Grew up in Grand Rapids, MI and we went to the gypsum mines. Learned all the stuff you never knew had gypsum in it and that the whole knuckle line of the Michigan mitten is chock full of gypsum

As a Wisconsin resident I promise to vote for anyone who runs on a platform of looking Ron Johnson directly in the eye and telling him he’s dumb as often as possible

One of my weirder beliefs is that wars should still be fought medieval style. If you can’t find enough people willing to look someone in the eye and swing an axe at him while he tries to do the same to them then it’s not worth the fight

I can’t believe I’m saying this, but the vigorous handshakes excuse was more plausible

Informed consent is what we already do for basically everything in medicine. What Means is talking about is informing patients of the unproven extra scary risks of the things she doesn’t like and the even more unproven benefits of this alternatives she just so happens to sell

Clarence Thomas’s mail carrier has the chance to do the funniest thing

This is also vital advice for daily life I’m a doctor and I will absolutely question doctors’ medical decisions that don’t make sense to me. I will also immediately agree with whatever a plumber says about my toilet because that is not my lane and I called the plumber for a reason

Travel teams started so the best players could compete against other kids at their level, then some parents completely misunderstood the correlation/causation involved with how many kids on those teams played in college and the league organizers saw a business opportunity

Catching up on The Pitt but anyone who tells you it’s important to keep up on charting so you don’t “delay hospital billing” is not your friend

I realized a few years ago that any more career advancement would mean trading the parts of my job I like for more meetings and emails. Discovering that you’re where you want to be and all you need to do is stay there is a wonderful thing

These aren’t new points but: 1) If you honestly weigh the evidence the scale will tip to the ‘get vaccinated’ side so hard that it catapults the other arguments away 2) If you sense an undercurrent of judgement when someone asks if your kids are vaccinated it probably says more about you than them

I feel this way about pretty much all vaccine-preventable infectious diseases. You shouldn't be allowed to dump cyanide into municipal drinking water and you shouldn't be allowed to recreationally spread viruses around shared public spaces.

Trying to explain something complicated at an elementary school level in an amount of time that fits their attention span and finishing with “you could devote your whole life to studying this” is a highlight of parenting for me

Any halftime show opinion harsher than “not my taste in music but looked fun” would be a major red flag

Red state hospitals overwhelmed with stroke patients after Super Bowl halftime show

What if there’s someone trying to put together one big impeachment for all the crimes but every day before they can finish there are more crimes and now they’ve filled up so many hard drives and there might not be enough paper in DC to print copies for everybody in congress who can’t open a pdf

I am also a doctor in a hospital and I manage this problem by keeping up on preventive care recommendations just well enough to rationalize how long it’s been since I’ve seen a doctor

there are a lot of good and obvious reasons for “why AI will never be art” but it really just comes down to “the people who would use AI to make their art have nothing worth saying”. you don’t have to listen to them because they didn’t bother listening to themselves there’s nothing to process there

The fact that you can never be quite sure if anyone in the administration is lying, confused, or both is one of the top five things most likely to give me an aneurysm in the next three years

Dems should say they won't even come to the table for any discussion until ICE and the administration produces names. Want to show voters you care? Here's a real easy (and public) way to do that and it won't cost you a nickel or any political capital.

The kind of reasonable, concrete policy we can all get behind

10 seed knocked of the 7 seed on the first Thursday of the tournament. Celebrate the win today then get right back to working for the next one

Loved Sinners but I’m not looking forward to all the copycat historical drama horror musicals we’re in for after all those Oscar nominations

They expect - they NEED - the people they threaten to fall in line, like the law firms and universities and media companies and billionaires and Congress did. If you say “No, make me,” they simply do not have a Plan B. TRUMP DOES NOT HAVE ENOUGH GUYS TO MAKE YOU.

How is it a thing for the person on call for new consults to be completely unavailable for at least an hour because they’re scrubbed in for a surgery?

One of my friends tried using AI listening for her clinic notes and said she had to spend as much time on correcting as if a third year med student had written them, so The Pitt having al-Hashimi’s app confuse Risperdal and Restoril is pretty spot on

The Pitt is behind the times for febrile babies - you CAN trust a bagged urine sample if it’s negative and if the baby is looking good you only need to watch the cultures for 24-36 hours, not two days like Dr Mohan said. Some babies can even go home with close follow up!

Just finished Pluribus and maybe it’s the current events talking but I could be sold on a the whole hive mind

My 9yo has the complete collection of both and it was a great investment in his future

My 9yo said he wanted to test how plants grow if they get water vs gatorade and now we’re talking experimental design and he’s l pumped. I’m in dad heaven and I haven’t even told him he discovered the plot of Idiocracy

The Pitt almost lost me 45 seconds into season two. No ER doctor is riding a motorcycle without a helmet

Forensic analysis of objective video evidence. This is how you serve readers searching for clarity.

Anyone on #MedSky have a citation for VitC causing false positive fentanyl UDS? I have a kid that fits ketotic hypoglycemia but was “presumptive positive” for fentanyl. Not on any meds but drank juice all day. I’ve been through @mdaware.org’s post but probably need stronger evidence to make my case

Being civil to people no matter how wrong they are is a big part of how we got into this mess

More evidence that culture peaked in the 90s

There was a time when we could go weeks, sometimes months without the most bonkers shit ever happening

This explains all the times he’s talked about needing 4+ flushes

It doesn’t, but it’s not like it makes any less sense than anything else he’s said

If Florence Welch and Tom Morello made an album I would absolutely listen to it

on second thought maybe it was a mistake to put obvious morons in charge of everything

The only difference between Elon and this guy is your federal tax dollars

Not sure I’ve ever laughed harder or longer than I did watching Borat in a theater full of college kids

This is pretty much how it works when you take your dog to the vet and sure maybe sometimes you go the cheaper route because it’s a dog and not your mom but it’s still expensive as hell

The alt text is perfection

I love this

Lack of accountability is dangerous says the guy with a lifetime appointment

100% - your job as a parent is to keep your kids safe and healthy and teach them how to be themselves without being an asshole

Found the anthem we need