NotaNursePractitioner

My god. What an absolute abomination. The journal of Medical Ethics publishes a commentary in 2013 that attempts to morally justify the killing of a baby after birth — an afterbirth abortion. 🧵

@bakerj2000 @LighthouseDPC Nah

@AlmostaNP @LighthouseDPC And true as a bell

Then what is your take on Nurse Practitioners and Physician Assistants? A Medical School Graduate with a MD has twice the education and WAY more training than a NP or a PA at graduation. Yet, a NP or PA can be a Cardiologist on Friday and Gastroenterologist on Monday. They can even work in the ER or ICU. Someone make this make sense. They both bill your Health Insurance 85% a Doctors fee if seen Unsupervized. #Hospital #scam #CORRUPTION

Romania — once the poor-man of Europe — has overtaken Hungary in almost every metric after 16 years of Orban.

@SuThE84929 @NPWhite717 Asking me to prove and uncaused cause by giving it a cause is kind of the problem. You dont disprove a first cause by asking what came before. Prove a triangle has 3 side by show me a fourth.

@AlmostaNP @NPWhite717 Prove it

Yes, this would be devastating if that was our contention, but it is not

@SuThE84929 @NPWhite717 One uncaused cause exists.

@AlmostaNP @NPWhite717 Same thing from above Everything has a cause God is the cause God does not have a cause Doesn't work

@SuThE84929 @NPWhite717 Uncaused causr

@NPWhite717 Oh so who created god?

@endofanerajc With essential oils

how did you self-manage an active hemorrhage in decompensated shock with no measurable blood pressure?

@ValentineT73276 @jasonryanmd Lmao

@jasonryanmd Is it ok to ask how many of them had the cl9 vax?

Heart failure is a clinical diagnosis based on symptoms and exam findings. You can’t make the diagnosis by echocardiogram. Patients with low LVEF can be euvolemic. And those with normal LVEF can be in significant heart failure (diastolic). We get an echo in new HF to guide management, but it does not make the diagnosis.

@cleandryintact @DrSiyabMD 5 times in the recorded literature. Lol

@DrSiyabMD How often are you seeing cardiac arrest from torsades 2/2 zofran in your practice?

If this admin has their way, Zofran (along with many other meds) will be OTC soon and EMS calls for cardiac arrest at home will rise.

@nikillinit @DrSiyabMD Statin

@DrSiyabMD are there any meds currently behind a prescription you think would be fine otc?

@AdamWheelerMD @DrSiyabMD Ppi and pneumonia risk has some poor evidence. No good rct to show there is increased risk

@DrSiyabMD There is no way that otc zofran is going to account for more hospital stays than alcohol, cigarettes, aspirin, Tylenol, or PPIs (pneumonia risk). This is clearly an OTC med.

@CoffeeBlackMD @DrSiyabMD Also the etc effects of zofran overblown. A lot of the tdp cases from zofran used way high doses

@DrSiyabMD I mean … idk man. I suppose that risk isn’t zero but I’d be really surprised by a huge rash of cardiac arrests from QTC prolonging from OTC ondansetron. I guess we shall see if it occurs. This isn’t a reply that necessarily means I support all of the OTC transitions.

@CoffeeBlackMD @DrSiyabMD Sniffing etoh swabs

@bakerj2000 @LighthouseDPC Disingenuous statement.

@AlmostaNP @LighthouseDPC NP’s still worthless tho

As someone who's father was ripped apart by russian artillery, this fucking hit me. Your parent being ripped away from you in a matter of a second with grotesque brutality is an experience non could imagine, unless you lived it. #RussiaIsATerroristState

Right now Kherson is under massive bombardment. FPV attacks have doubled to 600 EVERY DAY. Glide bombs are constant. Entire neighbourhoods are turning to rubble. Russians are hunting innocent civilians on the streets. Women, children, war crimes in plain sight. They are trying to completely destroy the city. International coverage is almost zero & the situation is catastrophic. In this report, I embed with a drone patrol that are the city’s first line of defence. What I witnessed was brutality on an industrial scale. If Russia isn’t stopped, this will spread and Kherson will be a blueprint for cities across Europe in the future. Europe stopped violence like this before in WW2 and it can do it again. Please watch and share my latest:

In the same press conference where Vance admits “I’m here to help [Orban] in this campaign cycle,” he accuses Ukraine of having “tried to put their thumb on the scale” of the Hungarian election. Talk about rules for thee but not for me…

Russian bastards attacked a civilian bus in Nikopol with an FPV drone. Three people were killed, and 12 others were injured. The attack took place in the city center, the bus was pulling up to a stop when the occupiers deliberately struck it. Russia must be destroyed.

