BOARD CERTIFICATION EXAM STUDY GUIDES Lower Extremity Trauma
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Posted on December 3, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Seattle, US – December 2, 2022: Infobip, a global leader in omnichannel communications, today announced new data from its 2022 “30th Anniversary of the SMS” survey, which sheds light on how, where and when Americans are communicating with each other.
The report was commissioned to commemorate the anniversary of the first text message, sent on Dec. 3, 1992, by Neil Papworth, a software programmer from the U.K. who had been working as a developer and test engineer to create a short message service (SMS). That very first text simply said, “Merry Christmas.” In the three decades that ensued, SMS has exploded in popularity, and today, the humble text message has emerged as the go-to form of communication for billions of people and an ever increasing number of businesses.
Posted on December 3, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Happy 30th birthday to texting! On this day 30 years ago, the first SMS message was sent.
U.S. equities were mixed and ended near the starting line as investors digested the highly anticipated November labor report which showed stronger-than-expected job growth.
Nonfarm payrolls, private sector payrolls, and average hourly earnings all rose more than estimates, while the unemployment rate remained at October’s level. The report seemed to temper market expectations for a less aggressive Fed in the near-term, as hopes for such intensified earlier in the week after Fed Chair Powell suggested that the Central Bank could slow the pace of its tightening campaign as early as this month.
Treasury yields diverged following the data, and the U.S. dollar dipped, while crude oil prices decreased in choppy trading, and gold pulled back from yesterday’s solid rise.
Earnings reports continued to trickle in, with Marvell Technology falling short of expectations on both the top and bottom lines and slashing its guidance, while Ulta Beauty trounced the Street’s forecasts amid soaring same-store sales growth. In fact, ULTA posted splendid third-quarter fiscal 2022 results, with the top and the bottom line cruising past the Zacks Consensus Estimate and increasing year over year. The company witnessed growth in all major categories and in all its store and digital channels. Ulta Beauty also saw a higher market share in prestige beauty compared with the year-ago period.
The labor report dominated today’s economic calendar, but next week will introduce some notable releases, including December’s Producer Price Index, reads on the services sector, consumer sentiment, and more.
Asian stocks finished with broad losses, and European stocks ended mixed, as the global markets searched for some clarity on China’s latest moves regarding its COVID-related restrictions.
Posted on December 2, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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The cost of gasoline is falling so fast that it is beginning to put real money back in the pockets of drivers, defying earlier projections and offering an unexpected gift for the holidays.Filling up is now as cheap as it was in February, just before Russia’s invasion of Ukraine touched off a global energy crisis. AAA reported the average nationwide price of a gallon of regular Wednesday was $3.50, and gas price tracking company GasBuddy projected it could drop below $3 by Christmas. And all of that relief probably helped drive robust shopping over Thanksgiving weekend.
U.S. stocks ended mixed in a choppy trading session. The market struggled to continue yesterday’s surge, which came as Fed Chairman Jerome Powell provided some less hawkish commentary. The Fed Chief suggested that the Central Bank could slow the pace of its aggressive rate hiking campaign as early as this month.
The economic front provided some reports that shaped market action, as personal income and spending rose solidly and inflation cooled off but remained elevated, while jobless claims moderated more than expected. However, the ISM Manufacturing Index fell into contraction territory for the first time since May 2020, and construction spending declined more than expected. Earnings reports continued to pour in, as Kroger topped expectations, while Costco Wholesale’s November sales growth came in below predictions, and Dollar General missed earnings estimates while also providing some disappointing guidance.
Additionally, Dow member Salesforce’s billings performance missed, and the company announced that its co-CEO will step down.
Treasury yields and the U.S. dollar extended yesterday’s drops, while crude oil and gold prices rallied.
Asian stocks gained ground and European stocks ended mostly higher, as the global markets appeared to get some relief from the Fed Chair’s commentary but economic data was lackluster.
Posted on December 1, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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MARKETS
Nasdaq$11,468.00+4.41%
S&P$4,080.11+3.09%
Dow$34,589.77+2.18%
10-Year3.606%-14.2 bps
Bitcoin$17,089.73+3.73%
Biogen$305.17+4.72%
*Stock data as of market close, cryptocurrency data as of 3:00am ET.
U.S. equities reversed course and finished with solid gains in the wake of remarks from Fed Chairman Jerome Powell at a gathering at the Brookings Institution in Washington. The Chairman reiterated the Fed’s plan to “stay the course” with its rate-hike campaign, but noted that smaller increases were likely ahead, as soon as next month’s meeting. Powell’s comments came just before the Fed’s release of its Beige Book report on business activity across the nation that showed a slight moderation. Preceding Friday’s key nonfarm payroll report, ADP’s private sector payroll data came in below estimates, and job openings remained robust.
