FINALLY making progress with consistent hip locks.

This is your annual reminder that pneumonia is a clinical diagnosis, not a radiographic one. Please don't send your patient to the ER just to get an xray.

It is possible that Stranger Things has jumped the shark.

Time for Stranger Things!!

The full spiked 60 Minutes CECOT package, clean & subtitled. 1/5

Possibly my favorite out of context text message ever.

If you were raised with the Santa myth, how old were you when magic was ripped from your world?

The problem with Democrats in a nutshell. We are both angry about Donald and YOU. Dems and their overall lack of action are part of the problem. The fact that your move is to tell us we're stupid instead of actually listening to voters is why you're vulnerable. 🤦‍♀️

Trump unveils 'Patriot Games' for US 250th anniversary share.google/41cejkypt9LI...

One human's trash is another cat's enrichment pile.

Become ungovernable

AOC: I want to remind you where the real crime is. It's in the oligarchs taking $170 billion of our money from health care and food assistance and public programs and taking that and funneling it into a secret police program.

Hey, they worked through their ENTIRE weekend. Are people going to die due to their inaction? Absolutely. But look, they sacrificed an entire weekend. How could they possibly do more?

I had a dream last night that I went on a date with @ryanmarino.bsky.social. It was bizarre on many levels.

Throwback to baby Mango, smooth as butter.

If you sit in your car for more than 60 seconds at the loading area for airport arrivals, you are an asshole.

Finally, after centuries of neglect, someone is doing something to address the health disparities impacting men!

Luminaria lights with my mom!

When considering expensive pet beds and toys this holiday season, ask yourself, should I just get them a box? The answer is usually yes.

Obviously not a union shop with a lunch break that short.

How is it that adults older than myself don't understand how metal detectors work. Sirs, urgent update, this space age technology cannot tell the difference between a belt buckle and a knife.

But I'm just saying CC company, considering that I have never purchased an Amazon gift card, maybe question "me" purchasing ten back to back $100 gift cards.

Cool. My credit card has been hacked. Look forward to disputing $3000 in charges.

Vegging out on the couch after aerial practice.

Time to holiday this party.

Ready to party!

Gravity schmavity.

Overall trust in scientists and medical professionals is still rather high (Pew 2024). And only about 7% of American/Canadian respondents in a study (Gravelle 2022) are stridently anti-vax. MAHA is platforming views of a very small minority, to erode the majority.

Hellllll yeah. Successfully mid-air inverting without needing a foot assist.

If you are into Sarah J Maas, a couple of ER nurses are making a podcast exploring her books to create an encyclopedia. It is spoiler heavy so beware if you haven't read all her material. They are starting with A Court of Thorns and Roses. Well worth a listen! podcasts.apple.com/us/podcast/a...

Seems like a good night for a little fairy smut and cross stitch.

We are all drunk raccoons passed out on God’s public bathroom floor

It seems I have been ghosted by yet another cement contractor. These people have to know they don't want the job as soon as they see the project. I wish they would just tell me instead of promising an estimate and then dropping all communication.

Double fisting it while watching the last Season of Stranger Things.

Officially three weeks without any urination out of the litter box! 🎉 Today was also the first day Mango didn't earn any timeouts. So progress!

Epinephrine for anaphylaxis: IM anterolateral thigh Average adult: 0.3mg IM Adults > 80kg: 0.5mg IM Peds (15-30kg): 0.15mg IM Peds (<15kg): 0.01 mg/kg Safe in pregnancy. Appx 30% will require a 2nd dose in 5-15 minutes.

When treating shock with norepi, there are several types of patients who may be less responsive: * Elderly * On beta blockers * CHF * Severe metabolic acidosis Consider adding vasopressin if the norepi dose is high.

As we enter the flu/ COVID season w/ holiday gatherings and travel, don't forget to check medication interactions if you rx Paxlovid. Be aware of patients on serotonergic medications as Paxlovid increases the risk of serotonin syndrome. Liverpool COVID-19 Interactions share.google/oSBNgdKTW9DB...

Taking a tiny dip.

I will 1000% donate to this cause.

In general, I don't wear scented products. When we got in the car to drive to dinner I was surprised my dad was wearing cologne. Later in my house I was like wtf, how did that smell transfer to me, how do I STILL smell that. It's my hair. I used a new hairspray and it is my hair.

Negroni ASMR.

Also, quite possibly the best text message from my dad ever. I'd asked him to remind me not to forget the rolls when we left for our family dinner.

Another holiday of successfully gas lighting children into eating food in the books.

Brazil's former President Jair Bolsonaro received a 27-year sentence for a coup attempt. Relatives of the 700,000 COVID-19 dead say his conviction, though separate to the pandemic, offers vindication. n.pr/4pmyAU4

Bye @ama-assn.org, don't let the door hit you. 👋👋👋

I've been working with a cat behavioralist in a last ditch attempt to avoid rehoming the girls... it's been a work in progress but this is new!