Melissa

In 2017, 150k people paid Cards Against Humanity to protect a pristine plot of border land from Trump’s racist wall. But then an even richer, more racist billionaire—@ElonMusk—stole their land and dumped his shit all over it. Fuck that! ElonOwesYou100Dollars.com #ElonOwesMe100Bucks

@transplnt_mdphd @bfhermann @medmalreviewer There's a popular tiktoker who had a lap appy by him, that turned into a 5 hour open appy, and now she's questioning what happened...

@bfhermann @medmalreviewer Something went off here that isn’t in the otherwise somewhat reasonable op report… I suspect you may be onto something.

⚠️Intraoperative Death During Alleged Splenectomy: This case has gone viral and multiple readers have sent it to me. Some of the records are floating around social media, and I republished them here. This is the operative report and explanation of the underlying situation:

@ritabossert1 @hinz_tamara The vaccine itself is contraindicated in pregnancy. If she didn't know she wasn't immune prior to pregnancy, she can't fix it while pregnant. We give it after delivery so she's immune the next time/from that point.

@hinz_tamara Mom should have had rubella antibodies done when first visiting her OB/midwife.

So a family physician friend of mine spent part of her Friday looking up treatment algorithms for what happens when a child from a daycare with a ?rubella outbreak comes home with a rash to a mom who is pregnant with another child. Yes, this is in Saskatchewan. In 2024. 1/

@babydoll__3 @hinz_tamara Same. I've had the MMR more times than I can remember and now submit the CDC statement about people who don't convert the vaccine correctly when I have to get credentialed for new jobs (I'm an RN, so vaccines are a part of it).

@hinz_tamara This is wild because I actually don’t retain immunity to rubella. I’ve been vaccinated a few times during pregnancy after checking titres a year later, I still wouldn’t be immune.

@HGanshorn @hinz_tamara I'm an OB nurse and while most of our patients have their rubella levels checked in their prenatal labs (already pregnant), a surprising number are non-immune. I give MMR vaccines at discharge (post-delivery) more than you'd expect, and that's just for the patients who say yes.

@EM_RESUS ...for PT post TMA 2 weeks later. Had the same dream, told him they'd see him soon. A few days later, found down in the bathroom. Transferred to the nearest ED, coded for addl 25-30 minutes, never got him back.

@EM_RESUS My FIL was on my unit, had a dream that he was at a campfire with some of his dead friends/relatives, they asked him what he was doing there, it wasn't time. The next day, he went unresponsive, we ran a rapid. That night, same dream. Next day, ran a rapid. Ended up DC to SNF...

When a critical patient suddenly starts talking to long deceased family members, they are soon going to code until proven otherwise. Trust me on this one.

@DGlaucomflecken I waited months for a specialty appt. Thought I had a $50 copay. Reviewed pre appt stuff several times, incl paperwork. Get there, copay almost $250. "What if I do self pay?" Cost is $175, but doc won't see pts without insurance. Cool, cool.

A lot of people are dragging this person. The knee jerk reaction of “92% coverage?! That’s amazing! Why are you complaining. Leave the country.” This shows how low the bar has been set for health insurance coverage in the US. Let’s put on our empathy hats for a moment. Imagine paying a ~$1k per month premium for the privilege of having health insurance. It was $750 last year, but the company you work for had a lot of employees use their health insurance in 2023, so Blue Cross decided to hike up the premiums to defray the cost of actually paying for their customer’s healthcare. You’re annoyed but fortunately, are still able to pay the monthly premium. Over the course of the year, you seek preventative medical care like you’re supposed to, paying a $20 co pay for every visit. Maybe you have a few extra visits to your PCP or the emergency room. These bills go entirely to your deductible, which means you pay for 100%. The high deductible plan was all you could afford due to the rising premiums. Again, you’re annoyed but you can manage. Finally you reach your deductible, thinking “great, I won’t have to pay anything the rest of the year.” At least that’s what it sounded like from the intro pamphlet you received from HR at the beginning of the year. It was all pretty confusing. With your deductible met, you finally schedule that procedure your doctor has been nagging you to get that will prevent further health care issues down the road. However, you didn’t realize co-insurance charges still apply until you reach your out of pocket maximum (~$12,000 for the plan you chose. Again, the only plan you could afford). You are frustrated, but fortunately still able to cover the estimated cost. Then, while recovering from major surgery, you receive a bill for $4,457 that you can’t pay. This is more than you were quoted by your doctor’s medical office. Turns out Blue Cross thought some of the medication you received during the procedure was unneccesary, so they refused to pay for it. You’re angry. You have done everything right. You paid your premiums, you did everything your doctors suggested to keep yourself as healthy as possible, and yet, you still end up with a bill that will take months, if not years, to pay off. If you don’t, you will be sent to collections, wrecking your credit, and making life an even harder uphill climb. Does all of this apply to the OP here? Maybe, maybe not. But it does apply to millions of other people in the US every year. Does this person not have a right to be angry? Should we just be ok with a health care system that is death by a thousand cuts? Or should we strive for a system in which a person can access health care without risk of financial distress? Unfortunately, many people can’t understand this point of view until they are on the receiving end of those medical bills. Health insurance companies don’t care about you. They are evil. Don’t settle for slightly less evil.

