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Covid is worse than ever by a factor of two. What is most infuriating is some ER’s have starting testing patients here in vegas. I’m guilty too as I mostly do as I’m told. So we have maybe 10-20% increase across the board for testing…but they have to sign in with at least a reasonable emergency complaint…so it becomes shortness of breath….the reason not to do any ER testing except for admitted patients is perhaps not obvious…let alone that you can get tested for free at over 50 locations here in vegas. And no ER copay. But Medicaid patients get everything for free…….so why not goto the closest place…ie the ER or the free standing ER….grrrrrrr
We are inundated. Admitted patients in the waiting room for over 24 hours. Joe ankle sprain is sitting next to Melissa covid test in the WR. If she has it…now everyone around her does or could too…makes contact tracing somewhat pointless don’t ya think…meanwhile…yesterday I saw 35 pts…at least ten were covid positive cause I did the test despite what my superiors say. Mostly cause about a week ago they told me to…now they say not to..but it’s facility specific. Bottom line is all these unvaccinated people are now scared at the slightest scratchey throat and the coming to the ED and putting all the staff and true emergency patients at risk. 1 year ago the ED volume was 50% what it is today. We at all time highs. And the demeanor of the patients is 30%hostile or Medicaid entitled and 20% paranoid or psychotic. 50% actually need to be there.
Sorry for the grim update. This is the gospel as far as I and those I talk to here have seen it.
Lem
Amrnforthewin went off on stocktwits. I respect that guy.
Lem.
I resemble that remark!!!!!
Lem
And the hickma label …or the patent they turned over…was for treatment for no more than 12 weeks. All recurring generic scripts for more than 12 weeks are infringing. They know this. Their day is coming. The scoundrels.
Lem
I predict we will have a chance to sell at $18 or above within 1 year. I feel it may be as high as $25. If prepare it and mitigate deliver…at the current Covid rate…could be $40. Not pumping. Just reading the t leaves. Us market not lost (but not growing). ROW coming on line. Revenue only gonna go up. New leadership. Have Cramer interview our new CEO after aug 29 prepare it. Covid storm should be at its peak right about that date. Bring it.
Yep. And that was before Pearl Jam took on Ticketmaster. To get those legends on a stage at that time was a hard thing to do. The price would have been enormous. And it may have been. But they did it. Especially at a large venue.
It was someone going by the name Mitra that posted a lengthy analysis I believe
Hindukush did the follow up.
Pablo Corral says it’s embargoed….if the data is awesome…holding to the embargo is a crime against humanity.
Period. I followed his ivermectin discourse…but this is different…. If meh…so be it.
But if it’s awesome….I’ll be among the first to line up and punch him in the face for sticking to the embargo.
I got big strong hands too…..from years of cutting wood each summer.
Lem
I have the 30 day and 30 night air optix contacts. I’ve had these ones in for 6 months. I have to say that V does help dry eye. Have not used drops but once
I’m not proud…practice what ya preach…but it’s not like the 30 day contacts turn to pumpkins at day 31….or day180 for that matter
Lem
30% reduction in DEATH. Maddening.
You are right according to my microcosm. 98% unvaccinated and I’ve probably admitted 100 these past two months or maybe more. None fully vaccinated. 1 that probably got it just before his first shot and one of my colleagues tested positive but was ok and went on home quarantine. He was fully vaccinated.
Lem
I was fully vaccinated Jan 4. Provided by the hospital. Among the first in the country…first dose 12/16/2020. It was what they had. I’m all for moderna too. My wife had that one. My 13 yo got the Pfizer. His second dose is in three days
Agree. Or the paralympian criticized for her too short outfit?I think I saw the Norwegian beach volleyball team was fined for NOT wearing a bikini! Too many opinions or too many bad opinions….Not enough reason. Fock it….naked olympics with weed and kegs of beer like it originally was. I’ll watch that…or at least 50% of that. Wife will watch the other half.
