bone bruja ☠️🍉🌈

This is just a reply guy account now because my new subspecialty job is too niche to avoid doxing myself. Plus maybe some commentary on crazy things I see in the city, but no professional talk. Love y’all - thanks for over a decade of #MedTwitter ❤️

@PeakPiece31 “Should I kill myself, or get a cup of coffee?”

thinking about suicide or getting McDonald’s

@drrdemon The bone health/endo folks we work with like Bluebonnet. They make just plain vit D and a formulation that has K2 in it as well

Anyone have a vitamin D supplement they love? Apparently I’m deficient AF and need to start taking something

@DrDiGiorgio I’ve worked in ASCs before and I like being mega efficient and able to go home when I’m done. Our tech/RN are there for 12’ regardless and might get another surgeons case bumped in after if we are “too” efficient, but thankfully they’re good team players.

@DrDiGiorgio I’m at a physician owned hospital and we average around 35 min turnover (and we do big cases with a ton of trays). We have the same team every day; everyone’s interested in being efficient as possible, and I stay in the room all day and help clean/open.

Doctors in large centers don't realize what a life-changer fast operating room turnover times are. For those that don't know, the turnover time in OR's varies widely between hospitals. That's the time it takes to clean the room and set up for the next case. In efficient hospitals, especially those that are physician owned, it can be as quick as 20 minutes. In large academic hospitals, it can push 4 or even 5 hours. Think of the difference that makes for quality of life, patient care, and revenue. A doctor who has a large waitlist of patients might be at the hospital until 8pm and still only get two surgeries done because the turnover time is so long. That same doctor could get 3 or 4 surgeries done in a more efficient hospital, getting home in time to have dinner with his family. A physician owned hospital would never tolerate a 4 hour turnover time. That's money being lit on fire. Yet hospitals tolerate this all the time because they don't face competition. There's no incentive to run efficient. So the patients have to wait longer for their surgery, the doctors get frustrated, and everybody loses.

@JohnDonoghue64 Awww I miss singing to my black lab ❤️

Monty's reaction as I sing him, for the tenth time, one of the many songs I've made up about him...

@aqilahsulaiman @evek181818 whoa I really like the idea of scary hour!!

@evek181818 reminders and scary hour. Put a reminder for scary hour on your phone, in that hour you do everything you've been putting off (texting loved ones, paying bills etc), once the hour's up just stop. The rest will get done at the next scary hour. Can be any length of time you want.

hey does anyone else with ADHD have trouble texting to the point where it really hurts the people you really love and if so any suggestions

I manually submit my therapy receipts to @uhc for claims. They started using AI for the claims submission which saves me exactly zero time. STOP USING AI FOR EVERYTHING OMG

@HannahDCox As someone whose partner died young, it's not any of your fucking business how it happened. Dead is dead, and it doesn't change anything if you know why or not. Compassion is still cool.

I have a genuine question. Why does nobody just say the cause of death anymore? Particularly when it’s a young person who dies unexpectedly? This used to just happen when it was due to su*cide (and even that was odd to me but I attributed it to the shame loved ones feel when that happens). Now it’s like the norm and it just makes people assume it’s su*cide when it’s not… If you’re announcing the death online it’s to inform people who know the person enough to need awareness/closure but not well enough to come to a funeral, so why not just answer the biggest question?

@dismaien I’m in anintro mindfulness/meditation class and I feel this

meditation is great until your body starts showing you what you've been storing in your hip flexors since 2007

@Inv_DahSaint @alphafox It’s dry gangrene and doesn’t hurt by this point because it’s dead (I work with hand surgeons)

@alphafox Is that fingers? Is it not painful?

Passenger on subway has an actual skeleton hand: 😨

@neverjanedoe @coaiecrete Nothing else but Auvelity has ever worked for me and I’m so much less withdrawn 😭 I notice it makes me sweat a lot more easily but I can deal with that

@coaiecrete Auvelity

new antidepressants have made me extroverted and chatty as fuck I feel like him everywhere I go

@jointdocShields I can’t find the paper offhand but I know there was a large study on asymptomatic military personnel that found 70% had a tear

I want them to do this same study but with hips. I suspect we will see a ton of asymptomatic labral and abductor pathology

@TheNonye It was never ok for me to ask for help as a kid, so I feel intense shame now over ever trying to ask for support from anyone. I don’t particularly enjoy it, either.

Also why we are on this topic, what is the reasoning behind people withdrawing/isolating when things aren’t going well for them? Despite having people who still care for them and show up for them. What is that one called?

@InsaneMistress I scribe notes for my doctor. Our hospital is rolling out AI and he and I are not using it. I am uncomfortable with a third party potentially listening to our patient visits and the notes I write are better anyway.

the doctor I saw last week uses an AI scribing program I asked him to turn it off. I said I’m sorry I know it’s to help lower your workload but I do not want my voice captured by AI, I do not consent to it. I told him I hate AI. Tell them they can’t use it with you

@Jack_Yordy @rebekah_e_s It’s very generic. Durham is a little better

@rebekah_e_s Can anyone tell me if Raleigh is like this or better

@IAPonomarenko I read “The Gods of New York” last month (about NYC politics in the late 80s) and it’s obvious how much NYC hated him even then. bookshop.org/p/books/the-go…

I’m currently finishing American Psycho (published in 1991) and guess who gets mentioned every five pages or so as Patrick Bateman’s idol in the world of outrageous nihilism among late-1980s NYC yuppies.

@rubberftm love that coat

@scrumble_eggs come on, hemorrhagic stroke 🤞

Don’t let those woke doctors tell you what to do, sir, take as many pills as you want to.

@hajinights Kinda where I am - I’ve been called “gay man in an afab body” before. I don’t feel enough dysmorphic to start T but def genderqueer/fluid. I don’t like gender roles; I jibe better with bi men but a few straights are ok if they’ve thought about their sexuality. And everyone else

what kind of bisexual am i if i only like men when i picture myself as another man

If I had unlimited capital, and assuming world hunger was already solved, I would create airline terminals exclusively for People Who Have Flown Before