In other economic news, mortgage applications snapped a two-week winning streak, Q3 GDP growth was revised higher, Chicago manufacturing unexpectedly fell further into contraction territory, and pending home sales continued to fall but at a slower pace. Moreover, the advance goods trade deficit widened surprisingly, and wholesale inventories rose more than projected. Treasury yields turned lower following Powell’s comments, and the U.S. dollar tumbled, while crude oil prices rose and gold was solidly higher. Earnings season has headed toward the finish line, with CrowdStrike Holdings topping profit and revenue estimates but missing its annual recurring revenue growth forecast, though Workday topped earnings expectations, raised its guidance, and announced a $500 million share buyback plan.
Asia finished mostly higher and stocks in Europe gained ground, with the markets digesting mixed economic data, while optimism remains that China may be set to ease some COVID-related restrictions.
This quarter’s pharmaceutical earnings were overall better than expected. Especially Merck, thanks to its Keytruda sales. The cancer drug brought in $5.4 billion last quarter, accounting for a whopping 36% of the company’s revenue for that period. But, Keytruda’s patent is expiring in 2028, and everyone is waiting to see what Merck pulls out of its hat to replace it.
Apartment rents across the US dropped in November by the most in at least five years, a sign that a key cost tracked by the Federal Reserve could be easing up. A national index of rents fell by 1%, the third straight month-over-month decline and the steepest drop in data going back to 2017, Apartment List said in a blog post recently.
As of the week ending Nov. 19th, Americans aged 65 and older make up 92% of all deaths from the virus, according to data from the Centers for Disease Control and Prevention.MORE: Latest COVID vaccine will help people ‘move on’ from the pandemic, White House’s Jha says It’s the first time senior citizens have made up more than nine out of 10 deaths since the pandemic began and a drastic increase from the roughly 58% of deaths they made up in summer 2021, an ABC News analysis showed.
Posted on November 29, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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More than 300 people are still dying each day on average from covid-19, most of them 65 or older, according to data from the Centers for Disease Control and Prevention. While that’s much lower than the 2,000 daily toll at the peak of the delta wave, it is still roughly two to three times the rate at which people die of the flu — renewing debate about what is an “acceptable loss.”
And, U.S. equities started off the new week with solid losses, as protests in China over its zero-tolerance COVID policy kept investors on edge. Adding to the mix, BlockFi filed for bankruptcy amid the continued fallout within the cryptocurrency markets. Equity news was in short supply on this Cyber Monday, with reports suggesting Black Friday weekend activity was solid despite the highly inflationary environment, while gaming stocks were in focus following a tentative agreement to renew casino licenses in Macau.
The economic calendar was light today, with the lone report of note showing manufacturing activity in the Dallas region unexpectedly improved but remained solidly in contraction territory.
Treasury yields were mixed, while the U.S. dollar rallied, crude oil prices were higher, and gold traded to the downside.
Markets in Asia and Europe finished lower amid the global uneasiness toward China.
Posted on November 29, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Dr. David Edward Marcinko MBA
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GivingTuesday, often stylized as #GivingTuesday for the purposes of hashtag activism, is the Tuesday after Thanksgiving in the United States. It is touted as a “global generosity movement unleashing the power of people and organizations to transform their communities and the world”.
Posted on November 28, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
What is PERSPECTIVE?
[By Staff reporters]
Perspective is the art of drawing solid objects on a two-dimensional surface so as to give the right impression of their height, width, depth, and position in relation to each other when viewed from a particular point.
Posted on November 27, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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On ground and On line shoppers didn’t let concerns about higher prices or a recession keep them from a record-setting this Black Friday.
Consumers spent a record $9.29 billion while online shopping yesterday, Black Friday, according to Adobe Analytics which tracks more than 85% of the top 100 U.S. onlineretailers. That’s an increase of 2.8% over a year ago – surpassing the previous online Black Friday sales high mark of $9.03 billion in 2023.
Nearly half (48%) of online sales were made over smartphones, up from 55% last year, according to the company’s 2023 Holiday Shopping Trends & Insights Report.
Posted on November 24, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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U.S. equities accelerated to the upside to finish solidly higher amid a slew of data heading into the Thanksgiving holiday break. The move upward came following the release of the minutes from the Fed’s November monetary policy meeting which indicated some caution among Committee members. The economic calendar was robust, as durable goods orders came in much stronger than expected, along with new home sales and consumer sentiment, while mortgage applications rose for a second-straight week.
However, not all the reports were positive as weekly initial jobless claims rose and preliminary reads on manufacturing and services output both showed contraction after falling more than expected. Earnings reports continued to pour in, with Deere & Company rallying following its results, while HP and Autodesk lowered their guidance.
Treasury yields were lower, and the U.S. dollar fell, as did crude oil prices, while gold gained ground.