Lem
Vegas is blown up with covid worse than at anytime prior. It’s all people under 60. More than half I see (about 10 yesterday) are hypoxic in the 80 to 90% range. Look mostly ok…but that’s a fine line. Had a 40 something die yest after being ill with covid for three days. Worst chest CT I ever saw. No lung left. Scary. And the scarier thing is the waiting rooms are absolutely full across the valley. So the belly pain for a week is sitting next to joe covid for hours on end. During the shut down people used good judgement and said…”ya know…my runny nose for 10 days can wait…or maybe it’s not an emergency after all”. Not the case right now. And I’m seeing a ton of “fear” among the unvaccinated positives and a whole bunch of selfishness among them. I’d say I’ve had maybe 2% that were vaccinated that needed hospitalization. 98% were not vaccinated. If I don’t get it again…it’s miracle…cause my little level 3 procedure mask or even an N95…ain’t stopping it. All hail the vaccine. (Pfizer).
Lem
I’ll tell you what. If in 6 months or so we have yet again covid 19 all over again.. we are screwed to the point that just letting it rip makes sence. The damage has been so much. Forget about it.
Good luck all. Held all and got a ton more on the way down and at $4.20. Let’s go!
Lem
So once before.
In the summer i sit outside and read fantasy or science fiction. While most of these are a little slow at the start…name of the wind. Awesome. Mist born and storm born series by Sanderson awesome. Wheel of time. Awesome. Sadly I’m running out of books.
It’s all about the dispose code. They all disposed of zero. That has never happened with Amrn in the last three years.
Lem
Here we go.it’s starting. Next 5 days big. Insider acquired shares. See stocktwits.
I saw a monstrous home run last night at a minor league (AAA) game here in vegas. Cleared the swimming pool in center field, 408 on the wall, was probably 450 plus. Amazing. It was a sign. Unfortunately it was the opposing team that hit it. Fun night out nonetheless. Only two masks. Both catchers.
Lem
Someone always knows. It’s using that info and not getting caught that is tricky…though I don’t think this would technically be insider trading. Maybe it would. Maybe not. But I expect bigger volume Friday either way.
I believe we get cert. the volume will tell us if others believe the same.
Lem
I’m so bored. Guess I’ll read a book.
I pissed outside on the rocks and I saw bugs scatter. They moved in formation of a double ice mage. Amrn stock is not for chart analysis. Not till she truly reaches her potential. $15-20. After that you may chart away. We bound by binary events here and low volume. Till we not. And if a BO ever happens?….will your Shart analysis catch it and will you have the conviction to go all in just before? I expect only one answer. Ps. Ripple is doing awesome!!!!’
Lem
ER visits are almost higher than ever despite the opening of quick cares that I understand and loth. A competent urgent care is awesome. That has not been the norm. And the free standing ER’s are blossoming once again. Each with probably 20-30 more visits than they need to be profitable. All corporate owned. But not corporate reimbursed.
But volume in most true ER’s in vegas is actually now higher than pre covid. We have had a population boom. And a major anxiety boom. and a major decrease in provider competency. The stuff the urgent cares send us is insane. You can google the competency rate of unsupervised nurse practitioners and you will soon see the problem in the urgent care or emergency(unsupervised) setting……I work with very trusted physician assistants and nurse practitioners. I love them…and trust em. I’m no god…but damn if I did not train for an ungodly number of hours..absorbing all the time. And the new physicians are woefully ill prepared. Most are competent. All are undertrained. There might be up to 20% that are honestly not ready….but the zprograms and companies keep pumping em out regardless. My replacements I fear. For to question is to mark yourself.
May amrn save us all.
Lem
The problem is we have a puppy mill of residents…nurse practitioners and physician assistants right now. I wrote a letter 3 years ago for a hard working student…but honestly…I probably should not have. She just got in…my complacency and not wanting confrontation is part to blame. Honestly I should have told her to pursue something else…but it was her dream and she was “close”. So I tried to tip her over the edge…the only good thing is she is probably a better person than me….however…a nice ER doc is not necessarily the best…I’m a mix of both…50 years old…burning man. Father. Spent a night in jail…
and the scary thing is…with the residency hours requirements in place now…new physicians about to be attendings have probably had 35%less patient contacts than I did over my residency. I hear their bitching every day. The changes of a few year’s ago….
Was I bullied? Yes…was it necessary? I honestly say no…it was not…but tearing into some one…sometime it’s needed…..I needed it.
