Blade Doc

5K posts

Blade Doc

Blade Doc

@BladeDoc

Trauma Surgeon, Father, Rational Optimist

ÜT: 32.020283,-80.991502 Katılım Mart 2009
633 Takip Edilen253 Takipçiler
Blade Doc
Blade Doc@BladeDoc·
@BravoKiloActual The no decompression limit at 50 m on air is five minutes. I wouldn't even swim down to look at the opening of the Cave unless this was a tech/rec course on Trimix.
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BKactual
BKactual@BravoKiloActual·
As someone (yes I’m doing it) who graduated from one of the toughest dive schools in the world and has MANY dives off the California coast (considered to be an extremely challenging/dangerous place to dive)… if dude says “we enter cave at 50 meters” I’m saying… yeah FUCK NO.
Mambo Italiano@mamboitaliano__

🚨 Italy is reeling from the tragedy of five Italians 🇮🇹, including a mother and daughter, in the MALDIVES, who never resurfaced after an exploratory dive A devastating loss that raises a pressing question: are all necessary safety measures being taken in this kind of activity?

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Patrick Fox
Patrick Fox@RealCynicalFox·
There is a word for this: bearing. As in "maintain your bearing." Something I had drummed into me as a young man first at home, then in the service. You don't crack up, you don't lose your cool, you don't get hysterical. Ever. Because nothing good comes of it. It's a specific kind of self-discipline that needs to be taught far more than it currently is.
7% NaCl (Salty)@TwoRulesOfWar

Even when someone is bleeding to death or dying- it’s AN emergency. It’s not YOUR emergency. Take a breath, make sure the scene is safe and start MARCH.

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Brigham's Burner
Brigham's Burner@FiredUpCoug·
My fellow dudes on x, I need to ask you a favor. My wife has discovered a new hobby, landscaping. We've spent $2,000 on plants, dirt, bark over the last 2 weeks. I'm sunburned, and out of ibuprofen I need this post go viral so I can pay for all this. Why couldn't she have chosen sourdough bread? Or crochet? Or triathlons?
Brigham's Burner tweet media
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Blade Doc
Blade Doc@BladeDoc·
@UpTambourine @jamesglenos Doctors have admission privileges at hospitals to admit their own patients. Then they are required (forced) to take call for all patients as part of those privileges. Trust me they would LOVE not to see out of network patients.
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Back-Up Tambourine Player
Back-Up Tambourine Player@UpTambourine·
Riddle me this, how can a hospital that is covered by your insurance, employ doctors who arent covered by your insurance?
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Blade Doc
Blade Doc@BladeDoc·
I'm an MD and I take a compounded GLP-1 but what you're missing is the safety issues are going to be with intermittent contamination and heavy metal toxicity which you are not going to pick up in anecdotal experience and there is definitely going to be more risk than from an FDA approved source.
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On The Pen™
On The Pen™@ManOnThePen·
The medical community can only scream and shout about the lack of of safety around compounded GLP-1 so much before patients using them just feel gaslit. They’re down meaningful amounts of weight, improved their biomarkers, and taken their lives back.
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Ron Barbosa MD FACS
Ron Barbosa MD FACS@rbarbosa91·
@bryanacotton1 I mean, I guess you can do them without bronch but really the only reason is if the trauma surgeons don’t politically have access to the bronchoscopes (as was the case where I did fellowship).
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Bryan Cotton
Bryan Cotton@bryanacotton1·
Learned to do perc trachs w/o bronch @ 1st job (& did w/o for those 5 yrs). Mandated to do with bronch @ next job (last 17 yrs). This seems to agree with my experience. No diff in complications. Fiberoptic Bronchoscopy Monitoring During Percutaneous... journals.lww.com/ccmjournal/abs…
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Blade Doc retweetledi
Blade Doc
Blade Doc@BladeDoc·
@YounisJoseph @FiSurgi If you added 30K more American grads you would just displace the FMGs in residency programs. That is not necessarily a bad thing but it would not increase # of practicing physicians.
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Blade Doc
Blade Doc@BladeDoc·
@YounisJoseph @FiSurgi A sub-Internship is a med school rotation. An internship is another name for first year of residency from a time when you would rotate through multiple specialties and it was done separately from the rest of the residency.
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Joseph Younis, MD
Joseph Younis, MD@YounisJoseph·
@FiSurgi An internship is a medical school rotation. I think you mean residency. What’s your point though? We’ve veered far off topic now what are you digging for 😂
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👮‍♂️The Badged Patriot👮‍♂️
I stopped a car for speeding. I approached the drivers window & a white man from Indiana was gripping the steering wheel. The man was visibly shaking & could barely speak. I ask him for his license & insurance & he says in a nervous shaky voice "Officer I have a gun in the car & its in my center console & my hands will not leave this steering wheel". I said "Sir I need your license & insurance" & he said "I'm not taking my hands off this steering wheel my wife will get it". The wife then got what I needed & the man was about to cry. I had another officer respond to back me while I checked the weapon for being stolen. His being so nervous was abnormal & raised my suspicion. Everything in the end checked out fine. The wife said he was so nervous because the gun was in the car and SHE was the one who asked him to get it. That leads me to this. Exercise your 2nd Amendment only if u aren't scared of a gun. Otherwise, why have it? Your own gun may get used on you.🚔👮‍♂️
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Blade Doc
Blade Doc@BladeDoc·
@CJFerguson1111 Have you watched any 80s coming of age movies at all? We were pretty hyped about it back then too.
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Chris Ferguson 🇺🇸🎇🎆
Fascinating to watch adults today getting nostalgic about underage drinking and risk taking of past generations…something previous policy makers, parents and schools worked very hard to eliminate. Apparently with some success.
James Lynch@jameslynch32

