BOARD CERTIFICATION EXAM STUDY GUIDES Lower Extremity Trauma
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Theranos’ founder, Elizabeth Holmes, is finally set to report to prison today. After several delays, she’s expected to report to a federal prison in Texas by 2 p.m. Once worth $4.5 billion, Holmes can expect a drastic change in lifestyle. The Theranos founder turned convicted fraudster is set to bid adieu to her freedom and her estate home costing $13,000 a month as she commences an 11-year prison sentence.
The AI hype train that left the station last November with ChatGPT’s release made its grand arrival on Wall Street last week. According to Bloomberg, the top seven tech stocks (Microsoft, Alphabet, etc.) gained a combined $454 billion in market cap over five days, fueled by Nvidia’s earnings report that many considered a watershed moment for the technology. AI’s disruptive potential is why the tech-heavy Nasdaq is leaving the other indexes in the dust this year.
As we all know, ”Memorial Day (Decoration Day) is a federal holiday in the United States for honoring and mourning the military personnel who died while serving in the United States Armed Forces.The holiday is now observed on the last Monday of May, having been observed on May 30th from 1868 to 1970. It is a day we salute all Veterans; living and deceased.
But, sometimes it becomes necessary to single out a unique living veteran for special distinction. So, please allow me to do so now, on this ME-P.
And so, I salute Captain Cecelia Teresa Perez MS RN, who was presented with BRONZE STAR AWARD during Operation Iraqi Freedom.
AWARD BACKGROUND: The Bronze Star Medal is a US Armed Forces individual military decoration which may be awarded for bravery, acts of merit or meritorious service. When awarded for bravery, it is the fourth-highest combat award of the U.S. Armed Forces and the 9th highest military award (including combat and non-combat awards) in the order of precedence of U.S. military decorations.The medal may be awarded for Valor (i.e. a particular instance of combat heroism), in which case it is accompanied with an attached “V”, or it may be awarded for Meritorious Achievement (i.e. doing one’s combat job well over a period of time) in which case the medal does not have a valor component and does not have an attached V denoting Valor. The medal is awarded to a member of the military who, while serving in or with the military of the United States after 6th December 1941, distinguished him-or herself by heroic or meritorious achievement or service, not involving participation in aerial flight, while engaged in an action against an enemy of the United States; while engaged in military operations involving conflict with an opposing foreign force; or while serving with friendly foreign forces engaged in an armed conflict against an opposing armed force in which the United States is not a belligerent party.
[Captain Cecelia T. Perez RN of Baltimore, Maryland, was awarded the Bronze Star Medal from the United States Army]
THE UNITED STATES OF AMERICA
TO ALL WHO SHALL SEE THESE PRESENTS, GREETING: THIS IS TO CERTIFY THAT THE PRESIDENT OF THE UNITED STATES OF AMERICA AUTHORIZED BY EXECUTIVE ORDER, 24 AUGUST 1962 HAS AWARDED
THE BRONZE STAR MEDAL
CAPTAIN CECELIA T. PEREZ
CHARLIE COMPANY, 296th BSB, 3rd BRIGADE, 2nd INFANTRY DIVISION
For: Exceptionally meritorious service while assigned as the Brigade nurse during Operation Iraqi Freedom. Captain Perez’ exceptional dedication to mission accomplishment, tactile competence and unparalleled professionalism contributed immeasurably to the Unit’s success during combat operations. Her actions reflected distinct credit on her, the multinational Division-Baghdad, and the United State Army.
May isMental Health Month and we have to be acutely aware of the seen and unseen symptoms of related disorders. We need access to mental health care providers to foster appropriate treatment. Whether it is post traumatic stress disorder from a non consensual encounter, clinical depression from isolation, or the stress of everyday living, urgent and long term care is needed.Also, normalizing it in terms of the prevalence of mental health issues and ranges in the way mental health needs surface is vital. Trying to help people to not feel alone, or engage in self critical thinking for their own mental health needs is paramount. There is still much stigma around mental health issues. Getting more information is one part of the solution equation – education can help with this change by decreasing one’s internal barriers around seeking care.
Access to resources and services is another issue with different meanings to those addressed and their situation. There are too many barriers to accessing mental health care services. And, the idea that mental health is an important part of physical health in general, as well as the quality of life, must be accentuated.
TO WHIT:
Federal Regulations — The United States healthcare system is guided by programs such as those established under the Centers for Medicare and Medicaid (in the case of county mental health programs, Medicaid is especially important), Americans with Disabilities Act (ADA), Occupational Safety and Health Administration (OSHA), Health Insurance Portability and Accountability Act (HIPAA), and others.
State Regulations — These include general legislative guidelines, state management of benefits and reimbursement of the Medicaid program, and state allocations of budgets, which impact the centers’ operations.
County Regulations — Each county defines its own County Mental Health Program and decides which services will be provided or excluded.
We need to do our part and recognize the importance of mental health care.
Finally, by way of contemporary breaking news and all accounts, America’s youth are currently experiencing a mental health Social Media crisis. For example:
The number of teens and young adults with clinical depression doubled between 2011 and 2021, according to San Diego State University psychology professor Dr. Jean Twenge.
In 2021, the CDC found that nearly 25% of teenage girls had made a suicide plan.
So, we must remain vigilant on these, and related mental health emerging issues.
