A little intro 🧵

Before covid, I was just a doc running vents in the ICU, but there's a little more to the story . . .

Here's some highlights of what happened prior to covid-mania.

This is a photo of me supervising residents on a surgical mission trip to Honduras, July 2010. I finished general surgery residency in 2009.

You need 400 majors and 800 total cases to graduate.
I had >800 majors and >2000 total cases.

I'm a huge advocate of community training programs over academic centers, because it was so robust.

I had the good fortune to be trained by some of the most thoughtful, caring surgeons I've ever met.

🧵Avery Co Airport Field Hospital: Timeline:

Arrived Sunday, 10/6 evening and met with base leadership with plan.

This was the distribution center in the hangar.
We were assigned space for a medical tent, and later the small building that is now our base. Monday 10/7
Set up initial donated supplies from @james_clinic including IV fluids, catheters, basic respiratory supplies, prescription medications.

🚨 Big medicine/insurance horror story!

My friend (and patient) is a lovely lady who has CF (cystic fibrosis). A genetic illness that alters salt excretion.

This makes mucus in the lungs thicker and prone to infections that become hard to treat.

It reduces digestive enzymes from the pancreas. Nearly 7 years ago, she became pregnant and was told to abort her baby.

She is now mom to 3 beautiful girls and has another on the way. 💗💗💗❤️

After 18 long months

A thread 🧵 2 🧵/ My goal from day 1 of covid was being in the very top percentage of docs successfully treating it.

Modern American medicine today…
From @james_clinic

Patient in the office with back pain, abdominal pain and 102 fever.

Complex abd surgical history Pretty straightforward:

✅ IV fluids
✅ pain control (toradol)
✅ iv antibiotics
✅ CT scan

Patient was onboard and motivated to stay out of hospital.

twitter.com/i/spaces/1OwxW…

https://twitter.com/molsjames/status/1616833910717173763

Is DM-2 reversible (ie, curable)? @james_clinic is seeing amazing impacts daily with our interventions:

✅ continuous glucose monitors tell you EXACTLY how your body is responding to the food you are eating.

✅ we can usually get 2/$70 (month supply) using @GoodRx card in our area

If you think covid and shots are bad, wait til you see what they’re up to in Canada.

Do you know what MAID is?