steinkern
@koboldvintner.bsky.social
📤 213
📥 121
📝 549
I don’t even see people walking in the grocery store anymore. I just see heel strike, midstance, toe off, etc.
about 15 hours ago
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One of the reasons I don’t like outpatient as much is the latency between when you make a decision and get feedback. I don’t want to wait a month to get an MRI and see if I was right.
3 days ago
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Can’t find my telescoping queen square so treated myself to a new hammer
5 days ago
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Good medmal post for those who follow. I think for new onset unilateral headache in a late 30s male with vertigo and left sided falls CTA should have been ordered from the getgo. The description of the visual field exam does not inspire confidence either.
expertwitness.substack.com/p/missed-pos...
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Missed Posterior Circulation Stroke in ED
Case #315
https://expertwitness.substack.com/p/missed-posterior-circulation-stroke
6 days ago
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reposted by
steinkern
Azure Emerald Empire
6 days ago
“The Elder Scrolls” is what they say about you when you’re on your phone!
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Was wondering at the typecasting of mid-career Dustin Hoffman as an institutionalized guy (eg Rain Man) then realized it was actually DeNiro who played Leonard in Awakenings (1990) and not Hoffman. Maybe I’m the one in a padded cell.
6 days ago
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Mensa Reddit is amazing
6 days ago
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what was that crunch tweet that said something like “white boy on an airplane listening to dean blunt”. Does anyone remember what I’m talking about
6 days ago
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genuine creature
6 days ago
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Paulie and Chris pump their own gas in "Pine Barrens" (Season 3, Episode 11) to demonstrate their macho attitude and disdain for the rule of law. It is not an error
9 days ago
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Saw a leucistic red-tailed hawk at a wildlife refuge named Shiva. I wonder if the staff were making a reference to the Robinson Jeffers poem
10 days ago
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current events
11 days ago
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when I was a kid my dad would rip out vines and weeds in the garden and joke "if you're not paying rent, get out". now I find myself doing it. this is uhh social reproduction under capitalism or something
12 days ago
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Fox in Medford, NJ
12 days ago
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you’re telling me the UK is a real place and not just an elaborate homebrew setting
12 days ago
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Hit the elliptical at the gym eating a big bowl of spicy tuna salad with curry powder, coriander, dill, carrots, celery… yeah I’m thinking we’re back
14 days ago
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I want one of those forbidden Chinese electric trucks from Mexico
15 days ago
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Roly poly moment
15 days ago
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add a skeleton here at some point
15 days ago
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There’s apparently some kind of weird mushroom in the French Alps that might give you ALS
www.sciencedirect.com/science/arti...
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An amyotrophic lateral sclerosis hot spot in the French Alps associated with genotoxic fungi
Between 1990 and 2018, 14 cases of amyotrophic lateral sclerosis (ALS) were diagnosed in residents of, and in visitors with second homes to, a mountai…
https://www.sciencedirect.com/science/article/abs/pii/S0022510X21002525
16 days ago
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you can only say stuff like this if you’ve never been on a stroke ward
add a skeleton here at some point
18 days ago
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reposted by
steinkern
Azure Emerald Empire
19 days ago
Evolutionary biologist eating Doritos: “Doritos are so good…they aid in mate selection for sure…”
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getting into liverwurst. I’m the world’s first geriatric zillenial
20 days ago
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It’s kind of a funny cosmic asymmetry that botulinum toxin is one of the most useful medicines in the modern world whereas tetanus toxin is completely useless for anything other than killing vertebrates with extreme prejudice
21 days ago
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Rainy day
21 days ago
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cvs got me muttering sic semper tyrannis
22 days ago
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bro I’m afraid you have
23 days ago
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12 days from poison ivy exposure. Waited this long due to sunk cost fallacy but now that it’s spread to my legs chest abdomen I think I’m having a systemic reaction and need the roids
23 days ago
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Wow
23 days ago
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reposted by
steinkern
Fart Vision
25 days ago
when I was an undergrad philip glass came to campus and i was pumped about it for like two weeks and ate a weed brownie right before it sat down in the seat and fell asleep in 2 minutes and slept through the whole thing completely
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Did you know: the Catholic Church is exempt from state and local unemployment tax and therefore employees cannot collect unemployment if laid off
25 days ago
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Of course we can treat all suffering in the world as a numerical quantity to be optimized. After all, everyone means the same thing when they rate a pain 4/10 on an ordinal scale, right?
26 days ago
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reposted by
steinkern
Gondwanan Supermountain
27 days ago
Way less impressive than it sounds - THE TRIAL OF VOID
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Asking utilitarians if they’d rather remove 1 percent of skin from 100 people or 100 percent of skin from 1 person
27 days ago
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Beef Season 2 on Netflix gains points for correctly demonstrating that you can’t rule out ovarian torsion with ultrasound, but loses points for incorrectly depicting the effect of having one ovary on subsequent fertility
27 days ago
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Route 130 moment
29 days ago
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What it feels like to have poison ivy
29 days ago
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My fifth grade teacher made all her classes memorize and recite the Gettysburg Address. We should be doing that instead of the pledge of allegiance
30 days ago
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I love to walk around oozing and yelling “aughh my lesions!”
30 days ago
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I wish I was a cenobite so I could experience this poison ivy as pleasure-pain rather than pain-pain
30 days ago
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Pen exploded in the wash so I’m trying the washing your clothes in milk trick. Surprisingly effective. Better living through chemistry
about 1 month ago
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my dog has copd. Didn’t even smoke they just get chronic bronchitis when they’re old apparently
about 1 month ago
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Found a cool stick
about 1 month ago
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Had to pack up the pets and stay with a friend because there’s a wildfire at an oil refinery right near my house
about 1 month ago
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about 1 month ago
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Protip: on exam, patients with myasthenia gravis may have weakness of the medial rectus that resembles an internuclear ophthalmoplegia. The way you distinguish this is by testing convergence (should be intact in pure INO).
about 1 month ago
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That guy who got bitten by hundreds of snakes intentionally to either die or prove a very important point is, in my view, the latest exponent of a time honored tradition of self experimentation at the bleeding edge of medicine
about 1 month ago
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It’s pretty funny that for administrative purposes in the US the two ethnicities are Hispanic and non-Hispanic
about 1 month ago
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Both my mom and sister have migraines but I don’t. Wonder if I would if I was a girl
about 1 month ago
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just remembered that in the UK they call boobs “chebs” lol
about 1 month ago
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