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NOTE: The Illinois’s 11th Congressional District is in the State of Illinois. It includes parts of Cook, DuPage, Kendall, Kane, and Will counties, and covers the southwestern suburbs of Chicago, as well as some rural areas. Regardless of your congressional district, affiliation and/or U.S. state, DR. KENT MERCADO JD is a political centrist and surely a rising new national star.
Markets: Stocks sagged as investors wondered whether those “productive” debt-ceiling meetings would actually lead to the production of a deal to raise the borrowing cap. The “X-date” by which the US would default on its debts could arrive in eight days [June 6-8].
Stock spotlight: Yelp shares popped after an activist investment firm called on the review app to explore strategic alternatives, including a sale, the WSJ reported. The activist investor believes that Yelp could fetch a price that’s more than double its current value.
Last week, investors shrugged off debt ceiling worries to send the S&P and the NASDAQ to their best weekly performance since March. Tech stocks have posted impressive gains this year thanks to the hype around artificial intelligence:
Four giants that have made a big deal about investing in AI—Meta, Alphabet, Microsoft, and Nvidia—have surged in 2023 and now account for ~15% of the S&P 500’s market capitalization, according to Barron’s.
LONDON (AP) — The European Union just slapped Meta with a record $1.3 billion privacy fine today and ordered it to stop transferring user data across the Atlantic by October, the latest salvo in a decadelong case sparked by U.S. cybersnooping fears.
The penalty fine of 1.2 billion euros from Ireland’s Data Protection Commission is the biggest since the EU’s strict data privacy regime took effect five years ago, surpassing Amazon’s 746 million euro penalty in 2021 for data protection violations.
Staff-level discussions over the debt ceiling and budget between the White House and congressional Republicans will resume later today evening after President Joe Biden and House Speaker Kevin McCarthy spoke by phone Sunday afternoon, according to a White House official.
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Traders who WFH do less crime. Employees of financial institutions who work the trading desk from home are less likely to commit securities fraud than in-person colleagues, according to a forthcoming article in European Financial Management.
One theory is that being out of the office shields do-gooders from their crime-inclined colleagues’ peer pressure, which is likely more potent face-to-face than over Slack. Remote work reduced the likelihood of misconduct reports among traders by nearly 15%, but it’s worth noting that the workers allowed to WFH are the ones who already showed a lower risk of committing securities violations.
Debt Limit: Stocks took a dive yesterday even though Jerome Powell said that interest rates may not have to rise as much as expected to quash inflation. What could loom even larger than Jerome Powell? A hiccup in negotiations over the debt ceiling raised fears about the possibility of the US defaulting. In fact, negotiations aimed at raising the nation’s debt limit resumed briefly last night after being halted for six hours during the day when Republicans broke off talks saying the White House was being unreasonable. A major sticking point was said to be the overall amount of government spending for next year as the deadline to get a deal in place to prevent an economically crippling default on June 1st draws near. Although no breakthrough came from the evening’s talks, further discussions are reportedly scheduled for later today.
Stock spotlight: Investors were about as interested in Foot Locker as an old stinky sneaker after a slowdown in sales prompted the retailer to slash its outlook for the year.
Today is World Family Doctor Day—and the US needs more family doctors. By 2026, 21% of family medicine and other primary care physicians will have reached retirement age, while demand for primary care is expected to grow 4%.
World Family Doctor Day is on May 19th every year. Founded by the World Organization of Family Doctors (W.O.N.C.A.) in 2010, World Family Doctor Day has now grown into a global celebration of the importance of family doctors in health care. Taking part in this event is a great way to show appreciation for the important role family medicine plays in providing patients with individualized, comprehensive, and long-term health care. Family doctors around the world have made significant contributions to medicine — now is the time to recognize that. It’s also a moment to recognize the advancements in family medicine and the unique efforts of primary care teams worldwide.
So we, at the ME-P, hope all the family doctors take time to relax from their busy schedules and enjoy the springtime blooms as we trust those April showers brought lots of May flowers.
My name is Dr. Kent Mercado JD, and I am running for Congress to be a voice for the people of Illinois District 11.
I am a proud long-time resident of Illinois, and I am excited at the thought of representing my neighbors in District 11. I have achieved many accolades over the years in my professional career, but my proudest achievement of all is my family. I have been married to my lovely wife for over 30 years, and we raised three beautiful children together. I attended Kent State University and received my Juris Doctorate at the University of Illinois Chicago School of Law.
I am a licensed physician, attorney, and healthcare and governmental affairs consultant. I am also an accomplished leader in healthcare management and international medical missions. I was honored to serve as Medical Director of the Zacatacas Medical Mission in Mexico in 2008. I later led a team of nine doctors on medical missions in Haiti where we performed surgery and provided medicine to hundreds of patients. I played a large role in procuring medical and surgical supplies for the medical missions in Bolivia, Peru, Mexico and other countries. I was blessed to have been able to gather and send over one million dollars’ worth of supplies to help the victims of Haiti’s massive earthquakes. One of my favorite achievements in my medical missions experience is when I helped coordinate the donation of school supplies, backpacks and clothing for over 600 children in Kenya.
I believe I have unique perspectives and ideas that will benefit my constituents and have gained the skills needed to be a capable congressman. I am known for leading and implementing complex solutions while maintaining alignment with stakeholders and managing expectations. Throughout my time as an attorney and leading missions efforts, I have learned how to consistently and quickly adapt to deal with challenges in a manner that results in positive outcomes. I am aware of the importance of adhering to schedules and standards, particularly when working on large-scale initiatives. I work well among diverse groups of people at all levels, and I have extensive experience in leading timely delivery of reliable solutions. I have also worked with several government agencies to help grow non-profit organizations through fundraising and program management.
