Ok so maybe I over-dressed for clinic… again… #maythe4thbewithyou

I really enjoyed sitting down with Dr. Saba Fatima and having this conversation. I honestly wasn’t sure which way things would go or what exactly we’d end up talking about, but sometimes the best conversations start that way. youtu.be/rJzuKf-57iU

Re-reading @therealdoctort.bsky.social’s book and a line stuck out: “The dawning realization hits me: I have been learning how to ride a bike by reading about it.” Funny thing about that…I taught myself a bunch of the basics of figure skating by watching it on TV and by reading it in a book.

Since nobody is being held accountable, and capital only understands the language of capital, is there a comprehensive Epstein boycott/don’t-vote-for list yet? Or is it basically almost every major corporation and politician?

Paying my taxes, quivering with incandescent rage.

RIP James Van Der Beek from colorectal cancer. Little side story. One of the nurses I work with, loved Dawson’s Creek so much she named her daughter Dawson. In 2020 I asked James to record a little message for them both (via Cameo) to help cheer them up in the depths of the COVID pandemic. 1/2

“Messieurs, c'est les microbes qui auront le dernier mot." (Gentlemen, it is the microbes who will have the last word.) -Louis Pasteur. www.nbcnews.com/news/us-news...

"Part of how they make you obey is by making obedience seem peaceful, while resistance is violence. But really, either choice is about violence, one way or another." -Charlie Jane Anders, “The City in the Middle of the Night.”

Positive aspect of the snowstorm. I finished 10,000 words of my novel last night. Gimme caffeine, and no other options, and I will FINISH THIS BOOK.

I finally have access to my Twitter/X account again! For the past 5 days my account has been hacked. If you received any messages from “CoachSelena75” or “CoachSophie” your account may have been compromised. Sorry to everyone who suddenly got deluged with crypto posts and Elon retweets.

FYI to anyone who follows my main account on Twitter/X “therealdoctort,” unfortunately the account has been hacked and the name has been changed. I’ve reached out to @X to try and regain control. Please disregard any posts or messages coming from that account until I can get it back. Thanks.

“…And hope returned to him. For like a shaft, clear and cold, the thought pierced him that in the end the Shadow was only a small and passing thing: there was a light and high beauty for ever beyond its reach.” J.R.R. Tolkien, “The Lord of the Rings.”

Flu is surging at record levels. Measles is exploding, an outbreak in South Carolina just passed 200 hospitalized cases. ICE just shot and killed a U.S. citizen. We overthrew Venezuela for their oil and wanna “buy” Greenland. National debt is $38 trillion. Healthcare is crumbling rapidly now.

Done with streaming. I wish there was a service where all the channels were available in one package from one company that connected to the back of your TV via a cable…

I’ve had the privilege to work with the best group of colleagues a doctor could ever ask for. Here’s to the doctors, NPs, PAs, nurses, RTs, PT/OTs, SLPs, RDs, PCTs, and all the support staff that made everything possible. Peace out SATX! Till next time… (Y’all are some talented artists too!)

Good thing AI is taking on the menial jobs so humans can focus on making art and creating t- wait, what?

“No, I would not want to live in a world without dragons, as I would not want to live in a world without magic, for that is a world without mystery, and that is a world without faith.” - R.A. Salvatore.

This tactic is part of the foundation of toxicity in modern medical practice. Physicians lack dedication, devotion, resiliency, you name it. The system is never at fault. The system must never change. Our problem is we just went to medical school to take the easy route…

When you’re trying to do some teaching and are also easily distracted…

Hot coffee, cold showers Someday you're gonna get your flowers All your pills come over the counter Yeah, they were so wrong about ya Let 'em look at you now like you're Hannibal Lector They wanted a villain, and you deserved better Yeah, you deserved better - “Too Pretty for Buffalo” by Baby Nova

An excerpt from the Nebula Award-winning novel, “Parable of the Talents.” Written by Octavia Butler, published in 1998, and relevant as ever.

Measles? Check. Trade war? Check. Child labor? Uhh…

I’m not gonna say the future is bleak, but the future is bleak.

This reminds me of the time Elon said he would give $6 billion (2% of his wealth at the time) to the UN World Food Program if they could give him a plan to eradicate world hunger. In 3 days they gave a detailed report. He never mentioned the report, and donated the money to his own foundation.

