An honor to meet @ritchietorres.bsky.social An advocate that shows you can
- fight antisemitism
- condemn terrorism
- support Israel, while
- opposing Fascism
- love our diverse country, and
- say NO MORE KINGS

Healthcare involves many difficult unsolved problems.

VC thinks they're smarter than everyone else and they can do more with less.

When they run the ship into the ground, à la red lobster, you discovery they were actually doing less with less.

Dude, this is fantastic. I specifically read this to see -if- you would talk about Brady indications... not only -did- you, but the section is excellent.

a man in a suit is drinking from a cup that says ' mrs. pepper ' on it ALT: a man in a suit is drinking from a cup that says ' mrs. pepper ' on it

Short skytorial about a fresh IBCC chapter covering all things methylxanthine-related (caffeine & theophylline).

This is a niche topic that we don't encounter in everyday practice, but it ties together some loose ends.

(chapter is here: emcrit.org/ibcc/caffeine/) #EMIMCC

I can

I can

"The doctors aren't even sure I have diabetes. I just look like someone who might have it."

youtube.com/clip/Ugkx1LY...

a man with a beard is smiling and laughing while sitting in front of a window . ALT: a man with a beard is smiling and laughing while sitting in front of a window .

My brain when someone says, "I have a great suggestion for a kitchen item, but it's not dishwasher safe."

LIFE GOALS

1. Raise happy children
2. Be old dude at grand rounds who falls asleep

Crime against humanity: random pair of hospital scrubs where pocket is on right chest.

The best thing is that you don't need to commit to anything. It's not a marriage. I like open ai. Better native apps for iOS and MacOS. But play with both. The subscriptions are only a month at a time.

Kagi/orion. Never going back. Happy to pay.

If typical sens and spec for CTA is 85% and 96%, respectively

if your pre-test prob if PE is sky high, like 99%

the post-test probabiity of PE with a neg CTA is still 94% (rounded numbers)

I'd say give lytics anyway if you suspect PE, particularly if LE US shows DVT.

Just a thought.

@shaiuk.bsky.social

Pls consider this a constructive, academic commnent... i kinda disagree with the conclusion statement of being thankful that you did not adminster lytics.

Childhood memory unlocked: my father forcing me to practice cursive with this because French-ruled paper generally not available.

Misplacement of V1 and V2 Misplacement of V1 and V2: Don’t let this mistake mess up your ECG interpretation! Manifesting with P wave, Q wave, T wave changes and Brugada II pattern

. @brookswalsh.bsky.social

Excellent write up. This is my pet peeve. Sent to our office staff today in the context of misdiagnosis of Brugada pattern. This is -so- common.

litfl.com/misplacement...

Using @kagi.com is like using a fork when everyone else insists on chopsticks. Yeah, people are wizards and can do cool stuff, but if you just want to find something and move on, Kagi is way better. And it's only $5 a month, not $10, for a non-pro account.

VT Entrainment Mapping of Scar/Reentry VT YouTube video by Dr. Joshua Cooper - Arrhythmia Education

I get so stressed out when I post a new video, wondering if it will be effective or a huge flop. I hope this one is as helpful as I pray it will be 🙏

youtu.be/XykkZNLm9bc?...

I would definitely contribute to a GoFundMe to have you do a Steve Kornacki map style breakdown of the match by program and individual candidate.

How much cocaine and coffee would you need for this?

I guess I see a lot of effusions. Maybe I should start by asking about the prevalence of pleural effusions in all hospitalized patients.

Someone once said never let the sun set on these things.

I don't know anything about this. Do you think it happens more or less?

good news; NASA found your mom

#TonightsNightmare? #RatLungworm

www.nejm.org/doi/full/10....

. @scottgottliebmd.bsky.social is this what Trump's FDA says is safe?

www.instagram.com/reel/DFV8vOO...

I can't help but think this Chipotle burrito is a metaphor for all the good that happens to an industry when VC takes over.

The whole thing was rice.

if a v/q scan is the only thing in the way of lytics or aspiration, just do it, and go to lab. :-)

outright, i would say just get the contrasted CT. no arguments.

but, as a Baysian, i would say your pre-test probability for sub-massive PE is alerady high in the setting of clear CXR, hemodynamic instability, and obvious RV strain.

fortunately, the system i'm using now is garbage in/garbage out.... i mumble/dictate the labs/studies that i review (in any order I want). i would say the fidelity of WHAT I SAY is perfect. if there's an error, it's something i said.

it doesn't pull in data like using an Epic "smart phrase."

it's like working with a kind dumb scribe. noone's perfect.

Believe it or not, usually an additive error... I mention a problem another doctor is treating, the patient tells me what is going on with that, and then it adds that problem to my assessment and plan with a note to refer to a specialist or continue therapy. it's more like an error of billing/style.

Scary, right? Kind of a short timeline.