Asia finished mostly higher, though Japan was closed for a holiday, and Europe was mixed as the markets digested Eurozone and U.K. manufacturing and services data that also showed contraction in activity.
Posted on November 21, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Markets: It’ll be a short but stuffed Turkey Day week for investors. In the lead-up to Thanksgiving, when markets will close, we’ll get another batch of earnings reports and minutes from the previous Fed meeting. Traders will have to clock in on Black Friday for a half day.
Stock spotlight: The e-scooter rental company Bird is probably grateful that FTX’s implosion is stealing the spotlight from its own collapse. Last week, the company said it overstated revenue for more than two years and is warning it could go bankrupt if things don’t turn around. Currently a penny stock, Bird will be de-listed by the NYSE if its share price doesn’t rise above $1 by the end of the year.
Disney just announced that former CEO Bob Iger would return to his role atop the entertainment giant, replacing his successor Bob Chapek, who’s been CEO for less than three years.After leading the company for 15 years, Iger handed over the reins to Chapek in February 2020. It was an unexpected choice, given that streaming boss Kevin Mayer was seen as a more likely heir to the Disney throne than Chapek, who led the parks and entertainment division. But Iger had reportedly handpicked Chapek as his successor, and repeatedly said he was satisfied with being retired. “I can’t think of a better person to succeed me in this role,” Iger said in March 2020.
Posted on November 18, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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DEFINITION: The Pew Research Center defines the middle class as households that earn between two-thirds and double the median U.S. household income, which was $65,000 in 2021, according to the U.S. Census Bureau. 21 Using Pew’s yardstick, middle income is made up of people who make between $43,350 and $130,000.
The American middle class is facing the biggest hit to its wealth in a generation going into the midterm election, although it is also entering the vote richer than it has ever been thanks to a decade of cheap money and the wealth boom it fed.
That’s the conclusion of a Bloomberg News examination that paired new wealth data with an exclusive Harris Poll of attitudes of the 100 million adults who sit at the core of the US economy and its politics ahead of the election.
EDITOR’S NOTE: I first Met Richard Helppie when I was in business school. He was the CEO of Superior Consultant at the time and very gracious to me with with his advice. Today he is a respected philanthropist and publisher of The Common Bridge. -David E. Marcinko
Posted on November 12, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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The US will extend its Covid public health emergency through the spring of 2023 in anticipation of another winter surge.
The emergency, first issued in January 2020, broadens eligibility for both Medicaid and the Children’s Health Insurance Program, and the government estimates that ~15 million people will lose their benefits from those programs once it ends.
Posted on November 10, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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It’s a big day for anyone trying to read Jerome Powell today because the October consumer price index report gets released this morning.
Economists expect to see the annual inflation rate come in at 7.9%, so anything higher is likely to spark fear that the Fed could get even more aggressive with its rate hikes.
The S&P 500 (^GSPC) shed over 2%, while the Dow Jones Industrial Average (^DJI) fell by nearly 650 points, or roughly 2%. The technology-heavy Nasdaq Composite (^IXIC) dragged down by almost 2.5%, or 260 points.
Meanwhile, volatility in the cryptocurrency markets continued as Binance Holdings ditched its plans of acquiring FTX.com, which has experienced some liquidity issues. Earnings reports continued to trickle in, with Dow member Walt Disney Company missing Q4 expectations. In other equity news, Meta Platforms announced large-scale layoffs as the company tries to become a more leaner communication services firm.
Treasuries were mixed, and the U.S. dollar was solidly higher, while crude oil prices fell, and gold saw some pressure. Economic news was light, with mortgage applications falling for a seventh-straight week.
Asia finished mixed following some Chinese inflation data, and Europe also diverged.
Posted on November 9, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Historical Review
By Staff Reporters
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Now that the voting is behind us, it might be safe to start checking your portfolio. In recent history, stocks have only gone up after midterm elections:
In the year following every midterm election since 1950, the S&P 500 has risen—no matter which party won.
A divided government, which could happen if the GOP retakes at least the House, delivers the best market results: Data going back to 1932 shows average annual S&P returns of 13% when there’s a GOP-controlled Congress under a Democratic president, compared to 10% when Democrats have both, per RBC Capital Markets.
Why?
There’s some debate, but partisan gridlock can be advantageous for business because it minimizes the chance of major changes to taxes or other laws that impact companies. It also doesn’t hurt to have the uncertainty of the election in the rear-view mirror.
Right now however, investors are more focused on the FOMCs’ rate hikes in response to inflation. While politicians from both sides of the aisle have criticized Jerome Powell’s recent decisions, he’s unlikely to change course due to the election outcome. Plus, economists seem pretty convinced the US is headed toward a recession, regardless of who’s in control in Washington.
