Skip to content
By using Twitter’s services you agree to our Cookies Use. We and our partners operate globally and use cookies, including for analytics, personalisation, and ads.
  • Home Home Home, current page.
  • About

Saved searches

  • Remove
  • In this conversation
    Verified accountProtected Tweets @
Suggested users
  • Verified accountProtected Tweets @
  • Verified accountProtected Tweets @
  • Language: English
    • Bahasa Indonesia
    • Bahasa Melayu
    • Català
    • Čeština
    • Dansk
    • Deutsch
    • English UK
    • Español
    • Filipino
    • Français
    • Hrvatski
    • Italiano
    • Magyar
    • Nederlands
    • Norsk
    • Polski
    • Português
    • Română
    • Slovenčina
    • Suomi
    • Svenska
    • Tiếng Việt
    • Türkçe
    • Ελληνικά
    • Български език
    • Русский
    • Српски
    • Українська мова
    • עִבְרִית
    • العربية
    • فارسی
    • मराठी
    • हिन्दी
    • বাংলা
    • ગુજરાતી
    • தமிழ்
    • ಕನ್ನಡ
    • ภาษาไทย
    • 한국어
    • 日本語
    • 简体中文
    • 繁體中文
  • Have an account? Log in
    Have an account?
    · Forgot password?

    New to Twitter?
    Sign up
MorlockP's profile
ⓘ Dogs don't have thumbs
ⓘ Dogs don't have thumbs
ⓘ Dogs don't have thumbs
@MorlockP

Tweets

ⓘ Dogs don't have thumbs

@MorlockP

Two-time Prometheus award-winning hard science fiction author. https://www.amazon.com/dp/B005JPPMS6  Learn how to homestead https://www.amazon.com/dp/B093BC3K1T 

Aristillus Crater, Luna
amazon.com/dp/B005JPPMS6
Joined June 2012

Tweets

  • © 2022 Twitter
  • About
  • Help Center
  • Terms
  • Privacy policy
  • Cookies
  • Ads info
Dismiss
Previous
Next

Go to a person's profile

Saved searches

  • Remove
  • In this conversation
    Verified accountProtected Tweets @
Suggested users
  • Verified accountProtected Tweets @
  • Verified accountProtected Tweets @

Promote this Tweet

Block

  • Tweet with a location

    You can add location information to your Tweets, such as your city or precise location, from the web and via third-party applications. You always have the option to delete your Tweet location history. Learn more

    Your lists

    Create a new list


    Under 100 characters, optional

    Privacy

    Copy link to Tweet

    Embed this Tweet

    Embed this Video

    Add this Tweet to your website by copying the code below. Learn more

    Add this video to your website by copying the code below. Learn more

    Hmm, there was a problem reaching the server.

    By embedding Twitter content in your website or app, you are agreeing to the Twitter Developer Agreement and Developer Policy.

    Preview

    Why you're seeing this ad

    Log in to Twitter

    · Forgot password?
    Don't have an account? Sign up »

    Sign up for Twitter

    Not on Twitter? Sign up, tune into the things you care about, and get updates as they happen.

    Sign up
    Have an account? Log in »

    Two-way (sending and receiving) short codes:

    Country Code For customers of
    United States 40404 (any)
    Canada 21212 (any)
    United Kingdom 86444 Vodafone, Orange, 3, O2
    Brazil 40404 Nextel, TIM
    Haiti 40404 Digicel, Voila
    Ireland 51210 Vodafone, O2
    India 53000 Bharti Airtel, Videocon, Reliance
    Indonesia 89887 AXIS, 3, Telkomsel, Indosat, XL Axiata
    Italy 4880804 Wind
    3424486444 Vodafone
    » See SMS short codes for other countries

    Confirmation

     

    Welcome home!

    This timeline is where you’ll spend most of your time, getting instant updates about what matters to you.

    Tweets not working for you?

    Hover over the profile pic and click the Following button to unfollow any account.

    Say a lot with a little

    When you see a Tweet you love, tap the heart — it lets the person who wrote it know you shared the love.

    Spread the word

    The fastest way to share someone else’s Tweet with your followers is with a Retweet. Tap the icon to send it instantly.

    Join the conversation

    Add your thoughts about any Tweet with a Reply. Find a topic you’re passionate about, and jump right in.

    Learn the latest

    Get instant insight into what people are talking about now.

    Get more of what you love

    Follow more accounts to get instant updates about topics you care about.

