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Replying to @mcuban
It takes attention from people like @mcuban to make effective change. I'm glad to see he is using his platform and resources to push real change in our healthcare system. @costplusdrugs is one of the biggest game changers in health in the 25 years I've been practicing, no doubt.
When dispatch says, “Take the high road,” we’re going to need a specific altitude.
At OccMedMD, we enjoy imagining what’s next—and we take preparing for it seriously.
Workplaces keep changing. New equipment, new technology, and new ways of doing business bring new questions about worker health and safety. Staying on the cutting edge means keeping current with medical evidence, anticipating workplace challenges, and finding useful ways to improve care.
We want employees to get good care and employers to get clear, practical answers, even when the questions start getting a little more… elevated.
Whether your fleet runs on diesel, batteries, or someday requires clearance from the tower, we’re ready to keep learning, adapting, and looking ahead.
@occmedmd Ready for the future.
Please land before checking in. – at St Louis, MO
🤖 Made with AI
Even though I have used CostPlus since 2023, I am still amazed by the prices every single time (and so is everyone I have switched to using @costplusdrugs). If providers aren't using them, you are robbing your patients of affordable options! @mcuban changed the game, yet too many people still don't know. *I have no affiliation with this pharmacy or the owners. – at Frontenac, MO
But, in a larger sense, we can not dedicate -- we can not consecrate -- we can not hallow -- this ground. The brave men, living and dead, who struggled here, have consecrated it, far above our poor power to add or detract. The world will little note, nor long remember what we say here, but it can never forget what they did here. It is for us the living, rather, to be dedicated here to the unfinished work which they who fought here have thus far so nobly advanced. It is rather for us to be here dedicated to the great task remaining before us -- that from these honored dead we take increased devotion to that cause for which they gave the last full measure of devotion -- that we here highly resolve that these dead shall not have died in vain -- that this nation, under God, shall have a new birth of freedom -- and that government of the people, by the people, for the people, shall not perish from the earth.
Abraham Lincoln
November 19, 1863 – at Frontenac, MO
🤖 Made with AI
Memorial Day isn't a day off. It's a day of remembrance and respect.
I think about the ones who never came home. The family that sets the table this weekend with one fewer place, knowing the seat will never be filled again.
I remember my father, a proud Army soldier, who lies beneath that sacred headstone.
I reflect as a father whose son wears the cadet gray at The Citadel, and his classmates, who will also carry the burden of protecting each of us and our country.
For years in practice and in the VA health system, I have cared for men and women who answered the call and sacrificed in the name of freedom. They wear it quietly. They learned in uniform what it means to put the mission and the person next to them above themselves.
But today isn't about the ones who came home. Today is about the ones who didn't.
I hope we all take this day to appreciate and remember them.
"Greater love has no one than this: that someone lay down his life for his friends." John 15:13
May we live in a way that is worthy of what they gave. – at Frontenac, MO
Stop a statin and your LDL cholesterol rises 30% in four days. Nobody writes a WSJ feature about it. Stop certain blood pressure medications and your BP can spike within hours. Nobody calls it a design flaw.
Levothyroxine, antidepressants, insulin, metformin, antihistamines. Chronic treatments for chronic conditions, and all of them stop working when you stop taking them. None of them generate think-pieces questioning whether patients should have started.
The AMA classified obesity as a disease in 2013. Thirteen years later, it’s still the only chronic condition where “you have to take it forever” is framed as an argument against treatment rather than a description of how medicine works.
While nearly 18% of U.S. adults have taken a GLP-1 drug for weight loss or to treat a chronic condition, about half of people will stop taking it within a year. Often, they don’t understand what is likely to come next. 🔗: on.wsj.com/4dCkbia
Everyday I have conversations with smart people who think AI just makes memes and formats resumes.
If you are actually using AI daily, you are already far ahead of most of the population.
OccMedMD would like to welcome Dr. Tawniece Curry, DNP, APRN, AGPCNP-BC, EMT-P to our practice.
Dr. Curry brings two decades of frontline clinical experience to OccMedMD and the St. Louis workforce she serves. She holds a Bachelor of Science in Nursing (with honors) and a Doctor of Nursing Practice with emphasis in Adult Gerontology Primary Care, both from the University of Missouri–St. Louis, and is board-certified by the American Nurses Credentialing Center. – at St Louis, MO
🤖 Made with AI
John Webb retweeted
Physicians are trained to push through everything.
Pain, exhaustion, doubt, grief. All of it. Just push through.
That training saves patients. It also kills doctors.
We have to start letting each other be human.
#apple Do better - your online ordering and customer service really sucks. I won't use it ever again.
John Webb retweeted
Elon, from the bottom of my broken heart, thank you. ❤️
You’ve kept my beautiful daughter Liv’s memory alive in the most extraordinary way, by making Asteroid, the official mascot for SpaceX.
