Andrew Lee

@eastbaycitizen Silence equals complicit.

Recent coverage of Eric Swalwell from the East Bay Insiders Newsletter on Substack. Subscribe today: eastbayinsiders.substack.com/p/swalwells-ho…

I’ve covered Eric Swawell since he was a member of the Dublin City Council. Shortly after being elected to Congress in 2013, his behavior towards women was known by all levels of our local government and the Alameda County Democratic Party.

@AttoGladys So true.

@eyefishing I can’t even try two eye drops. It’s disastrous. They’ll choose one and leave the other. Tobradex is the way to go

After cataract surgery, our instructions to the patient is this: put one drop every 2 hours, but it has turned out to be the hardest instruction! Us: Any questions? Patients: No, we have understood When they come back after one week for review: Me: How are you feeling? Patient: I have a lot pain in my eye. It’s very red. Me: Sorry. Can I see your eye drop? Patient: I left it at home Me: How many times have you been using it? Patient: 3 times a day Me:🤦🏿‍♀️🤦🏿‍♀️ is that what we said? This happens every single time. Other patients will say: “My eye drop finished after three days” and in my head I’m thinking ‘did you drink it?😳’ Why can’t patients follow instructions?🤔🤔

@cardiojaydoc02 Beer used to be ordered for patients.

I had a patient once who was dying, anorexic, and plans for discharge home for hospice. The only thing he wanted was a steak. I went to Ruth’s Chris bought him one and fed it to him myself. Give a dying patient whatever they want. Doctor’s orders.

@TerryFranconia Actually that is false. You can successfully treat appendicitis with antibiotics and never need surgery. In fact 70% of patients with appendicitis treated with antibiotics never need surgery.

You will die if you don’t remove the appendix when it’s about to burst… seek decency

@dakaner Dude. It was the Eagles Big Dom

My only take on the Vrabel-Russini thing is (after consulting with my girlfriend, who used to be a divorce lawyer) is I’d bet any amount of money that the pictures were captured by a PI not some random hotel guest or a paparazzi

@MostlyMonkey Flaw. Top docs can not charge more.

Top lawyers are a far more.elite group than neurosurgeons. The difference is that the selection is less legible and more gradual. The 170 lsat (call it top 3% of college grads) is just the start of a 20 year-long process that screens out the vast majority of the remainder.

@DrDiGiorgio So right. No way that EMR 2026 would be adapted except under government mandate. Thus it sucks. If it were adapted organically it would be 10 times better. Apple would have an awesome, intuitive EMR. My pizza place has 100x better and secure POS than any EMR.

I’m skeptical of top down standardization in healthcare. Banking standards were mostly built from the bottom up by firms that actually had to move money, clear transactions, and bear the cost of failure. SWIFT was founded by banks. ACH rules came out of industry coordination. They weren’t top down mandates. Top down standardization has a much worse track record. OSI was the formal bureaucratic networking model. It failed and TCP/IP won in the wild. More importantly, healthcare already has standardized billing code sets. CPT, HCPCS, and ICD are already widely standardized. These are also part of the problem. CPT carries a huge documentation burden (people still include a ROS even though it’s no longer needed). I like that @ashishkjha is trying to fix things but more government is rarely the answer.

@FerragamoWx Awesome job.

After months, I was finally able to combine both my hurricane landfall and return period datasets for the U.S. into one massive infographic. I absolutely love this. What an insane map to look at!

@rbarbosa91 Have a patient who lost an eye at the dentist. No light perception bad.

Question for the neurosurgeons: Given all the time that metal instruments are directly over exposed brain, are dropped instruments ever an issue? Are you all just extremely careful about not having an instrument drop or slip, or are there specific precautions in place? 🧐

@anish_koka In my area, a hospital will life flight you rather than put you in an ambulance for a 15 minute ride to a fully equipped/staffed PTCA center

Reworked a US map of access to emergency cardiac care based on US population density and time it takes to make it to a hospital that has the capability of opening a blocked artery when having a heart attack. Longer post tomorrow. But very impressive breadth of coverage. Interactive map: anishkoka.github.io/pci-access-map…

@CompletedStreet Drawing a line on a map without looking at the hundreds of mountains, valleys, creeks, rivers, bays, and failing to taking into consideration the land is totally unstable is not worthy of a 3rd graders book report.

Imagine this, but with every city connected with high speed rail.

@ElectionTime_ @NStepisme A win in Iran is a D loss

SHOCK POLL: 🟥John Sununu has a real chance to win the US Senate Election in New Hampshire, flipping the seat for Republicans. New Hampshire - 2026 US Senate 🟦Chris Pappas 45% (+1) 🟥John Sununu 44% 🟦Chris Pappas is struggling hard against Former US Senator 🟥John Sununu, who hasn't been active in politics since he lost his seat in 2008. Emerson College (A+) | March 21-23, 2026 | 1,100 LV

@rgoodlaw Let’s go for the win.

This isn't legal analysis. It's idiocy: "A White House official added that electric plants are legitimate military targets because destroying them could foment civil unrest, complicating Tehran’s path to a nuclear device" That would be an F on the bar exam 1/

@JaneCaro @ProfSteveKeen Without Trump, all those countries would be speaking Farsi.

If a Prime Minister in Australia, New Zealand, Canada, the UK behaved like Trump he would lose the confidence of the House and be out. The US needs to stop its cultish worship of its constitution & founding fathers & create a system that will never allow another wannabe dictator.

@cspramesh Again, given the choice of take my appendix through a couple of small holes, 1/1000 risk of severe complications vs the 30% uncertainty of antibiotics and more time lost at work or life, take the knife to me or my kids.

@eyefishing 70% of patients never required surgery? Would you want to get a surgery that was not required 70% of the time? And if it didn't cause long-term complications, why would you advocate for surgery. And you completely missed the point about a 1500+ patient RCT vs a case report! 🤦🏼

What real science is (1/2)

@cspramesh Further, traditionally, a surgeon with 100% positive pathology on an appy was noted to be under-aggressive.

@cspramesh Here’s my take. I can have surgery at my leisure, 1-2 days after my symptoms begin and a day or 2 of antibiotics. Daytime, scheduled surgery. NPO. Risk less than 1/1000. Or be on my dream vacation 4 months later in Casablanca, and need acute surgery in a foreign land. Easy Appy.

@dcpetterson @Markcava Why no filibuster?

@Markcava Unfortunately, they can't. Republicans control the Senate. All it takes is a majority vote, that can't be filibustered.

Rumor has it Justice Alito will retire at the end of this SCOTUS term (i.e., sometime this summer). So Trump will have appointed 4 of the 9 Justices. If you'd have elected Clinton in '16 and Harris in '24, by this fall there'd be 7 liberal Justices on the Court. Fuck you all.