Marco's Evening Report

Saturday, September 19, 2026 · 6:00 PM ET
Tonight: OFF · back Mon 6 PM

Second of two nights off, Marco — the Shapeoko sign-off is behind you and nothing is on tonight. Tomorrow is the Babylock embroidery class at 5 PM, then Monday starts a seven-night block, so Monday is your sleep-shift day. The one thing not to forget: set the fantasy lineup before Monday evening, because Nacua is questionable and his game locks at 8:15 PM while you're already on the floor.

1 · Tonight & Tomorrow

Tonight — Saturday

OFF

No shift. Second of two nights off. The next block starts Monday, September 21 at 6:00 PM at South Florida Baptist and runs seven straight nights through the morning of Monday the 28th.

Earlier today: Shapeoko Sign-Off, 10 AM–12 PM at Tampa Hackerspace.

Tomorrow — Sunday, September 20

One thing on the calendar

Shift status: OFF. Fantasy note below — the 1:00 PM games lock while you're awake for once, so you can watch the inactives yourself.

Next 7 days

Shift desk both weeks: Night Admit — Jessica, 4p–1a. Night Floor Calls — Cheryl, 1a–6a.

No red conflicts this week. Nothing of yours starts within an hour of a 6 PM shift or runs past it — Saturday the 26th is legal on paper, just brutal on sleep.

Next class: tomorrow (Babylock, 5 PM) Next first night: 2 days (Mon 9/21) Next wrestling: 7 days (All Out) RV due: log is empty

2 · Hackerspace

Class reminders

Waiting for you in Slack

Paula Sandusky posted the slide deck from Thursday's 3D printing class to the class group Friday night — "Printing at THS Slide Deck – Prusa Version," a PDF. Nothing needs a reply; worth saving into your iCloud Hackerspace/3D Printing folder alongside the sign-off reference.

Nothing else is addressed to you. No unanswered mentions or DMs.

Shop floor

Registration is always at member.tampahackerspace.com — a Slack announcement is not a seat.

3 · Ring Report

SAT26SEP
AEW · Pay-per-view
All Out: Chicago
8:00 PM ET · NOW Arena, Hoffman Estates, IL
HBO Max PPV · Prime Video · PPV.com
7days

Seven days out — and you're on shift for it

Bell is 8 PM, two hours into night 6 of 7. Plan on the replay.

Main event: Will Ospreay defends the AEW World Championship against Jon Moxley, 60-minute time limit, the rest of the Death Riders allowed at ringside.

Also announced: World Tag Titles in a three-way ladder match — Cope & Christian Cage (c) vs FTR vs The Young Bucks. World Trios — Swerve Strickland & The New Level (c) vs Hangman Page & Brodido. International — Okada (c) vs Ciampa. Women's World Tag, Chicago street fight — The Brawling Birds (c) vs Devine Dominion.

Added since the last check: Thekla vs Willow Nightingale to decide the #1 contender for the Women's World Championship — Mercedes Moné is not medically cleared, so the winner challenges her at WrestleDream in October. Darby Allin & Steven Borden vs Kyle Fletcher & Kevin Knight is set as a tag-title contenders match.

Card & event page · Updated lineup

Nothing else inside 14 days. Next after All Out: WWE Money in the Bank, Saturday October 10, New Orleans, card TBA.

4 · RV

The maintenance log is still blank — no odometer, no generator hours, no "last done" dates — so there's nothing to compute against. Ten minutes on a day off would turn this section on permanently: current mileage, current generator hours, and whatever you remember about the last oil change and tire check.

One open loop worth closing: the generator work booked for Tuesday, September 8 — carburetor, fuel injector, oil and filter — is still sitting in the Planned table as "planned." If it happened, log it with the gen hours and it becomes your baseline for the 100-hour interval.

Tropics: nothing to prep for. The only Atlantic system is Tropical Depression Six, several hundred miles southwest of the Azores, and the Hurricane Center says no further formation is expected for seven days.

5 · Training

No training on the calendar this week.

6 · Fantasy Football

LordHaveMRSA · Daily Report fantasy.mperez827.workers.dev

Week 2: LordHaveMRSA (0-1) vs Team chaseelson30 (0-1). You're behind −0.10 to 17.20 on Thursday's game alone; projections have it 94.13 to 110.07, win probability 35%.

Lineup: Nacua is questionable — your highest projection at 20.14, and he locks Monday 8:15 PM, along with Kyren Williams and Skattebo. That's mid-shift on night 1, so decide before you leave the house Monday afternoon. D. Moore is listed OUT but already played Thursday, so that slot is spent; he's a Week 3 problem, not tonight's.

Waivers: clear Wednesday 9/23 at 3:00 AM — you'll be on night 3. Bids have to be in Tuesday evening. About $94 of FAAB left, waiver priority 9.

The standing hole: still no backup quarterback behind Maye, whose bye is week 11. Free agency is open and adds process instantly — Geno Smith (bye 13), Aaron Rodgers (bye 9), Malik Willis and Carson Wentz (both bye 6) were all unrostered tonight. Smith or Rodgers costs nothing but a bench spot.

Your own daily page has the deeper read on this week — Moore's AC joint sprain is day-to-day with a real chance at Week 3, and it makes the case for handcuffing Keon Coleman off waivers.

