This is the cost of homes in a low income affordable housing project on an outer island. And you won't own the land. $400,000+ #hawaiilife #housingcrisis #pricedout
Food loving medical executive. Currently in Hawaii with Hawaii Kidney Specialists. #nephsky Ardent fan of the #oxfordcomma
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This is the cost of homes in a low income affordable housing project on an outer island. And you won't own the land. $400,000+ #hawaiilife #housingcrisis #pricedout
Go Chicago
Anyone else still gobsmacked that what should have been just a hilarious send up - has in fact turned out to be the most prophetic movie of the last 20 years. And not in a good way. #idiocracy #democracy
No. Just no. This practice is detrimental to patient care. It is ridiculously burdensome to practices. #priorauths slow care #medicare www.nytimes.com/2025/08/28/h...
I mean, I want to laugh, but it just feels a bit too much like an actual possibility.
They just changed it back. I just couldn't stomach living somewhere that the majority of people either are openly racist/ bigoted- or are ok with just sitting back and doing nothing because it isn't directly affecting them. Texas could be Blue - but there is too much apathy
Born and raised in West Texas (Midland)- left 5 years ago. Yes the food is good - some of the culture is good- but there is a whole lotta racism, bigotry, and hate. If you know the book Friday Night Lights - then you know the highschool i went to (not Permian). After changing the name (2020)...
Roasted tomato risotto with pan roasted chicken and garlic herb bread. #dinner
The disconnect is strong with this one.
Its a pipe dream - i know that... but wouldn't it be amazing if those new districts didn't all go republican? #texas #gerrymandering
So- he doesn't think slavery was bad. Anyone surprised by that? You shouldn't be. Protect #thesmithsonians
The level of tacky here is off the charts.
Honest to goodness- just WTF? How is this actually happening? Oh wait - now I remember... because our senators and representatives have no spine and have ceded all their power. #weCouldHaveHadKamala
I just rewatched it a year ago- but maybe it should be an annual thing. #westwing #presidentbartlett
We need our politicians and leaders to stand up and do their job. This is an egregious offense against democracy and all the people of the United States of America
Because 4th time is the charm- right? Sometime in september we will call this beautiful location home. In the 2nd photo we are about 2 units in from where the pink arrow is pointing. Saw a turtle this morning. #hawaiilife #kahala
Seriously- even @theonion.com would have picked someone slightly more qualified for a fake piece. Said as a white woman- Why is a white woman with no additional mitigating qualifications in charge of curating the Museum of African American History? #whitewashing #racism #trumpification
Many Midlanders fought hard to get the embarrassing name changed - and to see that just wiped away- well- there is a reason I don't live there any more.
Careful West Texas- your racism is showing. And yes - it is a link to a facebook article -because the comments are appalling. The complete denial and rewriting of history going on is disturbing. #confederacy #midland #racist #whitewashing www.facebook.com/share/p/19Qs...
This is my hometown- and I am ashamed, appalled, disgusted- but most of all- not surprised. The racism is just not hiding anymore. #racism #midland #texas www.firstalert7.com/2025/08/13/m...
Ok- this one is actually genius! #deathtrap #honesty #truthinadvertising Seriously - way to go Jordan! Terrible isn't an option 🤣🤣🤣 #facebookmarketplace
Distracting myself by perusing facebook market place- what are these people selling? That is about as Teal as my derriere and what the fudge is Chrystal drinkware? And yes- I am getting disproportionately annoyed by these postings- so distraction from the general insanity achieved.
This is disheartening and truly a slap in the face to all Americans. The Smithsonians have been one of the greatest gifts to the American people and an amazing bastion of preserving and interpreting history. I think I'm going to be sick.
Can we as a state veto that? We don't want him here.
So 1 of 2 things is happening. Chief cheeto really doesn't understand how tariffs work or his orangeness is blantantly lying to his supporters. Those are the only 2 options. Neither is a good thing. #tarrifs #trump #lies #nothowthisworks
On the one hand @governor.ca.gov 's trolling here is excellent- with masterful use of Totally. On the other hand- how is this freakin reality? #texasdems #fightthegoodfight #shockednotshocked
My dude is correct- the White House has been Panera-fied
Ummm.... that's not how it works. But I guess points remembering one word from junior high science class. #RFKjr is a bad joke #vaccines
Wow- so much for respecting those who serve. #servicemembers #lbgtq #disgrace
Because why would farmers need reliable data to help them grow food. It's not like we need to eat or anything... right?
Egad - could he have worse taste? Everything he wants is garish, tacky, and cheap as hell looking. I've met toddlers with a better sense of style and taste.
