Marco's Evening Report

Sunday, September 13, 2026 · 6:00 PM ET
Tonight: ON · night 7 of 7 — last one

Last night of the block, Marco. Seven straight, and after 6 AM tomorrow you're off until Monday the 21st — a full seven nights. Start the flip back to days tomorrow morning rather than sleeping the whole day away, because Tuesday through Saturday you have four hackerspace classes stacked up.

Tonight: Jessica on admits until 1 AM, Cheryl on floor calls after. Triplemanía Night 2 goes on at 10 PM while you're working — it's free on YouTube, so catch it tomorrow.

The one thing: you're off Tuesday night, which means Wednesday's 3 AM waiver run is the first one all season you're actually awake for. Put in a FAAB bid for a backup quarterback before then.

1 · Tonight & Tomorrow

Tonight — Sunday

ACH Night Shift · 6:00 PM – 6:00 AM — South Florida Baptist Hospital, Plant City.

Night admits: Jessica, 4p–1a · Night floor calls: Cheryl, 1a–6a

Night 7 of 7 — last one. Plan the flip back to days before you crash tomorrow morning.

10:00 PM — Triplemanía 34, Night 2 from Arena CDMX, free on YouTube. You'll be mid-shift; see Section 3.

Tomorrow — Monday, September 14

OFF. Nothing on any calendar. First day of a seven-night stretch off.

Back on nights Monday, September 21 at 6 PM.

Next 7 days

Mon 9/14 — nothing scheduled. Off.
Tue 9/15 — Basic Woodshop Safety, 7–9 PM, Tampa Hackerspace.
Wed 9/16 — 3D Printing: Models and Slicers, 7–9 PM, online (no drive). Fantasy waivers clear 3 AM.
Thu 9/17 — 3D Printer Orientation, 7–9 PM, Tampa Hackerspace.
Fri 9/18 — nothing of yours.
Sat 9/19 — Shapeoko Sign-Off, 10 AM–12 PM, Tampa Hackerspace.
Sun 9/20 — nothing scheduled. Last night off.

No conflicts with your own commitments this week — every class falls inside the seven nights you're off.

Next class: Tue 9/15 — 2 days Next first-night: Mon 9/21 — 8 days Next wrestling: tonight, 10 PM ET RV: log still empty

2 · Hackerspace

Four classes in five days, all inside your week off. This is the busiest hackerspace stretch you've had since joining.

  • Basic Woodshop Safety — Tuesday 9/15, 7–9 PM, in person. 2 days out. This is the gate for the woodshop; nothing else there opens until it's done.
  • 3D Printing: Models and Slicers — Wednesday 9/16, 7–9 PM. 3 days out. Online, already registered — no travel.
  • 3D Printer Orientation — Thursday 9/17, 7–9 PM, in person. Pairs with Wednesday's online class: theory Wednesday, machine Thursday.
  • Shapeoko Sign-Off — Saturday 9/19, 10 AM–12 PM, in person. The CNC sign-off. This is the one that unlocks the aluminum work for the slide-out kitchen.

Reminder: an entry on your calendar is not a seat. Registration lives at member.tampahackerspace.com, and no-shows are the space's biggest complaint — cancel early if the flip back to days goes badly.

Slack

Slack couldn't be read tonight — the browser on the garage Mac was reachable, but the Slack domain was refused in this unattended run. No direct asks, new class postings, or shop-channel activity were checked. Everything above is from your calendar only.

Worth a manual scroll through #meetup-announce and your Activity tab this week, especially for a welding class — none has been posted in weeks, and that's still the standing gap.

3 · Ring Report

Tonight · Day-of

AAA — Triplemanía 34, Night 2

10:00 PM ET · Arena CDMX, Mexico City · Free on YouTube (plus Facebook outside Latin America; FOX in LatAm). WWE-produced.

Why it matters this year: the main event is Dominik Mysterio defending the AAA Mega Championship against El Grande Americano — the first time WWE has run AAA's biggest title match on its own production, in AAA's home building. Night 1 ended with Omos reinstated after beating Rey Mysterio and then putting him through the commentary table on a stretcher, which leaves the Mysterio story hanging directly over tonight's card.