I have loved every minute of providing aid to those in different countries and gaining experiences both professionally and personally. While I have enjoyed and cherished my time providing for those in need around the globe, I am now ready to focus my efforts on serving my neighbors in District 11. I’ve never run for office before, but I know I am prepared for it and ready to help. I look forward to combining all areas of my professional background to make positive changes in my community.
I hope you will visit my website to learn more about my campaign and join our team by making a contribution of $3,300, $1,000, $500, 250, or $100. Any amount donated is greatly appreciated and will assist me in winning this race so we can ensure that the welfare of the people of District 11 is put first.
President Joe Biden said Monday he intends to nominate a new director for the National Institutes of Health. Dr. Monica Bertagnolli, a surgical oncologist and cancer researcher, was picked by Biden as the successor to Francis Collins.
“Dr. Bertagnolli has spent her career pioneering scientific discovery and pushing the boundaries of what is possible to improve cancer prevention and treatment for patients, and ensuring that patients in every community have access to quality care,” Biden said in a statement. “As Director of the National Cancer Institute, Dr. Bertagnolli has advanced my Cancer Moonshot to end cancer as we know it.”
The company, which was valued at $5.7 billion in 2017, filed for Chapter 11 bankruptcy protection yesterday and plans to sell itself to a group of creditors for $225 million. It’s the latest in a string of digital media companies to stumble recently after advertising revenue became harder to come by.
Vice’s filing also made it one of seven large companies to head to bankruptcy court in a 48-hour period—the largest number of filings during a two-day period since 2008, according to Bloomberg.
The following companies are in the earnings pipeline this week:
Home Depot is due to release its results for its last fiscal quarter before the market opens Tuesday. Analysts expect the home-improvement chain to report earnings of $3.81 per share, down from $4.09 during the same quarter a year earlier, according to Zacks Investment Research. Home improvement businesses benefited from increased spending on renovations during the pandemic but have struggled as inflation picked up. Home Depot’s shares were down about 0.9% Monday.
Target will follow Wednesday, with analysts predicting the big box retailer will report earnings of $1.75 per share, down from $2.19 the year before. Again, investors will be looking to see how Target has dealt with inflation and recession-wary shoppers. Its shares were up more than 1.3%.
Walmart wraps up big-retailer week Thursday. Analysts expect the retailer to report earnings of $1.31 per share, a slight improvement from $1.3 a year earlier. Its shares were down about 0.8%.
Cisco Systems (CSCO) will report results for the fiscal quarter ended in April on Wednesday. Analysts expect the software company to report earnings of $0.87 per share, up from $0.78 a year before.
Two major Chinese tech companies will also report results this week, with Baidu (BIDU) going first before market open Tuesday and Alibaba (BABA) following Thursday.
Markets: Despite the risk of the US defaulting on its debts next month, equity traders have kept calm and carried on, sending the NASDAQ to a weekly gain last week. But over in the bond market, investors are sweating. The cost of credit-default swaps, which act as insurance against a default, is higher in the US than in emerging markets like Mexico and Brazil.
Stock spotlight: This stat about the stock market’s concentration is wild…Apple’s market cap is now greater than the value of every company in the Russell 2000 small-cap index combined.
NEWS FLASH: NAPERVILE, I L- Ready to bring new ideas and unique perspectives to Congress, Dr. Kent Mercado is officially launching his campaign for Illinois’s 11th. Congressional District.
“Overall, I feel I bring a wealth of experience and expertise to my work. I am a true leader in my fields and have consistently demonstrated my commitment to improving the lives of those I serve.” Dr. Mercado has an extensive professional background as a surgeon and attorney and always seeks to better the lives of those around him. He is also an accomplished leader in healthcare management, governmental affairs and international medical missions.
While acting as the Medical and Executive Director of Medical Missions, Dr. Mercado worked with several government agencies to enhance non-profit organizations through fundraising and program management. He was instrumental in procuring medical and surgical supplies for the medical missions in Bolivia, Peru, Mexico and other countries. Dr. Mercado also sent over one million dollars’ worth of supplies to help the victims of Haiti’s massive earthquakes. Dr. Mercado has served and provided aid to those in need all around the globe and is now ready to focus his efforts on serving his neighbors in District 11.
Dr. Mercado supports pro-growth economic environments where businesses and workers of all levels can thrive with minimal government intrusion, which means lower taxes, deregulation and encouraging innovation in all industries. Dr. Mercado believes that we must maintain border security while welcoming with open arms immigrants who come into this great country legally. “We need to emphasize the value of safe and secure borders, as well as the need for legal immigration, because a country without borders is no country at all.” He is also a strong supporter of giving families the freedom to choose the very best education for their children and helping every American receive quality and affordable healthcare.
Dr. Mercado is ready to use his areas of professional expertise and his passion for helping people to provide the residents of District 11 with a congressman who listens, acts and fights for what they need. Dr. Mercado states on his campaign website, “I am confident that I can leverage my decades of expertise to effectively progress major legislative initiatives that will benefit my constituents.” Dr. Mercado will bring positive change to the district by mixing his experience and passions to benefit his community.
For more information on Dr. Mercado and his plans for Illinois District 11, please visit his website.