For the @WSJFreeEx, @MJ_Koch reacts to charts from @FamStudies @grantjbailey showing the steep decline in alcohol consumption among teenagers. Classic teen behaviors "are more likely to happen with a little help from humanity’s oldest life hack: liquid courage."

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Pablo Steak
Pablo Steak@CaptainSteak·
@marcportermagee Vermont seems like a lovely place. I’d love to own a home there in one of those idyllic New England towns. But going there for college? Hell no. It’s unfortunate because I do think it should have its own top public university. I’m just not sure who would want to go there.
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Marc Porter Magee 🎓
Marc Porter Magee 🎓@marcportermagee·
University of Vermont projects 15% drop in freshman class
Marc Porter Magee 🎓 tweet media
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Blade Doc
Blade Doc@BladeDoc·
@MattLutzPhi Dude. Take a look at medical residency salary discourse if you want an excellent example of this.
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Matthew Lutz
Matthew Lutz@MattLutzPhi·
Seen a bit of Discourse about whether PhD students should be compensated as though their work is just teaching or as though it is teaching plus research, and i think the undiscussed X factor here is how much the PhD itself is worth as a form of compensation.
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Blade Doc
Blade Doc@BladeDoc·
@CoffeeBlackMD 1. That is literally social media in a nutshell 2. Generalization of the usefulness of a medication on the most severe illness to its use on less severe manifestations is also a problem as at a certain point the risk/benefit ratio flips.
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CoffeeBlackMD
CoffeeBlackMD@CoffeeBlackMD·
Imagine having a strong opinion with also ZERO real world skin in the game moral responsibility or legal liability for seriously depressed people, about a medication for which you have no experience using nor treating. It’s categorically: ruhtardid
TheLiftingShrink@psypharmacopeia

It’s interesting that the people with the strongest negative opinions about SSRIs come from people that have never been responsible for treating a patient with severe MDD. I couldn’t imagine having such a strong opinion about something I’ve never done. It’s wild.

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Blade Doc
Blade Doc@BladeDoc·
He re-mortgaged the underfunded city pension plan so he decreases shortfall in short run but increases overall costs in long run (2030). This gives you a paper savings of $2B in this year's budget. It is the equivalent of moving your maxed out credit card to a higher rate card that gives you one year of 0%.
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TechnoPulp
TechnoPulp@TechnoPulp·
@ByrneHobart 👀 what this just an accounting thing? (I’ve been wondering what the reality was) What did they do?
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Byrne Hobart
Byrne Hobart@ByrneHobart·
Do you think Mamdani understands the pension accounting gimmick? Does he wonder why Eric Adams didn't do it? He isn't dumb, but pension math also isn't some obvious thing.
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NH Senate Democrats
NH Senate Democrats@NHSenateDems·
Victoria Sullivan says your Second Amendment rights shouldn't depend on "who lays claim to the soil under your feet." By that logic, you should be able to bring a gun to the doctor's office. To the courthouse. Anywhere. #NHPolitics
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