    Find what's happening

    See the latest conversations about any topic instantly.

    Never miss a Moment

    Catch up instantly on the best stories happening as they unfold.

    1. Joe Pilot, MD‏ @JoeSilverman7 28 Feb 2019

      We actually do all sorts of things in an unapproved manner in pediatrics. Even in the rest of medicine, doctors prescribe medications and recommend “off label” treatments regularly. Modern American medicine is a moving target. We’re always trying to optimize what we do.

      8 replies 52 retweets 424 likes
      Show this thread
    2. Joe Pilot, MD‏ @JoeSilverman7 28 Feb 2019

      In my son’s case, the ICD and the defibrillator pads around his heart are not approved for this purpose. That’s because there aren’t enough patients like my son to do the kind of huge study that the FDA require for government “approval.” However, we know they work great.

      8 replies 61 retweets 419 likes
      Show this thread
    3. Joe Pilot, MD‏ @JoeSilverman7 28 Feb 2019

      In addition to not being approved by the FDA, the use of ICDs in children like my son is not specifically described in the official cardiology guidelines. If every uncommon but well proven therapy was added to medical guidelines they’d end up being 1000 pages long.

      8 replies 46 retweets 338 likes
      Show this thread
    4. Joe Pilot, MD‏ @JoeSilverman7 28 Feb 2019

      Roll the clock back to the Obama years. Like I said, for some reason leftist “thinkers” got it in their head that ICDs were being implanted in far too many patients too great a cost. As a result, they decided to aggressively go after hospitals and MDs who used them off label.

      7 replies 92 retweets 393 likes
      Show this thread
    5. Joe Pilot, MD‏ @JoeSilverman7 28 Feb 2019

      To do this, for the very first time in history, the Obama Justice Department decided literally prosecute anyone not following the guidelines for ICDs. Remember, guidelines are just that - guidelines. They’re never intended to be rigid and doctors deviate from them regularly.

      12 replies 133 retweets 525 likes
      Show this thread
    6. Joe Pilot, MD‏ @JoeSilverman7 28 Feb 2019

      This prosecution went on for years and eventually wrapped up 100s of hospitals and 1000s of cardiologists. This is important: the basis of the prosecution was that all these institutions and doctors were installing off label ICDs in Medicare patients to commit actual fraud.

      7 replies 81 retweets 407 likes
      Show this thread
    7. Joe Pilot, MD‏ @JoeSilverman7 28 Feb 2019

      The situation got so bad that in 2013 the cardiology societies updated the ICD guidelines to say that off label use should be allowed based purely upon physician judgement if the patient is unusual because the life saving potential of the devices is so great.

      15 replies 67 retweets 448 likes
      Show this thread
    8. Joe Pilot, MD‏ @JoeSilverman7 28 Feb 2019

      Despite that, the Obama Justice Dept pushed forward and finally in 2015 settled the case for a fine of $250 million dollars again at 457 (!!) hospitals. Here’s the Heart Rhythm Society’s statement on this travesty: https://www.hrsonline.org/index.php/News/Press-Releases/20154/11/US-DoJ-Settlements-Related-to-Billing-of-Implantable-Cardiac-Defibrillators-ICDs …

      12 replies 104 retweets 377 likes
      Show this thread
    9. Joe Pilot, MD‏ @JoeSilverman7 28 Feb 2019

      Now, please note this was purely for Medicare patients. Private insurance companies continued to willingly pay for off label, off guideline ICD placements as long as there was appropriate medical justification. But the key point is @TheDemocrats decided to prosecute for fraud!

      11 replies 72 retweets 423 likes
      Show this thread
    10. Joe Pilot, MD‏ @JoeSilverman7 28 Feb 2019

      (As a side note, we just got notified that my son’s surgery is going extremely well and he might be out much sooner than we thought. If that’s the case, this thread will come to screeching halt).

      42 replies 43 retweets 886 likes
      Show this thread
      ⓘ Dogs don't have thumbs‏ @MorlockP 28 Feb 2019
      Replying to @JoeSilverman7

      hell, yeah, Joe! Awesome!

      8:48 AM - 28 Feb 2019
      • 1 Like
      • Joe Pilot, MD
      0 replies 0 retweets 1 like

      Loading seems to be taking a while.

      Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.

        Promoted Tweet

        false

        • © 2022 Twitter
        • About
        • Help Center
        • Terms
        • Privacy policy
        • Cookies
        • Ads info