Stephen Brown

@ZachWLambert the true version of original sin is that it started at Univ of Texas

The version of original sin taught to me said I was born sinful and I’d always be sinful. Literally everything I did was sinful, even good things were like “filthy rags” because I couldn’t remove my sinful desires from them. This is not only wrong, it’s incredibly harmful.

@DrJBhattacharya what do you think was behind the significantly smaller incidence of rsv bronchitis in 2020 to early 2021

This is a perfect example of the logical fallacy I am calling reductio ad mortem. Since a lot of people died from covid, including in the US where we masked our toddlers, therefore its OK that we masked toddlers and should keep doing it. See the fallacy?

@garonnevik why didn't Jesus care about kids schooling/education when he was around? or at least take time to write about it if he did care

Feel free to skip all this. After 14 years of homeschooling, my 4 youngest are schooling elsewhere. 2 of my kids are in private Christian school and 2 are in public school. It’s been such a range of emotions these last few weeks. My husband wanted to discuss making the switch 5 years ago. Last year, I finally had peace, and we decided to start prepping them. My random thoughts as I’m still processing this big change. The good, bad, and ugly: 1) I’m not bored. I have work hours. But I actually get legit breaks now. And I’m learning to complete my thoughts again, which is super fun and a bit surreal. 2) I feel jealousy for how hard my kids work for their teachers. 3) Their teachers are all amazing and have walked me through this transition with so much patience and compassion. 4) I’m excited to hear about their days and what they learned. They all LOVE their school. They are eager to go back each day. 5) I feel like my kids teachers and I are on the same team. 6) I’m excited for what my kids get to do each day more than I miss them. 7) my child going to the public school that studies outside on the prairie everyday now names all the trees on the way to school. She tells me about which flowers various birds and butterflies like. 8) our kids weren’t the sheltered-homeschooled kind. They are not shaken by seeing “the world” for the “first time.” 🙄 We tell them to be aware, but not be afraid. They have a big God. Plus, these were their friends before. We never spoke badly of other schools. I think that’s helped the transition. 9) I find myself more worried about potential bad theology in the Christian school than way out there worldly philosophies in the public school. Discussions will be ongoing, I’m sure. We’ve always parented a lot through discussions and that will continue. 11) I’m more aware than ever of how much my marriage needed this change. 10) I still don’t have regrets homeschooling. Looking back, God has guided us so gently to where we are now. 11) I’m enjoying not being both mom and teacher, and just being mom. 12) instead of hating them having homework, I’ve found it’s been a connection point to help me still feel involved, and has been helping me adjust. Once again, I’m reminded I don’t fit neatly into a “camp.” Public schooling, private schooling, homeschooling. People can’t trash stuff to me, and I think that makes some people uncomfortable. (Also please don’t trash schooling systems below. Pour that energy into loving the kids in your sphere of influence.)

@Jeffery56429716 @Doctor_Eric_B @Jeffery56429716 was that your tweet or was it from the "media"?

@Doctor_Eric_B You said you lived through it. Were those your pictures or from the “media”?

I might have lived through a different pandemic than Martin here, but I think mobile morgue trucks, mass graves, overwhelmed hospitals with makeshift ICUs, and having families say their goodbyes over iPads were far more disturbing.

@toxicologist12 ed cp algorithms will eventually replace "intermediate risk" with "mid' as these hoodlums get older

Young resident just said the troponin elevation was “mid”

@JoLuehmann is anyone really ready to become a parent before they actually become a parent?

If you aren’t ready to affirm kids’ identities then you aren’t ready to be a parent, or a teacher. If they say they are queer, they are, your job as an adult is to support and offer tools, not to decide what they are for them. Most adults barely know who they are themselves 🤷🏽‍♀️.

@generalorthomd no one is stopping you from doing what you think is best for your kid. If you feel this way probably best to just stop football and not tweet about it

My 9 year old has football practice every evening after school from 630-730. Is this normal? It shouldn’t be. There is ZERO value in that volume of practice for a 9 year old. It’s likely detrimental to their school/family life, not to mention burning them out on football.

@Codie_Sanchez can confidently say that very few docs use doximity or LinkedIn

The "LinkedIn for doctors" is a beast of a company: • $181m EBITDA • $6.47bn market cap • 4/5 US physicians use it Also, it’s INSANELY profitable. Here’s the lowdown:

@killersumobunny what code is this?