Well- that'll help the economy for sure.
Because of course he did.
Hope you aren't flying United today www.reuters.com/world/us/uni...
Well this is disturbing- but not entirely off brand or unexpected www.msn.com/en-us/news/u... #NASA #climatechange
Yes- yes- and more yes. @voteannjohnson.bsky.social nailed it. This is the Texas we need more of.
That is a huge #. So much for a healthier America. #RFKJR #vaccines
In what multiverse does Captain America vote for Trump? That is so beyond delusional. He fights Nazis!
Priorities I guess? I mean those space x rockets are doing so great- I have absolutely no worries about putting nuclear material on them to launch. #moonreactor
But-i kind of want exploding soup salt now
I am profoundly angered, saddened, and baffled. How can we (the people) allow this? #CPB #PBS #NPR #OurChildhoods www.npr.org/2025/08/01/n...
So if you are a business traveler- they penalize you. Sounds about right @thriftytraveler.bsky.social #airfare
Because of course he is. Makes total sense. I mean - there is absolutely not anything more important the President should be focusing on. Nothing.
Car chaos as all of the valet and such shut down to get everyone above the 5th floor at hotels #tsunami #honolulu #waikiki
Current view at T - 1 hour to tsunami. Almost no foot traffic in Waikiki. But loads more people on their balconies. #Tsunami #honolulu #hawaii
So - this is happening. Heard the Tsunami sirens for the first time outside of a test. Closed our offices and sending all patients and staff home. www.kitv.com/news/local/h...
This feels a little too emotionally needy for a box. I don't need that kind of pressure in my life. #box #amazon #emotionallyneedy
Overrated food items - truffle anything. Dirt is all i taste. So ready for the truffle trend to be over. Next please. #truffle #deathbytruffle #overit I think the strawberry truffle cupcake was today's nail in the coffin www.buzzfeed.com/katelinstecz...
How did we not get season 5 of Devious Maids? I just immersively watched 4 seasons- and I'm crushed. The loose ends! I need someone to rectify this -stat. #DeviousMaids
Important question for the internet - Single or double bowl kitchen sink? I'm going back and forth. #kitchen #sink #homedesign #remodel
And like- who is he thanking?
There is alot of ridiculous about DJT- but I'm finding him signing his truth social posts off with "thank you for your attention to this matter" like most passive aggresive middle manager ever- to be at the top of the list. #trump #shockednotshocked #epstein
Because we totally don't have more important things to focus on as a country... #goldleaf #importantstuff
Just finished Heads of State on Prime. Highly recommend for atrocious puns, great action, and otherwise enjoyably mindless fun. Did I mention Idris Elba? Priyanka was puntastic. #escape #HeadsOfState Cena was a better Chief than what we've got. The goats were a little weird
Vaccines save lives. They save children's lives. @niniandthebrain.bsky.social www.instagram.com/p/DLqeMiOSNb...
No "might" about it- you are the bad guy
Words fail me. Put the following together as you please with connectors as needed- Degrading unamerican distasteful ridiculous wasteful clownshow disrespectful #shockednotshocked
Having a food allergy is hard. Luckily mine is easier to manage than some- shellfish. But sometimes it shows up in the weirdest ways- New Orleans is a minefield for me. Hawaii can have it's challenges as well. #shellfishallergy #crosscontamination
Worth the read "and then the fucking British showed up" needs to be on a mug. #mamdani
We are also still waiting on CMS to announce its proposed update to the Medicare physician fee schedule for 2026. Overall Physician pay is still 20 years behind
The bill includes a 2.5% increase to the Medicare Physician Fee Schedule for calendar year 2026. This is a 1 time only increase. And no previous language that tied Medicare updates to the Medicare Economic Index (MEI). #physicianpay #budget #HR1 #nehrology www.ama-assn.org/press-center...
Talking with one of my MDs on Monday about peer-to-peer calls. He recalled an absolute gem from last year where the Dr refused to get on the phone and just told his PA to say it didn't matter what he said the answer was going to be no. #priorauths #denials #insurance #nephsky
Ok -but does it really count if the administration are the ones cutting the jobs? That's just saving money- right? #AllTheSarcasm
Portrait of losers- 2025. A bunch of boys playing at soldier- ruining real lives and our economy while they are at it. If you have to hide your participation behind a mask- you are probably on the wrong side of history. #immigration #whosnext #DHS
Pennsylvania and America got sold a dud when Fetterman got elected. Hope y'all replace him ASAP. We need every democrat to stand up and fight right now. No weak links. #democracy #healthcare #budget #BBB www.huffpost.com/entry/mark-k...
