Bud Frazier’s Hat

@georgetolisjr Sure George.

If I were a medical student or general surgery resident looking for a vascular surgery program, I would ditch the name and reputation and I would select the program with the highest volume in open procedures-abdominal aortic, carotid endarterectomy, fem-pop/distal etc.

@obiageliakuuu This is cringe of you. A weird flex that makes you come off as a dick without actually stating how you’d manage the problem is just rage farming for engagement. Class act.

Surgeons 🤝 calling the medical team on call for a patient with blood pressure of 180/120mmhg, after placing on tabs Amlodipine 5mg. As though they did not go to medical school with the rest of us

@BrooksPotteiger @brentprint Or maybe you should be mindful of what you say in public pastor? You knew full well how asinine that sounded. Stop backpedaling and start being honest.

@brentprint Nope. I am saying they shouldn't tell millions of people he's calling for someone's death when, in fact, he is not.

Wow guys, looks like the slander campaign is humming along quite nicely these days. Quick clarification - when a Christian prays that someone be “crucified with Christ” that does not include making a stop at the lumber yard. In means repentance, salvation, and walking in newness of life. Galatians 2:20 and all that. Carry on!

@hell_line0 Just making shit up for engagement farming is super cringe.

My friend, a plastic surgery fellow, about to do a breast reduction, to the anesthesiologist: Hi Dr. Smith, can you please do a pec block on this patient before I start? Dr. Smith, delighted because usually the plastic surgeons did not ask for blocks: Yes of course! Give me ten minutes and I’ll get the ultrasound and get it done. Her attending walks in while Dr. Smith is finishing the block: You haven’t started yet?? Anesthesia, why are you wasting time on a block? My friend: Because studies show that doing a block before we start means the patient will need less opioid pain meds during or after surgery. Him: Who cares??? Just get started, I’m not going to wait around all day. Dr. Smith: Listen Dr. Jordan, it will take us two minutes to finish this. She is right, it’s the right thing for the patient. He valued his convenience over his patient’s pain control and was ready to throw hands with the fellow AND anesthesiologist who both proved he was WRONG.

@SamaHoole Again just more rage porn fiction.

Doctor: "Triglycerides down. HDL up. Blood pressure normal. Off the metformin. Lost 26 kilos." Patient: "Yes." Doctor: "Depression lifted. Sleep improved. Wife says she has her husband back." Patient: "She cried on the stairs last week. Just out of nowhere." Doctor: [pause] Doctor: "Your LDL is high." Patient: "Of course it is." Doctor: "I'd like to start you on a statin." Patient: "Based on the one number that went the wrong way while everything else turned around." Doctor: "Guidelines are guidelines." Patient: "What happens if I refuse." Doctor: "We monitor it." Patient: "Brilliant. Let's do that then." Doctor: "I do need to note your non-compliance on the file." Patient: "Note away. Put it next to the bit where I'm no longer diabetic."

@mycocoon2020 @stabmarine @alt_w_v_g Fictionalized rage porn is funny? 🤡💩

@stabmarine @alt_w_v_g Lighten up, David... This CEO is hysterical...