Posted on November 8, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
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By Staff Reporters
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The outcome of today’s midterm elections could be influenced by something the government has little control over: the cost of filling up your car with gas. Since the 1970s, presidential approval ratings have tended to sag when gas prices rise. And that correlation has been especially pronounced this year as inflation has run rampant and gas prices have spiked.
The Washington Post found that the share of Americans who said the country was on the right track has moved remarkably in sync with gas prices.
Since gas prices peaked in June, the correlation between Democratic generic-ballot polling and the price of gas clocked in at minus-.91, nearly a perfect inverse correlation (which is minus-1).
NOTE: Recall that correlation is NOT causation!
Why are gas prices so powerful?
Gas prices are the only consumer good whose price we’re reminded of virtually every time we leave the house, experts say. Unlike salmon fish or outdoor patio furniture, ties, shirts or sneakers, the price of gas is advertised in size-500 font on huge signs that you can’t help but notice. In fact, gas prices have been so beaten into us that they can change our behavior over decades. Researchers at the University of Pennsylvania discovered that people who experienced raging gas prices in their formative driving years in the 1970s seemed less likely to drive to work 20 years later than other age cohorts.
The curious part about the link between voter sentiment and gas prices is that gas prices have very little to do with the White House. Gas prices are largely influenced by the price of crude oil, which is a globally traded commodity. That commodity has been dealt a shock this year by Russia’s invasion of Ukraine, technical snags with refineries in the US, and OPEC+’s production cuts.
Still, President Biden’s team is fully aware of the importance of gas prices, which explains his incessant attacks on oil companies’ windfall profits, his releasing of crude from the Strategic Petroleum Reserve, and his visit to Saudi Arabia, a major oil producer.
Price check?
The current national average for a gallon of unleaded gas is $3.80, per AAA. That’s roughly the same as a month ago, down significantly from the record of more than $5, but about 38 cents more than a year ago.
Posted on November 6, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Markets: Stocks closed their otherwise terrible week on a high note following another solid jobs report for October. The US economy added 261,000 jobs last month, more than expected, though the unemployment rate ticked up to 3.7%. The Fed wants to see the labor market loosen up before it’s willing to slow down its rate hikes.
Stock spotlight: Carvana, the online used car retailer that surged during the pandemic, suffered its worst day ever and closed near its all-time low. Carvana’s plunge of more than 95% this year makes it a prime example of Covid darlings that were caught flat-footed when the macroeconomic environment deteriorated and pandemic trends (like huge demand for used cars) snapped back to normal.
DraftKings stock had its worst day on record, down nearly 28%, after revealing a longer-than-expected path to profitability.
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Is China going to loosen its Covid policies? Investors pounced on rumors this week that Beijing was thinking about relaxing its draconian Covid precautions, sending Hong Kong’s Hang Seng Index to its best week in a decade. Separately, Reuters obtained a recording of a former Chinese disease control official telling a conference that China would be making big changes to its “dynamic-zero” Covid policy.
Posted on November 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
The clocks change at 2 a.m. to create the least disruption for early workers.
By Staff Reporters
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People who don’t have a digital clock that changes automatically will often switch their watches on Saturday night before bed. This year, Daylight Saving Time began on March 13, 2022, and ends on November 6, 2022.
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When you wake up tomorrow morning, you’ll be well rested and smacked with a pocketful of sunshine: In 48 states and DC, daylight saving time is ending overnight Sunday, which means a 25-hour day tomorrow and, going forward, darker evenings and sun-splashed mornings. And, when our clocks change every six months, it inevitably sparks debate about why we participate in this curious tradition in the first place, and whether we should just pick one time system and stick with it.
The arguments for abolishing daylight saving time
Most experts on sleep and circadian rhythms argue that tomorrow should be the last time we ever switch our clocks. They claim that, by artificially pushing the sun to set later in the evening, daylight saving time disrupts our internal clock’s natural alignment with the sun (for example, by discouraging the production of sleep-inducing hormones like melatonin). That can lead to negative impacts on our physical and mental health. Other proponents of permanent standard time point to research that shows how adopting it would reduce crime, energy costs, and car crashes. A study published Wednesday found that brighter work commutes due to permanent standard time would save about $1.2 billion in collision costs from drivers hitting deer—and prevent 37,000 deer from being killed in the process.
Congress and Politics
This March, the Senate passed the Sunshine Protection Act, which intends to, uh, protect sunshine by making daylight saving time permanent. Senators say their constituents have been flooding their phones with requests for more daylight in the evenings—to enjoy the outdoors, yes, but also to squeeze in more time to farm.
But the US has tried that before, in 1974, and it flopped miserably. Just four months after Congress approved permanent daylight standard time, it was scrapped following public backlash.
Posted on November 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
AFFINITY MARKETING!
Physicians and All Investors Beware!
