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Andy Pasternak

@tubadrew

Fam med doc, ultrarunner, xc skier, WS100/TRTER medical director, tuba enthusiast. 117th Nevada State Med Association Pres. Political opinions my own

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Latest posts by Andy Pasternak @tubadrew

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Somewhere, the Italian Al Michaels is yelling "Credi nei miracoli?!?!?!"

11.03.2026 04:24 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Could RFK Jr's Testosterone supplementation be why he's needing shoulder surgery? journals.lww.com/jaaos/abstra...

11.03.2026 02:19 πŸ‘ 0 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0

As a family doc, I've had so many people asking me to write notes for their new bikes/exercise equipment for their HSA/FSAs. Seems like a new tuba should also be justified, as it helps my mental health

09.03.2026 22:45 πŸ‘ 6 πŸ” 1 πŸ’¬ 2 πŸ“Œ 0

I just told her about this study. She's now appropriately raging about how completely unethical this would be to put someone under anesthesia for that amount of time, and wouldn't be a part of this.

07.03.2026 03:34 πŸ‘ 7 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

My wife (anesthesia) has joked for years about a transient oblivion clinic for elective anesthesia

07.03.2026 03:18 πŸ‘ 5 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I'd love for him to talk to my wife (anesthesia) about this. Just another good example of the result of arrogance and disdain for your peers

07.03.2026 03:17 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Except now he'll write books and go on the lecture circuit to talk about how "corrupt and dysfunctional" the FDA is, which will play right into what his podcast followers want.

06.03.2026 22:55 πŸ‘ 6 πŸ” 1 πŸ’¬ 1 πŸ“Œ 1

Here's the part that sucks: His new career move is to just go on the lecture circuit and write books about how "corrupt" the whole FDA system is, which plays right into his followers' desires. None of them will hold him responsible for being unable to make changes.

06.03.2026 22:38 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The entire design of the American health care system is to make money for for-profit insurance companies. Everything else is secondary.

06.03.2026 01:00 πŸ‘ 4 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

I did it for you.

The CEO of @bcbsm.bsky.social took home $13.9 million in 2024

They cut the pay for the new CEO in 2025 who got $6.9 million.

The only @umich.edu employee who got anywhere close to that was our basketball coach who made $4.6 million in 2025.

06.03.2026 00:03 πŸ‘ 99 πŸ” 26 πŸ’¬ 4 πŸ“Œ 3

It's all about dollars. We just had Optum drop its contract with us, and 100+ senior patients are now scrambling. The physician administrator I spoke with about it (who is, ironically, also the president of our state physician wellness coalition) said it was done for "business reasons"

05.03.2026 23:09 πŸ‘ 5 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0

1/ What’s the price of a 1% drop in MMR vaccination rates?

According to a new report by the Common Health Coalition, it’s 17,000+ measles cases, 4,000 hospitalizations, 36 preventable deaths… and a $1.5 billion annual price tag.

05.03.2026 19:54 πŸ‘ 77 πŸ” 36 πŸ’¬ 2 πŸ“Œ 0
Figure 2.  Bar Graph of Estimated Risk of Any Hospitalization, Estimated Risk of Any Emergency Department (ED) Visit, and Estimated Risk of ED Visit Not Resulting in Hospitalization (Non-Hospital ED Visit)

Figure 2. Bar Graph of Estimated Risk of Any Hospitalization, Estimated Risk of Any Emergency Department (ED) Visit, and Estimated Risk of ED Visit Not Resulting in Hospitalization (Non-Hospital ED Visit)

It is good to have a primary care provider, Dialysis edition, from Ann Arbor in JNO

jamanetwork.com/journals/jam...

05.03.2026 20:42 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

HA!

03.03.2026 16:30 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Great read. I'm so discourage by what Trump/RFK Jr and MAHA are doing to vaccines in the USA. It must be devastating to be 93 years old and seeing this team of grifters destroy the important work Dr. Ploktin has done to save lives in our country.

03.03.2026 02:42 πŸ‘ 2 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Preview
Elite Doctors Served Jeffrey Epstein While Treating His β€˜Girls’

Word fail.

Exceptional investigative reporting by @nytimes.com

#Health #Healthcare #PublicHealth

www.nytimes.com/2026/02/28/u...

28.02.2026 17:03 πŸ‘ 4 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

Frankly, I expected better from a FIFA Peace prize winner

28.02.2026 16:19 πŸ‘ 2684 πŸ” 484 πŸ’¬ 40 πŸ“Œ 14

My Inteflex class at Michigan (1986-1993) was the first class to have more women than men, and we were very proud of that!

27.02.2026 20:49 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I'd say "failure" is the wrong word. "Intentional destruction" is more apt.

27.02.2026 14:40 πŸ‘ 47 πŸ” 11 πŸ’¬ 2 πŸ“Œ 0
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This week's cover @thelancet.com

26.02.2026 23:48 πŸ‘ 3117 πŸ” 1457 πŸ’¬ 44 πŸ“Œ 80

I think that's the standard in bigger group practices and they just try to funnel people to u/c

25.02.2026 17:20 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

How about asking Casey Means "Do you have an active medical license in any state?"

25.02.2026 16:41 πŸ‘ 2 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Loved this article. A really good reflection of what issues patients want to have continuity with the clinicians they know and trust.

25.02.2026 16:21 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Spoken like a doctor who has never completed residency and has certainly never dealt with private practice

25.02.2026 15:51 πŸ‘ 6 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Between Means and Attia, does Stanford med school have a special track for students who don't want to complete residency but just want to go on to be social media influencers?

25.02.2026 15:49 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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who has the gold medal hair for a Craft athlete?Tim Tollefson or Johannes Høsflot Klæbo

24.02.2026 04:55 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

But at least she had a state medical license. Would a hospital do that for an international physician?

23.02.2026 22:55 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Reading this story about Lindsay Vonn and Dr. Tom Hackett doing a fasciotomy on her. If this happens during the LA Olympics, would a US hospital allow an Italian surgeon to operate on an Italian athlete?

23.02.2026 22:35 πŸ‘ 4 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

They've already destroyed AHRQ, which helped family docs like me. This is just the really sad next step.

23.02.2026 22:35 πŸ‘ 8 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

Are other clinicians having patients ask them for letters for FSA expenses for things like....really, really nice (and expensive) road bikes? #medbluesky

23.02.2026 18:45 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0