Blimi Marcus DNP RN Profile picture
Aug 30, 2020 6 tweets 2 min read Read on X
We got into the car, and with my Bluetooth connected, were assaulted with Christian gospel music.

My husband raised an eyebrow at me. He’s used to my rambling taste in music but this was new.

I grinned. “That was for my patient.”
Miss Mary came in every two weeks for chemotherapy for pancreatic cancer. 77 years old, she rarely complained, but I did catch her wincing a few weeks ago. After a lot of probing it appeared she had a lot of pain which didn’t respond to Tylenol or ibuprofen.

I prescribed 5mg
of oxycodone for her, and she had reported that it worked well and she only took it during severe pain attacks.

But then she came in for chemo and the pains arrived. She didn’t have her oxycodone with her and we don’t have it in the clinic.

I gave her Tylenol and hot packs.
When she said that at home she usually lies down flat until the pain ends, I stretched out her armchair fully.

90 pounds didn’t work well to keep her armchair flat, so I settled my rear end near her head to keep the chair reclined with my weight.

She laughed through her pain.
The Tylenol-hotpack-recliner trifecta didn’t help. I pulled out my last resort and asked one of my staff nurses to close the radio she usually played in the infusion room.

“What is your favorite music?” I asked Miss Mary.

She smiled with her eyes closed. “Richard Smallwood.”
I turned it on and the room was filled with Christian gospel music.

Within minutes the lines on her face eased, and I eased off her recliner to get back to work.

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More from @MarcusBlimi

Mar 15
“Yikes,” typed the chemo pharmacist supervisor. “Rough regimen.”

I blanched. I had just ordered a chemotherapy plan for my young patient. It’s the same regimen I received when I was 22.

It’s the first time I’m treating someone with the same rare cancer I had.
After cycle 1, she came back to the clinic.

I could have written her wrap-up word for word.

“I felt like I was going to die,” she said bluntly.

(Check.)

“By the fifth day of chemo, I prayed to die.”

(Check.)

“I couldn’t form words anymore.”

(Check.)
“I decided I’m not returning for my second cycle of chemotherapy.”

(Check.)

“My husband brought me in today.”

(Double check).
Read 7 tweets
Feb 25
This arrived last night and I already finished it.

A must read for halachic people whose loved ones have a cancer diagnosis.

This covers so many topics in concise and readable language: Image
1. Cancer screenings: allowed, or actually mandatory?
2. Genetic cancer screening: allowed or mandatory?
3. Common cancer statistics and treatment modalities
4. Preventative surgeries or treatment: allowed or mandatory?
5. Halacha on medicine in general
6. Clinical trials: allowed or forbidden? When? What if you’re healthy and want to contribute to science?
7. Pain medicine: allowed, forbidden, or mandatory?
8. Palliative/hospice care
9. Goseis and end of life
10. DNR and DNI
11. Artificial nutrition
12. Healthcare proxies
Read 6 tweets
Oct 19, 2023
If you condemn Israel for Palestinian suffering but you omit Hamas, you might just hate Jews.

If you fault Israel for Palestinian suffering but you omit Qatar’s role, you might just hate Jews.
If you condemn Palestinian suffering but you didn’t condemn the Hamas massacre, you might just hate Jews.

If you condemned Israel for blowing up a hospital and didn’t post a retraction and correction, you might just hate Jews.
If you didn’t condemn Islamic Jihad for their hospital bombing, you might just hate Jews.

If you provide armchair analysis on the most conflicted and contested region in the world without educating yourself on millennia of Jewish sufferings you might just hate Jews.
Read 12 tweets
Oct 16, 2023
Many people are arguing that “context” is needed to understand the slaughter by Hamas.

As a student of Jewish history, I agree, and I offer context.

We start with the first expulsion of Jews in Israel, in 586 BCE by the Babylonians.

1/
Under the Persian ruler King Cyrus, Jews rebuilt their Temple and returned to Jerusalem for several hundred years.

The Romans captured the city and dispersed the Jews in 70 CE.

The Jewish people migrated west and south, living in Europe and North Africa for centuries.

2/
For 1,000 years they wander between the Middle East and Europe, building communities and scholarly works. Note that official Christian policy is to convert all Jews, expel them, or worse.
Read 13 tweets
Jun 18, 2023
With vaccination turning into theater with anti-vax leadership gaining money and popularity, here is what will happen in the frum community:

More people will refuse vaccines for their children and themselves

Measles will return. AV parents will not report these cases.
This happened in 2019, when a total of 1,200 cases were reported but the real numbers were internally rumored to be in the 5-digit range.

A hundred or so will be hospitalized and a few dozen will be in critical care.

Hopefully not more, but I suspect it’ll be higher.
The city and state will respond with pleas to vaccinate and will enact emergency measures.

Jewish leadership will cry anti-Semitism.

@AgudahNews will host a PR vaccine drive. Adults who are immune will show up in droves. It’ll look great. Kids won’t be there.
Read 12 tweets
Jun 18, 2023
Here’s what happened when I agreed to debate anti-vaccine women.

I set my rules.

They fled.
You can’t debate the AV on facts, because for them, these are beliefs.

The data shows me that vaccines are safe and effective and that I why I believe in vaccination.

Because there is no data showing that vaccines are dangerous, the AV resort to beliefs.
Read 4 tweets

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