By Staff Reporters
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Celebrity Matt Damon’s infamous “fortune favors the brave” Crypto.com commercial premiered one year ago today, and its timing couldn’t have been worse. Had you been inspired to buy $1,000 worth of bitcoin on that day (the token was then worth $60,608, near its peak price) you would have just ~$340 now.
Fortune isn’t exactly what’s favored Crypto.com in the year since the ad debuted. The price of bitcoin has plunged ~70%, the company reportedly slashed about 40% of its workforce this summer, and the YouTube version of the Damon commercial has been set to private.
Today, the coin has been pretty stable since mid-June, 2022 and hovering at around $20,000.
Posted on November 1, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
THIS IS NOT A POST-HALLOWEEN TRICK!
By Staff Reporters
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Most hospitals seem to have enough blood in their inventory to meet the immediate needs of patients. That’s no small feat given that just this past January, the American Red Cross declared the “first-ever blood crisis,” indicating the country was experiencing “its worst blood shortage in over a decade” amid the omicron surge.
While blood centers and hospitals aim to have at least a five-day supply of blood—enough to treat trauma patients, surgical cases, blood disorders, and other issues—facilities nearly reached blood insolvency during the crisis. The Red Cross said it saw donor turnout dip after the delta variant became dominant in summer 2021, which continued as omicron took over, until blood supplies reached crisis levels in January.
“We went down to many blood centers having only a one-day supply on their shelf,” said Claudia Cohn, chief medical officer at the Association for the Advancement of Blood and Biotherapies (AABB), a nonprofit that develops standards for the industry and accredits blood centers. “Which means one significant event—like a big car crash or a natural disaster or a human-made disaster—could have wiped out the blood supply for that particular metropolitan area.”
Closing up shop: Covid lockdowns shuttered traditional venues for blood drives, including businesses and schools. Even after workers returned to the office and students to classrooms, many organizations were hesitant to allow in-person events to occur in their facilities, including blood drives.
Paying the price: Another dagger undermining the stability of the nation’s blood supply has been a drop in the price paid for blood. Changes in medical practice, like the introduction of minimally invasive procedures, have decreased demand for blood, and hospitals have been able to pay less for it.
Posted on October 31, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
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SOURCE: Dianna “Mick” McDougall, Sources: Home Depot, Getty Images
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Good Evening
We’re not sure anyone’s administered a Halloween costume contest for almost 1million ME-P readers, but we’re going to give it a shot.
Subscribe, Like and Comment Reply to this post with a pic of your Halloween costume (PG-13 rated or less), and we’ll choose a winner[s] to shout out in a future ME-P.
Posted on October 30, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Modernizing the $19.6B Knee Replacement Industry
By Staff Reporters
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One way to classify joints is by range of motion. Immovable joints include the sutures of the skull, the articulations between teeth and the mandible, and the joint located between the first pair of ribs and the sternum. Some joints have slight movement; an example is the distal joint between the tibia and fibula. Joints that allow a lot of motion (think of the shoulder, wrist, hip, and ankle) are located in the upper and lower limbs.
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KNEE: No bones about it
The $19.6b joint-replacement industry uses outdated methods, leading to 100,000 surgeries failing annually.Monogram aims to fix it with precision surgical robots + personalized implants.
Posted on October 29, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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The future of healthcare will be defined by nurses. Giving them a platform where they can be seen, heard, and valued for what they contribute each and every day is healthcare innovation.
connectRN is an empowered community of nurses, helping them access the flexible work opportunities they want. Nurses use connectRN to find work, access resources, and get much-needed peer support. And healthcare facilities can get the staff they need to provide high-quality patient care.
From in-app shift scheduling to same-day pay to 24/7 support, connectRN offers nurses a modern, seamless, and stress-free experience. After all, thriving clinicians provide the best care.
Posted on October 28, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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NEWS FLASH!
Elon Musk, the richest person on the planet, is the CEO of the world’s most valuable automaker TESLA, heads up a $125 billion aerospace giant, and as of yesterday, is the owner of a social media company Twitter.
According to multiple reports, Musk closed the $44 billion deal last night, less than 24 hours before today’s 5pm ET deadline. He began his reign as “Chief Twit” by firing at least four executives, including CEO Parag Agrawal (who was reportedly escorted out of Twitter’s SF headquarters). Later today, Musk is expected to address anxious employees, who might be worried they’ll face the same fate as their former leader. Historically:
Musk acquired a large stake in Twitter and later signed a deal to buy all of it.
Then he tried to back out, citing bot issues, but Twitter sued him to enforce the agreement.
Musk blinked weeks ahead of a trial, and said he would buy Twitter.
Now What?
So begins Musk’s attempt to, in his words, “help humanity” by trying to turn Twitter into a “common digital town square.”