@AntParatrooper @901Lulu @fox35orlando Osceola County. Not Ocala.

@901Lulu @fox35orlando They found her body in Ocala.

Here is an interview with Jennifer Soto. This is Madeline’s mom. Stephan Sterns is behind her doing some weird stuff. Such a creeper. I don’t think that mom had a clue what was happening. Madeline Soto is still missing. 🥺@fox35orlando #MadelineSoto #AMBERAlert

@ffmichelle @cobrakell I nominated my ER nurse (he was amazing). He won. Hospital posted pictures, he had the biggest smile. You know he's used to being constantly shit on and never appreciated. 10/10 would do again. Also, wrote my nom while on pain meds, it was a mess, but it got the point across lol

@cobrakell I’ve seen some truly well-deserved awards, and some meh ones. Almost never anyone from the ER, though … 🥺

Just lost respect for the Daisy Award … you’re excited to be associated with RaDonda? Mmmkay. That’s certainly a stance. As others have said, I’m all for supporting other nurses, but she didn’t read the vial in her hand, and someone DIED. I’m not supporting that.

@soflasof @1goodtern Literally same

I was once at a dinner party cooked by a surgeon. About half an hour after the meal, one of the guests started to go bright red and have breathing difficulties.

@itsme_rosalee @TreeCanopy5 @realgirl_fieri @emilyadele Exhibit a, ad in the thread...

CONGRATULATIONS to Floridians, who successfully collected enough signatures on a petition to qualify for putting abortion on the ballot!!!! We've seen what happens in red states when women's right to bodily autonomy is on the ballot. The next step is the FL Supreme Court. LET'S GOOOOO!!!! 💪💪💪

“nurse suicides were 41 percent higher for male nurses and nearly 58 percent higher for female nurses as compared to the general population” Causational, not coincidental. A lot of us aren’t okay. RIP Tristan

@lou_nautic @RyanMarino I will never forget walking into the nurse sup's office for a quick chat and finding them on the verge of tears, realizing we're down to 1 vent and they'd have to help decide who got it and who didn't, essentially deciding who had to die. People who weren't there won't ever know.

@RyanMarino I dont want to say problem, its was a credit to what healthcare workers and emergency services did, but the bodies weren't lying in the streets, you had to be behind the scenes , and not everywhere but in the hot spots to see the real toll, for most was out of sight out of mind

@joannesnyder64 @jdillardwright @TransNursing From exp, I trust the ones in t-shirts, scrub pants, messy buns, and sneakers. They know their shit, take care of their people, and don't need the gadgets, fancy scrubs, or expensive nursing shoes to prove it. I worry that the ones who try too hard are compensating for something.

@jdillardwright @TransNursing i would have to disagree . ive worked in ICU’s my whole career and been on the other side as a family member. dress can show professionalism and that instills confidence. I can see why they don’t want a nurse wearing a hoodie over scrubs caring for patients.

@RNingScissors @medsurgmania I honestly hadn't known about the update until recently, and I work in OB.

@RNingScissors @medsurgmania New AAP safe sleep guidelines actually say not to use a hat after the first few hours. publications.aap.org/pediatrics/art…

A common response to childhood trauma is to never feel powerless again. We try to always be in control come across as highly confident. Most People Aren't Aware Of This: