iiinova — where your digital self keeps evolving

Chad Ruffin, MD @chadruffinmd.bsky.social · 29/08/2025

Medicare is rapidly incentivizing physicians to withdraw from the program.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 23/03/2025

Not seeing it on mine, and I subscribe.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 08/03/2025

“Doing your own research,” may be Dunning Kruger, but patients don’t know what they don’t know, and many have medical trauma. Snide responses like these are unhelpful. Punch up, not down.

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Reposted by Chad Ruffin, MD

Thomas [DARK MODE], DO @tom.medsky.social · 07/03/2025

Child has a fever and mild cold symptoms. They see their PCP/urgent care/etc and get diagnosis of "strep" without testing or ear infection. They get started on amoxil. 3 days later the fever breaks and the kid gets a rash all over. This happens ALL THE TIME.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 03/03/2025

@labmuffin.com Love your site! What's a reputable site for shipping La Roche-Posay UVMUNE 400 to the U.S?

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Reposted by Chad Ruffin, MD

Mark Cuban @mcuban.bsky.social · 14/02/2025

I would do it exclusively in red areas. Go where minds can be changed. Not where the choir already stands behind you !

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Chad Ruffin, MD @chadruffinmd.bsky.social · 04/02/2025

Can someone suggest a service that lets people email or call their legislators directly through a campaign-specific link with as little friction as possible? You see a link/QR code in a video that takes you to a page that populates emails and calls to your elected officials.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 23/01/2025

Probably because the reproducibility crisis means that only 10% of research findings are of any consequence and that major grants are awarded to people with one foot in the grave–young scientists and risks are verboten at NIH.

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Reposted by Chad Ruffin, MD

Elizabeth Katz @lizkscribe.bsky.social · 06/01/2025

This Thursday! @chadruffinmd.bsky.social will be the featured speaker of MDisability's Provider Webinar Series from 12-1 p.m. EDT. Dr. Ruffin will speak about the importance of providing holistic care for people with hearing loss & discuss new treatment strategies. Register now! bit.ly/3ZAZYTf

Graphic that reads MDisability Provider Webinar Series. Beyond Amplification: Hearing Loss for Primary Care Providers. Presented by Otolaryngologist Chad Ruffin, MD. Moderated by MDisability Director Michael M. McKee, MD, MPH. Thursday, Jan. 9, 2025 from 12 p.m.-1 p.m. EDT. ASL interpreters will be present during the session. Learn more about Dr. Ruffin at his website chadruffin.com.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 24/12/2024

A hospital I used to work at replaced theirs with an ARNP!

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Chad Ruffin, MD @chadruffinmd.bsky.social · 24/12/2024

I can’t pull up the profile. Is it gone?

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Reposted by Chad Ruffin, MD

Derek Thompson @dkthomp.bsky.social · 21/12/2024

People sometimes make fun of science that sounds stupid and random. Meanwhile, a study of lizard saliva turned into a peptide medication, which was turned into a diabetes medication, which was turned into a GLP1 weight loss drug, that just became the first therapy every approved for … sleep apnea

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Chad Ruffin, MD @chadruffinmd.bsky.social · 19/12/2024

Larger teams and bigger bets worked well for healthcare.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 15/12/2024

I get that, mine is a solo LLC, but I’m the registered agent. I would think the registered agent of a physician owned Corp. would be one of the partners with someone visibly connected to the practice. When the agent is someone else, it makes me think it’s hospital or PE owned. Would that be correct?

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Chad Ruffin, MD @chadruffinmd.bsky.social · 15/12/2024

State business entity listings seem to list a “corporation“ as the primary agent for PE held practices. Is this the norm for PE and hospital owned practices? Would think that the primary agents or owners would be the doctors themselves for a primarily owned practice?

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Chad Ruffin, MD @chadruffinmd.bsky.social · 15/12/2024

#MedSky, how does a patient determine whether a practice is owned by private equity?

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Chad Ruffin, MD @chadruffinmd.bsky.social · 13/12/2024

Whoops with the grammatical error.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 12/12/2024

Honored to speak at the University of Michigan's MDisability series! to improve primary care for people with disabilities. Join us–no need to be a doctor. "Beyond Amplification: Hearing Loss for Primary Care Providers." January 9, 12-1 p.m. EDT ASL interpreters available. Register: bit.ly/3PM9peK

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Chad Ruffin, MD @chadruffinmd.bsky.social · 11/12/2024

Actually, I'm optimistic about the next administration. Some of the best changes for docs came with the Trump admin–requiring hospitals to publish prices online, simplifying documentation... Not sure they have the executive skills to accomplish anything...

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Chad Ruffin, MD @chadruffinmd.bsky.social · 11/12/2024

You’d be surprised what people expect… yes, I understand what you’re saying.