We know that Musk has ultra-ambitious goals for the company: 5x Twitter’s revenue by 2028, supercharge the subscriptions business, and turn Twitter into a super app called “X.” But murkier is the path he intends to take to get there, and he’s already sending mixed signals about his intentions. And what about doctors and the healthcare industrial complex? Will it remain the same or change?
History
Back in early 2014 the first list of the “Top 100 Twitter Accounts For Healthcare Professionals To Follow” was born. Then, the biggest social media-related question to hurdle wasn’t, “Who should I be following on social media?” but rather, “Should I even be on social media at all?”
Many years later, it’s safe to say that social media has firmly established itself in the healthcare industry. By finding healthcare Twitter accounts that are related to your specialty, you can have access to the best information and always remain within the loop.
But, with the Elon Musk takeover of Twitter, the medicine and healthcare accounts available may change, remain static or grow, and finding the most valuable medical accounts to follow has become more challenging than ever.
Today
Today, the question truly is, “Who should I be following?” Thankfully, you have been covered since 2020.
Fear of money: An abnormal and persistent fear of money. Sufferers experience undue anxiety even though they realize their fear is irrational. They worry that they might mismanage money or that money might live up to its reputation as “the root of all evil.” Perhaps they remember well the ill fortune that befell the mythical King Midas. His wish that everything he touched be turned to gold was fulfilled, and even his food was transformed into gold.
The fear of money is termed chrometophobia or chrematophobia, from the Greek “chrimata” (money) and “phobos” (fear). The “chrome” in “chrometophobia” may also be related to the Greek word “chroma” (color) because of the brilliant colors of ancient coins — for example, gold, silver, bronze and copper.
Posted on October 26, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
25% of Clinicians Want Out of Healthcare: Survey
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One quarter of U.S. physicians, advanced practice providers, and nurses are considering switching careers and one third are considering switching employers, according to newly released results from a survey conducted by Bain & Company. Below are some key takeaways from the survey and brief, which was released October 11th and can be found in full here.
1. Of the 25 percent of clinicians who are thinking about exiting healthcare entirely, 89 percent cite burnout as the main driver.
2. The top three things clinicians care about most in their profession are compensation, quality of patient care, and workload, according to the survey. Of those three, they are least satisfied with compensation (59 percent expressed satisfaction) and workload (60 percent). Eighty percent said they are satisfied with the quality of patient care.
3. Burnout shows up throughout clinicians’ days, with 63 percent saying they feel worn out at the end of the workday, 51 percent saying they feel they don’t have time and energy for family and friends during leisure time, and 38 percent feeling exhausted in the morning at the thought of another workday.
Posted on October 26, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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The personal savings of Americans have plunged this year, hitting $629 billion in the second quarter of 2022, according to the Federal Reserve Bank of St. Louis. That’s down from $1.98 trillion in the second quarter of 2021, and $4.85 trillion in the second quarter of 2020, boosted by COVID-related government cash. But it’s also down from $1.41 trillion in the second quarter of 2019, before the pandemic.
In fact, the personal saving rate — meaning personal saving as a percentage of disposable income, or the share of income left after paying taxes and spending money — fell to 3.5% in August, according to the Bureau of Economic Analysis. It’s quite a U-turn: The personal saving rate recently peaked at 26.3% in March 2021 and 33.8% in April 2020. But the drop in the personal saving rate isn’t all pandemic-related: In January 2020, before the coronavirus pandemic, it was 9.1%.
But, what about doctors and other medical professionals?
Posted on October 24, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
HAPPY DIWALI
By Staff Reporters
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Happy Diwali! Hindus, Sikhs, Jains, and Buddhists around the world will celebrate India’s “festival of lights” today. In a sign of growing recognition of the festival, New York City announced last week that Diwali will become an official school holiday.
Earnings: If earnings season were a music festival, the headliners are about to come onstage. Corporate titans Amazon, Microsoft, Apple, Alphabet, and Meta are among the ~150 S&P companies that will give financial updates this week.
Economic data: The US economy shrank during the first two quarters of the year. We’ll find out whether it grew again in Q3 when fresh GDP numbers drop on Thursday (it’s expected to have). Plus, the Fed’s preferred measure of inflation will be released on Friday.
Posted on October 23, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Forecasts Cognitive [Mental] Dissonance?
By Staff Reporters
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A Bloomberg economic model forecast a 100% chance of a US recession within 12 months
Jeff Bezos warned companies to “batten down the hatches” in response to Goldman Sachs’s CEO saying there’s a good chance we’ll have a recession.
Elon Musk guesstimated that we’re going to be in a recession “probably until spring of ’24.”
Gwyneth Paltrow said, “The economy sucks.”
BUT, Bank of America CEO Brian Moynihan (the one with the epic vocabulary) said that while analysts are warning of recession and slower spending, “We just don’t see [that] here at Bank of America.” Transaction volumes for its customers jumped 10% in September and the first half of October over a year earlier.
