jumping onto a tram and frantically telling the driver to follow that other tram

Also, no more strength training or cardio in the armed forces, why would you need to work out, are you some sort of weakling?

Don't be shy to take on a little two-week side project. These five months will be the most precious three years of your academic journey.

We all have days like this

how much money does the marine corps lose

And the ll in Yllaw is pronounced like in Spanish

I did some research to try and figure out when my death date would be if there had been no treatment for my cancer. I don't know why I assumed it would be some date in the future, but, in fact, I passed the middle of the "no treatment survival" bell curve more than a year ago. Thanks chemo.

time to distill the effluent from our dialysis units

ICU Snapshots:

This is what I don't want to see when a patient on heparin drip crashes:

ICU - Board Review Qs:

60 yo pt admitted to the ICU because of inferior STEMI. Emergency cath: 100% proximal RCA occlusion treated successfully with stenting

One hour post-PCI: dyspnea/anxiety - BP: 94/70, HR: 60/min (sinus). Phys exam: JVD (+), clear lungs, cool extremities

I wrote “I am alive” on a piece of paper, and placed it into a photocopier. What I saw next has shocking implications

A researcher knowingly preprinted misinformation in order to run an "experiment" of whether LLMs would resurface it as medical knowledge.

Academia has finally invented its own version of the classic meme.

www.nature.com/articles/d41...

Cell density set point is definitely a thing in the blood right?

Love that concept, thanks!

Our VA reports without an upper limit! My other hospital caps at >182, go figure. But it’s cool to correlate 30 vs 300 vs 3000 clinically at the VA.

Interesting, definitely could be!

Feel like I’ve seen dilution in action a lot tho, eg getting serial UAs iso rhabdo or hypoNa with some incidental pyuria mixed in, or when specifically suspecting sterile +/- over-concentrated pyuria. Often w just fluids and abx, WBCs drop a lot.

Basically I think the diluteness-corrected WBC count is more representative of the degree of pyuria/inflammation

Just that it's a concentration; if I drink more & produce 500 cc urine in the 2h before sampling vs. 50 cc, the WBC concentration will be 10x less. We tend to ignore the denominator. Could also use uCr like we do for urine lytes. But the thought was that SG (and thus uOsm) is already on UA.

Study of degree of pyuria alone vs. pyuria / uOsm ration in predicting positive culture

NEJM Clinician Editor-in-Chief Raja-Elie Abdulnour, MD explains a trial that evaluated the clinical impact of continuing vs holding GLP-1–based medications prior to upper endoscopy. Read the key results and comment from Sara Turbow, MD, MPH: jwat.ch/4sKvoUq

Any recs for a half-hearted blitz on the same subjects? Don’t think I can handle all out

Uh oh what am I missing

We were starting to not ignore it in 2019-2020 with EVALI blowing up then got distracted by a different lung destroyer

More people are vaping than smoking cigarettes. How do you take a vaping history? Do you ask about device? How do you quantify use? What do you say when a patient says "I know it's worse than smoking"?

This is a deeply neglected part of substance history--we can't keep ignoring it forever.

Have you ever been confused by the term "sanewashing"?

It's the media practice of rephrasing incoherent or extreme statements by public figures to make them seem more logical or frankly, more sane.

(Kim is a journalist for the Associated Press)

The thing I see most often immediately after signing into Microsoft Outlook:

"You've been signed out"

SCOTUS ruling 7-2 that 7-2=5

No shade to zgamglogene autogedtem, but I approve of this abbreviation

If you're having trouble finding the bladder with ultrasound you’ve ruled out urinary retention

You’re about to save a life with your magical machine

Renal tamponade