The WH released President Trump’s physical report from Dr. Barbabella who says he is in “excellent” health: “Preventive counseling was provided, including guidance on diet, recommendation to take a low-dose aspirin, increased physical
activity, and continued weight loss.”
JUST IN: The White House has released a memo detailing the results of President Trump's recent physical exam, with the president's physician writing that Trump is in "excellent health." abcnews.link/NVsUbAC
BREAKING: Iran currently has "no plans" to negotiate with the US on Friday, per Tasnim.
This morning, President Trump said he was expecting talks to begin as soon as Friday.
Weird medical decision making in the final episode of the Pitt
1. Using diazepam instead of lorazepam in status epilepticus. The latter is probably superior. Probably should have used more mag too.
2. They delayed intubation until she was clearly in status. I get waiting a minute to see if the mag works but giving multiple second line meds before deciding to take the airway is not a great move imho.
3. This is the big one. Using succinylcholine to intubate a seizing woman with eclampsia —> major risk for provoking hyperkalemia and cardiac arrest, which is exactly what happened! The rationale was “we need a neuro exam after”. Dude first of all you are gonna use an EEG to titrate anti-seizure meds (they showed this). Second you can just reverse roccuronium with suggamadex. That’s way more reliable than *hoping* the dangerous drug you gave wears off (in a patient with renal and liver injury no less)!
4. I could quibble about transfusions too. Rapid infusing blood when her Hb was 7 is wrong, though she was actively bleeding so 🤷 . Platelets should be transfused to >50k not necessarily higher. They didn’t give FFP for some reason, which is not good.
5. The depiction of the resuscitative hysterotomy was realistic but not having OBs there? Pretty unlikely. If there are OBs anywhere in the building you better believe they will be at the bedside of the eclamptic seizure code! (When I’ve done resuscitative hysterotomy IRL, lack of OBs was not a problem!) From a realism perspective this is not as bad as ER docs declaring brain death within a few hours of an overdose (season 1) but really felt unrealistic in a big urban academic hospital.
Gas prices in Williamson County have topped $4 a gallon. Drivers are looking for relief, including using the $1 Franklin transit system. newschannel5.com/news/state/ten…
🚨 BREAKING:
🇺🇸 PRESIDENT TRUMP JUST SAID LIVE DURING A MEETING:
"THE IRAN OPERATION WILL END SOON. TOMORROW EVERYTHING WILL CHANGE."
LOOKS LIKE THE WAR IS FINALLY ENDING!!