And, American Express’s CEO said, “We’re not seeing any changes in consumer spending” and predicted a strong holiday quarter for retail and travel.
United Airlines’s CEO is “so optimistic about 2023.”
Many business leaders are forecasting an economic downturn. But the execs who run travel and credit card companies say that shoppers aren’t pulling back spending at all.
It’s like Americans are watching the forecast call for thunderstorms but, seeing that it’s still sunny outside, are heading out to the waves to surf anyway.
Big picture: Recession fears are rising as the Fed raises interest rates to tame inflation that’s soaring at 40-year highs. While the definition of a recession is pretty broad, a slowdown in consumer spending would certainly be an indicator of one: It accounts for about 70% of the US economy.
Posted on October 18, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Dr. David Edward Marcinko MBA
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DEFINITION: A Colonoscopy and/or sigmoidoscopy are procedures that let your doctor look inside your large intestine. They use instruments called scopes. Scopes have a tiny camera attached to a long, thin tube. The procedures let your doctor see things such as inflamed tissue, abnormal growths, and ulcers.
EDITOR’S NOTE: The ME-P does not normally discuss medical or clinical matters. But, this report is noteworthy to all.
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About 15 million colonoscopies are performed in the US yearly as part of standard preventive care for adults over 45, but a new study has called into question whether all the footage from those tiny cameras is really necessary.
Over a 10-year period, people who had the screenings were 18% less likely to develop colon cancer than people who didn’t, according to the study in the New England Journal of Medicine. However, the risk of death from the cancer for both the screened and un-screened was about the same, hovering around 0.3%.
Posted on October 17, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Try (or learn about) Entrepreneurship
BY DR. DAVID EDWARD MARCINKO MBAMEdCMP®
One of the greatest things about the virtual economy is the expanded opportunity for people to branch out on their own and create something using their own expertise. Related to this is the growing societal desire to have more free time and a more balanced, efficient life overall.
In fact, years ago when I was in business school, I learned that during a recession when jobs were sparse – folks would either go back to school to re-engineer and re-educate OR start their own business.
Today – If the pandemic taught us anything, it’s that we need to be able to pivot when circumstances call for it. In the years ahead, there will be a premium on flexibility, portability, and improvisation; knowing how to earn income outside the traditional employer-employee relationship will continue to be an especially valuable skill.
ASSESSMENT: So, if you are a physician, nurse, medical professional or financial advisor in the healthcare space, think about what you’re naturally good at (or at least interested in), and determine if there’s an opportunity to monetize it in some way on your own. Your career might thank you for it!
Posted on October 17, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Entrepreneurs
By Dr. Jeffery Funk
All 12 Ex-Unicorn Deep Tech startups are unprofitable and another 20 privately-held #Unicorns appear to be far from profitability.
These 32 include biotech/health (12), AI/Big Data (8), sensors/AVs (4), wearables (3), satellites/space (2), and one for 3D printing, storage, and fuel cells. Of ex-Unicorns, 10 have losses greater than 30% of revenues.
My conclusion is fewer #breakthrough#technologies are coming out than decades before and ones coming out are taking longer to successfully commercialize. #AI/#BigData, sensors/#AVs, wearables, satellites, 3D printing, and fuel cells have all been over-hyped, their costs and performance are still disappointing, and their diffusion continues to be slow.
Overall, a successful example of a breakthrough #technology is hard to find since iPhone was introduced in 2007, other than OLEDs and solar cells. Yes AI, #EVs, drones, VR, AR, and IoT are diffusing and thus an analysis in 10 years might come to different conclusions, but for 2010s, there was little to commercialize. #innovation#ipo#ipos#venturecapital#vcs#vchttps://lnkd.in/gThUWFR
Posted on October 15, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Social Security’s payroll tax cap was raised nearly 9% for 2023, meaning more income will face Social Security taxes next year, but the rise is unlikely to affect the solvency of the trusts underpinning the system.
Citing the increase in average wages, the Social Security Administration said the maximum amount of earnings subject to the Social Security tax (taxable maximum) will increase to $160,200 from $147,000 starting in January. The announcement was part of the release of the cost-of-living adjustment, or COLA. The taxable maximum for 2021 was $142,800.
Citing the increase in average wages, the Social Security Administration said the maximum amount of earnings subject to the Social Security tax (taxable maximum) will increase to $160,200 from $147,000 starting in January.
Posted on October 15, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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This week the stock market was the opposite of a snoozefest, as economic data sent markets swinging wildly in both directions. The Dow closed higher for the week, but the S&P and NASDAQ closed in the red.
After another bad day as Tesla shares have now fallen 50% below their peak.
