✋ & Microsurgeon. Mayo Clinic, Rush & Brown. “I treat it like it’s my own hand” Opinions my own & this isn’t medical advice
Joined April 2015
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493 Photos and videos
Jun 13
Listen.
Everything is scary the first time you do it. Still do it.
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Jun 13
I hope everyone reads this, but I want docs to read the following :
If you aren't happy, the only place left to look is within yourself. The great gift of money is that it strips away every external explanation. What's left is you, and that is both terrifying and maybe the start of a really cool internal journey.
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Rob Gray🧢 retweeted
Jun 13
We love hearing when our crew goes above and beyond, thank your for sharing. We'll follow up with our leadership team for proper recognition. #AAteam
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Rob Gray🧢 retweeted
Jun 10
𝐓𝐡𝐞 𝐡𝐨𝐬𝐩𝐢𝐭𝐚𝐥 𝐥𝐨𝐛𝐛𝐲 𝐬𝐚𝐲𝐬 𝐩𝐡𝐲𝐬𝐢𝐜𝐢𝐚𝐧-𝐨𝐰𝐧𝐞𝐝 𝐡𝐨𝐬𝐩𝐢𝐭𝐚𝐥𝐬 𝐜𝐚𝐧’𝐭 𝐛𝐞 𝐭𝐫𝐮𝐬𝐭𝐞𝐝.
HCA paid a $1.7 billion fraud settlement.
Tenet paid $2.5 billion.
UHS paid $122 million.
That is $4.7 billion from three Federation of Hospital (FAH) board companies.
But sure.
The danger is the surgeon who owns the building.
ALT Pop-art comic image depicting the CEO of FAH at a podium saying “We don’t oppose physician ownership!” while hiding a red “BAN” stamp behind her back. A physician in a white coat holds keys beside a small physician-owned hospital, emphasizing the gap between public messaging and lobbying against physician-owned hospital competition.
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Rob Gray🧢 retweeted
Jun 6
“Patients go to providers for care. Providers provide that care. Patients get a bill and if they can afford it, they pay that bill. That’s it.”
It ain’t rocket science, friends.
You’ve been told healthcare is unaffordable. The wholly artificial market that has been created is unaffordable; but real care from real professionals is very much affordable.
Billionaire Mark Cuban Says Let’s Take Health Care Back to 1955 — ‘Patients Get a Bill and if They Can Afford It, They Pay That Bill’
barchart.com/story/news/2339…
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Jun 6
Facts. But the good news is this is why the robots won’t replace us. What company is going to build a machine that can replace a hip for $1k income, but $3M liability for each case?
Jun 6
All doctors are underpaid.
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Rob Gray🧢 retweeted
Jun 3
Here is a new case by Dr. Deana Mercer and the University of New Mexico @UNM.
SEGMENTAL METACARPAL FRACTURE FROM GSW IN 45M
How would you manage this #orthotwitter?
Vote on this case for CME: orthobullets.tiny.us/5hfn37k…
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Jun 3
Dutch is coming for it today!
Jun 3
You’re worried about the debt.
Fine.
Name the line item.
It’s healthcare.
It has always been healthcare.
The federal government does not buy healthcare like a market.
It buys healthcare like a Soviet planning committee with lobbyists.
CMS sets prices.
Congress creates carveouts.
HHS writes rules nobody understands.
Then every trade association in Washington shows up to turn one sentence into a billion-dollar reimbursement advantage.
Friends on Ways and Means?
Congratulations. You found margin.
Protected category?
Congratulations.
You found a moat.
Special payment model?
Congratulations. You found a taxpayer-funded annuity.
Everyone wants to argue about Medicaid fraud in California or Minneapolis because it makes for a clean villain.
The real villain is bigger.
It is the entire healthcare bureaucracy pretending central planning becomes moral because the acronym is federal.
Medicare and Medicaid keep growing faster than the economy.
Healthcare already consumes roughly a third of federal spending.
Zero out foreign aid.
Zero out culture-war nonsense.
Zero out half the things cable news screams about.
The debt still wins because the machine keeps writing healthcare checks nobody priced in a real market.
This is why every serious debt conversation eventually ends in healthcare.
Not tanks.
Not Iran.
Not some DEI grant your uncle found on Facebook.
Healthcare.
The deficit is a hospital bill with a flag on it.
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Let me reintroduce myself.
I was homeless as a kid. Lived in cars, shelters, on couches. Today I'm a robotic surgeon. But here's what nobody tells you: I became a doctor and was still broke. This is everything poverty never taught me about money — and how I figured it out.
The first time I felt truly helpless, I was a kid watching my mom have a seizure in the middle of the street. I couldn't do a thing. That feeling never left me.
