wight mane

@jasonryanmd Were portable usg's not readily available either back then? I myself like minimalism when it comes to using resources. Think it also made physical exam and clinical skills very crucial back then something that has been diminishing

One of the most memorable cases I saw in training was in primary care clinic as a medical student. A young man came in early in the day with nausea and RLQ abdominal pain. Exam was benign but acute appendicitis was clearly in the differential. Lots of docs would turf this to the ER, but his PCP sent him home with instructions to come back at the end of the day. He came back, and the pain had not progressed, so he was sent home to come back again the next morning. The next day, the pain had improved and he now had diarrhea consistent with gastroenteritis. So, basically, this patient got outpatient serial abdominal exams for a possible acute abdomen. Appendicitis was ruled out with no labs, no CT scan. Just one doc using clinical judgement. Bad ass medicine.

That time Cena, Sheamus, and Rey Mysterio were setting up for a triple "You Can't See Me" taunt Cena was off-center, so Sheamus quickly pulled him into position to ensure the camera captured the perfect shot 🔥👏

@AJStylesOrg @_Theory1 Soccer mom look ftw!

Is this what you want?! I kinda look like @_Theory1

I am so done with everything

@hughlaurie @jan_murray @unherd we need a house revival.

I’m sorry if people have been having a go at you because of my tweet. Not at all the plan. I was very slightly drunk and already upset about something that had nothing to do with you. If it’s any comfort, I got it in the neck too. I’m a thin-skinned twat, apparently, even though it wasn’t my skin. I was sticking up for the writers who I adored. Obviously I shouldn’t have cited Bach/Kahlo/Moore - asking for trouble - and would have done better to go for the 10,000 blues songs written around the same 12 bar chord structure. I’ve listened to most of them and will keep doing so. Because we love what we love.

While it’s all been rather fun, I do hope @hughlaurie takes the time to read my @unherd article (I’m sure he can stretch to a subscription). Because while his witty riposte was genuinely amusing, one point I make in the piece is that it was shared with his 1.2 million followers on X. I have around 38,000. That creates something of an imbalance - particularly given that the responses to my original post were overwhelmingly warm-hearted and affectionate towards the show. The result has been some fairly horrific trolling. It turns out House fans are even more abusive than trans activists (and that’s saying something). I have enough experience of the media to take it on the chin, as the saying goes. But someone without my background might have found the experience far more distressing. Link below 👇

@MayoClinicINFD Pip tazo

ID board review: A 51-year-old woman receiving chemotherapy develops neutropenic fever. She has no localizing symptoms. Which empiric regimen is most appropriate initially? A. Vancomycin alone B. Piperacillin-tazobactam monotherapy C. Azithromycin + ceftriaxone D. Fluconazole monotherapy

@jasonryanmd the problem is time management. Now they are giving 2 pages of h&p only to ask something that may or may not be related to the vignette. Another problem is too many ethics and QI questions that we don't really know how to prepare for beyond rotations and conventional resources.

Step exams are about 50% totally fair questions (stuff every doctor/student should know), 30% clever questions (fair but tricky), and 20% absolutely ridiculous exotic factoids. It's this 20% that drives most of the obsessive studying. You can't get those right without hours and hours of grinding and memorization. I often wonder what would happen if that 20% were removed from the exam. It would get easier and less stressful for sure.

@Papa_Heme Blink 182

Alice in Chains

@Papa_Heme while some anxiously keep checking for an interview email. 😓

Every day the goal of most clinical doctors is to make all their inboxes = 0. Often, we fail.

When John Cena surprised a kid fan & accidentally gave us the legendary “ARE YOU SURE ABOUT THAT?” meme 😂

I just wish this suffering would end

@chickcrisis She's british

What’s wrong with this Snow White ?

Golden retriever puppy heals rescued kitten in just three days..🐕🐾🐈😊

It ain't about how hard you can hit, it's about hard you can get hit and keep moving forward.

@Lytherian @RealKevinNash

Nigga rlly tore his acl in a life or death situation 😭

DELETE THIS RIGHT NOW.

@Papa_Heme What about Piperacillin-Tazobactam? Covers almost everything except MRSA

Febrile neutropenia in patient with febrile neutropenia Usually it’s fine to give the cefepime. However, if truly allergic (like they die from penicillins) Then give Aztreonam But never forget to add vancomycin Aztreonam has NO gram positive coverage.

@kunwarabhi7 Gender equality

The reason why everyone loves Randy Orton 🐍♥️

nigga got batista bombed

Take whatever wife slapper Dana White has to say about men’s mental health, ignore it, then listen to what an actual man like Macho Man Randy Savage says regarding handling male emotions