Manan Shah
@MananShahmd
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Acquired an old medical practice. Scaled it nationally at https://t.co/sFDdNZnIMw (YC W21) Tweet about building a healthcare startup, allergies, ENT
Fix your allergies for life
Joined April 2014
Starting a healthcare company sounds like ‘changing healthcare’ but often means answering the phone yourself, learning graphic design, and packaging and mailing stuff to patients yourself.
@telmudic @ESYudkowsky A nontrivial part of the value of YC is that we give people a high-status brand under which to do low-status things. Being able to tell your parents "I got funded by YC" gives you cover to do things that don't scale.
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Pilots have the strictest regulations around meds they can take. Makes me feel safe. But sucks when they’re sick and you’re like 🤷🏽♂️
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@DrDeepMD it’s funny how specialists get paid to do consults so should want them- but our hyper malpractice avoidance world just makes consults ridiculous and wasteful
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New strategy to avoid consults just dropped.
There’s a new cardiologist my hospital that writes his progress notes in Comic Sans and it drives me nuts.
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10% of family docs are direct pay? Bullish on concierge/cash pay. But bummed watching docs *have to* opt out of our national healthcare system
About 9 percent of family physicians reported that they were operating in a direct primary care practice, according to a 2023 survey by the American Academy of Family Physicians, up from 3 percent in 2022. I spoke with Ann Carrns at the @nytimes about how patients can now use
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This applies to healthcare Insurance isn’t ‘free’ but when it’s mandated, it suddenly becomes more expensive. As a doctor, I want everyone to have insurance as a human. But as a consumer, my family is frustrated at the premiums.
Here’s what I think will happen in NYC under Mahdami. The free buses and government grocery stores won’t happen, they never do. They sound good during campaigns, but collapse under basic math. You can’t run a city on ideas that cost billions and produce no revenue. The only way
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By rough calcs I have had about 40-50,000 patient interactions in my 12 years of medicine. Being a doctor is like reading 50k biographies. You see a lot of life.
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Docs cutting out the middle man and treating patients directly! You love to see it
I’ve decided to open my own affordable neurology practice in Hampton Roads—no insurance, just care. I’ll also work with local clinics to serve Medicare/Medicaid patients. If a billion-dollar health system wants to sue me for helping the poor, that says it
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VCs backing GLP CO’s: 😬 Everyone else: 🎉
Here we go. The White House is close to $149 a month GLP-1 coverage. We're on the verge of crushing healthcare costs and eliminating obesity and chronic disease.
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Neighbors used candy as ad platform for their small businesses. Understand the hustle- but it’s Halloween guys. Let the kids be kids.
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Sorry you missed your kids Halloween parade cuz we OR starts at 7:30 Here are some stale donuts for ‘staff appreciation’
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Healthcare makes it easy to buy pills. It’s still terrible at helping you get better. That’s what cousins @aakashdotio and @MananShahmd set out to fix with @wyndlyhealth. Allergies affect 100M+ Americans and the number’s only growing. Most treatments just suppress symptoms.
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Thank you @NYUDocs on SiriusXM doctor radio for having me! So much fun to talk allergies, ENT!
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Weirded allergy fact to date.
I learned that a significant percentage of the population, particularly in the southeast US (and Martha’s Vineyard), are allergic to cetuximab. This is because it contains the alpha-gal structure, and allergy can be triggered after being bitten by a lone-star tick.
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This is what we may be heading towards in the US. There are theoretical pro’s such as lower costs but I worry that the unintended consequences will lead to a worse system than what they already have. Many such cases.
Giving the gov even more control over doctors is going to be the death knell for high quality physicians in Quebec. Time for those physicians to move to other provinces or countries. https://t.co/TBytukt0DP
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This paper Adam cites is interesting. You get what you incentivize. US is better at cancer- because we incentivize cancer therapeutics. We’ve all paid cardiologists and across the world heart disease deaths have dropped.
True that life expectancy is determined by many things other than healthcare. Things like poverty, that we don't do a great deal addressing here either. But healthcare does make a difference — & notably we ALSO have higher mortality from causes potentially amenable to treatment
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👇 this! The twitter bros screaming ‘doctors don’t make you healthy’ are *missing* the point of doctors.
By and large, the proper role of doctors is to cure disease, fix injury, and enable people to be healthy. Doctors can't make you healthy. You have to do that yourself.
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For intellectual honesty- worth posting this article that explains well why the famous graph of admins to providers isn’t accurate.
FYI: Admin costs *are* up, but not 5,000%, more like a bit over 100%, which makes total sense because things like IT staff didn't exist in 1970 and now they're ubiquitous. Go read:
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The funniest part of this is ENT is basically same area as dentistry - we just also do boogers.
I’ve never understood why dentistry isn’t covered by health insurance. Like did all the insurance execs get in a room and decide “Hey, why don’t we take care of every part of the human body except teeth”?
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Literally switched from a building phase to a maintenance phase Young —> old. Doesn’t bode well.
In 35 years we flipped the US map from manufacturing being the largest employer in most states to healthcare being the largest employer. Absolute shit trade. We need to flip the map back.
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Again- this is why direct care can often be cheaper than through insurance. When you’re paying 2x for the same surgery at the local University hospital compared to the local private office it isn’t for better care, it’s for more admins.
Admin costs in healthcare are growing at a faster pace than direct patient care costs
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