Late night insomnia (thanks EM) question: Have you ever dilated eyes in the ED and if so when? Found an interesting article arguing we can and should dilate eyes in the ED for fundoscopy particularly in the case of painless monocular vision loss. Valuable clinical skill or time waster?

“RFK JR. RESIGN”

RFK Jr must resign and I believe those of us who work in healthcare, public health, health research, or any related field should demand his resignation

#ResignRFK He Stokes fear and ignorance and brings violence and death. He has no business leading HHS. He is morally and intellectually bankrupt. #medsky #emsky

Regardless of whether you think it's right or wrong to take GLP-1s for cosmetic reasons (I personally think it is wrong), wishing all the worst side effects on someone because of it is very petty and spiteful. #medsky #glp1

#EMsky #Medsky I made the mistake of perusing the Doximity news feed comments section. I think there is a rule there than within 10 comments on any article an older physician must say “younger physicians are ruining the profession with their lazy, work-life balance seeking ways”

TN executes man with dementia, brain damage, kidney failure, CHF with an ICD despite concerns the ICD would fire prolonging the execution or causing pain.

Fox News is really throwing stones in their dear leader’s glass house when they criticize ex-president, now private citizen Biden for slurring in a speech considering how many times Trump’s speech would have triggered a code stroke in the ED

Why aren’t people engaging me? Why do I always get blocked? I say as I go onto random people’s comments and start criticizing their opinions on stupid trivial things

1. He’s not the mayor, so you can’t try to pin this on him. 2. More cops wouldn’t have prevented this. They were already next door. 3. Why are you focusing on Mamdani rather than the literal cop who is actual mayor of NYC? 4. Why turn of your replies? U scared of people pointing this out?

Anybody still excusing Israel for this genocide can go eat shit. Murdering starving 5 year olds is straight up Nazi level evil.

You can watch this Green Beret describe this experience in his own words to @vanhollen.senate.gov, and for us, and I cried. I’m not sure how you could watch this veteran tell this child’s story and not feel all of the emotions at once.

Can I turn off the stupid google AI results at the top of my search that I don’t trust because it may just be hallucinating?

Live shot of every fucking journalist with the opportunity to ask any sort of follow-up question to challenge Trump admin official’s lies, corruption and fascism:

#EMsky #Medsky 2nd opinion! When do you consider a CT scan for a peritonsillar abscess?

What the hell amazon? I had to spend time on my day off fixing a work excuse for a patient seen in the ED because they require a signature and a phone number of the physician writing the note. 99% of other work notes I’ve written have been accepted by other employers with just the printed letterhead

Breaking: Coward gives bully lunch money, gets nothing in return except guarantee of more bullying in the future

Donald Trump bragged of grabbing women by the pussy, walked in on undressed Miss Teen USA contestants, was found liable for sexual assaulting E. Jean Carroll, and was convicted of hiding payoffs to a porn star. Here's why the Epstein allegations are fake. by Hugh Hewitt

Roy Moore. Epstein. Trump.

Clinical depression is a treatable illness. Mamdani is clinically proven to cause remission. Ask your doctor is Mamdani is right for you. Kick clinical depression and Cuomo to the curb - with FDA approved Mamdani.

Take A Bow by Muse Corrupt, you corrupt And bring corruption to all that you touch Hold, you'll behold And behold and for all that you've done #muse

The Music of Muse has been my go-to recently. It was like they wrote for this era. Loving "Take A Bow" and "Survive" right now especially #muse #music #resist

I would rather people with these kind of critiques not bother being in the theater to watch. The experience will be much better without them! www.independent.co.uk/news/world/a...

The best early-warning system for natural disasters is Ted Cruz leaving the country for vacation.

I mean fine but if Mamdani was Spider-Man the editor of the big local paper would have a completely over-the-top and underexplained vendetta against him

I think we shouldn't cut little old ladies' opioid regimens in half for no good reason, especially when they have active cancer and their regimen is only 5 mg oxy twice a day #medsky #EMsky

#Medsky #EMSky #mededsky A thread on the student loan changes in Trumps bill of lies and death

There is so many horrible things about this bill including the fact that in addition to gutting Medicaid, it guts government student loans for physicians and caps them at $200,000. At a time when *average* med student loan debt is $250,000 and rising. 1/

There is so many horrible things about this bill including the fact that in addition to gutting Medicaid, it guts government student loans for physicians and caps them at $200,000. At a time when *average* med student loan debt is $250,000 and rising. 1/

What is the average number of bugs a dog accidentally sniffs up their snoot per year? It’s definitely more than 0

4th of July is to for hand surgeons what Tax day is for accountants 🧨👋💥

I’m an ER doctor. This MAGA murder bill is going to be devastating for me, ER docs like me and our patients. Hospitals and ERs will close. The ones remaining open will be overwhelmed. Patients will die from lack of access. Physicians will face leaving medicine or risk death from suicide and burnout.

If by some miracle the backlash to the Trump Murder Budget is big enough that democrats retake the house and the senate in 2026, we need to reform the Supreme Court. Pack the court, term limits, etc.

Valadeo and all the other republican “moderates” signed their political obituaries with their vote for Trump’s murder budget bill. We will make them pay.

“You know what would help a lot? Some elite disapproval—publicly and boldly expressed. While a successful democracy depends on some degree of reasonableness from voters, a successful liberal democracy also depends on responsibility and even courage from elites.” www.thebulwark.com/p/the-public...

It’s outrageous that a masked ICE thug can punch a man in the face and escape consequences anonymously. That’s not America. America is for the thug cop to be identified and THEN escape all significant consequences for lawless brutality after a brief period of paid leave bsky.app/profile/news...

Genie: ok what do you want for your birthday Trump: a military parade, oh, and also millions of people on the street chanting my name Genie: okie dokie

Wow-- loud protesters now chanting "Fuck Trump" and booing at people as they filter out of Trump's military parade.

the allies Hegseth so respectfully referred to earlier this week when he claimed they just watched us do all the fighting in Iraq and Afghanistan?

A Secret Service agent just passed by muttering about how to get the crowd dispersed after the parade and seemed reluctant to get aggressive about it, "just for some fucking propaganda."

Not taking anything away from Senator Padilla because he was treated atrociously But I JUST want to remind everyone that the Congresswoman LaMonica McIver, a Black woman, was just indicted for just asking questions at an ICE detention center in her state Keep that same energy of support for her

Full blown authoritarianism is calling, and the call is coming from inside the White House

One pro immigrant protester being carried unconscious to the other end of the street here in Paramount, CA, was hit by a federal agency vehicle. Getting attention from protester medics.

3/ with the adjutant generals of their state national guards. They can't refuse the nationalization of the guard. But they are still required to refuse to obey illegal orders. We're right at that break point.