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@LongmireMD Cool story

As an MD and therefore honorary professional test taker, I can vouch for exercise as a hack for learning and retention of information. When studying for USMLE Step 1 - considered the primary placement exam for residency - I would record myself reading my lectures and then go running and listen to my recordings. I was essentially learning medical information while in flow state of running. This juiced my ability to integrate and retain information. I scored a 272 on USMLE Step 1, which (in part) enabled me to get into Stanford Derm, one of the most competitive residency programs. Take away point: exercise enhances learning in real time.

@YannickBuccella @wilsonFreitasTw @CDCoffelt @AndrewKaufmanMD Do you think all the drugs you pump into people that are basically on their death beds are truly beneficial? As you hide the seriousness of their cancer to make a quick profit? Or is there an ulterior motive (aka $$$) to these drugs… not saying you do this but pharma is an issue

@wilsonFreitasTw @CDCoffelt @AndrewKaufmanMD Again, depending on the trial, it’s far less than 1%, which of course doesn’t mean zero. Everybody has to know there is a small risk involved, but in general it’s a safe procedure.

Let’s pause and think about what actually happens during a colonoscopy. You’re sedated. A flexible tube with a small camera is inserted into the colon so physicians can examine the lining and remove abnormal growths at the discretion of the doctor. That lesion may become cancerous in 15-20 years or it may never become cancer. In the meantime, poking a little too hard with the instruments can make a hole, leaking fecal matter into your abdominal cavity. So you could end up with emergency surgery for a possible lesion that could possibly become cancerous someday. Now, instead of reacting emotionally or projecting the program you’ve been given, step back and think logically. Does this sound like a good idea? When a procedure can lead to death or permanent damage, don’t you think it’s time to rethink our approach?

@ross_prager @slippish When I added milrinone to rv failure it didn’t help. I thought it was indicated in rv/PH?

@slippish Good call, will improve that logic. I have it built in for RV failure and inhaled NO but should have it penalize use of alpha in some circumstances

Learning hemodynamics is hard. I created a simulator that let's you titrate vasopressors, inotropes, vasodilators, and fluids across different hemodynamic states. How can I make this even more realistic? Still some hemodynamics responses to optimize. Try it and let me know👇

@Hokieheye @kilby_370 @SoveyX Her rate is way too slow and she’s not delivering enough force. I just don’t want people to think this is what high quality CPR looks like

@kilby_370 @SoveyX Shut up old man. You haven’t been going to your recerts redcross.org/get-help/how-t…

Emma Dilley, a student at Dallas Baptist University, helped save a stranger's life in downtown Dallas on Tuesday night. Dilley performed CPR on an unconscious man despite having never done so on a human, before first responders took over medical care. She learned CPR in high school and was happy that her training came in handy. CPR classes save lives and good people still exist! Great job Emma!

@_BASED_BEAN_ @eduardrom3 @MexicoMagico @grok It’s not AI, there’s another video of it from a vantage point above

Alaaa madreeeee 🤯🥵

@cobratatekkk @ClavicularNews Same strength after 2-3 months of not lifting is pushing it man. Everyone’s strength would decrease

Clavicular reveals he's lost all his gains after not going to the gym in over 2 months 👀

@baijazvascular @JAMASurgery @drdevirgilio I’m sure money and prestige had nothing to do with your desire to do cardiology lol

@JAMASurgery @drdevirgilio Sure - If you’re chasing money. I still believe in a higher cause.

Viewpoint: Delayed start to surgical practice by 1 or more years was associated with significant reductions in lifetime earnings, retirement funds, and home equity. @drdevirgilio ja.ma/4qaBBYb

@tlincoln3046 @AshleyGWinter So I’ve seen instances where they wake up during CPR and ask you to stop but it’s just because the CPR is really good and they didn’t have ROSC yet.

@AshleyGWinter When I started in EMS over 25 yrs ago, a wise Paramedic told me, “A relative contraindication to CPR is when the pt asks you to stop”.