Happy 203rd birthday to Florence Nightingale, the founder of modern nursing. She rose to fame during the Crimean War, when her hygiene standards substantially reduced the mortality rate at army hospitals. The healthcare industry still relies on some of her ideas, such as using data as a tool to improve hospital care. The “lady with the lamp” is still lighting the path forward.
Stocks were a mixed bag yesterday after the consumer price index showed prices rose 4.9% last month, marking the 10th month in a row of cooling inflation and the first time inflation has dipped below 5% in two years. That’s still higher than the Fed’s 2% target, but it leaves space for Jerome Powell to chill out a bit. Tech stocks got a boost from that news, especially Google’s parent, Alphabet, which also benefited from rolling out its new AI.
Economists polled by the Wall Street Journal had forecast the CPI increasing 0.4% and advancing 5.0% over the past year. The core inflation rate rose 0.4% in April for the second straight month, in line with economists forecasts. For the year, the core inflation rate, excluding food and energy prices, increased 5.5% down from a 5.6% rise in March.
“The below 5% headline CPI number is a sigh of relief to a market on edge,” said Alexandra Wilson-Elizondo, co-head of portfolio management for multi asset solutions at Goldman Sachs Asset Management.
Traders hoped that the lower-than-expected inflation data may leave room for the U.S. central bank to refrain from raising interest rates further at its June meeting.
“The data today will be interpreted as not hot enough to force the Fed’s hand in June … We do not think this one data point will determine the outcome of the June FOMC meeting because we still have a string of economic data to process between now and then,” wrote Wilson-Elizondo.
“The details of the print suggest that we are still a meaningful distance from the Fed’s 2% target, giving little reason for the Fed to cut this year.”
Investors priced in the Federal Reserve beginning to trim borrowing costs in coming months, a hope that is seen underpinning stocks of late and helping the S&P 500 index move towards the top of the 3,800 to 4,200 range its has held all year.
Stocks mostly held steadyyesterday as everyone waits for April’s inflation data to drop tomorrow. Regional banks saw some movement as PacWest cut its dividend, then teetered up and down throughout the day. But Six Flags theme park operator shot straight up after reporting record revenue for the last quarter thanks to higher ticket prices.
Elon Musk warned that Twitter follower counts may drop as the platform removes inactive accounts.
Goldman Sachshas agreed to pay $215 million to settle a long-running class-action lawsuit accusing the investment bank of underpaying women. Elon Musk warned that Twitter follower counts may drop as the platform removes inactive accounts.
Intel continues to rattle the tech industry by confirming that it plans to cut its workforce to reduce costs. The companydeclined to share how many workers would be affected but said the layoffs would take place across the company.
Warren Buffett will preside over Berkshire Hathaway’s 59th annual shareholders meeting today—an event expected to draw a large crowd to Omaha, Nebraska. Everyone will be watching to see what Buffett has to say about the economy, the state of the banking sector, his big bet on Apple, and his struggling “favorite child,”
Geico. Shareholders will also vote on six proposals on climate change, political advocacy, and the firm’s leadership, all of which Buffett opposes.
Treasury Secretary Janet Yellen warned yesterday that the US could run out of money to pay all its bills as early as June 1st if Congress does not raise or suspend the debt limit before then. The US’ first-ever default would be disastrous for financial markets, economists say.
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Meanwhile, Europe’s painful inflation has inched higher, extending the squeeze on households and keeping pressure on the European Central Bank to unleash what could be another large interest rate increase. Consumer prices in the 20 countries using the euro currency jumped 7% in April from a year earlier, just up from the annual rate of 6.9% in March, the European Union statistics agency Eurostat said today. Food price inflation eased a little, falling to an annual rate of 13.6% from March’s 15.5%, while energy prices rose a more modest 2.5%. Core inflation, which excludes volatile food and fuel, slowed slightly but was still high at 5.6%, underlining the expectation that the ECB will press ahead with its campaign to beat inflation into submission with rate hikes.
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Just in time for a new looming bank failure, the Federal Reserve issued a 102-page report dissecting the corpse of Silicon Valley Bank. Meanwhile, FRB [First Republic Bank] FRB was just sold to JPMorgan Chase.
And in an accompanying letter, Michael Barr, the Fed’s vice chair for supervision, called for stricter rules to be applied to more financial institutions and for more tools to be given to regulators to bring firms with poor capital planning and risk management into line.
This celebration is to honor and appreciate the important role laboratory professionals play in improving diagnostic innovation and accuracy, particularly in light of the rapidly evolving global public health climate. Join us in acknowledging and appreciating their contributions and commitment!
Medical Laboratory Professionals Week, an annual celebration of medical laboratory professionals and pathologists who play a vital role in health care and patient advocacy, takes place between April 23-29, 2023. CLSI is one of 17 laboratory medicine organizations responsible for coordinating this annual celebration of this profession.
A government report on U.S. economic output in the first quarter will shed light on how consumers and businesses are faring under high inflation, rising interest rates and the onset of banking problems. Consumer spending, the primary driver of growth, and hiring were surprisingly strong at the start of the year, but more recently slowed as the Federal Reserve continued raising interest rates to cool the economy and curb rapid price increases. TO WIT:
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Meta’s “Year of Efficiency” is off to a strong start: After three straight quarters of falling revenue last year, the company saw an uptick in ad sales for a 3% revenue jump from Q1 2022. Profits were down, but the company still beat expectations, and Facebook gained users again after losses last year. But not all of Mark Zuckerberg’s dreams are coming true—the company’s Metaverse unit lost almost $4 billion last quarter.
