Joe Thomas, MD, FHM

Dear new intern who just broke death news to a pt’s family member, It is okay to cry. Do not feel like everyone else is just moving on with their day. Everyone deals with this grief differently, and no, it does not get easier. Being you, a human, makes you a better doctor. (1/2)

The so-called President of Peace who so-called conservative Christians claim is backed by Jesus or will even compare to Jesus, seems very excited to take lives and sacrifice Americans for war crimes. There is no justifying this war or these attitudes towards fellow humans. #Iran

@EstabZorro Just the Netflix announcement. I’ve posted about this every time he’s released something (multiple specials and directed a movie) since his behavior was revealed. I’ve chosen to watch none of his new stuff. Just reminders that cancel culture doesn’t exist for (white) men.🤷🏾‍♂️

@DocWithBowtie Hasn’t he already released 2-3 specials since then? Just curious why you’re bringing it up now. Is it the new Netflix special announcement or did something else happen?

The 2nd most disappointing thing about Louis CK: if one comedian could actually address what he did (the most disappointing thing) properly and co-lead healing, it would be Louis CK. Instead that’s too hard so he goes the “non-apology because MAGA and incels still laugh” route.🙄

At JHM, we love talking high-value care. But how high is the value? Does it lower patient costs? Check out this Brief Report on costs and length of stay in patients who received PRN BP meds! 🔗 bit.ly/4mdayKX ✍️ Seonkyeong Yang MS, PhD et al 🎥 Jennifer Woodard, MD

Do kids hospitalized with pneumonia actually need IV antibiotics, or are we doing more than necessary? This JHM study looks at IV use, complications, and what happens when we start oral instead. 🔗: bit.ly/4s9bT6H ✍️: Jillian M. Cotter et al

Did you present a poster at #SHMConverge26? Congratulations! Now you're home, but don't lose momentum and fall into poster-paresis! Check out this LPD Article on scholarly success after the conference! 🔗 bit.ly/4bPZQGQ ✍️ @ShannonMartinMD 🖼️ @PatriciaTranMD

@naomirwolf I sat at a computer for 2 hours yesterday and am still thinking about tacos 24 hours later. That’s the game, right? We talk about things that have literally nothing to do with each other? My thing is less stupid, though.

I sat next to a vaccinated person on a couch for two hours yesterday and am still unwell 24 hours later.

#SHMConverge26 wraps up today and we are sad to see it end, but we also learned so much! Start your reminiscing and reviewing right now by reliving yesterday’s Updates in Hospital Medicine!

Spider-Man 2 is on (Tobey years). I forgot how much I adore this movie’s action sequences. I don’t know jack about filmmaking, but the fights between Spidey and Ock still thrill me to this day.

Loved running into you, @ASK_HM17! Looking forward to further discussions and attending some of these talks!

The first healthcare worker to block me because I kept calling out their anti-public health posts sharing misinformation back in 2020-21 retired this month. Doesn’t really mean anything and I don’t know if they were still spreading misinfo this year, but I do hope they’re well.

@Fynnderella1 @drrdemon Sounds like you ought to take your own advice.

@DocWithBowtie @drrdemon I’m a minority and I’m the first to tell you it’s bollocks! Don’t use your ethnicity to protect bad faith acting - it’s despicable.

As the only foreign-trained physician in my residency class at an excellent academic program this year, I took that personally 🤠

@slmimorgan @drrdemon @Fynnderella1 Projecting much?

@drrdemon @Fynnderella1 @DocWithBowtie Easy choice for you... go back home and take Deepak Chopra with you. This is my country. We the American people would be able to do a lot better without foreigners buying our Congress. Muting because you are bad faith.

@Fynnderella1 @drrdemon “The oppressed person [or supporter of the oppressed] that agitates for his rights is not the creator of tension, He merely brings out the tension that is already alive.” -MLK Jr It’s not “divisive garbage speak” to call it out, but thanks for unmasking your xenophobia.

@drrdemon @DocWithBowtie Take your labels and divisive garbage speak back to your own country. You painting folks with your same, tired buzz words is what is sad.

@slmimorgan @drrdemon @Fynnderella1 So now you’re just hurling accusations with zero evidence to back up anything you say? At least with @drrdemon’s numbers you can look them up fairly easily. What are you bringing to this besides bigotry?

@drrdemon @Fynnderella1 @DocWithBowtie I managed H-1Bs. No, you are not well-versed. It's a cheap labor scheme. You're spreading propaganda and lies. I'm not even convinced you all pay taxes. I think you're why Joe Biden wanted to expand the IRS. You don't pay, do you? Tax evader.

FYI: 2 most common fake-out posts you’ll see this weekend to trick you out of standing up to oppression are that No Kings protests are “a waste of time” (incorrect) and that millennials are objecting to the new Harry Potter series for any reason other than Rowling’s transphobia.

There’s more to unpack here with insurance and corporate regulations making it difficult for doctors to spend time with patients and explain things, but make no mistake - we do WANT to take that time!(3/3)

You should still ask questions, and it’s even okay to look up your symptoms and your condition (we as doctors should respect that), but people will try to take advantage of the potential knowledge gaps and sensationalize their products - so buyer beware! (2/3)

Let’s talk about ways to spot grift! The last thing good doctors, REAL medical doctors, and worthwhile scientists want is to hold back knowledge. That’s the way for people to try and sell you stuff for profit, not provide medical care. #Healthcare #Hospitalist #PublicHealth

@jk_rowling You were very loudly wrong back then, as usual. The scandal of Paris 2024 was that you opened your transphobic mouth and made more lives worse. Sit down.

Today's ruling by the IOC means a welcome return to fair sport for women and girls, but I'll never forget the scandal of Paris 2024, when people who consider themselves supremely virtuous and progressive publicly cheered on men punching women.