Went to the doctor the other week My wife made the appointment She said I "look tired" I said I am tired She said "not normal tired. Weird tired." I don't know what that means but I went anyway Nice office Fish tank in the lobby Third one this year Signed in at 1:48pm My appointment was at 2:00pm 12 minutes early Because I was raised to believe that matters The receptionist said "the doctor is running a little behind" I said "how far behind" She said "about 45 minutes" I said "so my 2:00 appointment is actually a 2:45 appointment" She said "we appreciate your patience" I said "I haven't shown any yet" My wife grabbed my arm There was a sign behind the desk "Missed appointments without 24-hour notice will incur a $75 fee" The doctor was 45 minutes late Nobody offered me $75 We sat down CNN was playing on mute with subtitles Running a segment about New York City redesigning its trash cans Cost the city $4 million I looked at my wife She said "don't start" Seven magazines on the table All from 2019 I read an article about supply chain disruptions that have since been resolved Very informative My wife was on her phone She looked up and said "WebMD says you might be dehydrated" I said "so we're paying $1,800 for a second opinion on WebMD" She went back to her phone At 2:54pm they called my name A nurse walked me to a room Took my blood pressure Took my temperature Typed for three minutes Then said "the doctor will be right in" I sat on the paper The paper ripped immediately I looked at the wall There was a diagram of a colon Not how I planned to spend my Tuesday 3:19pm The doctor walked in 1 hour and 19 minutes after my scheduled appointment He was looking at his phone Shook my hand without making eye contact Sat down and read my chart for about 30 seconds While I sat there watching him learn who I was He said "so what brings you in today" I said "my wife thinks I look weird tired" He said "what does that mean" I said "I was hoping you'd tell me" He said "when's the last time you had bloodwork done" I said "2019 maybe" He said "we should run a full panel" I said "fine" He asked if I was sleeping well I said "I have three kids and a golden retriever who thinks 3am is a reasonable time to need outside" He said "are you drinking enough water" I said "probably not" He said "that might be it" I said "you think the reason I look weird tired is because I don't drink enough water" He said "dehydration is more common than people think" I said "I've been here over an hour and sat on a piece of paper that ripped to be told to drink water" He said "we'll know more when the bloodwork comes back" I said "when will that be" He said "3 to 5 business days" I said "business days" He said "yes" I said "my blood has business days" He didn't respond Then he said "any other concerns" I said "several. But none you can bill for." He shook my hand again Still no eye contact Total face time with the doctor: 6 minutes Total time in the building: 1 hour and 37 minutes I was examined for approximately 6% of the time I was present I've fired people for better numbers than that My wife was in the waiting room She asked how it went I said "I need to drink water" She said "I told you that last week" I said "yes but now it's a medical opinion so it costs $1,800" She didn't laugh In the car she said "at least now you know you're fine" I said "I was fine when I walked in. I just didn't have the receipt to prove it." She didn't disagree The bloodwork came back four business days later Everything was normal The doctor's office sent a message through their portal It said "results look great. Continue to stay hydrated and follow up in 12 months." Follow up in 12 months To be told to drink water again $1,800 1 hour and 37 minutes 6 minutes of face time One ripped piece of paper And the same advice my wife gave me for free Plz fix. Thx. Sent from my iPhone

@alt_w_v_g You really gotta shorten up a post like this man. Also this didn’t actually happen.

@AmmousMD Dude is the whole fist up there? Also that’s not your grandfather.

It was the significant improvement in my grandfather's memory after we stopped his statin that made me question the mainstream narrative.

@DutchRojas Ok so why would anyone hire you? Don’t you make money off of physicians talents?

You wouldn’t hire a lawyer who works for the opposing counsel. So why is your physician employed by the same system that profits from your sickness?

@DrJoelGator Quack 🦆

How ironic is it that Kennedy “isn’t qualified” to lead HHS because he’s not an MD— … But a random judge in Boston is “qualified” to override the work of the HHS Secretary, government departments, medical committees, and countless physicians?

@AmmousMD That picture looks like someone’s shoving a finger up your arse. Easy son.

Low cholesterol = Higher risk of dementia. Is the toxicity of statins starting to make sense to you?

@robertlufkinmd Yes. Stop engagement farming.

I used to think chronic disease was just bad luck or bad genes. Then I realized it was mostly bad lifestyle (primarily food choices). Am I wrong?

@anish_koka @kevinnbass Hey clown you kinda left out the whole bit in the middle after the “student in good standing part” and the “apology”.

Kevin Bass (@kevinnbass ) was an MD PhD student in good standing. Then he wrote a Newsweek editorial in 2023 apologizing for his COVID views that he had come to believe were wrong and unscientific. Pretty clear he was then kicked out of medical school as a result :

@aclong111 The pearl clutching is next level.

Residents post something goofy. People act like it’s some grave professional transgression. So apparently, no one is allowed to be silly or have fun, ever.

@mariekemph @benryanwriter @erichhartmann Oooh be careful Bertha. Your racism is showing.

@benryanwriter @erichhartmann And not an American in sight…

How Tufts anesthesiology announced its next chief residency class on Instagram:

@jamesharrigan @benryanwriter Oh get over it queen

@benryanwriter please tell me this isn't real. Ben. Even if it is real, tell me it isn't.

@SBelleofAL @benryanwriter Frankly I’m sad and angry that you’re in healthcare. 🤡

@benryanwriter The death of professionalism in a field that previously held itself to the highest professional standards. Being in healthcare, it makes me sad and angry.

@benryanwriter Apparently “Independent Reporter” translates to “Outrage Farmer”. How is this news?

@MKIttlesonMD I think perhaps you underestimate the value placed on performative measures, especially in healthcare. In fact, several of your “rule’s” acknowledge this.

So, if basically no one ever writes a negative letter for academic promotions, doesn't that make the recommendation letter component of the process performative and a waste of the letter writers' time?

@AndrewKaufmanMD Oooh. Now do “flying on airplanes”. 🤡

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?