Barefoot Megz

Love someone with mental illness? Get comfortable not being able to fix them. Get comfortable not knowing why they’re ill. Get comfortable just supporting them. You can’t fix them. And if you try, you become one more person to disappoint; one more thing to feel guilty about.

@dr_lovelee Even me I feel like I remember that conversation. That was some time ago - when I was still around here a lot, and this app still had a bird!

Once upon a time a designer publicly swore at me (a customer in his shop at the time) on here because I highlighted the inconvenience of being asked to draw wads of cash to spend in his store because I couldn’t use my Amex card for payment.. One of reason he didn’t make provision to accept that payment option available?? >> “that type of card is easy to defraud/ use for fraud” etc.. What did Queen B say again? “Well… Weeeell.. weeeeeeelllllll…. What do we haaaave here….” Coz guess whose name I saw the SIU mention in the Lotto heist mess…?? Gotta love the ways of the universal laws.. 🤞🏽🤭🤭

@Vodacom We didn’t let them come in or start talking, because their behaviour was inappropriate. They asked us about our internet connectivity though.

@Doc_Megz Hi there, please let us know which deals where they are selling so we can advise accordingly.

@Vodacom people walking in our streets after 6pm on a Friday claiming to be employed by you and marketing your internet - are they legit? Please DM.

@mattyheron Always the forgotten specialty 😂 For Anesthesia I pick the singles "White Horse" (as an allusion to propofol) or "Wildest Dreams" (ketamine)

Conference abstracts accepted, but no publications?  It's a common story for residency research projects. As someone who'd experienced it 6 times... these are the reasons why many residency projects go NOWHERE.  Brace yourself, because it's time for some tough love.

Shoutout to all the women in my notifs INSISTING that's it's totally straight to form stronger relationships with women, think they are more beautiful and prefer their company 😅 I don't have the spoons to sherpa you on your queer awakening, but I wish you luck!

@drkeithsiau This little shit (lol) also causes a lot of misery when local water supplies are low and we have a lot of sedimented water at the bottom of dams. Saw that a lot in the droughts in Cape Town, ZA, in 2017.

Stool cultures of a patient with acute diarrhoea showing “smiling face” organisms. What’s the diagnosis?

Who knew that the gripe water tweets, with beloved @sindivanzyl RIP, would still be so important nearly 6 years later.

@sindivanzyl The mom was young and it was her first baby. She was giving baby a lot of gripe water BEFORE feeds. So baby was basically too full to feed.

@aribindi @dr_cellini In my country (South Africa), we do a lodox as they arrive in ER. That way, IF the bullet is still present, we have a quicker decision making process. Bearing in mind of course, our countries have different protocols. 👍🏼

@Doc_Megz @dr_cellini "finding which cavity it is in" != "finding the bullet" If you have one hole in the belly, and the bullet is in the right leg, your algorithm for what to do just changed dramatically. Same if the hole is in the R chest and the bullet is in the L chest.

Is there a more useless study than a portable abdominal X-ray?

@mick_kerr @dr_rajgupta @APSForg @ASALifeline @EMARIANOMD @AmyPearsonMD Same - I also prefer to do it when they’re asleep. Then if possible I hep-lock it prior to emergence, so they don’t feel (too) restricted by it.

@Doc_Megz @dr_rajgupta @APSForg @ASALifeline @EMARIANOMD @AmyPearsonMD They're usually more than happy when they are told it's done asleep, and it's so I can reduce the risk of awareness. Keeps my (lack) or skills up for when I need that resus line too. I get what you're saying tho. Usually get that look from them!

Here’s a non-regional questions for my #anesthesiology colleagues: Should it be the default that at least one arm is accessible to the anesthesia team for IV access visibility and NMB monitoring? #NoMoreTuckedArms #PtSafety @APSForg @ASALifeline @EMARIANOMD @AmyPearsonMD

@mick_kerr @dr_rajgupta @APSForg @ASALifeline @EMARIANOMD @AmyPearsonMD I love me an EJ line in a pinch - especially in a resus situation. But elective patients, like those for lap choles, are often less than enthused about a neck line 🥲

@dr_rajgupta @APSForg @ASALifeline @EMARIANOMD @AmyPearsonMD I think it's an underused line with excellent utility, very useful in resus scenarios too. Reckon a simple conversation with the surgeon can often result in an arm free. Does tucked = unsafe though? We do cardiac and robots with both arms tucked. Some circumstances probs safer?

@aribindi @dr_cellini Honestly, finding the bullet is the least of the patient’s concerns if they have a thoracoabdominal GSW.

@dr_cellini It's pretty useful in trauma- thoracoabdominal GSW, if there is no bullet in the belly, you know you better find out what cavity it is in-

@dr_cellini 30 years ago in an American ER (I was on my elective as a med student) I saw a hypovolaemic trauma patient w/ massive extremity trauma, in PEA, taken to CT 🤔 as the “bleeding had stopped” 😳 #AllBleedingStopsEventually

Bafethu, studying in the dark is not a vibe but you and BAR ONE can change that. Every time you share or retweet #NeedEnergy you add an extra bar of energy and help us fit a generator in Melville Library, Musgrave Library, Winterveld Library and Beacon Bay Library.

I have a little (private ) giggle when our surgeons hit this stage - they start thinking twice before insisting we rush a patient to theatre at 3AM.

Why is it that “speed tills” are never speedy?

@DrJenGunter Currently 1USD = 19ZAR; so would be pretty affordable if not exceptionally marked up, which happens in many retail pharmacies. Available for free at government clinics, though.

Can anyone outside of the US tell me what you pay for a pack of Plan B or ella for emergency contraception?