Also announced: Flammer defends Reina de Reinas against La Catalina (Roxanne Perez won Night 1's four-way and is next in line); Rey Fénix defends the Cruiserweight title in a four-way with Nathan Frazer, Jack Cartwheel and Mini Vikingo; Psycho Clown vs. El Carnicero in a Mexican street fight; War Raiders open challenge; the 14-man Copa Bardahl cibernético.

You're on shift from 6 PM. It's free and stays up — watch it tomorrow on your first day off. Raw comes from the same building Monday night.

AEW — All Out: Chicago

Saturday, September 26 · 8:00 PM ET · NOW Arena, Hoffman Estates, IL · PPV, HBO Max / Prime Video / PPV.com. 13 days out.

Announced so far: Jon Moxley vs. Will Ospreay for the AEW World Title; a three-way TLC for the tag titles with Copeland & Christian Cage, FTR and the Young Bucks; Hayter & Windsor vs. Bayne & Kross in a Chicago street fight for the women's tag titles. Rest of the card TBA.

Heads up: September 26 is a shift night — you're on at 6 PM, so an 8 PM PPV is a full conflict. Worth deciding now whether you're buying it to watch on the back end.

Next after that: WWE Money in the Bank, Saturday October 10, 7 PM ET, New Orleans — card TBA.

4 · RV

The maintenance log is still empty — no odometer, no generator hours, no last done dates — so nothing can be computed as due or overdue. One sitting with the rig and the file fixes it permanently, and you have seven days off starting tomorrow.

Open item: the generator work scheduled for Tuesday, September 8 (carburetor, fuel injector, oil and filter) is still marked planned. If you did it, log the parts, the generator hours and the cost. If you didn't, this week off is the window.

While you're out there: the 30-day items — generator exercise under load, tire pressure, house battery check — have no recorded date either, which most likely means they're all due.

No tropical threat to prep for. See Section 9.

5 · Training

No training on the calendar this week.

6 · Fantasy Football

DH_250_18 · LordHaveMRSA · Week 1

Matchup: down badly. You're at 94.52 against Heisenberg's 134.90, and his whole roster is final. Skattebo is your only man left (Sunday 8:20 vs. DAL, projected 15.2). You'd need about 40 from him. Sleeper has you at 1%.

Lineup: clean — nobody out, doubtful, questionable, or on bye. Nothing to change before Skattebo locks at 8:20 tonight, which is mid-shift anyway.

Waivers — this is the action item. FAAB claims clear Wednesday 9/16 at 3:00 AM ET, and for once you're off that night. You still have no backup quarterback behind Maye, who threw three interceptions in a loss Thursday. Available on waivers now, with their bye weeks: C.J. Stroud (HOU, wk 8), Cam Ward (TEN, wk 9), Geno Smith (NYJ, wk 13), Kirk Cousins (LV, wk 13). You have the full $100 budget and waiver priority 9 — a small bid on one of them this week costs you nothing you're using.

7 · Medicine Desk

A new spinal muscular atrophy drug that works on muscle, not the gene

What happened: On Friday the FDA approved Isembyld (apitegromab), the first drug for spinal muscular atrophy that targets the muscle itself rather than the underlying genetic defect — it blocks myostatin, the protein that puts the brakes on muscle growth, and it's given on top of the treatment the patient is already on, for anyone age two and up.

Why it matters to you: Adults with spinal muscular atrophy now show up with a third drug on the list, and the ones you admit at 2 AM for pneumonia or respiratory failure are exactly the patients whose families will be tracking every infusion.

Do this: When you take a home med list from an SMA patient or family, ask specifically about infusions — this one is added to their existing therapy, not swapped for it, so it's easy to miss when someone names only the drug they've been on for years.

Approved and announced Friday, September 11 — a day before the last report and not covered then. STAT · company release

Otherwise

Quiet weekend. Nothing new published since last night's report that changes how you admit, treat, or discharge an older inpatient. Four items that surfaced in searches were dropped as too old for the window — see Section H.