Chipotle—which hit near all-time highs after saying customers kept coming back for burrito bowls despite price increases.
The UK’s competition regulator blockedMicrosoft’s bid to acquire the Call of Duty-maker saying it would hurt competition in the cloud gaming sector. The move came as a shock because the regulator had previously said Microsoft had assuaged its concerns about the console gaming market. The decision, which Microsoft plans to appeal, puts a strain on the deal while the companies wait for competition decisions from the EU and the US, where the FTC has already sued to scuttle it.
Finally, while egg prices have fallen dramatically, one sector of the economy remains stubbornly expensive: rents.
In the latest consumer price index report, the shelter category (aka rents) was the largest contributor by far to overall inflation. And despite moderating in recent months, rent growth remains 17% higher than 2021 levels.
1. Regional banks’ plight was Morgan Stanley’s perk. The bank saw nearly $20 billion in new client assets in the wake of the banking crisis that rocked smaller banks like First Republic. Why the bank became a “destination of choice” amid the crisis.
2. Taylor Swift was the only one asking the right question on FTX. The mega star didn’t sign a $100 million sponsorship deal with the crypto exchange because, unlike seemingly everyone in Silicon Valley, she did some form of due diligence.
4. It’s starting to get scary in the housing market. Foreclosure filings were up 22% in Q1 compared to last year, and repossessions are headed in the wrong direction as well.
Finally, Fintel reports that on April 21, 2023, Goldman Sachs maintained coverage of Tesla (NASDAQ:TSLA) with a Buy recommendation. As of April 6th, 2023, the average one-year price target for Tesla is $203.14. The forecasts range from a low of $24.58 to a high of $315.00. The average price target represents an increase of 24.63% from its latest reported closing price of $162.99. The projected annual revenue for Tesla is $118,517MM, an increase of 37.75%. The projected annual non-GAAP EPS is $5.70.
The S&P 500® Index was up 3.52 points (0.1%) at 4137.04; the Dow Jones industrial average was up 66.44 (0.2%) at 33,875.40; the NASDAQ Composite was down 35.25 (0.3%) at 12,037.20.
The 10-year Treasury yield was down about 7 basis points at 3.50%.
CBOEs Volatility Index was up 0.12 at 16.89.
Real estate and financials were among Monday’s weakest-performing sectors, while energy companies led gainers thanks to a jump of about 1% in crude oil futures. The U.S. dollar index fell to about 101.37, its weakest level since mid-April, while Treasury yields eased slightly.
My son, Kirby “Sasha” Fenton sustained a devastating medical injury in a motor vehicle accident on January 16, 2018 in Marietta, GA.
As of this writing, he had surgery last night and has additional surgery planned for this morning (due to blood loss during the first surgery). Additional surgeries are expected. He will be in Wellstar Kennestone Hospital for at least a week and then will be transferred to a rehabilitation facility for an extended period of time.
He is NOT expected to make a full recovery. He will have permanent, significant disability.
Sasha needs funds for (1) medical expenses, (2) legal expenses connected to the accident, (3) rehabilitation expenses, and (4) most especially expenses relating to his transitioning to his life as a disabled person – this is really where he needs the bulk of funds.
In 1696, England imposed a tax on windows to extract more revenue from the wealthy (whose houses had more windows). But all it did was incentivize fewer windows in homes and public health deteriorated from the lack of ventilation.
People 100 years old and older in New Mexico are exempt from the state’s income tax.
In 2009, local officials in China’s Hubei province were required to smoke more cigarettes to boost sales tax collections. They were fined if they didn’t hit their targets.
This morning, April 17th, about 30,000 people will run at varying speeds, 26.2 miles from Hopkinton, MA, to Boylston Street in one of the most famous races in the world: the Boston Marathon.
This year’s race will symbolize endurance in more ways than one. It will mark 10 years since two bombs exploded near the finish line, killing three people, wounding almost 300, and shaking the city on its most celebratory day. Held on Patriot’s Day, which commemorates the first battles of the Revolutionary War, Boston is the oldest continuously running marathon in the world, dating back to 1897. And simply qualifying for it is an achievement: Strict entry rules require that men age 18–34 record an official marathon time of three hours or less; for women of the same age, the qualifying time is 3:30.
Reach Industry Pros, Executives and Decision-Makers with Ease!
Thank you for your interest in advertising on, or sponsoring the ME-P, the web’s only site integrating medical practice management with personal financial planning for all industry professionals.
Why should your company sponsor or advertise on the ME-P?
• Reader loyalty. Not only does the ME-P receive a mind-boggling number of page views and visits each month, its readers are loyal. • Reader stature. ME-P readers are experienced industry pros, executives and decision-makers. • Selective advertising. The ME-P is a free read that’s off the radar of the big-ad companies. Your ad here stands out as personal and different. • Supporting the ME-P makes a big difference and costs only a fraction of other online publications with far fewer readers. • Cost. CPM is reasonable and low compared to other sites.
E-mail us for a full packet, but give a look to these results from the ME-P’s annual reader survey:
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Contact me and I’ll e-mail you a rate card. Your support makes a difference!
Yesterday, the S&P notched its highest close since February with a boost from Big Tech names such as Amazon, Meta, Alphabet, and Netflix, which each gained at least 2.7% (FAANG).
This morning however, all eyes are on bank earnings as JPMorgan, Citigroup, and Wells Fargo report before the opening bell.
