

🦬 Dr Red Bison, PhD @redbison.bsky ♀🏳️🌈🌻
96.8K posts

@RedBison
Prairie🔥/Historian—Dr of ills I can't cure/Grey-crowned Night Heron/Patriarchy=root of evil/“Thinking is my fighting”—Woolf/LongCovid/EcoGrief/Birder/ ❤🔥🐰






NEW: MAGA evangelical leaders gather in Mar-a-Lago to bless and dedicate a gold statue dedicate to Donald Trump.



As you may already know well, "young patients who experienced a second confirmed SARS-CoV-2 infection during the omicron period were more than twice as likely to receive a clinician-documented diagnosis of post-acute sequelae of COVID-19 (PASC) as those in the same calendar period after a first infection.. [In this cohort study of >465,000 patients younger than 21 years,] the incidence of clinician-documented PASC was roughly 1,884 cases per million children after a second infection, compared with about 904 cases per million after a first infection.. Beyond formal PASC diagnoses, children and adolescents who experienced reinfection had an elevated risk of a wide range of symptoms and conditions previously associated with long COVID. These outcomes spanned multiple organ systems, including: - cardiovascular complications such as myocarditis, arrhythmias, heart disease and chest pain; - neurologic and cognitive effects such as headaches, cognitive impairment, postural orthostatic tachycardia syndrome (POTS) and other forms of dysautonomia; - kidney injury; - thrombotic events; and - more common symptom clusters including fatigue, abdominal pain and musculoskeletal pain. Myocarditis risk was more than three times higher after a second infection, and the risk of thrombotic events more than doubled.. These findings directly contradict the common assumption that because acute omicron illness is usually mild in children, and reinfection is clinically inconsequential.." SARS-CoV-2 is different. 'Reinfection raises Long COVID risk in children and adolescents' news.feinberg.northwestern.edu/2026/05/08/rei…



@RogerHallamCS21 @maarlev95759 We’ll go down in history as the first society that wouldn’t save itself because it wasn’t cost-effective



🔥🛢️ Besides the Yaroslavl refinery with a processing capacity of 15 million tons of oil per year, another one of Russia’s largest refineries “Lukoil-Permnefteorgsintez”, processing over 13 million tons annually, was also attacked again overnight. The Perm refinery, located roughly 1,500 km from the frontline, was previously targeted on April 30.



The patient who keeps coming back is the patient you have not figured out yet. A pediatrician in her forties learned that the hard way. She walked into the ER with blood pressures in the 200s and was told anyone could see she was having a panic attack and the ER wasn't really the place for that. About an hour later, they found a ten by twelve centimeter tumor in her abdomen. She had been sent home twice before with anxiety. She had reviewed her own chart. She had called her own utilization review team to send over the criteria for hypertensive emergency. She had asked an adult medicine colleague if she was overreacting and been told no, this isn't right. She had cried in triage because her body was telling her something her chart was refusing to record. That is Kelly Curtin-Hallinan. The diagnosis was renal cell carcinoma, originally staged 4, eventually downgraded to 3. She is finishing treatment this month. Two things to bookmark from this story. One. A second visit is not a behavioral problem. A third visit is a diagnostic clue. The hypertensive emergency criteria are not aspirational, they are a disposition. If a patient meets them, the answer is admission, not reassurance. The chest scan called negative on visit one had findings on it the second time someone bothered to look. The "negative" reads were the diagnostic miss, not the abdominal scan that finally caught the tumor. The system did not fail because a tumor is hard to see. It failed because a story about an anxious woman in her forties was easier to read than the data already in her chart. Two. A patient asking for a scan is not a difficult patient. A patient who has read her own chart is not a difficult patient. A clinician who is also a patient is still a patient. The implicit bias toward "anxious woman in her forties" does not stop at the white coat. She had to insist on seeing the physician instead of the extender. She had to ask for the abdominal scan herself. She had to call her own utilization review team to send over the criteria she clearly met. None of that should be the price of admission to a workup. She is not angry at the people who missed it. She is processing what it taught her about being on the other side of the door. The takeaway she wanted to leave with the audience was the smallest possible one. Listen to your patients. Even if you cannot solve their problem, you can meet them where they are. Listen to the full conversation on The Podcast by KevinMD. Link in the replies. What is the last "anxiety" diagnosis you walked back? #ThePodcastbyKevinMD
