YOU’RE LISTENING TO SISYPHUS FM, THE HOME OF NON-STOP ROCK

too many stupid people have money; that's why I'm launching protein cigarettes

Making a case for bedside rounds on day one of service

I genuinely think the best way to deal with this shit is to run nonstop psa's showing cows being milked and how much shit is involved. actual shit

I need derm, ENT, and herpetology consults

People seem pretty upset about this #onhere but as someone who works in this hood and bikes most days, this is more functional as a bike lock than the median commenter seems to think. Also I get a dad-joke chuckle out of it as a bicyclic bicycle lock (a bicycle to which you can lock your bicycle 🥁)

hobby: pasting text into the URL bar and then copying it again to launder it of weird formatting

jumping onto a tram and frantically telling the driver to follow that other tram

Don't be shy to take on a little two-week side project. These five months will be the most precious three years of your academic journey.

We all have days like this

how much money does the marine corps lose

I did some research to try and figure out when my death date would be if there had been no treatment for my cancer. I don't know why I assumed it would be some date in the future, but, in fact, I passed the middle of the "no treatment survival" bell curve more than a year ago. Thanks chemo.

time to distill the effluent from our dialysis units

ICU Snapshots: This is what I don't want to see when a patient on heparin drip crashes:

ICU - Board Review Qs: 60 yo pt admitted to the ICU because of inferior STEMI. Emergency cath: 100% proximal RCA occlusion treated successfully with stenting One hour post-PCI: dyspnea/anxiety - BP: 94/70, HR: 60/min (sinus). Phys exam: JVD (+), clear lungs, cool extremities

A researcher knowingly preprinted misinformation in order to run an "experiment" of whether LLMs would resurface it as medical knowledge. Academia has finally invented its own version of the classic meme. www.nature.com/articles/d41...

Study of degree of pyuria alone vs. pyuria / uOsm ration in predicting positive culture

NEJM Clinician Editor-in-Chief Raja-Elie Abdulnour, MD explains a trial that evaluated the clinical impact of continuing vs holding GLP-1–based medications prior to upper endoscopy. Read the key results and comment from Sara Turbow, MD, MPH: jwat.ch/4sKvoUq

More people are vaping than smoking cigarettes. How do you take a vaping history? Do you ask about device? How do you quantify use? What do you say when a patient says "I know it's worse than smoking"? This is a deeply neglected part of substance history--we can't keep ignoring it forever.

Have you ever been confused by the term "sanewashing"? It's the media practice of rephrasing incoherent or extreme statements by public figures to make them seem more logical or frankly, more sane. (Kim is a journalist for the Associated Press)

The thing I see most often immediately after signing into Microsoft Outlook: "You've been signed out"

SCOTUS ruling 7-2 that 7-2=5

No shade to zgamglogene autogedtem, but I approve of this abbreviation

If you're having trouble finding the bladder with ultrasound you’ve ruled out urinary retention

Only 23% of government workers believe they “can report a suspected violation of a law, rule, or regulation without experiencing retaliation.” That's way down form the share the prior year (72%) who said they could report suspected illegal activity without fear www.thebulwark.com/p/two-more-g...

Is AI going to move the air hole away from the food hole?

🩺🥼Doctor’s Honest Approach to Patient Care! For more on this and longevity meets cardiology, don’t miss episode 518 with expert guest Dr. Greg Katz, cardiologist and prevention expert at NYU Langone Health. For the full episode visit www.thecurbsiders.com 🎙️

Very cool. Only thing, not sure I've ever met a person with AVA < 0.75 cm2 who was asymptomatic. I guess maybe cause I'm a hospitalist and those people are living their best lives outside the hospital? www.nejm.org/doi/full/10....

If Bilbo had Chat GPT

Gets easier to discern when you see a few fakes. noneedanick.github.io/DeepFakeXRay/

If you are still carrying the wounds of the last few years in your body. If you have compartmentalized and suppressed just to keep going and want to release what you’ve been carrying but haven’t found a way to reconnect to your deepest self. I wrote this book for you. ❤️‍🩹 #MEDSky

The majority of radiologists and 4 LLMs were unable to differentiate synthetic, deepfake scans from real ones pubs.rsna.org/doi/10.1148/...

I think this is sinus rhythm, but it’s one of the more physiologic-looking and thus tricky artifacts I’ve seen. Not sure what could be causing it, ideas? @narrowqrs.bsky.social @willyhfrick.bsky.social

Who needs the DOD when every city has City Walls™️ and one fortified phalanx?

Recently I have noticed ChatGPT doing engagement baiting. Totally annoying.

Ibuprofen is a miracle

Happy 5th birthday to the expiration date of the Zyrtec I just took

Advances in the planning and delivery of radiation treatments have come from efforts to simultaneously reduce negative effects in normal tissues and enhance tumor control (seen in figure). Learn more: nej.md/4cjpcxk #MedSky

Hey I did a fun thing with @warren.senate.gov about breaking up giant healthcare conglomerates

Dinosaurs And Non-Dinosaurs xkcd.com/3204/

My cartoon for this week’s @theguardian.com books.

Radiation oncology is cool

one of the most impactful classes i ever took in undergrad was a course called Instrumental Analysis which was, essentially, Electrical Engineering for Chemists. i don’t remember the actual devices that we studied but i came with a lifelong appreciation for understanding the limitations of machines

It never ceases to amaze me how a piece of software as profoundly shit as Microsoft Teams continues to be used by organisations worldwide

Mom, come pick me up, the best lack all conviction and the worst are full of passionate intensity.

I'm sorry, if you're going to make a big show about how you've got a Department of WAR helmed by a Secretary of WAR and staffed by WARfighters, it's totally inane to then claim that your massive bombing of a foreign country constitutes something other than a war.

Inpatient diuresis thoughts Spironolactone is not only part of GDMT, and not only a K-spring diuretic, but also an H-sparing diuretic. Start it up front when you anticipate >10-15 pound loop diuresis to prevent not only constant potassium chasing, but also metabolic alkalosis. 1/2

my uncle runs a place in Anchorage that serves fish and chips, and he named the half portion the "Texas size" which is just an incredible troll