.
Never do your boss that favor:
1. Stop doing free overtime, clock out on the dot, and apply for jobs on company time. In almost every state, getting let go for "poor performance" or a bogus PIP still qualifies you for full unemployment checks as long as you didn't commit gross misconduct.
2. Send HR this exact email and BCC your personal Gmail:
"Following today's meeting, my schedule and core duties were significantly altered and my workload was doubled without a pay bump despite hitting all my numbers. Please confirm in writing whether this is a disciplinary action or a material change to my original job terms."
Once Legal sees "material change" backed up to a personal email, they know you're building a Constructive Dismissal claim. Most companies will offer a quiet cash buyout rather than risk a $50,000 employment lawyer fee.
3. Don't fall for the "permanent record" lie. When your next job runs a background check through The Work Number or calls HR, company policy only lets them confirm your title and dates of employment because saying anything else opens them up to a defamation lawsuit.
Bosses on here call this "stealing a paycheck." Working people call it refusing to donate $25,000 to a company that would replace you by Monday.
If a job tries to push you out for free, is coasting until they fire you smart business or bad work ethic?