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Dr Evil

@MD_STAT

5 Oct

I’m going to tell a story from the ER. It’s probably my only meaningful interaction with a journalist. I was taking care of an 60’ish female, I honestly don’t remember the chief complaint, but it was probably chest pain. =>

Then I met the daughter. A journalist. She had questions. Evaluating chest pain is rarely simple, and when it is, the patient is usually dying. This patient was not dying. With a wrinkle here or there patients over the age of 25 who have chest pain will get =>

An EKG and Chest Xray rather quickly. Oxygen is standard. 2 liters. Lab draw. Aspirin by mouth. Vital sign abnormalities are addressed, and after the EKG is some variant of “non specific changes” and the patient’s pain is relieved =>

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Dr Evil

@MD_STAT

11 Jun

@molratty

@molratty So interesting to see this dynamic change over the past few decades. I was a history major and when I learned about the civil war it was presented as a incredibly complex conflict, with roots in slavery, but roots as well extending back to pre-revolutionary days. Also on the =>

@molratty

@molratty industrial north growing and driving the need for expanded crop production in the agrarian south such as, of course, cotton. Also, I learned of the struggle many officers had in choosing sides and many choosing to fight for the south. But now, 150 years removed, it's =>

@molratty

@molratty all of a sudden so clear that it was war caused singly by slavery. There may be momentous events with a single cause but I can't name one. I think there are other drivers here.

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Dr Evil

@MD_STAT

26 Oct 19

@JoeSilverman7

@JoeSilverman7 Part of this stems from medicine “mission creep”, part from mandated data-gathering that is used for “studies” (shitty data as should be obvious here), and part from Doctors surrendering their profession. =>

@JoeSilverman7

@JoeSilverman7 “Mission creep” is a military term that means trying to go above and beyond your mission. This often has disastrous consequences. A classic example would be a pilot tasked with taking out two targets on a mission but seeing a third, destroying it, and going “bingo” fuel =>

@JoeSilverman7

@JoeSilverman7 Running out of gas. Crashing. Medicine is REALLY hard to do well. Focusing on the patient in front of you completely, making good diagnostic decisions, and instituting prompt treatment is critical, especially in the ER. It is NOT and exaggeration to say that doing this =>

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