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Harry Giles @Beandoc2

Nephrologist (kidney doc) with a passion for kidney advocacy and especially home dialysis nephrologypc.com United States Joined June 2019
  • Tweets
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  • Followers
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Harry Giles @Beandoc2

a day ago

@skdh It is mostly bewildered amusement.

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Harry Giles @Beandoc2

a day ago

@BrentAWilliams2 If Idiocracy was research this would be it.

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Harry Giles @Beandoc2

2 days ago

@eric_weinhandl The character development is good but I just feel like the plot never went anywhere.

Harry Giles retweeted
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Forest Park Pharmacy @ForestParkPharm

3 days ago

My wife and I own Forest Park Pharmacy, and we don't accept insurance. None of it. That decision is exactly why we could fix what happened to a patient today. A family came in wanting to transfer their kid's antibiotic to us. The child had already STARTED the course. Then, mid-treatment, the insurance company decided the last 14 tablets suddenly needed a "prior authorization" before the other pharmacy could hand them over. A sick kid, halfway through an antibiotic, and the answer was "please hold." The drug is linezolid. It's a generic. It's been generic for over a decade. It treats serious gram-positive infections — the kind you do NOT want to stop antibiotics in the middle of, because an interrupted course is how you breed resistant bugs and end up right back where you started. So why the hold-up on a cheap, common generic? Follow the fake math. Insurance and the PBMs behind them price drugs off a number called AWP — "Average Wholesale Price." People in my industry have another name for it: "Ain't What's Paid." It's a benchmark number, not a real-world cost. On paper, the AWP for just those last 14 tablets is about $2,500. My cash price for the same 14 tablets? $18. Read that again. The system that's supposedly "protecting" this family from cost is the same system that inflated an $18 medication into a $2,500 line item, then slapped a prior auth on it to "review the expense" THEY invented. They manufactured the problem, then billed everyone for the privilege of solving it — and made a sick kid wait while they did it. This is the whole game. When a drug is priced honestly, there's nothing to "manage." When it's priced off a fantasy benchmark, you get spread pricing, PA paperwork, pharmacy phone trees, and delayed treatment — all dressed up as cost control. Here's the part nobody tells you: roughly 90% of prescriptions are low-cost generics. For the vast majority of what people pick up every day, running it through insurance does two things — raises the real cost and risks delaying your care. That's it. That's the value-add. That's why we fired the insurance companies. No middleman deciding your kid can't finish their antibiotics on schedule. No fake prices. Just the real number, on the shelf, today. The medication was always cheap. The insurance was the expensive part.

Harry Giles retweeted
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Dutch Rojas @DutchRojas

3 days ago

Every healthcare headline is now the same story: Government underpays. Hospitals overcharge. Insurers deny. Employers absorb. Patients finance. Physicians get blamed. And somehow the solution is always giving more power to the people who built the maze.

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Harry Giles @Beandoc2

5 days ago

@eric_weinhandl This will be of interest to the Museum of Pharmaceuticals.

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Harry Giles @Beandoc2

7 days ago

@DirtyTesLa I absolutely would love a remember my route option. And remember my parking option.

Harry Giles retweeted
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Casanova Lab @casanova_lab

2 weeks ago

THIS IS THE BEST PAPER OF 2026 SO FAR, A MONUMENTAL BREAKTHROUGH, A REVOLUTION IN THE FIELD OF INFLAMMATORY CONDITIONS: Interleukin-10 Autoantibodies and HLA-DRB1*01:03 in Inflammatory Bowel Disease | New England Journal of Medicine nejm.org/doi/10.1056/NE…

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Harry Giles @Beandoc2

2 weeks ago

@STzorfas I refer to it as e-vomit.

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Harry Giles @Beandoc2

3 weeks ago

@CaseyMattox_ Just flew from LHR to ATL yesterday and checked bags now go all the way through to your final destination. In addition to London this also applies to Seoul, Korea. It definitely saves a lot of time.

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Harry Giles @Beandoc2

3 weeks ago

@DutchRojas Absolutely this

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Harry Giles @Beandoc2

4 weeks ago

@rhensing Using FSD for about 90 percent of driving now, The increase in relaxation has been wonderful. It’s a game changer. This is despite FSD being imperfect.

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Harry Giles @Beandoc2

4 weeks ago

@DrNeilStone I love your advocacy and you would be missed.

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Harry Giles @Beandoc2

a month ago

@rbarbosa91 I'm not sure the system is culling out those we don't need so much as crushing those we do.

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Harry Giles @Beandoc2

a month ago

@WifeDirtyTesla I have had lots of mild brake stabbing on 14.3.2. Not as bad as you though but very noticeable. No attention monitoring issues.

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Harry Giles @Beandoc2

a month ago

@EPotterMD That’s pretty cool!

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Harry Giles @Beandoc2

a month ago

@kevin_nealon It’s good to see he was rehomed.

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Harry Giles @Beandoc2

a month ago

@skdh Congrats Sabine!

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Harry Giles @Beandoc2

2 months ago

@Papa_Heme Completely agree. At least user engagement is going to be plummeting.

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Harry Giles @Beandoc2

2 months ago

@AlexAhmedMD @MaxJordan_N Fair point.

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