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Reposted by Chad Ruffin, MD

Max Kennerly @maxkennerly.bsky.social · 11/12/2024

Truly remarkable how Republicans manage to be on the wrong side of everything, their steadfastness in corruption and incompetence. There's an obvious answer to, "should the government make it easy to file taxes, or should people be forced to use private companies to do it?" And yet.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 11/12/2024

Expertise isn't free. Doctors, especially specialists, have more years of education than either my attorney or accountant who charge $300-700/hour...including emails (which I don't charge patients for). Exorbitant however is a parent having to pay $10k for what should be a $2k procedure.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 11/12/2024

Also, healthcare is $$$. My attorney and accountant both charge $300-700/hour and they have less education than surgeons. Expertise isn't free. I do understand what you're talking bout in terms of exorbitant pricing–shouldn't cost a parent $10k to get ear tubes for their kid.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 11/12/2024

Paying higher as a consumer is altogether fair. Physicians make money from insured patients with decreased rates through volume–the insurance company sends patients to doctors. Standard rate for self-pay is 20% discount off the list.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 11/12/2024

Insurance companies required that we charge the same list price to everyone. This is likely what you’re referring to as “exorbitant.“ The negotiated rate is required to be private. This system is created by insurers to obfuscate the actual cost of care and hinder comparison.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 09/12/2024

"Their 105-qubit quantum processor, Willow, performed in less than five minutes a computation that would take one of today's fastest supercomputers 10 septillion years - about a quadrillion times longer than the universe has been around."

axios.com

Google's new quantum chip cuts key error rate

The company's research could point the way to more practical uses for rapidly evolving quantum computing tech.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 05/12/2024

If the new admin is capable of accomplishing anything–not really optimistic about this–hopefully they can amend the ACA to discourage consolidation of healthcare systems. That’s where the issue is. This is something that started with Obamacare and needs to be fixed.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 03/12/2024

What ChatGPT thinks I look like based on my tweets and ChatGPT history

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Reposted by Chad Ruffin, MD

Tom Nichols @radiofreetom.bsky.social · 02/12/2024

I think you should all read Jon Chait's piece and so I am gifting it to you. www.theatlantic.com/politics/arc...

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Chad Ruffin, MD @chadruffinmd.bsky.social · 30/11/2024

Uh...yeah...there are harms, namely to deaf and hard of hearing people.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 28/11/2024

Post on Cochlear Implant Experiences on Facebook. Someone will likely respond. Can see if Cochlear can fedex you a charger. Also N7 may have 675p disposable battery adapter. Ask on CI Experiences if they have one of those, too.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 26/11/2024

We are going to see the movie tonight!

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Chad Ruffin, MD @chadruffinmd.bsky.social · 24/11/2024

The market will eventually correct any reforms that disincentivize specialities requiring longer training…

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Chad Ruffin, MD @chadruffinmd.bsky.social · 24/11/2024

The issue is that the ACA has increased hospital consolidation. Decreased competition leads to inflated prices. Without a procedure, most of what you paid is facility fees to the hospital. The ACA needs to be fixed. Also, nice sense of humor on your other posts.

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Reposted by Chad Ruffin, MD

Kashif Pirzada, MD @kashprime.bsky.social · 21/11/2024

A women-led team of 20, working remotely, is showing up a trillion dollar megacorp. Truly inspiring.

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Reposted by Chad Ruffin, MD

Axel Ahrens @axelahrens.bsky.social · 21/11/2024

From not being able to find people within auditory research to not being able to follow up on notifications. This is fantastic! So nice to see this community growing! Do not hesitate to contact me if you want want to be added to this list, particularly young/early career peeps. go.bsky.app/2V3D2mu

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Reposted by Chad Ruffin, MD

Ari B Friedman @abfriedman.com · 21/11/2024

As an emergency physician from day 1 of the pandemic, who was offered a COVID vaccine the first week it was available, I had watched young, healthy people die in alarming ways, but I was worried about sticking this stuff into my arm that was approved under an emergency authorization. 1/

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Chad Ruffin, MD @chadruffinmd.bsky.social · 20/11/2024

Crazy that "how to be a human being" and be comfortable with feelings-y words/environment is something that has to be taught.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 20/11/2024

How is the blocking function here different than before Musk recently changed it on Twitter?

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Chad Ruffin, MD @chadruffinmd.bsky.social · 19/11/2024

Strongly recommend you read Robert Caro’s work about the acquisition and loss of power through his Lyndon Johnson biography series

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Chad Ruffin, MD @chadruffinmd.bsky.social · 19/11/2024

Sorry–didn't work out. I asked a couple of people.

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Chad Ruffin, MD @chadruffinmd.bsky.social · 18/11/2024

There is no algo and ads…yet…They will have to generate money eventually.

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