Peripheral vasopressor administration in critically ill adults was associated with a low incidence of adverse events—major events were rare using short peripheral intravenous catheters, and use avoided central venous catheter placement in 60% of cases.
ja.ma/4mEmUMb
I feel like it's a different rhythm but not an insane one? When I'm on, I work really hard but can socialize or otherwise balance if it's a priority. When I'm off, I'm off; no following up emails or clinic messages chasing me in my free time.
I wish I could screenshot the fact that my phone can't log in to Haiku because Epic can't figure out how to allow certain characters in passwords... you know, the ones that worked in my password yesterday 🤦♀️
So glad they're providing EXCELLENT service for their billions in revenue 🙄
A few minutes of crying versus a life in an iron lung. Decisions, decisions...
While I really want this to be true, I worry about how much impact here might be immortal time bias, especially given the retrospective database review design.
@shawncohenmd.bsky.social any thoughts?
Everyone keeps trying to create medical AI and I keep trying to explain that the only AI I want is a HIPAA-compliant way to make all the PDFs, faxes, & OSH records readable & searchable in the EHR.
Why can't I dismiss it?!?
Our robot overlords are here and deeply irritating.
Feel like most policies got reset during COVID & it feels like there hasn't been enough of a push to set them back—at my workplace or when I was visiting for a family surgery, where they called us in for (predictable) sundowning but wouldn't let us stay to prevent it.
A Psalm for the Wild-Built by Becky Chambers
See if this link works?
It's a lovely piece that gets into the challenges of CPR (esp in the critically ill) & talking about CPR with patients and families. Doesn't feel so much that it's making an argument as contextualizing for non-MDs.
www.newyorker.com/news/the-wee...
Graphs showing 25 years of budgets for the National Institute of Health, NASA, and the NSF. In all cases, the proposed budget for next year is far, far below any year of the previous quarter century.
There are 2 previous historical cases of countries destroying their science and universities, crippling them for decades: Lysenkoism in the USSR and Nazi Germany. The Trump administration will be the 3rd.
It's not just budgets but research, institutions, expertise, and training the next generation.
Don't forget iconic 👑 Desiree & her galaxy outfit*!
*Initially wrote galaxy pants, then realized this can be Britishly misconstrued, then galaxy trousers which felt wrong, then realized there was a jacket & sighed in relief
youtu.be/AORynwW6Gl4?...
Sounded like stress/anxiety of residency & practice were overwhelming? Relatable, & not going to argue that residency doesn't suck, but tough to think that becoming US Surgeon General is LESS stressful... & the antivax wellness grift should be disqualifying.
www.latimes.com/world-nation...
Have been recommending books on "how we got here" history like The Poison Squad by @deborahb.bsky.social & Pox by Michael Willrich to as many skeptical family/friends as I can... but if COVID didn't convince them on vaccines, not sure what will.
Hoping that there may be a cycle back as people encounter grossly unsafe food, poisoned water, & rampant infectious diseases that led to the creation of our current system in the first place—but with current misinformation, I'm not confident.
& frankly hoping we don't have to get to that point...
Seattle's DESC is pioneering new protocols to initiate buprenorphine in the community, meeting them where they are with impressive retention rates.
We MUST defend funding for projects like this — I've seen buprenorphine change lives in my practice & it's very exciting to hear about this approach.
As someone whose family members and patients often have significant hearing impairment, hard co-sign -- help us all be entertained together!
Doctor Here 👋
-41% of babies’ births are covered by #Medicaid.
-49% of #children are covered by Medicaid or CHIP.
-62% of long-term care residents in nursing homes are covered by Medicaid.
-35% of people with #disabilities are covered by Medicaid.
- Medicaid saves lives!
#medsky #publichealth
Ides of March 2025: we break tradition by making dessert & fighting the fascists? ✊
For folks who are looking for an explainer on how federal research funding supports universities' infrastructure, here's a video created by the folks at the Association of American Universities:
www.youtube.com/watch?v=NtqK...
🔖🌐
Archivists re-created a mirror of the CDC site prior to all the censorship, edits, & takedowns. It won't replace live updates on vital topics like flu & measles, but does bring back all the data that was purged on an easy-to-use, navigable, & fast website.
#medsky
restoredcdc.org/www.cdc.gov/
Looks like a DNS issue but may indicate someone is messing about in the network.
bsky.app/profile/noam...
For decades, the US government has painstakingly kept American science #1 globally—and every facet of American life has improved because of it. The internet? Flu shot? Ozempic? All grew out of federally-funded research. Now all that's being dismantled. 1/ www.technologyreview.com/2025/02/21/1...
Medicaid is one of the most cost-effective health programs.
It costs less per enrollee than private insurance & has lower administrative costs.
Besides direct harms to people
who lose their coverage, cutting Medicaid will put people out of jobs & close rural + community hospitals.
So needlessly cruel to those who need help most.
These cuts will kill patients, limit care, close hospitals, & raise prices for EVERYONE -- including many children.
Just to make the rich richer.
#medsky
www.forbes.com/sites/arthur...