I remember the cystic fibrosis patients I took care of 20 years ago. I also remember the dedicated HIV wards in the hospitals, and that Princess Diana made headlines for shaking hands with AIDS patients. Progress has been incredible. Miracles are where you choose to see them.

“So what are your thoughts on America? Americans?” “I don’t know, maybe you will be taking offense.” “No, I want to know, seriously.” “I don’t know, I think there is … confusion. Confusion here.” “How so?” “Americans really not know who they are.” “I’m listening.”

Benjamin Franklin:

"Keep, ancient lands, your storied pomp!" cries she With silent lips. "Give me your tired, your poor, Your huddled masses yearning to breathe free, The wretched refuse of your teeming shore. Send these, the homeless, tempest-tost to me, I lift my lamp beside the golden door!" Emma Lazarus 11/2/1883

Now hollow fires burn out to black, And lights are fluttering low: Square your shoulders, lift your pack And leave your friends and go. O never fear, lads, naught’s to dread, Look not left nor right: In all the endless road you tread There’s nothing but the night. A.E. Housman #burnout

Always be fighting Cardiology.

Ahh, sweet San Antonio. Where a tiny dusting of snow turns the town into a set from The Last of Us…

It wasn’t TikTok users who were hacked into giving up the blueprints to America’s most advanced stealth fighter. If TikTok is so risky for its ties to the Chinese, why is Rednote freely available? This is just another in an endless parade of calculated distractions in the United States of Amnesia.

It even looks like his hair.

“For last year's words belong to last year's language, And next year's words await another voice.” -T.S. Eliot, “Four Quartets.” Here’s to leaving what needs to be let go, and holding on to what needs to be kept. Happy New Year everyone.

Only about 300 to 400 people a year give a kidney to someone they never met. It's an act of generosity so unusual, a neuroscientist studies the people who do this.

The Killers released a Christmas song every year for over a decade. All proceeds from those singles went to charity. Those songs are now all together on an album: “Don’t Waste Your Wishes.” Check it out if you want some different Christmas tunes! They’re bangers.

“Talent isn’t as rare as you might think. There are incredibly talented people everywhere, carrying their gifts within them. The problem is, and always has been, opportunity. So many others could do what I do. Fate chose me.” “Nobody chose you. Luck is like lightning. It strikes, or it doesn’t.”

So the President urged Congress to take action, and the Governor of Wisconsin put the flags at half mast. Good to know we’ve done all we can do, until the next school shooting (which statistically speaking will probably be before the end of the week).

Attended the “Illuminate” light show exhibit at the San Antonio Botanical Gardens last night. Simply stunning. Will be posting more photos I took, but the highlight was this massive peacock. It’s hard to describe how disorientingly beautiful this was to experience in person.

Congrats to my friend Colton Valentine on his incredible art exhibit at 337 W Commerce St, in San Antonio, TX. So grateful to know you man. Wishing you unlimited success. It’s never too late! (Not pointing at Sade, I’m pointing at him.)

Love finding my little book out in the wild. Makes a great Christmas gift if you’re still looking! Easy read, nice and compact, great for medical and non-medical people alike. :) You can find THESE VITAL SIGNS on Amazon or at this website for other options: www.harpercollins.com/products/the...

Had a dream I time-traveled and stopped Paul Walker from getting in that car. He went on to have a big cameo role in John Wick opposite Keanu, got cast as Aquaman, started appearing in “prestige” films including Oppenheimer. We stayed in touch. He was kind and funny. Woke up still hoping. 😞

The City of Tulsa coming through in the clutch…

It’s going to be an interesting jury to be on, that’s for sure.

Saw an ophthalmologist in the physician lounge today. Looked around incredulously to see if anyone else was seeing this. Sure enough a small group of hospitalists was huddled nearby, filming with their phones. One of them gestured to me, and pointed. “I know!” I mouthed back silently.

Choose empathy. Read.

Some *good* news, Dr. T! www.stamfordadvocate.com/connecticut/...

They know the outrage will be limited and things will blow over. As long as profits keep rising, all is well. We’ve had examples like this over and over and over, but the system propagates itself. There’s too much money in it. The time for incremental change is long gone. Revolution.