I walked into a patient room last week and said “I’m taking care of all the flowers today, I just saw a Violet, and now I’m seeing a Rose”, and she said “you should have been here earlier, the nurse’s name is Lily” and that was enough cuteness for a week, at least.

Saw a sticker on a car that advised “pet all the dogs” and in the history of mankind I’m not sure better advice had ever been given.

At this point I’m beginning to think an administration run by lesser demons would possibly do less harm.

I grew up a skinny smart kid. I dealt with plenty of bullies. Giving in literally never works. They always want more. Fighting back, standing up to them, might get you some bruises and such, but it’s the only way.

So, thinking about getting another dog, and the internet has the nerve to tell me that Jack Russell Terriers make bad therapy dogs. Hmpf. They obviously never met Logan.

My departed BFF gets part of the credit cuz he charmed her (current gf) first, but who wouldn’t be charmed by this little gentleman?

So, all the members Congress and the executive branch are gonna go on a hunger strike in sympathy with the folks losing SNAP, right?

NYPD Cop is sick and tired of TEMU cops AKA ICE GOONS racial profiling and harassing him.

Today I’m remembering Margaret, the crazy old lady that lived next door where I grew up, sitting on her retaining wall with a jug of Gallo wine and some firecrackers, happily getting sauced and occasionally tossing a lit firecracker, and shouting “happy Fourth of July!” 🇺🇸 🧨 🍷

We may be living through a shit show, but damn if I haven’t had a very long stretch where every patient is just so decent, and it feels like a privilege to be able to help them.

I know this is an era of quote misattribution etc. So while I’d be perfectly happy to learn that Nelson Mandela actually said “Think well of people. They often act the better because if it,” it’s still good advice, regardless.

The contempt and condescension when mansplaining that dropping bombs within sovereign territory is not an act of war…

So, they want to charge Iran’s leader with war crimes because one of their hospitals was hit by one missile. Remind me, how are the hospitals in Gaza doing?

I feel like it should be a bigger controversy that the US SecDef doesn’t think germs are real than the fact he doesn’t think national security/security clearance is real. But that is because I know that the #1 killer of military service members - far and away - has always been infectious diseases.

C’mon over. We’ll all turn our phones off. I’ll make us cocktails and my girlfriend is an amazeballs cook. If the weather’s nice, we can go down by the river and listen to the wind in the doug firs.

Call me old fashioned, but anyone that says “my brain literally just exploded” does not know what the word literally means.

So, how long before a vocal Congressional Democrat gets scooped up and taken to Gitmo? About 2-3 chapters to go?

“...to care is an act not of weakness, but of strength.” The Lancet response: bit.ly/4jRb5Av

I saw an epic confrontation in the tree outside my kitchen window this morning. The loser fled in terror. Hummingbird 1 Robin 0

To the R’s clutching their pearls right now: sit down and stfu. You put your quarters in the juke box and pressed this button. At least have the cajones to admit it.

Icy fields of tall grass and low-hanging fog are giving some real GoT vibes out here.

So if you told me the name here I would have thought “bs, can’t be real.” There is precedent for doing this sort of thing badly. en.wikipedia.org/wiki/Operati...

Anyone else have that hairs on the back of the neck feeling like something big and bad is gonna to happen? Just me?

My job is currently an endless stream of positive and pleasant interactions. No, I’m not being sarcastic.

One of the realizations of my time in the ER was that the only thing worse than a tragedy… was tragedy that could have been prevented. Please make sure your NYE plans include “NO ONE drives drunk.”

I just had a peer-to-peer with UHC and managed not to ask the question “why are you being an insufferable prick right now?” Applause would be appreciated.

Well, I have another one of those jobs where I feel like I’m dreading going to work, it’s hard to get out of the house, but shortly after I arrive I’m happily zooming around doing the doctor thing. Why am I like this?

So this is really meant more tongue-in-cheek than it will sound in text but things are really looking up here, good work to do with good people, and Oh wait. Seasonal depression would like a word…

Had “the talk” with a gentleman yesterday about his new and rather grim diagnosis/prognosis. Oncology said 2-3 weeks. Of course he was a nice guy, it seems like they always are. As I’ve gotten older and seen more of life, the talk never gets easier.

Ok, but one of the best FAFO lines ever is: “A curious man might have asked ‘have you played a lot of darts, Ted?’”

It’s a tragedy a man got shot. There are kids that lost a father. I’m sure he was well liked. How shall we measure the ills of the healthcare insurance industry? How many people, how many years of life, how much pain, how much suffering of patients and their families alike? Done for profit.

After four months of rather nerve wracking unemployment, starting a new job today.

In the grocery store, I look up and see a bottle of Tapatío and realize that despite living alone like a grownup out here (post divorce) for almost three years and I still had none in my house. The dude on the bottle was judging me, I’m sure of it.

Science nerds: any of the books by Peter Wohlleben about the research on trees is fascinating.

The world is a mysterious and fascinating place. One of the things I enjoy about reading “old science” is their naïveté about how they thought they had “just about everything figured out.” Scientists today seem to think the same thing 🤔

Bluesky rookie here. Is there one of those fancy lists for primary care docs, and if not, should there be one?

Someone called this mass exodus from Twitter ‘the fall of the Broman Empire’ and I died laughing. 💀

Whenever I have to deliver a cancer diagnosis, I will call the consultant’s office during the appointment, and stamp my little doctor feet to get them an appointment right then because people are so shell-shocked in that moment.

All pediatricians and infectious diseases doctors right now #PedsSky #IDSky #MedSky

In the parking lot of the local little grocery store there is a group of gray beard biker-looking fellas putting up a tent in 39 degrees for a food drive to feed homeless kids, and I appreciate this town.