@aperohealth CEO. Streamlining healthcare billing and workflows. Ex-@NSAGov / USAF academy; @Stanford computer science, @apple. Rhodes Scholar.

San Francisco, CA
Joined April 2009
Over the past 34 years, healthcare has replaced manufacturing as the top employer in the vast majority of states.
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Some fun charts: 1. Each US generation is wealthier than the last.
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Nick Shelly retweeted
On July 4 2012 in San Diego, California, 7,000 fireworks accidentally went off all at the same time. What was supposed to be a 17 min show, lasted just 30 seconds, thanks to a computer glitch It is one of the greatest firework shows of all time Happy 250th birthday, America 🇺🇸
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Wow, ChatGPT can be so off sometimes…. I asked if @xai and @SpaceX would ever merge and it kept saying highly unlikely (~5% chance). I kept asking and asking and it never budged. Then I told it to Google it, and wham it started back tracking. Then, I asked why ChatGPT was off and it suggested static reasoning. @grok nailed it :-)
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Nick Shelly retweeted
Jesse, Steve, Laddy, and Vlad….such an incredible feeling to welcome you aboard Integrity after a nearly 700,000 mile journey. Forever thankful for your service to our crew and the nation.
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Sadly this is 100% correct
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Rescuing American Pilot in Iran (2026, colorized)
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Nick Shelly retweeted
NEW: NASA's Artemis II has successfully blasted off, launching toward the Moon for the first lunar voyage in 53 years. Here is what to expect next: - Mission is 10 total days. - The crew will get 5000 miles from the Moon's surface. - The crew will sleep in two four-hour periods. - On Day 2, Orion engines will accelerate the spacecraft to escape velocity and send them toward the Moon. - On Days 3-5, the crew will fine-tune the approach to the Moon. - Day 6 is when the crew flies by the Moon. They will be about 250,000 miles from the Earth. - Days 6-7, the crew will fine-tune their approach back to Earth. - On Day 10, the crew will put on their proper suits and get ready for reentry. - They will reenter Earth's atmosphere at 25,000 miles per hour. - Two parachutes will slow the capsule to 17 miles per hour. - They will splash down off the coast of San Diego, California. Video: @GuyFieri
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Nick Shelly retweeted
FAA banned parallel landings permanently, will be bad for SFO (max landings drop from 54>36/hr) Given the topography of SFO, we have 2 parallel runways 750’ apart. There was an accident at DCA last year, now the FAA is mandating staggered approaches :(
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Nick Shelly retweeted
The opening of Top Gun: Maverick (2022) is unreal. The Top Gun Anthem starts over the carrier deck, jets roaring into the sky… then “Danger Zone” blasts in and the whole theater instantly locks in.
a scene that gave you goosebumps.
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Nick Shelly retweeted
I've been trying my damndest to get your motherf*ckers to stop eating hours before bed. A new study out confirms this is the right thing to do. >3hr pre-bed: . heart rate dropped by 5% . diastolic blood pressure dropped 3.5% . cortisol dropped . heart rate variability increased . improved blood glucose and insulin response Study details: 39 overweight or obese participants (aged 36-72 years) investigated "sleep-friendly intermittent fasting" by comparing two protocols: 1. Habitual fasting: A daily fasting window of 11-13 hours, with participants free to eat anytime before bedtime. 2. Extended overnight fasting: A 13-16 hour fasting window, with the last meal consumed at least three hours before sleep. Light was dimmed for both groups at least three hours before sleep. The extended fasting paradigm also demonstrated a 90% adherence rate, suggesting its potential effectiveness for improving cardiometabolic health and sleep in overweight and obese populations. While the three-hour pre-bed limit showed significant benefits in this trial, individuals who are already metabolically healthy may achieve further improvements and require a more stringent limit. To find your optimal window, start by consuming your latest meal three or four hours before bedtime, and then work backward in one- or two-hour increments. Track key metrics such as sleep quality, resting heart rate, heart rate variability, next-morning recovery and focus, and metabolic health/glucose control (ideally using a Continuous Glucose Monitor). For me, an eight-hour pre-bed fast works. My resting heart rate before bed has reached 38 bpm, placing it in the top 99.9th percentile.
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Nick Shelly retweeted
THE $1.5 MILLION MISTAKE. She thought she grabbed a python. It was a Cottonmouth. 4 days in ICU. 70 vials of antivenom. $1.57 million hospital bill. Antivenom doesn’t come with a discount code.
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Nick Shelly retweeted
.@Waymo has further expanded coverage in San Jose. Interesting that the last two coverage updates have gone unannounced
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Waymo driver taking a smoke break. 🚬 🤖🦿
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Nick Shelly retweeted
Dragon coming in like a blazing meteor visible from San Francisco
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Nick Shelly retweeted
Replying to @NShelly
A successful sighting! That streak is the result of the spacecraft hitting the atmosphere at orbital velocity.
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Healthcare ate our economy
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Nick Shelly retweeted
I’m at the ER in San Francisco due to my wife’s sudden, acute appendicitis. Throughout the night and day you can hear the screams, dry-heaving, tussling, and cussing of drug-addicts in withdrawal. On the other hard, she also just received world-class, expedient medical care by lovely, dedicated medical professionals. What a roller coaster. We, as one American team, need to figure out how to end this opiate crisis. We're better than this. We can't have our neighbors and friends suffering on the streets, with drug dealers roaming around undeterred, and endless misery perpetuated under the veil of empathy.
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Nick Shelly retweeted
all mamdanian political goals stem from this one simple chart
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