Daniel Zank

@HustleBitch_ Reporting was he declined breathalyzer. If that’s accurate, then I’m not sure what you mean by blew. I remember my drivers ed instructor telling us to decline if we knew we were over the limit since it would take hours to get a court order for a blood draw. He seemed experienced.

🚨 TIGER WOODS DUI MUGSHOTS — SOMETHING ISN’T RIGHT Both times: • Arrested for DUI • Blew 0.00 Same story. Nine years apart. Look at his eyes. What do you see?

@Acyn @MeidasTouch Well, he doesn’t know how to play the fiddle.

McGovern: He’s doing nothing to make healthcare more accessible. They say we don’t have the money—but we have a billion dollars a day to blow on this crazy war. I don’t think he gives a shit about the American people. Gas prices are skyrocketing, and he’s golfing.

@Microinteracti1 Like Churchill said, “There is only one thing worse than fighting with allies, and that is fighting without them.”

10 Countries. 0 Warships. Trump went hat in hand to the world. The world checked its phone and put it back in its pocket. France said no. Officially. In writing. Germany said nothing, which is German for no. Norway said no. The UK is “discussing options with allies,” which is British for no. Japan stayed silent while 70% of its Middle East oil supply sits behind a minefield. South Korea watched Washington and Tehran play chicken with its own energy supply and declined to pick a side. China called it a sovereign right and hung up. Qatar didn’t just refuse. Qatar stopped production entirely and declared force majeure. Their energy minister did not mince words: this will bring down economies of the world. Iran is still there. Still attacking ships. Still laying mines. Still holding the strait. The most powerful military on Earth sent out the call. Ten countries heard it. The result is a number that requires no commentary: zero. This is what the end of American power looks like in practice. A request for warships that came back empty. Washington spent decades telling the world that the US-led order was worth defending. The world has moved away from the US. Gandalv / @Microinteracti1

@Jopo_dr Just seeing how well apnea oxygenation works during brain death exams had me convinced on HHFNC during intubations.

@daniel_zank Agreed, although I think both specialties can take from the other to inform practice. High flow during intubation in critical care is something I’d like to see more (which we do for similarly obese or respiratory embarrassment in emergency anaesthetic theatre)

I don’t think we are missing potential airway difficulties I think critical care is just more tolerant of risk - an element of pragmatism vs an element of recklessness

@DropSiteNews @krystalball @RoKhanna @RepThomasMassie If there is time to introduce a bill, then the use of force is a choice, not an immediate and necessary reaction.

Reps. @RoKhanna and @RepThomasMassie are introducing a bipartisan War Powers Resolution to “terminate the use of US forces from hostilities against Iran without congressional authorization,” with a motion to discharge and a vote expected next week. BP’s Saagar Enjeti: “There has never been a buildup or a potential military action like this … without any congressional authorization,” adding that outside of “like five people,” members of Congress “love this … They all support it. They just don’t want to vote for it so that you hold them accountable.” Krystal Ball notes Massie’s prediction that redistricting and primary shakeups could open space for more Republican dissent going forward. @krystalball | @esaagar | @RoKhanna | @RepThomasMassie

@drsthanus Salicylate tox?

58-year-old man presented with Seizure, Deafness, and Renal Failure. This is the ECG finding. What is this syndrome?

@drsthanus She is in an intensive care unit and looks older than 30.

This is a 30-year-old female with chest pain. Findings? Diagnosis?

@farrah_yvette @Timodc Just because we live in Denver doesn’t mean we haven’t visited NO. It means “on the arm.”

Somebody tell Sean Payton those people in Denver probably do not know what lagniappe means. 😂

Wait, the winner of the FIFA Peace Prize did what now?

@BMeiselas @MeidasTouch Smallest of things, but the persistently referring to himself in the third person is so obnoxious.

Donald Trump wishes Merry Christmas to himself:

Tums are basically just Pez in the most boring dispenser for middle aged people.

@krassenstein What’s the rush? It’s always some emergency, some excuse why the proper process can’t be followed. Venezuela is not on the brink of attacking the U.S. When everything is an emergency, nothing is.

BREAKING: Trump just ordered "A TOTAL AND COMPLETE BLOCKADE OF ALL SANCTIONED OIL TANKERS going into, and out of, Venezuela." This is an ACT of WAR according to international Law: Declaring a blockade without Congress would be an illegal initiation of hostilities. A president cannot legally start a blockade of another country on their own without: - A formal Authorization for Use of Military Force (AUMF), or - A declaration of war Neither exists for Venezuela. Venezuela’s oil is Venezuela’s sovereign resource, not U.S. property.

@drsthanus 2

Likely diagnosis? 1. Gastric outlet obstruction 2. Hirschsprung disease 3. Ileal intussusception 4. Ulcerative colitis 5. Zollinger-Ellison syndrome

@PulmCrit Hypertension is either an outpatient issue or an ICU issue if it is immediately consequential.

would not start antihypertensives, would discharge home immediately. this question stem feels like the beginning of some horrible sequence of iatrogenic events.

@Ronxyz00 @RonFilipkowski Are they saying boo or buuuurrrrrnnnnsss?

@CitizenCohn @BillKristol The ACA hasn’t had a chance since the penalty zeroed out in 2019. The whole idea was everyone takes responsibility and pays into the pool, especially healthier folks who might choose to risk it. “The party of personal responsibility” said how dare the govt make me get insurance.

Republicans waged a relentless, decades-long campaign to privatize Medicare and Medicaid They fought even mild efforts to expand public insurance Now they are objecting to ACA subsidies, supposedly because money flows to private insurers We are supposed to take this seriously?

@BillKristol So capricious.

An embarrassingly obvious point, but... This. Is. Illegal. If anything like the rule of law were in force, Trump couldn't arbitrarily increase a tariff because he is annoyed. In important and increasing ways, the rule of law in the US no longer exists. cnn.com/2025/10/25/bus…

@DrAkhilX Sarcoid. Panda sign

Which medical condition❓️

@drsthanus Pseudotumor

What is seen here?