
Plastic Surgeon. Video Podcaster. Sci-fi Writer. Medico-legal Expert. Motorcyclist. Average Gen-X white dude. YT: @niptalkshow. IG: @dallas_niptuck
Dallas, TX
Joined November 2022
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Bruce Hermann, MD retweeted
This doctor called it years ago.
His specialty’s organization said to stop it today—the first mainstream org in the nation.
Replying to @MorrellMDmph
I filmed my podcast today which will air Friday and I did a segment on the recent malpractice verdict. This clip is from 2023.
Bruce Hermann, MD retweeted
Replying to @elonmusk
Now that ChatGPT has a memory function, there is no way I would use Grok instead. If you want to compete, add a memory function, but give it a larger memory storage. That is my one gripe about ChatGPT. It’s too small.
Bruce Hermann, MD retweeted
Coming up at 7:40am on DFW's Morning News, we'll talk to Dr. @bfhermann about the rise in weight loss drugs and its effect on cosmetic procedures. Stream online or download our free app. klif.com/
Bruce Hermann, MD retweeted
this election can be summarized in a simple way
you're either voting for the side building the massive landing rockets
or you're voting for the side trying to strangle the progress of rockets to death via regulation
choose wisely
Bruce Hermann, MD retweeted
Replying to @bfhermann @Polymarket
Bruce Hermann, MD retweeted
Excitement is guaranteed, success is possible
REMINDER: @SpaceX will be attempting probably the craziest aerospace thing ever attempted tomorrow morning — Catching a 19-story tall rocket booster in mid-air with Mechazilla chopsticks
Bruce Hermann, MD retweeted
I treat gunshot victims regularly, but my ability to care for these patients gives me no special insight into determining the complex societal and constitutional effects of gun laws. I don't even know what a bump stock is, much less how regulating it changes anything about the injuries I treat.
Physician advocacy groups increasingly try to have a stance on everything—from climate change to criminal justice. This dilutes our voice on the issues where we should be most focused. When we push for necessary reforms like fee schedule changes or policies addressing hospital consolidation, our message gets drowned out.
Furthermore, taking positions on every issue alienates our advocacy groups from large numbers of legislators we need on our side for the core healthcare policies that directly affect patient care.
We should focus on critical policies that enhance our ability to care for patients—those that restore physician independence and reverse the administrative encroachment in healthcare. For me, that includes 340B reform, Stark law, and site neutrality, among others.
We should focus our advocacy on policies that directly affect how we care for patients—using our frontline experience to inform how healthcare policies impact our ability to deliver care. It’s important to distinguish this from weighing in on broader issues (tax or education policy, etc.) that, while they may influence health outcomes, don’t affect the actual practice of medicine.
Our voice is strongest when we advocate for policies that improve patient care, not when we try to speak on every issue that touches health.
If everything is healthcare, then nothing is.
Yes, giving people money improves their physical and mental health—but nearly every government policy has some health implications: housing, energy, education, criminal justice, transportation, tax policy... Does this mean physicians and public health experts should weigh in on all of these issues?
Should a medical journal cover the Jones Act because it might indirectly affect public health?
Physicians often struggle with understanding the complexities of over-testing and over-screening, let alone second-order effects of broader economic policies.
Advocating for wealth transfers based on improvements in mental health, as noted in the below article, oversimplifies a much more intricate economic reality. Welfare policy, including the unintended consequences of large-scale wealth transfers, is not a healthcare issue—it’s an economic one.
Just because a policy has a downstream effect on health doesn't mean it qualifies as 'health policy.'
Not every issue demands a public stance from doctors.
@anish_koka @Geoff_Holtzman @VPrasadMDMPH @drjohnm @adamcifu
The Child Tax Credit—Tax Policy as Health Policy jamanetwork.com/journals/jam…
Bruce Hermann, MD retweeted
I’m gonna give 10 random people that repost this and follow me $25,000 for fun (the $250,000 my X video made)
I’ll pick the winners in 72 hours
Bruce Hermann, MD retweeted
Gen Xers Decide To Split Off From Rest Of Society And Form A Utopia That’s All Relaxed And Cool And, You Know, Whatever
buff.ly/2Qn1u7Z
Bruce Hermann, MD retweeted
One of the concerning aspects surrounding the shooting of our ofcs last nite… the susp was out on 2 bonds for almost a yr despite committing more crimes & being re-arrested & wanted on 3 diff warrants. Why wasn’t he in jail? Why were’t his bonds increased? People want to know.
Bruce Hermann, MD retweeted
Some people asked me to share what I just shared in a space about the rate limits. I don't work for Twitter but, I do architect IT cloud solutions as my day job.
It is temporary. Twitter's rate limiting is not what everyone is thinking it is. It is not to punish non-paying users.
"Data scraping" is a big deal. This is where automated systems load the website or app and pull your tweets/data. It's a huge security issue. Automated systems are pulling every tweet/word/user account information to store in an unknown database somewhere else.
This could be state actors like China, the US Government, Australia, or other bad political actors like PAC's that are trying to gain access to everyone's information to analyze and use for nefarious things. Manipulating what is said on the site can be done at scale with data scrapping.
It could also be used to figure out the identity of Anons or to punish people in their country for what they tweet. Looking at you #Australia and #Canada and #UnitedKingdom
The temporary measures of limiting tweets is to protect users just as much as it is to protect the entire Twitter network from going down. They are currently scrambling to get ahead of this and tune their network security to block it from happening again.
It's also important to note that twitter has 500,000+ servers. That's not free. In cloud data centers, the companies that use them have to pay for what is called "ingress and egress" of data going "in and out" of the servers. A data scrapping event that is large enough for them to start limiting means that it was a MASSIVE event that could be considered an attack on the site. It would also put massive load on their servers and cost them so much money it could threaten the site's financial ability to keep running. It could be on purpose to put twitter out of business from cost alone.
Many people are misunderstanding why @elonmusk wants people to pay for twitter or for the twitter API (a programming interface that can pull data for other sites and apps).
The reason he wants people to pay is because if China or porn companies want to create massive bot farms of fake accounts, it is currently free. These bad actors are highly skilled and operate like a business. They have professional staff that continuously change their tactics and Twitter engineers have to fight 24/7 to stay ahead of them. If they have to pay for every account or pay to use the API, it would cost them A LOT of money. This limits the amount of people who could create bots, put automated porn on here, and the hacking/scrapping/DDOS attacks on the site. It protects you.
It also guarantees twitter will continue to exist without bloating it with tons of ads. This is all a part of the plan to create a free-speech place we can enjoy without being controlled by outside actors or advertising companies. I know $8 is a lot to some people but, it is for many reasons. None of the reasons are to hurt or punish people.
#TwitterDown #TwitterLimits #SolutionsArchitect #CloudSecurity #FreeSpeech
Bruce Hermann, MD retweeted
That's it for today's news in the world of AI.
I do these rundowns daily, so follow me @rowancheung for more.
Also, feel free to like + retweet the tweet below to show your support ❤️
xitter.cf/rowancheung/status/165…
Bruce Hermann, MD retweeted
Replying to @YoxallTrent @CNN
Yep. In the past few years, fentanyl has killed more people in the US than car crashes, gun homicides, and suicides COMBINED.





















