Ronald Hirsch, MD
@signaturedoc.bsky.social
Utilization review Medicare regulatory nerd. Road cyclist. 3v CAD s/p stenting (see proile pic).
Fully vaccinated, still N95 masking on planes. Vote blue.
Opinions my own, not those of employer
Fully vaccinated, still N95 masking on planes. Vote blue.
Opinions my own, not those of employer
JP Morgan died in 1913. Salmon Chase died in 1873. Don't think they will be in the Epstein files.
November 14, 2025 at 3:43 PM
JP Morgan died in 1913. Salmon Chase died in 1873. Don't think they will be in the Epstein files.
The paper bags full of $100 bills will be well represented here.
November 11, 2025 at 7:23 PM
The paper bags full of $100 bills will be well represented here.
"...and have the potential to prove the personal biases and beliefs of myself and RFK Jr to be wrong."
November 11, 2025 at 2:56 PM
"...and have the potential to prove the personal biases and beliefs of myself and RFK Jr to be wrong."
Which will be at the top of the pyramid?
McDonald's
or
road kill
McDonald's
or
road kill
November 10, 2025 at 8:41 PM
Which will be at the top of the pyramid?
McDonald's
or
road kill
McDonald's
or
road kill
Waiting for "Dr" Oz to add goji berries to the Medicare benefit list for prevention and treatment of every known disease.
November 10, 2025 at 7:47 PM
Waiting for "Dr" Oz to add goji berries to the Medicare benefit list for prevention and treatment of every known disease.
We need Nuremburg Trials for these war criminals with Kristi Noem first to be prosecuted.
November 7, 2025 at 4:02 PM
We need Nuremburg Trials for these war criminals with Kristi Noem first to be prosecuted.
“Walked”? He bolted out of there as fast as he could.
November 7, 2025 at 12:34 AM
“Walked”? He bolted out of there as fast as he could.
"He's going down! Anyone have any goji berries?"
November 6, 2025 at 9:21 PM
"He's going down! Anyone have any goji berries?"
Fake News! No Diet Coke on the list
November 6, 2025 at 7:38 PM
Fake News! No Diet Coke on the list
good point- not quite form fitting and maybe not appropriate for a formal event but it's the age of non-conformity
a woman in a cardboard box costume with a ford license plate that says nc - nc - nc
ALT: a woman in a cardboard box costume with a ford license plate that says nc - nc - nc
media.tenor.com
November 4, 2025 at 6:44 PM
good point- not quite form fitting and maybe not appropriate for a formal event but it's the age of non-conformity
Boxy? You don't wear the box it came in! You take it out of the box then put it on... (sorry)
November 4, 2025 at 6:38 PM
Boxy? You don't wear the box it came in! You take it out of the box then put it on... (sorry)
And thanks to Dr Krommes for not using Dr or MD with Makary and Prasad's names. They are political monsters now and not doctors.
November 4, 2025 at 12:43 AM
And thanks to Dr Krommes for not using Dr or MD with Makary and Prasad's names. They are political monsters now and not doctors.
anecdote? like "there was this time I bought a sweater at 2 am and felt better" or antidote like "you should shop at 2 am to feel better"? Well, actually both!
November 3, 2025 at 3:57 PM
anecdote? like "there was this time I bought a sweater at 2 am and felt better" or antidote like "you should shop at 2 am to feel better"? Well, actually both!
not only does he hang with despicable people, he can't read the dress code on invitations to galas.
November 3, 2025 at 3:54 PM
not only does he hang with despicable people, he can't read the dress code on invitations to galas.
What’s truly shocking is that they did something about it. Trump is all about vengeance.
November 2, 2025 at 11:44 PM
What’s truly shocking is that they did something about it. Trump is all about vengeance.
This is more Republican stupidity. They obviously have no clue that men can get breast cancer and think that any breast cancer treatment was being done on transgender veterans.
November 1, 2025 at 5:20 PM
This is more Republican stupidity. They obviously have no clue that men can get breast cancer and think that any breast cancer treatment was being done on transgender veterans.
So let me amend my reply. The hospital messed up and should have fixed their mistake and billed the insurance company properly and the patient never should have received a bill except perhaps for their deductible and coinsurance.
November 1, 2025 at 4:59 PM
So let me amend my reply. The hospital messed up and should have fixed their mistake and billed the insurance company properly and the patient never should have received a bill except perhaps for their deductible and coinsurance.
Not true. Insurer determined inpatient admission was not necessary and they were right! The hospital messed this one up.
November 1, 2025 at 12:12 PM
Not true. Insurer determined inpatient admission was not necessary and they were right! The hospital messed this one up.
Won't be long before you have to submit a DNA sample. public-inspection.federalregister.gov/2025-19747.p...
public-inspection.federalregister.gov
October 31, 2025 at 2:40 PM
Won't be long before you have to submit a DNA sample. public-inspection.federalregister.gov/2025-19747.p...
"Today"?? It's 8:30 am on the west coast. Are you expecting a lot more trials to drop today?
October 29, 2025 at 3:37 PM
"Today"?? It's 8:30 am on the west coast. Are you expecting a lot more trials to drop today?