Rural doc bringing salt to Emergency Med.
Making it work with too little.
Extra chaotic good. I only tweet medical advice. Jawn enthusiast.
Jan 10 • 4 tweets • 1 min read
Saw a patient today for rib pain.
On her property, she has a large pond. Many geese stop for both their migrations north and south, but they don't nest there.
Early this past summer, one of the geese stayed, and it's been by the pond ever since.
She and her husband figured that maybe it had a hurt wing and was unable to continue its journey, so it just decided to stay.
They had grown fond of it over the summer, but they were worried that as winter approached it would be eaten by coyotes or foxes.
Dec 24, 2021 • 4 tweets • 2 min read
The omicron variant and the total failure of most available monoclonal antibody therapies highlights the importance of vaccination. Vaccination creates a polyclonal antibody response, making it much harder (but not impossible) to evade your antibodies.
Consider this:
Monoclonal antibody therapies are basically like if you were looking for a guy in a red hat, and that's all you knew about him.
If that dude changes his hat, you are SOL.
Dec 23, 2021 • 4 tweets • 1 min read
If your home COVID test was positive, you have COVID. Please do not come to the ER for another test.
If you can't breathe or need treatment, by all means come. But please don't overwhelm us with confirmatory testing. You have COVID.
May 23, 2021 • 10 tweets • 4 min read
A break from ladders for a musing on insurance companies:
The argument against socialized healthcare is that "the private sector can do it better." I'm trying to understand what part the private sector is doing better.
Let's start with this: what is insurance?
Insurance is when lots of people pay money to the same company so that if any one of them has a medical emergency, the company pays and no one is financially ruined.
In other words, it's a privatized socialized healthcare plan.
And what's the goal of an insurance company?
Mar 4, 2020 • 11 tweets • 6 min read
Since absolutely no one asked, thoughts on #CoronaVirus from an ER doctor.
A thread:
First, with multiple cases of #Covid_19 showing up in people with no known contact to either infected persons or "hot zones" it is apparent that we are not going to "contain" this.
(1/x)
With the prolonged incubation time of up to two weeks, people will be widely spreading this without even knowing that they are infected.
(2/x)