Markets: Stocks ran on a treadmill yesterday as investors waited for the high-stakes inflation report to drop this morning. Major cryptocurrencies have emerged as the biggest winners of 2023 so far, and Bitcoin topped $30,000 for the first time in 10 months.
Dueling economic visions: Depending on who you ask, the economy is doing just fine…or it’s about to slow down dramatically. Treasury Secretary Janet Yellen said yesterday that “the US economy is obviously performing exceptionally well.” But that’s not obvious at all to the IMF, which predicted weak global growth this year and gave its gloomiest five-year economic forecast since 1990.
According to the Financial Times, just 20 stocks account for almost 90 per cent of the US benchmark index’s $2.36tn gains so far this year, as instability in the banking sector has driven down interest rate expectations and boosted the attraction of Big Tech.
Among the big gainers, shares in chip-maker Nvidia have climbed by 83 per cent so far this year, while Facebook owner Meta is up 76 per cent and Salesforce has climbed 42 per cent, underlining the heavy concentration in the world’s most influential stock market. The market value of those and the other 17 best performing stocks in the S&P 500 have surged by $2.05tn in 2023. Apple’s valuation alone has shot up by almost $600bn, or 30 per cent, in the past three months.
And, according to Yahoo Finance, the market capitalization of the other stocks in the index — which is up almost 7 per cent so far in 2023 — has risen just $320bn over the same period.
Finally, according to private equity firm Apollo Global Management and ignoring gains for mega-cap growth stocks, the S&P 500 rose just 1.4 per cent in the first three months of 2023, said UBS.
A brokerage account is an investment account held at a licensed brokerage firm. An investor deposits funds into their brokerage account and the brokerage firm transacts orders for investments such as stocks, bonds, mutual funds, and exchange-traded-funds (ETFs) on their behalf. The assets in investment accounts belong to the investors, who normally must report as taxable the income derived from the account.
Major U.S. stock indexes ended mixed, after the announcement of a surprise OPEC+ production cut sent crude oil prices to two-month highs and fueled inflation concerns that could keep the Federal Reserve in policy-tightening mode. This weekend, several OPEC+ members, including Saudi Arabia, announced production cuts totaling nearly 1.2 million barrels a day that are slated to start in May. In response, WTI crude futures soared above $80 a barrel. Word of the planned cuts also boosted expectations that the Fed could raise its benchmark interest rate again in May as the central bank extends efforts to tamp down inflation. The OPEC+ cuts “suggest more headline inflation pressure in the near-term,” says Jeffrey Kleintop, chief global investment strategist at Charles Schwab & Co. The potential for further waves of inflation will “keep central banks from declaring victory over excessive price gains,” he adds. “That’s another headwind for tech stocks and other ‘long duration’ equities that get more of their cash flow in the future than in the near term.”
The following is a round-up of today’s market activity:
The S&P 500® Index was up 15.2 (0.4%) at 4124.51, the highest close since Feb. 15; the Dow Jones industrial average was up 327 (1.0%) at 33601.15; the NASDAQ Composite was down 32.45 (0.3%) at 12189.45.
The 10-year Treasury yield was down about 7 basis points at 3.417%.
CBOE’s Volatility Index was down 0.14 at 18.56.
Oil producers and other energy companies led gainers Monday. Health care stocks also outperformed. Consumer discretionary and real estate were among the laggards.
Among individual stocks, Tesla (TSLA) shares tumbled over 6% following reports the electric car-maker delivered just 423,000 vehicles in the first quarter. Analysts had expected 430,000, according to research firm FactSet.
Looking ahead, medical companies, especially vaccine makers, may be worth watching this week with the World Vaccine Congress taking place in Washington, D.C. Some well-known vaccine makers include Moderna (MRNA), Johnson & Johnson (JNJ), and GlaxoSmithKline (GSK). Late last month, Walgreens Boots Alliance (WBA) reported a steep year-over-year decline in demand for COVID-19 vaccinations.
The U.S. dollar index fell slightly, while gold futures climbed above $2,000 per ounce to post their highest close in over two years.
Analysts at Morgan Stanley downgraded Charles Schwab Corp (NYSE: SCHW) on Tuesday, citing concerns over cash sorting and regulatory changes. But, Schwab CEO Walt Bettinger recently said that the company’s banking unit had enough liquidity to cover if 100% of its bank deposits ran off without having to sell a single security — Morgan Stanley says otherwise. Schwab’s recent performance has not been up to Morgan Stanley’s expectations, with customers moving cash out of sweep accounts into money market funds at a rate twice that which the bank had been modeling.
The S&P 500® Index rose 23 points (0.57%) to 4050.84; the Dow Jones industrial average was up 141 points (0.43%) at 32859.03; the NASDAQ Composite was up 87 points (0.73%) at 12013.47.
The 10-year Treasury yield slipped 2 basis points to 3.555%.
CBOE’s Volatility Index was little changed at 19.14.
This National Physicians Week, from March 25–31, we can show doctors we appreciate them as much as they deserve with creative gifts, simple notes, and appreciation posts online.
Doctors deal with years of school, grueling shifts, and emotionally difficult decisions, and still manage to care for us with focus and kindness. Physicians drastically improve the duration and quality of life for everyone, and throughout history have done their best to use cutting-edge science to care for others.
Physician appreciation is also symbolized by a red carnation, so be sure to bring one to your favorite doc this week!
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Here Are the Top Ten Ways To Celebrate National Physicians Week in 2023:
Send a doctor red carnation and/or gift of your choice to show appreciation.