@RyanMarino what do you define as a living being?

@AirwayMxAcademy @bobfunn @airwaycam @JohnCSakles We already know anything that delays source control in hemorrhagic shock worsens outcomes, and in their study the ED intubation cohort had delayed OR times by 25%.

This is an important message / finding👇🏼ED intubation of 🩸 bleeding trauma patients has higher complication rate than intubation in OR. What are the reasons for this? Less time loss? More experienced intubators? Better team work? Any comment? @bobfunn @airwaycam @JohnCSakles @cliffreid @HofkampMichael @jducanto @VirtueOfNothing @Obidoc @DoyleLeilani @LeifRognas @ATACCGroup @karimbrohi @DrKate_Miller @doctimcook @SheilaMyatra

@politicomedico @AirwayMxAcademy @bobfunn @airwaycam @JohnCSakles these patients they say were excluded from the study (gcs<8, max/face trauma etc)

@AirwayMxAcademy @bobfunn @airwaycam @JohnCSakles There's also likely a bit of selection bias - those that need immediate intubation in ED might well be less stable than those who can wait for intubation in theatre.

@EM_RESUS @armyemdoc @jducanto can you run blood from a rapid infuser through an IO? Never seen it done before but would be curios and if so what is the flow rate

@armyemdoc @jducanto IO lines are amazing. Establishing them is almost never an issue. The problem in trauma specifically is that when access actually matters, it’s usually because the patient needs blood products—which are so viscous that their flow rate is terrible going through bone marrow.

A hypotensive trauma patient arrives in your ED without access, do you... (a) Go straight to IO (b) Attempt IV (c) Fumble around with a central line because you think you are faster than what you actually are A prospective study of 581 patients with 1410 attempts in @JTraumAcuteSurg found that IO was far superior in first-attempt access over IV and CVC (93% vs 67% vs 59%). journals.lww.com/jtrauma/Abstra… #emergency #emergencymedicine #icu #criticalcare #trauma #injury #foamed #foamcc #data #science #research #armyemdoc #medtwitter

@SainvalMd @KadijahPorterMD why not 200k?

@KadijahPorterMD You hit it right in the nails. Something is not right with this GME mob. PGY1 residents deserve no less than 100K. Some have criticized me for saying that. The value residents bring to these hospitals is worth more a lot more thank that minimum wage.

A better one. I worked 23 days as a moonlighting attending and made $53,000 before taxes. As a Cards PGY4, I make $74,000 a YEAR. As the driving force behind academic institutions, the ones with the longer days, and less time off. Residents and fellows deserve more money🤷🏽‍♀️

@KadijahPorterMD how much more money do they deserve?

@PedsAllergyDoc is there anyone who doesn't have reaction/allergy to venom?

If your aunt had a penicillin allergy, Your child is not at risk of penicillin allergy. If your father has a venom allergy, Your child is not at risk of a venom allergy. If you have a medication allergy, Your child is very likely just fine on that medicine. Sincerely, Allergist

@mother_runner5 minor detail but you are missing the full stop at end of your sentence. Please don't intubate me

I do not care how loudly a patient is swearing at staff If there is no active harm or threats of harm, intubating this patient just for control is assault and battery FULL STOP

@thats_bone bear in mind majority of patients that fit this description get zero workup in an ER outside of a history and physical exam

What fraction of these very common ED workups for motor vehicle collision that occurred multiple days ago, do you suppose are driven by personal injury attorneys telling people to go to the ED to document a bunch of symptoms?

@CMichaelGibson what is the difference between advanced nurse practitioner and nurse practitioner?

Would you be comfortable having an advanced nurse practitioner put in a new valve in your heart? Why or why not?

@remedybyeva I thought everyone is supposed to be called "providers" now

A note: just bc I find something cringe doesn’t mean you have to. Opinions are subjective! For the comfort of your team/colleagues, ask them what they prefer. My recommendation is: role + name. So, nurse Eva PA Eva Pharmacist Eva Happy Saturday folks! ☺️

“My nurse” “My assistant” “My PA” So cringe when a superior uses these terms. Where’s the ownership? I’m confused