(((Jim Stein)))

@JamesStein18

Jewish vegetarian cardiologist. I value civility. I don’t tweet very often. My comments, not my employer's.

Wisconsin, USA
Vrijeme pridruživanja: lipanj 2012.

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  1. proslijedio/la je Tweet
    4. velj

    Iowa caucus incredibly undemocratic: -No absentee voting or secret ballot -1000s with disabilities can’t participate -40,000 with past felony convictions barred from voting -Rural counties get more delegates than urban ones This is not good way to choose party nominee

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  2. proslijedio/la je Tweet
    1. velj
    Odgovor korisniku/ci

    President Trump needs our support and prayers now more than ever before. Please Sir, know that we heed your cries. And if you call, we will answer. And if you fall, we'll pick you up. And if you court this disaster, we'll point you home to freedom. Home to our hearts. MAGA 🇺🇸

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  3. proslijedio/la je Tweet

    With their votes to make the American president accountable to no one, Republican senators have put the interests of one president over the interests of all Americans. The only remedy now is for us all to vote in overwhelming numbers to replace them—and him—in November.

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  4. proslijedio/la je Tweet

    Senate Republicans just failed the American people & broke their oath to the United States Constitution.

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  5. 31. sij

    One more way that greed is hurting patients and destroying our health care system by increasing costs, risks to patients, and health care provider burnout (which also increases costs and risks) I avoid as much as I can.

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  6. proslijedio/la je Tweet
    31. sij

    If they call Hunter Biden or the then they should open an investigation of and Rand Paul’s connections with Russian Oligarch Oleg Deripaska.

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    WOW. Chief Justice John Roberts just had to read aloud Sen. Elizabeth Warren's question...about whether he loses credibility for presiding over a trial without witnesses or evidence.

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    After a day of spin & distractions & plain old incoherence by President Trump’s lawyers, I’ve got one question for this Senate impeachment trial: Where are the witnesses?

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  9. 30. sij

    6/n competence. We should welcome more colleagues to our field but assure that providers, patients, and the health care system are prepared for the change and that we all are set up for success, not failure.

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  10. 30. sij

    5/n demonstrate proficiency provide useful benchmarks of competence. I'd be in favor of specialty-specific training programs for APPs to hone their patient care skill with an eye to independence (ie, residencies) and board exams (limitations acknowledged) to demonstrate

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  11. 30. sij

    4/n patients care is speculation based on our anecdotal experiences, clouded by the best and worst providers with whom we have worked. We do know that clinical training and supervised experiences lead to better outcomes and that standardized testing or other methods to

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  12. 30. sij

    3/n of nurses, doctors, and PAs - we should avoid that. There is great heterogeneity in skills and performance of each. Similarly, what classes we took as undergrads, who excels at warmth and the "human touch, who orders more unnecessary tests and how these things affect our

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  13. 30. sij

    2/n and/or physician-directed protocols, oftentimes after initial physician assessment, so they are provocative and encouraging but far from definitive. Some of your comments and the comments on the article use pretty broad brush strokes to describe the behaviors and outcomes

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  14. 30. sij

    . 1/n Late to this discussion but I just read your nice article on Medscape. I fully support enhanced independence of APPs (NPs and PAs). It is important to note that the data showing similar outcomes of MD and APP care have been in the context of physician supervision

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  15. proslijedio/la je Tweet

    Watching Trump use Obama's Arabic middle name as a pejorative to cast him as foreign and untrustworthy fills me with disgust. But imagine how it makes Arab and Muslim Americans feel to see this bile coming regularly from the most powerful person in the country. Shame.

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  16. proslijedio/la je Tweet
    27. sij

    Coronavirus is coming. Dietary recommendations: 1. Go keto; 2. Increase LDL as much as possible.

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  17. 24. sij
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  18. 24. sij

    1/2 My health system received national recognition & as expected, I was asked to wear a pin. I get asked to wear so many pins, which to wear? I actually don't want to wear a pin, but am nervous about what happened on to Kramer (ie, Cedric and Bob) see:

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  19. proslijedio/la je Tweet
    21. sij

    Senate Republicans who represent 15 million fewer people than Senate Dems can block impeachment of a president who committed crimes worse than Watergate, lost popular vote by 2.9 million votes & suffered largest midterm election defeat in US history

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  20. proslijedio/la je Tweet
    22. sij

    Majority of Americans support Trump's impeachment & fair trial BUT Senate GOP represents 15 million fewer Americans than Dems Senate Rs lost popular vote 54-46 in 2018 Senators representing 7% of country can block Trump's removal from office

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