Host a Zoom or virtual celebration.
Doctors can take the day off (If the schedule permits)
Record and post a video to show gratitude for your doctor and physicians nationwide.
Encourage others and spread the word about National Physicians Week on and offline.
Write or share an article about National Physicians Week.
Offer product or service discounts to doctors.
Host an office party to celebrate staff physicians.
Plan a happy hour or networking event for physicians and the community.
Wall Street’s $30 billion infusion into First RepublicBank didn’t manage to calm investors’ jitters about how banks are holding up. The regional bank’s stock tanked againFriday, dragging most of the market down with it. Moody’s Investors Service downgraded its credit rating on First Republic Bank to junk, citing a “deterioration in the bank’s financial profile.” First Republic’s debt rating was cut to B2 from Baa1, Moody’s said. Fitch Ratings and S&P Global Ratings downgraded First Republic Bank’s debt earlier this week.
The downgrade reflects “the deterioration in the bank’s financial profile and the significant challenges First Republic Bank faces over the medium term in light of its increased reliance on short-term and higher cost wholesale funding due to deposit outflows,” Moody’s analysts said in a release.
And, SVB’s parent company filed for Chapter 11 bankruptcy yesterday, buying it time to pay off creditors and making it easier to sell off its assets (but the bank itself, currently in the hands of the FDIC, isn’t part of the filing). Meanwhile, President Biden called on Congress to make it easier to punish bank executives if their mismanagement causes a bank to collapse, including allowing regulators to claw back their pay.
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But Big Tech stocks got a boost from investors looking to park their cash in non-bank companies, pushing Microsoft to its best weeks in almost eight years.
DEFINITION: Junk bonds are bonds that carry a higher risk of default than most bonds issued by corporations and governments. A bond is a debt or promise to pay investors interest payments along with the return of invested principal in exchange for buying the bond. Junk bonds represent bonds issued by companies that are financially struggling and have a high risk of defaulting or not paying their interest payments or repaying the principal to investors. Junk bonds are also called high-yield bonds since the higher yield is needed to help offset any risk of default.
AT1 DEFINITION: Additional Tier 1 bonds are also known as “contingent convertibles,” or “CoCos”. They were created in the wake of the 2008 financial crisis as a way for failing banks to absorb losses, making a taxpayer-funded bailout less likely. They are a risky bet — if a lender gets into trouble, this class of bonds can be quickly converted into equity, or written down completely. Because they are higher-risk, AT1s offer a higher yield than most other bonds issued by borrowers with similar credit ratings, making them very risky. If AT1s are converted into equity, this supports a bank’s balance sheet and helps it to stay afloat. They also pave the way for a “bail-in”, or a way for banks to transfer risks to investors and away from taxpayers if they get into trouble.
UBS’s emergency takeover of Credit Suisse may have been necessary to avert a financial crisis, but at least one group is Yosemite Sam-level angry over how the deal shook out. Investors holding $17 billion worth of Credit Suisse’s additional tier-one bonds were shocked to discover that their $17 billion was now worth a grand total of…$0. The value of those bonds had been completely wiped out in the deal.
Additional tier-one bonds, or AT1 bonds for short, were established after the 2008 financial crisis to reduce the likelihood that taxpayers would have to bail out a failed bank. AT1s are considered riskier assets, but with that risk comes higher potential returns.
So, if these bondholders knew they were taking on risk, why are they so upset?
According to MorningBrew, mainly because, in this unusual deal, they got wiped out while shareholders didn’t. That’s not how the order of operations usually works:
When a write-down happens, shareholders traditionally suffer losses before bondholders get hit.
This deal flipped the food chain, and livid AT1 bondholders are now huddling up with lawyers about potential legal action.
Dateline: WASHINGTON—The Federal Reserve raised its key short-term interest rate by a quarter percentage point today, pushing ahead with its aggressive campaign to tame inflation despite financial turmoil following Silicon Valley Bank’s collapse.
FOMC officials forecast another quarter point in rate increases this year to a peak range of 5% to 5.25%, in line with its December estimate and lower than the level markets anticipated before SVB’s meltdown.
In a statement after a two-day meeting, the Fed acknowledged recent strains in the nation’s banks and said they will soften the economy but added the financial system is stable.
Bitcoin prices climbed to as high as $27,293 last week, wrapping up the cryptocurrency’s best week since January 2021. And it has Silicon Valley Bank and friends to thank for it. Crypto diehards claim bitcoin’s gains are the result of people losing faith in traditional banking after SVB and Signature imploded (though it’s worth noting that Signature was a big player in the crypto world).
However, after the second-and third-biggest bank failures in history, economists started second-guessing whether the Fed would stick to the plan to hike interest rates again or change course to protect the rest of the very fragile banking industry. That could mean the crypto market, which slid into the dreaded Crypto Winter in the first half of last year because of macroeconomic factors like the Fed’s rate hikes, might finally be approaching spring.
So, according to MorningBrew, the Fed’s interest rate decision next week will likely serve as crypto’s redeux. And despite the banking industry hoping Jerome Powell pauses the interest rate hikes, February’s inflation numbers showed that the Fed may need to stick to its original plan to keep inflation in check.
Each year in the middle of March, tens of thousands of graduating American medical students find out where they are going for their residency — and whether they will be whisked away from their families, friends, and romantic partners.
