Omar Al-Qudsi

@kyle_borg @MattHarmon_BYB x.com/AdamHarstad/st… @AdamHarstad

@MattHarmon_BYB i always hesitate sharing stats/charts like these because they inevitably lead to people saying "this one stat must definitive mean X about a player" whether good or bad. but im 1000% with you brother

I’m not saying it should happen but I wonder if these lists will be looked at differently when they inevitably circulate in the offseason after letdown statistical Year 2 seasons from Ladd and BTJ.

@PFF_NateJahnke Pretty sure Harbaugh had them let David Montgomery score at the end as well

Ravens with the smart 2 point attempt strategy.

@BillAckman The reality is just like your tennis game. Takes less than one volley to see how terrible it really is and no PR can convince people otherwise

True. The PR war is as important a war as the war on the ground. A media or social media lie that is not immediately rebutted with the facts becomes the truth, regardless of its falsity. Israel has repeatedly failed to tell its side of the story and this has caused serious harm to Israel and Jews around the world. @netanyahu, you need to fix this now.

@critconcepts @Jopo_dr They’re two different situations unfortunately. Risking hematoma in an elective TKA is less acceptable than in the septic patient with meningitis. I go by ASRA as an anesthesiologist but weigh the benefit when needed.

@Jopo_dr I think that's what most of us are doing (nobody is rawdogging it as SIR seems to be suggesting), but still leaves the question of how long? just give me clear standards

As far as I can interpret, SIR guidelines suggest that lumbar puncture ("low risk") can be performed right through almost any antiplatelet/anticoagulant medication including DOACs, DAPT, heparin ASRA guidelines are much more conservative What's everyone's practice? #medtwitter

@drjgutt @drvimalkrishnan In what universe would an ED thoracotomy in this patient not be “cowboy”?

@drvimalkrishnan It’s a fair thought. In the US, the ED only performs pericardiocentesis in the crashing patient. He was fluid responsive, so that type of procedure would have been considered very “cowboy”, especially without evidence of echo tamponade.

1/ Trauma #POCUS- lessons learned A 60s male presented from a rehab as a trauma activation after a fall. The facility sent essentially no info. All EMS was able to tell us he was on HD and eliquis but unknown why. The pt was alert but couldn't contribute to the history.

@joebradford So you taste like watermelon?

"But you know they got like light skinned Arabs, right?!" Yeh, my Alabama born dad would like a word...

@ConorOrr To that point, given how a 1st down pauses the clock after 5 minutes, you’d think they’d use TOs before that mark to gain as much time as possible.

I’m having a hard time articulating this complaint, but it kills me just how many seconds teams down 2-plus scores in the mid-3rd quarter tend to waste for no reason. It all adds up. Act with urgency!

@JosinaAnderson This you?

LISTEN TO YOUR GIRL!

@katiewiskar @accpchest Awesome work! Did I miss the 3 scenarios in the pre-proof (hypoxia/hypotension/AKI)?

I am SO thrilled to share this paper, which has truly been a labour of love on a topic I care about deeply. "Demystifying Volume Status: An Ultrasound-Guided Physiologic Framework," now published online in @accpchest Have a read and let us know what you think! #POCUS #MedTwitter #VolumeStatus #FluidPhysiology journal.chestnet.org/article/S0012-…

@MarkStopa @boomertang They also could have deregulated insurance and allowed insurance companies to charge what makes it viable rather than spread the cost to the rest of the country.

@boomertang There’s a lot California could have done. Removing dead trees & branches, more water supply. Would this have made a difference? Hard to know. But you’re much too confident in your view that this was unavoidable.

Such awful news from L.A., obv. Amidst the heartbreak, I’ve seen lots of folks blaming insurance companies, as many recently cancelled fire insurance policies. Look, friends. I get the emotion. But it’s time for some cold, dispassionate analysis. Insurance companies issue insurance policies when they perceive the risk of loss is low enough that they can profit. When they refuse to insure, it’s up to everyone else to assess why. Why did CA insurance companies cancel fire insurance policies? What did they know about the risk of fires? Why did nobody — California government, e.g. — do more to mitigate those risks & make insurance viable? Everyone wants a bailout when disaster strikes. As a Florida resident & lifelong hurricane dodger, I get it. But it’s not the responsibility of for-profit companies to insure properties that they think are a bad bet. If an insurance company isn’t giving you a policy … whether it’s flood insurance for a house on the water in Florida or fire insurance for a house in L.A. … if they’re telling you that your house is a bad bet … it’s your job to understand why and assess if the heightened risks of living there are worth it. If you accept the risks, you can’t later expect a bailout. Remember, in America, bailouts are reserved for banks & big corporations, not you.

@KingsleyEllis Maybe they’re as surprised/outraged as the owner who bemoaned fans that valued money over watching a crappy team?

idk if you're surprised/outraged that an nfl owner values money and networking over who's in their suites i think that's kinda on you at this point

@ScottBarrettDFB @FantasyPtsData Scott, maybe you should ask yourself what’s more likely. A statistical outlier that is likely to regress to the mean under a new regime, or a QB that breaks all standard deviation principles and is the worst in history. Of course, one fits your priors and the other doesn’t.

Caleb Williams is also the worst deep passer in @FantasyPtsData history Once again, full orders of magnitude worse than anyone else.

How bad has Caleb Williams been? In terms of accuracy and sack avoidance, it's easily the worst QB season in @fantasyptsdata history. Full orders of magnitude worse than any season from Zach Wilson.