And god forbid ya lay into one of these snowflakes …..they suck!!!!! But it’s your job they will take with HR blessing. It ends in your dismissal. I’m not kidding here. I sold my practice…the largest in Nevada….6 years ago. I work cause life is expensive and my kids still in school. And I like being an ER doctor…or at least I use to…..Also I still work cause AMRN has treated me badly. Lesson learned. I fear for our future care. Only 80% of my current residents do I believe in. That’s diff than a monthly grade. I’m saying 20% of these people are nice…unstressed…(they have no idea) but entirely inadequate….and these are the ED grads. The Internal Med grads are even more dispersed and inadequate. I made lots of noise….but I’m now done. Deaf ears
Thanks for listening
Lem
While it took switching to CVS…(Caremark) and getting two diff quotes from two diff people…my 90 days cost me $9. Private Aetna insurance and no pre-auth. At the save-on I payed $100 for one month despite asking and being annoying to them. And I don’t qualify if there was a pre auth.
Lem
Mmm...I see a triple Ketzel followed by a a double quad pike...landing stuck. 10.0. Oh wait? Is this stocks or gymnastics?
You were not wrong. It was overpriced at $14. And at $12. This a game of find a seat when the music stops.
Chooo chooo!
“Well”” is actually a sign of pre-thought out answers mixed with contempt for the questioner’s intelligence.
AMC boggles my mind.
I predict a double fly fish hook pattern leading up to June 21 SC decision. We all know what that means. Two candles...a goat...head and shoulders followed by mother’s milk. It’s in the tea leaves and charts. Trade accordingly.
Lem
I would ask that you change your reasoning...it’s my experience that we physicians, as human beings and because of human nature...provide even more diligent care in circumstances where we may be uncomfortable. Not necessarily better care...but we may spend more time with the person that might have made us otherwise uncomfortable to be sure they don’t come back to bite us in the ass. My wife was very sick some years ago after c section and the general surgeon...who was also a lawyer...I’m not making this up...happened to be on call that night and he drove in and was praying that this ER doctors wife who needed surgery was not MY WIFE...as he had once called me a douche bag in my small ER at the time....as it turned out...he met me at the bedside and I honestly believe had it not been for him my wife would have had a much worse outcome.
Lem
That is appalling for me to even think about? “DuDU on du” and hoping her ruling gets torn apart does not make me a monster. What you ask about...would. Bad Lisa.
Lem
Dudu on du. Met a Miranda the other day and felt my heart start racing. And not in a good way. The judge has forever linked me hearing that name and having a mini panic attack. I hope the SC takes her ruling apart.
Lem
Agree. Waxman gave us our best shot. Out of our hands now. My diamond hands are holding.
Lem
None of this ever made sense in regards to generics. Let the market grow for a few years. 40% of 3-5 billion 5-10 years from now in perpetuity is so much more than they getting now or will get. We cursed. Only explanation.
We all have PTSD. I am ashamed to say I never realized how awful this condition is...I respect it and all who suffer from it. It’s a fucking bitch!!!!
I wish nothing but the best for ya all and may you retired folk have alarm clock anxiety for the next 30 years!!!!!
Unfortunately this beast has teeth and ya don’t have to have been in IRAQ to suffer from it. I can only imagine how bad PTSD is for our VETS. It blows my mind.
I thank you all from the core of my being!!!!
I considered myself a rock...numb perhaps...and yet the tragedies of the the last 15 months...both COVID and non COVID have caused the dead things inside me to start moving. It does not hurt me so much...but for the fact that those I love have suffered....and for them.....I am in pain and only just realizing it.
It’s the unrealized shit that scares me.
to those suffering .....I offer a prayer (rare from a dead inside heathen)...
“you are not alone
This too, will pass,
And if no one has asked...I write to you and sincerely ask and hope that you are ok? And please find a way to be so”
I will barb-q tomorrow with my family like no tomorrow and give thanks and respect to those that made it possible. There is a darkness that will be there...something new..but I will strive to to let it cast a shadow of remembrance on all that is is good and MEMORABLE!!! Is that possible? Can a darkness cast a shadow? Ahhh fuck it...opening a beer now...almost makes sense again.
For me...Memorial Day finally means what it should have all along....I was just too young before.....too sheltered....while not wishing to take away from the traditional intent... for me, this Memorial Day has additional meaning...for I also remember those we have lost in the battle against COVID...I hope no veterans take offense. I truly salute you and my fallen relatives.
Thank you.
Be safe all
Lem
Bird brain is as fake long. Mute