Liv poured her whole soul into designing that little dog in a spacesuit, dreaming of the stars just like you. Seeing her creation soar on Polaris Dawn already brought tears of joy. Knowing it will now be a part of every SpaceX mission, flying among the stars forever? That’s healing I can’t even put into words.
You didn’t just honor a young girl’s dream, you are keeping her spirit alive. Liv’s love, her laughter, her unbreakable fight lives on through Asteroid, and every time a Falcon roars or Starship climbs toward orbit, a piece of my girl flies with it.
I’m crying grateful tears right now. Thank you for this priceless gift.
You’ve turned our deepest pain into something eternal and beautiful among the stars. @elonmusk
Replying to @glennbeck @rebeccaperrotto
No
Yes
Yes
Your Name
Yes, a several times. Kyoto. teamLab.
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Ok 😀
Nunc Coepi — “Now I Begin”
The Roman Stoics had a phrase for the moment you catch yourself saying “I’ll start Monday.”
Nunc coepi. Now I begin.
Not as self-punishment. Not as pressure. Just a quiet, firm return to the present moment.
I think about this a lot in medicine — and honestly, in my own life. I spent years telling myself I’d get healthier eventually. That I’d address the weight, the fatigue, the slow drift away from the person I wanted to be. Tomorrow. Next month. After this busy season passes.
The Stoics understood something we often miss: perfection isn’t the entry point. The next right action is.
You don’t need a perfect plan. You don’t need Monday. You don’t need to feel ready.
You just need now!
Whether it’s a health goal you keep postponing, work that needs to be completed, a conversation you’ve been avoiding, or a habit you’ve restarted a dozen times, nunc coepi applies. Every single time. Without shame.
The Stoics weren’t harsh perfectionists. They were practical realists who knew that growth is built from small actions, strung together, beginning in the present.
So whatever you’ve been putting off — what would it look like to start today? Not perfectly. Just now.
Nunc coepi.
What’s one thing you’ve been waiting to begin? – at Nashville, TN
Since 2018:
•Home prices up 53%
•Rent up 26%
•Health Ins up 55%
•Groceries up 67%
•Car insurance up 37%
•Wages are up ONLY 12%
While you’re distracted with the story of the week the media tells you you should be angry about, people are going broke and struggling
Stay focused on protecting yourself, your family and fighting every single day to be better.
Work on yourself and get better. It’s gonna matter more now than ever. The grind doesn't stop, ever!
Your AI bot apparently didn't understand the post shows the wifi, is in fact NOT working. Yet, another ball dropped.
They Know Your Worth... They Just Hope You Don’t.
Knowing your worth as a physician doesn’t require being the loudest voice in the room.
But it does require recognizing when you’re being undervalued.
Your value isn’t abstract. It shows up when patients get better, systems improve, and you provide solutions to improve operations.
Healthcare runs on a small number of people who consistently deliver—without drama, supervision, or excuses.
Organizations know who those people are.
So when your compensation, schedule, or respect doesn’t reflect the load you carry, that’s not humility. That’s a mismatch. It could be a sign that it's time to cut ties and move on.
Quiet confidence is powerful. Silence about your value is not.
Your worth isn’t measured by volume or visibility—it’s measured by what happens when you’re involved.
If you aren't being valued, maybe your employer will learn how much it costs when you walk away.
There was a time when movie stars and professional athletes didn't understand that they were the draw; they were the reason the movies were successful, not the production company. People like Tom Cruise and Alex Rodriguez began demanding pay commensurate with ticket sales and downstream revenues because they were the main attraction.
Sometimes it isn't about what you bring to the table, it is about being the table - the foundation the practice needs to survive and thrive.
Stand your ground, don't take the pay cut, don't take the under-valued offer. Trust me, others will recognize your value and compensate appropriately. Then, it is a win-win. – at Boca Raton, FL
The real AI threat in healthcare isn't the technology—it's that it might actually be better than what we have now.
Think about it: Why would anyone pay hundreds of dollars to sit in a waiting room for 2-3 hours, get 5 rushed minutes with their provider, receive algorithm-based lab orders, and walk out with prescriptions generated by checkbox medicine—when an AI chatbot could deliver the same cookie-cutter care plan with more empathy, zero wait time, and a fraction of the cost?
That's not a future problem. That's today's broken system meeting its match.
The patients who will thrive in the next 10-20 years won't be choosing between traditional care and AI. They'll be choosing personalized, concierge medicine—where they actually have a relationship with their provider. Where they're listened to. Where someone cuts through the noise with evidence-based advice while still exploring innovative treatments and emerging technologies.
People are sick and tired of being sick and tired. They're done paying more for less.
The surprising truth? Most people can afford this level of care today. They just don't know where to find it.
It's time we made healthcare about health again—not just guidelines and billing codes. @mcuban – at Frontenac, MO


