@hwmaqbul That’s the sound of @MosabHasanYOSEF stock plummeting

Madeburg Massacre: A Word of Caution There once was a disgruntled Byzantine Commander in Sicily named Euphemio. He petitioned the Aghlabī court in Tunis to conquer the island, offering information and support in the project because of a grievance he had. This was the inauguration of 250 years of Muslim rule in Sicily, the most splendid period of its history, when Palermo went from a backwater town even for Sicilian purposes, to the second most populous city in all of Europe. Having had the chance to visit Sicily, our first hotel that we stayed in was in a district called Isolla delle Femmine, seeming to translate as “Island of the Females.” I asked our tour guide what the story was behind such a strange name. He said, jokingly, that the locals say that it is the island where women who are unfaithful are locked up, to which the women reply, do you know the name of the place where the unfaithful men are locked up? It's called Sicily.” I'm going to assume that this joke found its origins outside of Islamic rule. Then, in seriousness, he said that he believed that it was originally Isola de Euphemio, as the Muslim commanders locked him up on that island after arriving, because they understood that a man who can betray his own people, can betray anyone. It is said, that even Genghis Khan would take information from traitors, and execute them after they outlive their usefulness, having a similar sensibility. Whatever one wishes to say about him, he wasn't a man who lacked political acumen. This bizarre fascination that the post Christian crusaders of Europe have with anyone and anything anti-Islām has caused them to cultivate a caste of dubious characters, all of whom seem to be so unscrupulous as to be a liability. This is how the Dutch people were made fools by Ayaan Hirsi Ali, who they made a minister of state, only to find out that she lied about her entire sob story for immigration purposes, including many of her claimed grievances against Islam and Muslims. But it seems like one person's trash is another person's treasure, so the neoconservative Bush administration offered her seemingly free immigration, so she could continue pedaling her dishonesties, showing loyalty neither to her own people, nor to America, not seeing the harm that she already perpetrated on the Dutch in the same scam. And today, we deal with the tragic aftermath of a Saudi atheist Zionist freak show of a man, who showed no gratitude or loyalty to the German people for giving him refuge. They gave him without question because he fulfilled for them a fantasy that they had about finally triumphing against the enemy, whose enmity has been made a dogmatically cemented part of their identity. Look what it cost them.

@ProFootballTalk Harbaugh tried a fair kick way back when he was in SF in ‘13. He definitely knew the rule. ninersnation.com/2013/9/26/4775…

Cameron Dicker makes first successful free-kick FG since 1976. nbcsports.com/nfl/profootbal…

@Flosonics And this is validated according to which patient population using this technology? Should be #FOAMAD not #FOAMED

(3/5) 🫀The assessment shows stroke volume drops significantly with inspiration (pulsus paradoxus!). 🚩 You quickly identify that the effusion is causing impaired CO and stroke volume. You perform a bedside pericardiocentesis. See next for the post-spectrogram➡️ #MedTwitter #FOAMed #Doppler #POCUS #CritCare #FloPatch

(1/5) 📍Picture this: It’s 2 a.m. Your patient has a new 2cm pericardial effusion. They’re worsening, but BP hasn’t tanked—yet. The echo tech isn’t available. Your gut says early tamponade. You grab a FloPatch and perform a carotid Doppler assessment. The FloPatch assessment shows the following tracing. Is the effusion hemodynamically significant? (See next for poll)➡️ @ross_prager @heart_lung @ThinkingCC #MedTwitter #FOAMed #Doppler #POCUS #CritCare #FloPatch

@NateRichard04 @robertkschmitz That’s my point. 90% of the past twenty Super Bowl winning head coaches have been fired before. It’s not a bad thing.

@Oqudsi @robertkschmitz Bill Belichick? You know who he is right? He was fired before getting the Patriots job. Hmm if only Vrabel had someone like a previous HC/mentor he could talk to that has been through similar situations and had success. Oh wait…

Vrabel, to me, feels like a franchise “trying not to screw up the hire” and therefore screwing up the hire. The only consistent rubric to winning Super Bowls is to have the best QB and build him to shine. I don’t trust Vrabel to do that like I would an offensive mind.

@robertkschmitz @NateRichard04 Go look at the last twenty Super Bowl winning heat coaches and tell me how many of them have “got fired” in their resume.

@NateRichard04 He’s also proven he can lose in back to back years and get fired, no other candidate can say that 👌

@BillyM_91 x.com/79thandhalas/s…

Fine. 10 seconds. Point stands.

I am all for blaming Eberflus, but the Bears Offense was set at 16 seconds and the QB snapped it at 5. Snap the ball!

@AdamHarstad @Jay39445477 @PFF_Moo You’d think given how the number of coaches that have won SBs with their second team vastly outnumbers those with their first, owners would be lusting over the retreads.

@Jay39445477 @PFF_Moo Has he been more successful at culture-building than every Broncos coach since Fox/Kubiak (themselves successful retreads)? I mean, sure looks that way to me!

We think that we measure what we value, but often the arrow runs the other way, too— we value what we measure. “Culture” is a victim of this. We can’t quantify it, so we trivialize the role it plays. But it’s real and the impact is huge. footballguys.com/article/2022-d…

@MichaelSalfino You’re the same person wondering why people liked Williams over Daniels (the one hit wonder that weighs less than any other QB and had arm strength questions). Come on man.

@Oqudsi I say all the time I don't judge rookie QBs until they play on Sunday.