For many relationships in which one or both people are in medical school, residency “Match Day” — which falls today, on March 17th this year — can be the end of another match. This mass breakup and match happened to many of my own classmates, and to students at medical schools all around the country. But, fortunately not to me years ago.
The Ides of March (today) is infamous for being the date Julius Caesar was killed. But before that happened, it was mostly known as the deadline by which the ancient Romans had to settle their debts.
Speaking of debts?
Markets: Banking debt crisis averted? While many questions remain over the collapse of Silicon Valley Bank, stocks boomed yesterday in a sign Wall Street has moved past the “panic” stage of this drama. Regional banks like First Republic, whose shares got trounced on Monday, rebounded as the threat of an SVB-like bank run dissipated.
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Finally, while the US labor market remains strong, layoffs have spiked in 2023. Companies announced 180,713 job cuts in January and February—the most to start any year since 2009, according to Challenger, Gray & Christmas. About one-third of the layoffs took place at tech companies, like Meta which just announced another 10,000 more..
Saudi Aramco made what iss probably the “highest net income ever recorded in the corporate world,” Saudi Aramco’s CEO Amin Nasser just said. The state-owned oil giant brought in an astonishing $161.1 billion in net income in 2022, up 46.5% from the previous year. Rising oil prices lifted all energy companies last year, but Aramco raked in almost triple ExxonMobil’s 2022 profits (record for any Western oil company).
So, after getting mixed signals about the economy from Friday’s jobs report, the Fed will take a fine-toothed comb to the consumer price index, which drops tomorrow.
Banks: At the end of an extremely stressful weekend, depositors of collapsed Silicon Valley Bank were told they would be made whole. Yesterday evening, the US government informed anxious SVB depositors that they’d have access to all the money they stashed with the lender today, even if the amount exceeded the $250,000 limit insured by the FDIC. In addition to backstopping depositors, the Fed is offering additional funding to some banks to limit the contagion from spreading across the banking sector.
And, according to MorningBrew, the Fed’s aggressive action shows how the implosion of Silicon Valley Bank on Friday could have quickly turned into a full-blown banking crisis when markets open this morning.
Banking is a confidence game, and if people and businesses felt their uninsured deposits were at risk, they could start pulling money from other banks in a catastrophic bank run.
The government had a hard deadline of 9:30am ET this morning to restore confidence in the banking system, and it beat it.
However, in their announcement, regulators also noted the closure of a second bank, New York-based Signature Bank, over “systemic risk.” All of Signature’s depositors will be made whole, they said.
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ALERT: HSBC Holdings PLC just said that it purchased Silicon Valley Bank UK Ltd., the U.K. arm of the collapsed Silicon Valley Bank, for 1 pound ($1.20). HSBC said the acquisition will help strengthen its franchise in the U.K. As of March 10th, SVBUK had loans of around GBP5.5 billion and deposits of around GBP6.7 billion, while tangible equity is expected to be around GBP1.4 billion. The acquisition was completed immediately.
The Bank of England said it took the decision to sell SVBUK to stabilize the business, ensure continuity of banking services, minimize disruption to the country’s technology sector and support confidence in the financial system.
As noted in the first installment of this five-part series, internal medicine is the largest specialty among physicians and an understanding of the various environments in which these physicians operate is crucial in determining their numerous value drivers.
In particular, healthcare reimbursement, the process by which private health insurers and government agencies pay for the services of healthcare providers (including internists), is perhaps one of the most important environments to understand, as it comprises a provider’s expectation of future return on investment.
The retail pharmacy giants have made a string of multi-billion dollar deals!
By Staff Reporters
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CVS and Walgreens have been spending money like there is no tomorrow! In fact, the two retail pharmacy giants have made a string of multi-billion dollar acquisitions of primary care providers in the past couple years, including the $5.2 billion VillageMD acquisition in 2021 (Walgreens) and the $10.6 billion plan to buy Oak Street Health (CVS).
VillageMD also bought primary care clinic operator Summit Health-CityMD in January 2023, which Walgreens invested $3.5 billion in, and CVS spent roughly $8 billion to acquire Signify Health, a value-based payment platform, in September 2022.
Since its founding, the company has hired several high-profile neuroscientists from various universities. By July 2019, it had received $158 million in funding (of which $100 million was from Musk) and was employing a staff of 90 employees. At that time, Neuralink announced that it was working on a “sewing machine-like” device capable of implanting very thin (4 to 6 μm in width) threads into the brain, and demonstrated a system that read information from a lab rat via 1,500 electrodes. They had anticipated starting experiments with humans in 2020, but have since moved that projection to 2023.
Several neuroscientists and publications, including the MIT Technology Review, have been critical of claims made by Musk about Neuralink, calling some of the technological promises “highly speculative”. In March 2023, Reuters reported that the Food and Drug Administration rejected a 2022 application for human trials.
The agency had several concerns, including the risk of tiny wires in the chip shifting to other areas of the brain.
National Dentist’s Day falls on March 6th every year. It was established as a way to show appreciation and thanks for dentists. It’s also a way to bring awareness to dentistry so that people will know more about how to care for their teeth. It also encourages people who may have avoided going to the dentist to come in for a checkup.
“WALL STREET Hell Week: Features several potential landmines for the stock market. One of them is the jobs report on Friday. Employment numbers have been on the rise, and continued strength in the labor market could lead to more interest rate hikes. Another key event this week: FOMC Chair Jerome Powell’s testimony on Capitol Hill. He’s expected to field questions on the trajectory of inflation and the looming debt-ceiling crisis.