Good morning, 66.1ers. 

A few of you had thoughts/feedback/questions when I told you I was sleeping with packing tape on my mouth last month. Thanks for that. Now that I’m a couple of months in to this experiment, a few things that you might find interesting or helpful:

  1. I wake up less often at night
    3 months ago, I would wake up 2+ times at night, hit the bathroom, go back to sleep.
    We’re down to 1 wake up per night.

  2. I seem to need less sleep
    More energy, easier to focus.
    Happens in 7 hours/night instead of 8+.

I don’t have a Whoop/Oura/Apple Watch/other tech thing to tell you my sleep score. Don’t want one. Maybe that invalidates my qualitative report. But I’ll keep taping my mouth. Will LYK when I re-draw my labs to see if the science actually supports what I’m saying.

No matter. None of this is medical advice. If you want to tape your mouth, ask your doctor first!

You’ve heard about Jen Stevane before. She’s a surgeon trying to make the world a better place for surgery patients. Did you know that there are 39 million people in the US every year who need what she does?

Last one? 

Big-picture observation. Thought that maybe it’s just where my own curiosity is leading me, so I Googled it. Sounds like it’s real. Doctors are leaving hospitals and big institutions. “chronic overwork, moral injury, and administrative burdens” are the explanations. No need to unpack all those, but it makes me wonder: 

-How will medicine look in another 10 years if more than one-third of doctors stop playing doctor in the traditional sense? 

-If more doctors don’t work for a big hospital system, what does this mean for insurance coverage?

-A friend predicted yesterday that, “cash pay clinics are the future”. Maybe?

Other thoughts? I’ll be here if you want to hit “reply”. 

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