So I made a promise: never be that powerless again. Naval Academy. Then med school. Then surgery. I learned to operate using robots. On paper, I'd made it.
Here's the part that makes no sense: Starting as a brand-new attending, I was a practicing physician and still broke. Barely keeping my head above water. What people don't understand is that a big income doesn't undo what growing up with nothing teaches you about money.
Nobody ever taught me how money actually works. Not in the shelters, not in school, not in medicine. So I taught myself. The hard way. Made every mistake on the list.
At my mother's funeral, I promised her I'd save as many people as I could. In the OR, I do it one at a time. This is how I save the rest — by handing you what I had to learn on my own.
So that's the deal here: money, life, and success for people who started with nothing. No shame for where you are. No guru act. If that's you — follow along. We're just getting started.
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Rob Gray🧢 retweeted
May 30
Life advice nobody told you: Violent consistency is the only path to achieve what you want.
It's not going to be pretty. It's not going to draw oohs and aahs from the crowd. Because it looks messy in the days. It's getting out of bed when you don't want to. It's sitting down at your desk when you're tired. It's pounding your head into a wall one more time. It's ugly. It's unimpressive. But it works.
Quantity is a necessary precursor to quality. You cannot create once and hope for it to be perfect. You have to create a lot. Every single day.
I recently came across a story in Art & Fear that I love:
A ceramics teacher split a class into two groups. One would be graded on the quantity of their output, the other would be graded on the quality of their output. On the final day, the first group would have their total output of pots weighed, while the second group would have one pot judged.
When grading day arrived, something fascinating happened:
"The works of highest quality were all produced by the group being graded for quantity. It seems that while the 'quantity' group was busily churning out piles of work—and learning from their mistakes—the 'quality' group had sat theorizing about perfection, and in the end had little more to show for their efforts than grandiose theories and a pile of dead clay."
Quality is a byproduct of quantity. Violent consistency. That's the real recipe.
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Rob Gray🧢 retweeted
May 25
Want to know the most valuable asset on a hospital’s campus or within an entire health system?
A physician’s signature.
The irony is that everyone knows it except the physician.
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May 24
This took me too long to understand. But it is the basis of all achievement
If you want to achieve any goal, you can't be the same person. Every new result you want to create has to come with a change in identity. Goals are just an upgraded version of your current self. Before setting any goal must ask who you must be to attain it, then go be that person.
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Rob Gray🧢 retweeted
May 22
Here is a clip from our latest episode of CoinFlips & Controversies, “Subacute Elbow Terrible Triad Fracture-Dislocation in 60F.”
Watch Drs. Hoekzema & Makowski, discuss “Using Intraoperative Fluoroscopy Instead of Staged Reduction for Chronic Elbow Dislocation."
Click here to learn more and watch their full webinar on Orthobullets: orthobullets.tiny.us/0522202…
#orthotwitter
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Rob Gray🧢 retweeted
May 22
I can't repeat this often enough.
Doctors can have anything they want, just not everything they want.
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Rob Gray🧢 retweeted
May 18
"Talent is god given, be humble.
Fame is man given, be grateful.
Conceit is self given, be careful."
-John Wooden
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May 18
This. Work can be a burden but it should be a gift.
May 18
I went to my uncle's funeral this weekend. He had a great life.
He was a fairly well-known researcher and his work had been cited over 450k times.
The most profound thing to me is even though he died in his mid-80s, my cousin found his laptop open to a word file with text for his next book that he was working on.
To be so excited about your work until the day you die is incredible and something he would’ve wished for everyone.
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Rob Gray🧢 retweeted
May 14
Here is a clip from our latest episode of CoinFlips & Controversies, “Subacute Elbow Terrible Triad Fracture-Dislocation in 60F.”
Watch Drs. Hoekzema & @robgraymd, discuss “Managing Chronic Elbow Dislocation with Instability, Fracture Fragments, and Nerve Risk."
Click here to learn more and watch their full webinar on Orthobullets: orthobullets.tiny.us/0514202…
#orthotwitter
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Rob Gray🧢 retweeted
May 13
Nobody told you this about success: Rent is due every single day. A lot of people seem to think that after you make it you can coast in the idyllic land of success. This is wrong. Every single day, you have to fight to earn your seat at the table. And that fight gets more intense as you have more success. You have more to lose. More mouths to feed. More people counting on you. More expectations. There's an old saying that I love: Every morning in the savannah, the gazelle wakes up and knows it must outrun the lion or be killed. The lion wakes up and knows it must outrun the gazelle or starve. Whether you're the gazelle or the lion, when you wake up in the morning, you'd better start running. Rent is due daily. Pay it with pride.
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Rob Gray🧢 retweeted
May 10
"One of the most beautiful things in the world is seeing a person who once had no confidence slowly begin to believe in themselves."
— Mike Tyson
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