@amyalkon You sound manic

Looks like he’s not putting me on a psych hold but is giving me too little mag to make a meaningful difference in my dangerous cardiac symptoms & to decrease the progressively debilitating edema causing the death of muscle on my foot. Just 1 g over one hour. Minuscule, but better than nothing. Kaiser has behaved so endangeringly. Have life-threatening cardiac symptoms. I have documented dysautonomia driven falls, pounding heart, and clutching lungs from sinus tachycardia and leaping and diving BPM caused by the fluoroquinolone injury driven neuropathy (not any cardiac-originating problem). I have healthy cardiac structure & function & triglycerides of 31 and HDL of 112. High sensitivity CRP 0.3 BP 99/62 or 103/65. Insulin two out of 22. Lp(a) of 10! And Pattern A LDL-P and other stats reflecting strong cardiometabolic health. Also healthy renal function w EGFR of 96 & I can’t recall that creatinine level but normal, as are the rest of the stats. The dangerous symptoms including the progressive death of muscle stems from FQ driven nerve damage, the small fiber of large fiber neuropathy I’ve been diagnosed with, and electrical regulation failures because of this. Dr. Boyarsky talked over me and refused to listen to me and when I told him I have medical expertise he asked me to tell him what program I graduated from. My primary care doctor graduated from med school and has a medical license. He told me I just needed “a different kind” of oral magnesium. I’m sorry, is there a magic kind that changes the chemical pathology of fluoroquinolones in the gut, wagging a nagging finger at them and telling them not to dare chelate the magnesium taken orally and NOT turn it into an insoluble complex that is too heavy in molecular weight to get into cells?! And then there are the nurses here, whom I thanked— even disrespectful Josh, for what help he did give me getting into a wheelchair and his job and taking my stats while (in my observation and opinion not being willing to listen to me— cutting me off etc. Like son of Boyarsky!) I saw it and came to understand what nurses do— truly ease patients’ suffering moment moment— when my late beloved friend Cathy Seipp was hospitalized at Cedar Sinai. Since then, I have an enormous and well warranted love and appreciation for nurses in general. Anyway, I’ve been up till 3 AM writing Kaiser’s chairman (see below somewhere) to put Kaiser on notice that they must reverse the administrative memo over writing doctors prescriptions of magnesium and sentencing me to needless and irreversible muscle death in my foot and loss of the ability to stand and walk normally. And also leaving me with dangerous cardiac symptoms that will not be mitigated by the itsy-bitsy dose of magnesium I will get today. And shame on Dr. Boyarsky for talking over me and then making me afraid I would be held against my will and possibly drugged. Anyway the point I was getting To is that once he left and nurses came in to take my stats and put some stuff in the computer, they hung out in my room a little bit and I started talking about medicine and science. And they listened and they saw that I knew a thing or two, and one of the nurses, who is in training at Santa Monica nursing college, asked about the fluoroquinolone effects magnesium where I got that from. Meaning what paper. Probably to see if I actually got it from a paper, which is, BTW, necessary skepticism that I respect. I don’t know which paper(s) off top of my head & a bunch are back on my home computer. But I told her to look up fluoroquinolone & chelate & she’ll find it. The other nurse was asking me about ADHD drugs & he listened as I explained something about Adderall & how it works. Those nurses heard me & I think it was pretty clear they realized I had science of value in my head, and they listened. (I learned from my truly excellent psychiatrist that drs who don’t listen miss vital info they need to properly diagnose and treat a patient.)