I was at the gym and a guy had a seizure and my most important involvement as a doctor was preventing a nervous staff member from starting CPR despite the man very much having a pulse and breathing.

@gentleboyabeg @BleacherReport No she was super uncomfortable when he touched her hair. Did you not see that?

@BleacherReport He knows he can still hit that shit anytime any day any weather

KD couldn't stop smiling when he recognized his friend from freshman year at Texas 😂 She got a custom shirt made with the picture they took in college 💯 (Via shabana75/IG)

@JoseLop16219769 @BleacherReport Doubtful. Do you see how she reacted when KD moved the hair on her shirt. She got uncomfortable and backed away. She is not interested in him. I’d guess that KD was always interested in her but she declined.

@BleacherReport She wanted the bag back then haha. She didn’t get it.

@gotrice2024 This is AI

Alberta, Canada, police officer grabbed that ostrich’s neck like it owed him money.

@joshmcgoo One time had a patient with a lactate of 10 and surgery still said the gas on CT was just subq gas from a recent laparoscopy

Fournier’s is still a bedside diagnosis. Fluctuance crepitus and pain out of proportion are your red flags, but at least half the time there's no crepitus, and it's they're old and altered they may not even be in too much pain. Call surgery before CT or the lactic of 10

@CollinRugg I’m upset he didn’t die. Now he gets to endanger more people with his reckless actions. A true scumbag driving drunk and running red lights.

NEW: 90-year-old man driving a Volvo on Thanksgiving slams into a coffee shop in the Bay Area going ~90mph and survives. According to police, alcohol may have played a role in the crash, however the investigation is ongoing. This man must be made of steel. Hopefully he will make a full recovery.

@onlygators @alligatorSports That guy is such a piece of work. He shouldn’t be anywhere close to coaching college athletics. He belongs in jail

Great work by @alligatorSports

@TheGat0rD @15flipdaddy @lukeadrag @garrettshanley Yelling and treating is a form of child abuse according to experts. Just fyi

Exactly what I said. Dude I don't use physical discipline with my son. But I damn sure threaten the hell out of it when I yell at him. What a crock of shit from an obviously biased source. All the kids that weren't yelled at growing up are either snowflakes or serial killers today.

BREAKING: Gators baseball coach Kevin O'Sullivan was investigated for alleged verbal abuse of his child days before he took a leave of absence, per The Alligator's @garrettshanley alligator.org/article/2025/1…

@15flipdaddy @pdizzlefoshiz @lukeadrag @garrettshanley Verbal abuse is considered child abuse according to the American academy of pediatrics

@pdizzlefoshiz @lukeadrag @garrettshanley Scott really doesn't support anything Uf, look at the Lame Kitten debacle. I'm still on the fence about that one though, a lot of history and red flags on him from the past IMHO.

@TheGat0rD @PlayedNobody @lukeadrag @garrettshanley You’re disgusting. AAP has been very clear - verbal abuse is considered child abuse. I feel really sorry for your kids if you have any

@PlayedNobody @lukeadrag @garrettshanley Fuck off Flaggot.

@Buckingham_Show Make sure you don’t have RV failure that they are missing

doctor believes i have tuberculosis, septic pneumonia, and/or liver failure. pray for me guys

@Buckingham_Show Get on ECMO and CRRT

In the ICU, my heart is failing, my lungs are failing, my liver and kidneys are failing. Things are not looking good my friends. I love you guys.

@hernansTopGuy @DrJohnMichaelMD @EricTopol Exactly - POCUS is useful. Using a stethoscope that has also likely touched dozens of other patients that day is not.

@UFGators352 @DrJohnMichaelMD @EricTopol POCUS is probably the “physical exam” most reliable, after all aren’t we just trying to approximate the internal goings on with auscultation etc? just look at it with ultrasound

Ways to reinvigorate the physical exam in medicine Step 1. Do the exam. No "WNL"—we never looked nejm.org/doi/full/10.10…