apousson

I've been a full-time academic nocturnist at my current gig for exactly 1 year today & so today the universe sent me the most perfect description of night-shifters. "People who live in the dawn: with knowledge of the night and hope for the morning." Good morning, friends!

@notlikethecomet When yr feeling better, if you want to nerd out on the evidence: - ncbi.nlm.nih.gov/pmc/articles/P…

@apousson Oh interesting! I will have to try that. I know peppermint can help so it sounds like a similar idea

A really cool thing to do in your teens and twenties would be to not get multiple concussions and one incredibly grievous injury so that in your early thirties you do not still have post concussion symptoms including random violent vertigo attacks

@notlikethecomet Ooof, I'm so sorry. Huffing alcohol swabs can sometimes help knock down nausea temporarily.

In case you were wondering, today I am doing bad 😌

really a must-watch video 😳 nice illustration that if the EEG suddenly goes flat for no obvious reason, it may be because the brain is getting no perfusion (with impending full-on cardiac arrest occurring next) @caseyalbin

Southern 🇧🇷 Brazil EM conference getting started, in the birthplace of the specialty in the country - PORTO ALEGRE! #SBMEDE23

Another ER doc response to the question…how are things in the ER these days? As my friend @srrezaie says, the ERs are becoming everyone, every time for everything.

Another COVID wave, another wave of one star Yankee Candle reviews

When There's No Emergency Medicine A short story on how basic care fails without emergency medicine by @cliffreid We protect the rest of the healthcare system from patients, and sometimes we protect patients from the rest of the healthcare system

@EBMgoneWILD Oh! Hook me up please?

@LadyDoctorSays I've got 3 to give away

Without more acute care beds, hospitals are on their own to grapple with emergency department crises This week's editorial in @CMAJ @OntHospitalAssn @CAEP_Docs @EddyLang1 @PaulAtkinsonEM @alandrummond2 cmaj.ca/content/195/34…

I understand the impulse to do so but I don’t think we need to try to appeal to the humanity of people against safe use sites by asking them if they want people to die instead. Because yes, they absolutely do, and they don’t see that as a moral issue.

@reverendofdoubt @MadtownEM What's your ddx/post-it PEARL for hyperferritinic syndromes? Trying to fix my oversight in never learning this from you the past few years!

Busy VA shift w/ @MadtownEM residents, and on-shift teaching: -BICAR ICU trial/bicarb use -5U vs 10U insulin for hyperK -VBG vs ABG #TWDFNR -Mitral valve inflow variation #POCUS -Diverituclitis: abx or no abx -ICAN syndromes and Oncological Emergencies -hyperferritinic syndromes

Public service announcement for managers and coaches: you can't judge effort by results. Inconsistent performance doesn't mean people aren't trying their best. It often means they're doing their best in the face of turbulence. In humans, variability is a feature, not a bug.

"female physicians were more likely to leave academia at all career stages, in all regions of the country" Glad this work is out. We need to make a change for #WomenInMedicine jamanetwork.com/journals/jaman…

Q: Why are waits at emergency rooms so long? A: Because the rest of the healthcare system is failing. The patient did everything right, but the healthcare system did them so so so wrong. 🧵… They call their PCP, but can’t get an appointment. So they turn to the ER. They call their specialist, but the call line (automated, no human to respond) says go to the ER. They try to pick up their new medicine, but it’s 3x their monthly rent $ and they already work 3 minimum wage jobs…so they turn to the ER to get a dose of medicine. They try to get their imaging done, but can’t get the prior auth approved. So they come to the ER to get it. Their employer won’t let them take a sick day without a work note (and the ER is the only thing open they can get into TODAY). They need to see their doctor in the clinic, but can’t afford to take time off work to go, much less arrange childcare, and the ER is the only thing open when all those conditions sync up. They lost their job and now have no insurance and can’t see their doctors anyways. So they come to the ER. The list goes on and on and on… Healthcare reform is not about healthcare — it’s about economics, corporate greed, lobby dollars, transportation, housing, politics/policy, culture, and more…

/7 You end up feeling like you're working all of the time, but you're not making any progress. In fact, you might even feel like you're falling behind. This feeling feeds your fears, and you end up trying to do even more even though that actually means getting less done.

Susan M. Love, MD, MBA, who led Dr. Susan Love Foundation for Breast Cancer Research since 1995, steering the Foundation through its innovative and life-changing research and advocacy programs, has died. She was 75. #LegacyofLove #LoveForever

It's the kind of humid where I have to reset my entire nervous system after a short walk outside

@reverendofdoubt Heeeeeeey, team #nightshift at the 'vue, holding it down!

Where is Team #NightShift? I’m overnight the next 3 nights* supervising half the ED as the EM PGY4 (my usual shift, which I love)— LFG!!! *then only 1 shift left in residency

📢 Our team's new work in @AcademicEmerMed shows sobering disparities in EM workforce attrition. ow.ly/qUaK50OQtnm 1⃣ Female EM physicians over 12 years younger at the time of attrition vs. male counterparts, with age at attrition decreasing for both genders. 🧵 1/10