7 · Medicine Desk

Update · measles

Pennsylvania is now at 767 cases across 38 counties

What happened: The Pennsylvania health department's statewide update, posted Friday afternoon, put the outbreak at 767 confirmed cases in 38 counties, up from 693 a week earlier; the state held 11 pop-up clinics in two days and gave more than 400 MMR doses.

Why it matters to you: This is the state-level number last night's report said would become the only real picture, now that the federal dashboard counts deaths differently — and it is still climbing by roughly seventy cases a week.

Do this: Keep treating fever-plus-rash in any adult as airborne until proven otherwise — mask and isolate at the door, before the history.

Pennsylvania Department of Health, Sept 18

Respiratory season

The season hasn't started yet — except for COVID and strep

What happened: The CDC's Friday respiratory update says the amount of illness sending people to care is very low, flu and RSV are both low, but COVID activity is elevated and rising nationally, and rhinovirus/enterovirus and group A strep are increasing.

Why it matters to you: For the next few weeks an older patient arriving overnight short of breath is more likely COVID or a bacterial pneumonia than influenza, so empiric oseltamivir is mostly wasted and a strep-positive pharyngitis in an adult is worth taking seriously rather than filing as viral.

Do this: Keep COVID on the front of the respiratory panel for admissions this month, and don't let a low flu number talk you out of testing when the story fits.

CDC Respiratory Illnesses Data Channel, as of Sept 18

8 · The Debate

Should Congress change how Medicare's own advisers measure Medicare Advantage overpayments?

Why it's live: On Friday the HHS inspector general released two audits finding that HumanaChoice and UnitedHealthcare of Wisconsin submitted diagnosis codes their own medical records didn't support — roughly $180 million in extra payments across 2020 and 2021 once the sample was extrapolated to the full contracts. Both insurers called the methodology flawed and said they won't return the money. Two days earlier, House Ways and Means Republicans advanced the Apples to Apples Comparison Act on a party-line vote, which would change how the Medicare Payment Advisory Commission studies Medicare Advantage spending. MedPAC currently estimates Medicare pays 14% more per Medicare Advantage enrollee than it would in traditional Medicare — about $76 billion a year.

Change the comparison

Rep. Aaron Bean, one of the bill's sponsors: "When the Medicare Payment Advisory Commission (MedPAC) compares apples to oranges, policymakers are left in the dark."

The case: MedPAC's headline number stacks a managed population against unmanaged fee-for-service without adjusting for who enrolls in which, so the "overpayment" partly measures a difference in populations, not in billing. A coalition of 22 groups organized through AHIP, the insurers' trade association, argues the comparison should be standardized before Congress legislates off it. On the audits specifically, a federal court already vacated the rule that let CMS extrapolate from a sample to a whole contract, in a case Humana brought — so reading $180 million out of 250 sampled enrollee-years is exactly the method a judge threw out.

Leave the math alone

Paul Ginsburg of the USC Schaeffer Center, in comments filed on the bill, warns it would undermine MedPAC's ability to give Congress independent advice by legislating analytic results more favorable to insurers.

The case: MedPAC is nonpartisan and reports to Congress precisely so that the payment math isn't written by the people being paid. If the methodology is wrong, the remedy is a better method argued in public, not a statutory instruction to produce a friendlier figure. And the audits aren't a modeling dispute — for HumanaChoice, records failed to support 178 of 250 sampled enrollee-years; for UnitedHealthcare of Wisconsin, 183 of 250. Sampling is how every other Medicare audit works.

Where it lands: The bill cleared committee, not the House, and CMS's appeal of the extrapolation ruling is still pending — so neither the number nor the clawback authority is settled. For a hospitalist the downstream question is the one that reaches the floor: risk-adjustment pressure is why documentation queries keep arriving about diagnoses you didn't treat.

Sources: Healthcare Dive on the OIG audits · STAT on the committee vote · USC Schaeffer comments · AHIP coalition letter

9 · World & Screens

Cuba — the national grid collapsed again Friday afternoon, the island's seventh major blackout this year and the twelfth since late 2024; the utility blamed a transmission-line failure in the west made worse by unstable weather. By Saturday 48% of Havana customers were back on. An independent study released this week by the Christian Center for Reflection and Dialogue puts 66% of Cubans below the poverty line, up from 45% in mid-2025. (AFP, AP)

Puerto Rico — quiet. The grid is carrying no reported outages tonight, a week after the double generation failure. Nothing new from mainstream outlets.

Iran / Gulf — nothing significant since last night. Al Jazeera has published no new item on the war in 22 hours, and the fire pause — no Iranian missile at a host state since the night of September 8–9, no drone attack in nearly two weeks — is now the longest stretch of the resumed war.

Tropics — Tropical Depression Six formed today several hundred miles southwest of the Azores. Nothing else, and the Hurricane Center expects no further formation for seven days. (NHC, 2 PM Saturday)

Screens — Jay-Z in 8 landed on HBO Friday — Rick Rubin directing, an extended conversation with Jay-Z around the 30th anniversary of Reasonable Doubt. Reviews are thin this early, but it's the kind of thing that survives a post-shift afternoon.

Background / already covered