Observation. As DEI crushes medical care and everything else it touches consider this. I have been able to avoid meaningless CME and 'care initiatives' by adhering to the principle of 'do what's right for the patient' with every encounter. The whole DEI enterprise places...

1/ DEI considerations ahead of the patient. For instance, only ten or twenty years ago you could be fairly certain that if your doctor was board certified that they were well trained and competent. Can you be sure of this today? Is it not especially nefarious...

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New ACLS protocols courtesy of #wokemedpearls. We have been doing ACLS all wrong forever. As an example, just a few years ago this was typical…

=> 2/ EMS Unit on radio: Unit 23 to General... Coming in lights & sirens with a 45 year old male in cardiac arrest, V-fib shocked twice at 360, two IV lines, Epi 1mg in, intubated and bagging, and STEMI on our quick 12 lead, compressions ongoing, arrival 10 minutes, STEMI ALERT!
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How do you perform a testicular exam on a birthing-person? #wokemedpearls. Daunting right? The lack of a scrotum and testes, however, should not dissuade you from performing this exam. Testicular cancer is devastating if the diagnosis is missed. Here's how I perform this exam => 2/ Expect some puzzled looks at first. Many birthing-persons are expecting a speculum exam of the so-called 'vagina'. Explain the necessity of a testicular exam and the consequences missing the diagnosis of testicular cancer. "But, Doctor, I don't have testicles!" =>

🧵🧵 The Coronavirus pandemic will cause further erosion of our trust in western medicine. It's quite ironic because while the MSM and a portion of practicing physicians and many scientists have been trumpeting 'TRUST THE SCIENCE' the fact is that the science has not driven => 2/ the world's response to the pandemic. Examples are legion but are most obvious with lockdowns and masks. I'm not going to argue about lockdowns and masks here, but I will say that I was in favor of 'two weeks to slow the spread' so that we might 'flatten the curve'. It made =>

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 =>

Cue the following insane Tweets:
1. OMG this was a hoax! Trump never had COVID!
2. OMG that’s not Trump, it’s a body-double!
3. Add your own... Yaaaaas!

@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 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 =>

@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 “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 =>