My husband just published his 2nd book. If you are a fan of Plath or Hughes or just facinated by their story- this psychological delve into their relationship with each other and the written word is a must read #SylviaPlath #tedhughes #poetry #psychopathy www.amazon.com/Crow-his-Jar...
Practices and providers - provide feedback to CMMI to shape the future. Cost of skin grafts and how that impacted Per Patient cost lack of longevity/permanance makes it hard to fully vest and suppprt the models needs to be expanded to earlier CKD for true long term improvement in overall kidney care
As the dust settles on current VBC models, what comes next things the models have right- alignment to nephrologist impact on optimal starts data and analytics availability on cost of care and outcomes #vbc #nephrology #outcomes #nephsky
Artificial Intelligence in medicine Benesch leads another ultra relevant discussion panel.
Requiring meaningful downside risk is a huge thing in future models. Make sure you are paying attention. #nephsky
Future- Promoting competition and innovation Independent provider practice participation
Early interventions good Increased cost ETC no impact it looks like Transplants increased- but living donor stayed flat Discarded organs rose
Advancing American Kidney Health- 2019 Prevent CKD progression Increase transplant and Home dialysis Intro the ETC So how did it do? #nephsky
CMMI was an effort to change some of that. But it is still built on the same frame work at its core.
This all leads to a status quo bias that is pretty strong.
CMS was built around FFS - the statute was written for FFS. It is a guide and a tie.
CMS is not a monolith and kidney health/issues fall under multiple branches
Benesch is coming back from lunch with Tom Duvall- CMS innovation center- 2025 update on federal kidney policy #nephsky
I'm so disappointed. Not surprised- but disappointed
Are drs happy with PE- it varies.
Without PE access to many specialty and niche services would be significantly reduced or non-existent. Agree or disagree?
Is PE the solution or at least part of it? Our data as incredible value.
panel on Private Equity- Happy Days or Headwinds Benesch Law Scott Kremeier Doug Simpson Prabir Roy-Chaudhury Robert Provenzano MD The care nephrologists provide has been consistently devalued year over year. Fear that VBC if done well - will then also be devalued. #privateequity #nephsky
The reconciliation bill- currently in the senate. We lost the phys pay fix- so bad bill made worse @renalphysicians.bsky.social #nephsky #benesch
Had my tea and the Benesch Nephrology conference is kicking off with Keith Bellovich, MD talking about where we are at from a policy perspective. @renalphysicians.bsky.social @robertblaser.bsky.social #nephsky
Dear @npr.org please.put "expert" in quotes - these people are not experts and we all know it
I'm.shocked..Shocked I tell you. And then some song about Texas having a whore house in it. Maybe she should get her eyes checked. #ICERaids #showyourface
Landed in Chicago for Benesch conference at 2:32. 2:55 and we are still taxiing. They could have dropped me at my hotel by now.
I'm not a dill pickle person- but I love a good bread-&-butter pickle. My new fave for snacking ‐ maple bourbon. Sooo yummy.
Well that 2 weeks went by really fast #iran #israel apnews.com/article/isra...
Is there a calendar of the Ham Steak photo shoot from #FUBAR If not someone get on that so I can give you my money - stat #TravisVonWinkle
Life has changed a lot in the last 6 months. Oddly something I find I no longer have the energy for is going to a stylist or nail salon. So- i've been cutting my own hair and doing my own fingers and toes. I don't handle the perfunctory small talk well any more.
Together those 3 cities have about 15 million people - so Trump thinks 1/2 or more of those people are here illegally? He's saying the quiet part through a mega phone. #deportations
And it sucks that you have to take up that mantle again- but we thank you.
Yea Fort Worth
What- the actual - F?
Dear @npr.org - I am a very longtime listner and supporter. I am now extremely disappointed with the lack of pushback and hard question asking I have heard in multiple recent interviews. Allowing guests to repeatedly share lies with no call out is not the journalism we need.
For "attendance perception"🤣🤣🤣🤣🤣
first morning walk post foot break debacle. I was rewarded with 3 minutes of solo Hawaiian monk seal time. It was beautiful. Right in the middle of Waikiki. Most of those up were out surfing or running/jogging along the street. I don't think anyone else saw or realized the seal was there.
You go girl! All these people in the comments saying Rachel is too young for this role- she is 24. Eva was only 33 when she died. The play covers 14-33. Rachel is a fine age for it. Patti & Elaine were 29 Madonna was 38 #evita #RachelZegler