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Cake day: June 5th, 2025

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  • Nearly half of all patients with heart failure have a normal ejection fraction (EF). The prevalence of this syndrome, termed heart failure with preserved ejection fraction (HFpEF), continues to increase in the developed world, likely because of the increasing prevalence of common risk factors, including older age, female sex, hypertension, metabolic syndrome, renal dysfunction and obesity. However, we should be aware that the president’s ejection fraction has not been disclosed, nor has his BNP, Creatinine & GFR (or troponins/EKG). When was his last ECHO and Stress Test???










  • I just listened to a news/information show regarding studies done on millennial and GenZ that found 4/10 of this cohort also worked a side gig in order to hedge against layoffs. Often, many of these side gigs are not glam type… like influencers etc. Many of these jobs are like working in service – nannys, retail, food service – stuff that can’t be replaced by AI or a remote offshored employee. So this report was on NPR today…



  • My grandfather only lived to be a father because of the polio vaccine. Even my stepmother had polio in the fucking womb… it ate her kneecaps… she became a dancer to build leg muscle strength. My family has a valid, empirical respect for vaccines. I am a nurse and when I was young, I passed on the flu shots… until I got the flu… and found out what that hell was, I wasn’t sure if I would survive it. After that, I will get every flu shot offered, I take every Covid Booster, I go the shingles vax and next year, I will be eligible for the RSV shot. I am getting them all, like Pokeman.