The Fedis investigating trades made by Atlanta Fed President Raphael Bostic during restricted periods, rekindling a controversy that has dogged the central bank. Bostic said that the trades were made by third-party managers and were not directed by him.
Trevor Milton, the founder and former CEO of electric automaker Nikola, was found guilty of fraud for lying to investors about the business.
Beyond Meatis cutting about 20% of its workforce, and its COO is leaving the company.
Decentraland, a metaverse company that sells virtual real estate, has just 8,000 daily users despite being valued at $1.2 billion.
Posted on October 14, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
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By Staff Reporters
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Stocks initially fell, and then soared.
Treasury yields rose, particularly on the short end of the curve.
The U.S. dollar declined as the British pound rallied for a second day amid speculation that the U.K. government may reverse course on its tax cut plan.
Crude oil prices reversed higher, and gold prices were lower.
Jobless claims accelerated more than expected.
Asian stocks moved broadly lower amid the inflation uneasiness, while European stocks ended the day in the green as the markets grappled with the potential tax-cut U-turn out of the U.K.
Posted on October 13, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Markets: The S&P 500 extended its losing streak to six days yesterday, notching its worst day since November 2020. But, Moderna did not contribute to the decline after news broke it will develop a cancer vaccine with Merck.
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The Social Security Administration is expected to announce a cost of living adjustment, or COLA, of at least 8% today amid a rising inflation rate that has been punishing for Americans on fixed incomes.
The annual adjustment is forecast to be the largest one-time increase since 1981, and the largest experienced by beneficiaries alive today. The nonprofit Senior Citizens League predicts an adjustment coming in at 8.7%, implying that Social Security recipients could see an increase of about $144 starting Jan. 1, 2023. The increase that took effect this year was 5.9%.
Posted on October 3, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Stock Market Last Week
The major indexes tried to bounce at various points last week, but ultimately fell solidly for the week, right at bear market lows.
The Dow Jones Industrial Average skidded 2.9% in last week’s stock market trading.
The S&P 500 index also retreated 2.9%. The NASDAQ composite lost 2.7%.
The small-cap Russell 2000 gave up 1.4%. For September, the Dow lost 8.8%, the S&P 500 9.3%, the NASDAQ 10.5% and the Russell 2000 10.1%.
The 10-year Treasury yield rose 11 basis points in the past week to 3.81%. The yield backed off after topping 4% early Wednesday morning, but rebounded from Friday’s lows. The 10-year Treasury yield has risen for nine straight weeks.
U.S. crude oil futures rose 1% to $79.49 a barrel in the past week, even with Friday’s 2.1% loss.
Posted on October 1, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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The US government votes to keep doing its job
President Biden signed legislation yesterday to fund the government long enough to keep the lights on through Dec. 16, averting a partial shutdown with the midterm elections looming.
The House passed the bill mere hours before a midnight deadline to keep federal agencies running (the Senate approved its version on Thursday). The legislation also lays out $18.8 billion for disaster recovery, including rebuilding after Hurricane Ian, and $12.4 billion to help Ukraine fight Russia.
Posted on September 28, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Everyone wants to be a doctor – or get paid like one!
[By Dr. David Edward Marcinko MBA CMP™]
Most regular ME-P readers and subscribers know that I am a Jaguar automobile fan. Except perhaps for a Bentley or Rolls Royce, I think that Jags are the finest mass produced luxury vehicles on the planet.
Backstory
My regular car guy, Jimmie the mechanic, was removing a cylinder head from a late model Jaguar sedan when he spotted a world-famous heart surgeon in his garage; we have many such dignitaries on this side of town.
In fact, it is called “pill-hill” around here, for the many hospitals, medical clinics and physician offices. The heart surgeon was waiting for the service manager to come and take a look at his car.
The Query
Jimmie shouted across the garage, ‘Hey Doc can I ask you a question?’
The famous surgeon, a bit surprised, walked over to him. Jimmie straightened up, wiped his hands on a rag and asked, ‘So Doc, look at this engine. I also can open hearts, take valves out, fix’em, put in new parts and when I finish this Jaguar will work just like a new one.’
Salary Comparisons
“So how come I work for a pittance and you get the really big money, when you and I are doing basically the same work?”
The MD’s Answer
The surgeon paused, smiled and leaned over and whispered into Jimmie’s ear: ‘Try doing it with the engine running.’
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Assessment
Of course this story is a classic; oft repeated ad nauseam.
Conclusion
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Posted on September 27, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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The term integrative medicine was born from combining the practice of so-called “conventional” medicine and “complementary medicine.” Conventional medicine is what most doctors practice. This is also called “traditional Western medicine.”
Adding “outside-the-box” treatments such as chiropractic care, acupuncture, and other lifestyle recommendations like improving diet, supplements, herbs, exercise, stress management, and functional specialty labs results in the actual integration of the two disciplines. And we need both.