Last night was somehow even better than the pierogi incident.

Some people are too young to remember the last AI Winter and it shows

Med school interview with my top choice school in three weeks ><

I'm now the primary author for WikiEM's nitrous oxide toxicity page 😵‍💫 about half done with my edits for it, tox doc at work gave me some great suggestions.

Really glad to see Republicans take the doctor shortage seriously by uh... capping the amount of federal loans med students can take out to a level below what the average med student takes out.

Ironic that the same professors complaining about AI cheating are using chatGPT to generate letters of recommendation.

🆕💫 Viewpoint JAMA Nitrites for Urinary Tract Infection—Time to Say Goodbye? #idsky #EMIMCC #UTIsky jamanetwork.com/journals/jam...

After 21 years at my dream job, I’m very sad to announce my early retirement from the National Institutes of Health. My life’s work has been to scientifically study how our food environment affects what we eat, and how what we eat affects our physiology.

I'm in my 30s, why am I still having nightmares about cramming for organic chemistry?

For 75 years, every time any U.S. state has requested epidemiologic assistance (an “Epi-Aid”), CDC sent disease detectives. Now, Wisconsin has asked for help to address newly discovered lead poisoning in Milwaukee. But all CDC experts in lead poisoning were just fired.

"Experts say people will die"

I hope I can just bury myself in medicine for the next few years but mentally preparing to spend the rest of my career trying to convince people to get vaccinated after HHS publishes a horrifically unscientific paper that links vaccines and autism, despite this being heavily studied and disproven.

Saw a Hampton hump in the wild a few days ago. Rare radiology marker that can sometimes be visible in patients with a pulmonary embolism.

Peter Marks’s resignation letter. Everyone should read this.

Ghost: oOoOoO Me: Whoa, a ghost! Grandma? Did you come back to tell me something important? Ghost: After the last time our government passed big tariffs, I spent a decade eating dandelion salad and wrapping Christmas gifts with newspaper.

I can tell a patient is autistic because you ask what their pain is from 1-10 while they're in excruciating pain from kidney stones and they're like "this is entirely subjective, how would I even know what a 10 feels like if I've never experienced it?" and every neurotypical person just tells you 11

I'm so tired and stressed, my anxiety has been terrible. I'm not sure if I should limit my political news consumption (which is all extremely stressful and depressing) or if it's better to stay on top of the terrible things that happen every day.

New pseudoscience from the CDC website, courtesy of chief idiot HHS secretary. The evidence supporting Vitamin A treatment is largely in countries where the average person may be suffering from vitamin deficiencies. The primary recommendation of the CDC should be MMR vaccination, full stop.

I like how different medical specialties have different "vibes". I'm still pretty torn on EM vs psychiatry, and thinking a bit about IM or FM... but I love my EM colleagues, it's like a specialty just for ADHD types like me. The tox community is full of the nicest brilliant nerds you'll ever meet.

Another NIH grant rescinded - The Epidemiology of Alzheimers Disease and Related Dementias in Sexual and Gender Minority Older Adults: Identifying Risk and Protective Factors - 1K01AG056669

I was featured in this episode and won for best answer! The next time I get down about applications and med school, I'm just going to listen to Dr. King saying that I'll be "undoubtedly a great healthcare professional some day in the future" 😭

Most interesting thing I've seen recently was a young patient with thyrotoxicosis secondary to unmedicated Graves Disease. HR of like 140, most recent labs had TSH of like 0.01, so anxious they were about to burn a hole in their bed from shaking. I felt so bad for them!

My prereqs are from a decade ago, so just getting an interview is really reassuring - means at least someone is taking me seriously. I just wish this process wasn't so grueling and soul crushing. Having to wait a year between cycles with very limited feedback stinks.

Med School interviews went fine, but I was so sick with a URI the week leading up to it that I couldn't actually speak until the day before. I wish I'd been able to practice more, but have to assume I didn't get in and keep planning for the next cycle.

Med school interviews this week, I'm so nervous lol ><

I hope I get into med school this cycle. Being a medical student might be the only thing that protects me in the coming years.

The fear and anxiety are palpable in the emergency department today.

I got a med school interview at my top choice school!

Reassuring to hear the doctors at my hospital all discussing how to get foreign visas in case they need to flee the country.

Bluesky has been flooded with automated reply bots - they'll offer a sort of confrontational opinion as a reply. They're pretty convincing and we all need to train ourselves to not reflexively reply to all responses until we check Dead giveaway is new acct, few followers + original posts

Always shocks me when I have a patient on Domperidone and it isn't a trans girl with a lactation fetish

When Florida can report and arrest trans people for just going to the bathroom, and they can now also forcibly detransition people in prison by refusing their meds and shaving their heads, and the industry is still ✨⭐️conference at Epcot✨⭐️!

TIL tuberculosis can infect more than just the lungs. ~15% are outside lungs, and ~1-2% are ocular. There, it can cause a diverse range of symptoms but frequently presents as uveitis (the uvea being the middle eye). If uveitis worsens despite glucocorticoid therapy, TB should be considered.

She makes good music in the PNW. Please help me support local artists ❤️

FYI UHC is the bane of healthcare providers' existences. They drove the push for HMOs with legislation in the 1970s requiring everyone be offered an HMO plan. They have a vertical monopoly with Optum. They deny treatments simply because automatic denials = more money, not on any medical basis.

My informal poll of my coworkers in the hospital is that everyone is at least ambivalent about extrajudicial killings of UHC execs, with many of the younger folks supportive of this.

So this was the real year of luigi

I can't believe someone walked up to the CEO of United Healthcare outside an investor event, pulled out a silenced pistol, shot him, and left. I mean, we've all fantasized about it - doctors, nurses, PAs, patients. I'm just shocked it actually happened!

Every weekend after Thanksgiving you get multiple critically ill patients with ESRD who missed their dialysis because of the holiday.

Happy thanksgiving from level 1 trauma.

The more I research Droperidol, the more I'm convinced that it was "killed" by insiders at the FDA to benefit big pharm. Heavily in use for 30 years with few serious complications (almost all were in other countries where 10-100x megadoses were given), then killed overnight with a blackbox warning.

I've started to think about this like the dark pattern f2p videogame ads you see everywhere. If an {ad,bot} interacts with 1000 people, and 10 have a response other than to ignore it, and 1 of those becomes a {whale,"cow"} sucked into a loop/cycle to produce {money,torment}, it's profitable to them.

We've seen a big uptick in the states as well. Rates of childhood scurvy tripled between 2016 and 2020, with 65% of children having an autism diagnosis (and thus a restrictive diet). I need to remember vitamin C deficiency for differential diagnoses for weakness with anemia.

Stop ordering HCG tests for transgender women challenge

Good paper, I agree with a lot of it. Sadly the people who most need to read it are probably least likely to ☠️

Is there a starter pack for researchers / practitioners who focus on trans healthcare, or transgender healthcare workers? Would anyone want to be added if I started one? #MedSky #trans

A few years back I was at the SJ beach boardwalk and the lady's room had a giant line, so I put on a layer and used the men's. "I don't pass that well, it's fine." As soon as I was in a stall, I hear "did you see that? There's a GIRL in the MENS ROOM." I finished very quickly and got out asap ☠️

one of the coolest uses of the protocol I've seen, hands down. this place is the future

Had my first street medicine shift today. Hopped in a van with a couple other medical professionals and a social worker and met with a few patients at low income housing / homeless encampments. It's really nice to get to spend like 45 minutes with a patient instead of 3.