david samuels, MD

Wow..... as the owner of @FlyFrogsNFT #50 I am impressed with whatever @lordofthepond and @NFTland did today!!!! Long live the #Flyfrogs

Hear ye hear ye The @FlyFrogsNFT floor is hopping✊🐸 Selling 10k in 3hrs broke Ethereum for a little bit. Not sure if we get credit for Facebook too. Probably. The mere mention of an amphibious militia forming was too much for cryptotwitter to handle. Obvious in hindsight.

I bought my first #NFT @FlyFrogsNFT I've got #49 and #50 Beary Beary nice

I’m in all @BearbottomClo (including underwear , excluding slippers) I feel like I’m “wrapped in velvet”

@wsjwine I have enjoyed being a member for years. But I just received an order that had the wrong wine! I've sent two emails and been on hold for an hour. Please contact me. Order# SO14186308

A remarkable example of #TwitterMedicine changing treatment in weeks. @cameronks

My answer to Does anesthesia make you tell the truth? quora.com/Does-anesthesi…

#NonOpioidAnesthesia #SafeSurgery American Society of Anesthesiologists bit.ly/2KYcjKz American College of Surgeons bit.ly/2KZOphQ American academy of orthopedic surg bit.ly/2KZOSk6

My answer to Roughly how many patients talk while under general anesthesia? Do they often say inappropriate things? quora.com/Roughly-how-ma…

NEWS: Drug Overdose Deaths Drop in U.S. for First Time Since 1990. Down 5% last year. Leadership matters. ⁦ .⁦@POTUS⁩ & @FLOTUS have made combatting #opioids #fentanyl & drugs a top issue & helped raised awareness, action & funding. nytimes.com/interactive/20…

Just Breathe heartmdinstitute.com/stress-relief/… #relaxationResponse increases #Endorphins @NonopioidPE

Thanks Dr Jo for the shout-out (1:46) bit.ly/2WUabrn By preventing exposure to opioids during surgery we have NO ORADEs NO tolerance, NO dependence, NO hyperalgesia, NO respiratory depression, NO nausea, NO ileus, NO constipation,,,,,,,,,, @TGHCares @teamhealth

It does take time to change behavior 95% ENT surgeons stopped prescribing codeine to children for tonsillectomy adenoidectomy... n.pr/2ZcG8Ni But 5% still get codeine prescription when ibuprofen + acetaminophen is more effective than codeine #NoOpioids @nonopioidPE

#DeepBreathing relaxation techniques bit.ly/2Z7mO3K are an important #nonopioid therapy @nonopioidPE

To all of the wonderful nurses!!!! Always A Nurse | A Billy Joel Nurse Tribute Song by ZDoggMD zdoggmd.com/always-a-nurse/

@baribeaultedu @pritanand @NaveenEipe @elboghdadly @amit_pawa @NUSGRARVI @Anaes_Reports @EMARIANOMD @RegionalAnaesUK @dr_rajgupta @nelkassabany @CARLOSPINOMD @NarouzeMD @Ron_George @DoctorSivaMD @KalagaraHari @jan1boublik 3 groups of patients for middle ear surgery &reconstr plastic surgery Opioid anesthesia group (avg of 175ug fentanyl) Opioid sparing (avg 18ug fent) and opioid free (0 fent). Opioid free group got less than 1/2 fentanyl in PACU than either opioid group. adobe.ly/2VeyovB

@pritanand @NaveenEipe @elboghdadly @amit_pawa @NUSGRARVI @Anaes_Reports @EMARIANOMD @RegionalAnaesUK @dr_rajgupta @nelkassabany @CARLOSPINOMD @NarouzeMD @Ron_George @DoctorSivaMD @KalagaraHari @jan1boublik @djsammy8 paper seems to indicate that in opioid naive patients doses <50 mcg fentanyl cause clinically relevant increase in pain/post-op opioid requirements. OIH influenced by dose, duration, and potency.

Just what is the best RA strategy for this patient group? 🤔 @amit_pawa @elboghdadly @EMARIANOMD @RegionalAnaesUK @dr_rajgupta @nelkassabany @CARLOSPINOMD @NarouzeMD @Ron_George @DoctorSivaMD @KalagaraHari @jan1boublik

🧠When our nervous system thinks we are in danger, it's going to let us know. This is usually why we begin to experience discomfort or pain @nonopioidPE instagram.com/p/BwKsHK8Btbk/ #Nonopioidanesthesia allows #anesthesia to #KeepOpioidNaivePatientsOpioidNaive

@Gas_Craic @painfreeED @EMcardiac @ParaACP 30mg/kg-50mg/kg loading dose then 10mg/kg/hr

@Gas_Craic @painfreeED @EMcardiac @ParaACP @ it is a wonder drug in the OR. Key component of opiate free anesthesia. Shld be in HA protocol

#keepOpioidNaivePatientsOpioidNaive Non-opioids should be the 1st, 2nd, 3rd, 4th, 5th, 6th, 7th, 8th, 9th, 10th, 11th and 12th line in peri-operative setting