8 · The Debate

Should Medicare cut what it pays hospitals for 340B drugs by a third?

Why it's live: Medicare's proposed 2027 outpatient rule would slash payment for drugs bought through the 340B discount program from average sales price plus 6% to ASP minus 33.4% — about $4.85 billion in 2027 — and speed up the clawback of past overpayments so it finishes in 2029 instead of 2041. The comment period has closed and the final rule is pending. Separately, HRSA has said it will decide by September 24 which manufacturers may run rebate programs instead of giving the discount up front. Both land on hospitals like the one you work in.

For the cuts

CMS says its own acquisition-cost survey shows hospitals buy these drugs for far less than Medicare pays, and that the gap is a windfall rather than a discount passed to patients. The Paragon Health Institute, whose president Brian Blase filed a public comment supporting the rule, casts 340B as a program that grew far past its original purpose of helping safety-net clinics and now subsidizes large hospital systems' outpatient expansion — the same argument driving the parallel push to pay the same rate for the same service regardless of where it's delivered.

The rule "advances 340B payment reform, site neutrality, and program integrity."

Paragon Health Institute, public comment on CMS-1850-P.

Against the cuts

The American Hospital Association calls this a continued assault on 340B and argues the savings are what keep charity care, medication assistance and unprofitable service lines alive at hospitals that treat a lot of uninsured and Medicaid patients — and that taking $4.85 billion out in one year, while accelerating recoupment, is more than a rate adjustment. Hospital groups have told CMS the cut is "straightforwardly unlawful" and have signaled litigation. On the parallel rebate pilot, AHA president Rick Pollack said the agency "dramatically understates the true costs of this program" and that AHA is weighing "all available options."

The analysis ignores "hundreds of millions of dollars in compliance expenses, cash-flow disruptions and operational burdens."

Rick Pollack, AHA, statement of July 31, 2026.

Where it lands: Both sides agree Medicare currently pays more than hospitals pay. They disagree about what that margin is for — an unintended overpayment to be recovered, or the informal financing that props up services no one else pays for. Nobody in the fight is proposing to replace the money if it goes. The final rule is the next thing to watch, with the HRSA rebate decisions on September 24 just ahead of it.

Sources: AHA statement (7/31/26) · HFMA on the 2027 OPPS rule · Paragon public comment · Fierce Healthcare

Note: the freshest on-the-record quotes from both sides are from late July and the just-closed comment period rather than the past seven days — the fight is live, the statements are dated.

9 · World & Screens

Iran / Gulf. An Iranian commercial vessel was struck near Qeshm Island in the Strait of Hormuz late Saturday, killing one and injuring four, per Iranian state broadcaster IRIB. The talks in Oman on coordinating shipping through the strait — scheduled for today — were postponed; Omani foreign minister Badr Albusaidi said it was "in the interests of consensus." In Yemen, the government's air force says it hit Houthi vehicles around Dhubab and Mocha as fighting for the Bab al-Mandeb coast continues. (CNN 9/13 · Al Jazeera live 9/13)

Puerto Rico. Update: the Costa Sur trouble got worse, not better. LUMA warned Saturday of a "high probability" of load shedding at peak, with Costa Sur units 5 and 6 and AES unit 1 all out — roughly 2,495 MW available against 2,950 MW of demand. Extreme heat is driving the peak; deferred maintenance on an aging thermal fleet is driving the shortfall. (El Nuevo Día)

Cuba. Nothing new from mainstream outlets since Friday's reported ~2,000 MW peak shortfall.

Tropics. A trough in the central subtropical Atlantic has disorganized storms and upper-level winds are hostile for now — 0% through 48 hours, 20% through seven days, and it's tracking west-northwest well out to sea. Nothing in the Gulf or the Caribbean. No RV storm prep needed. (NHC 9/13)

Screens. Nothing new worth queuing since Friday. Slow Horses season 6 lands Wednesday the 16th — you're off, and it's the one you said you'd wait for.

Section H — Background / Already covered