Bob Lee MD MS

Critical care physician + palliative care researcher at U of Washington + Harborview Medical Center. DEN➡️PIT➡️IAD➡️DEN➡️SFO➡️SEA. He/him. Views=mine.

[Amber Glenn Updates @AmberGlennDaily]

"We were all climbing over each other to try to get to the top. And it didn't matter who you stepped on, or what you did; it only mattered that you succeeded. And then people would eventually get there, and it was so lonely. It'd be miserable. 'Oh, I have this success, who do I share it with? The people that I hurt?' So, leading with kindness. You are so much more fulfilled that way."

͢. Amber on what skating has taught her during the second Stars on Ice Q&A in Allen, Texas!

📹: @itsruarc

[Amber Glenn Updates @AmberGlennDaily]

“I knew that I had a platform. It wasn’t a big one, but I had a platform, and I had people who looked up to me. They felt seen. People are going to judge you either way, but making a difference in someone’s life is more important to me.”

Happy Pride Month! And thank you to Amber for being such a light in the word when it’s needed most. 🏳️‍🌈🤍

📸: Melanie Heaney, Matthew Stockman, dws.photographs

[Bob Lee MD MS @BobLeeMD]

Setting aside all talk of rights or morals or whatever, the fact remains that our health dollars deliver some of the worst ROI in the universe. Our society's insistance on maintaining inequality in healthcare is a huge part of the reason why. It is bad *economic* policy. 🤯 /F

[Bob Lee MD MS @BobLeeMD]

As a doctor, I am confident saying that the U.S. healthcare system is unbelievably stupid. We fail to invest in primary care and access, instead insisting on erecting barriers to care, all while handing insurers unprecedented license to profit wildly. 1/

https://t.co/g9fnX10Wxm

[Bob Lee MD MS @BobLeeMD]

We have awesome technologies and amazing science. We remain at the forefront of medical research, thanks to the NIH. Yet, our health delivery structures are truly asinine. Our leaders criticize other nations' health systems without acknowledging the grave errors of our own. 3/

[Bob Lee MD MS @BobLeeMD]

@nickmmark Yeah... people who say this have zero idea what primary care actually does. If AI stops someone from going in for their freaking viral URI, primary care will still have plenty of actual work to do.

[Amber Glenn Updates @AmberGlennDaily]

Amber’s full ‘I Will Find You/The Return’ segment during Stars on Ice in Seattle, Washington!

🎥: @n_tokaku

[Amber Glenn Updates @AmberGlennDaily]

Amber and Alysa Liu’s interaction after her ‘I Will Find You/The Return’ segment during Stars on Ice in Seattle, Washington!

🎥: @n_tokaku

[Bob Lee MD MS @BobLeeMD]

@AmberGlenn_ is truly a national treasure. Honored to see her perform tonight at #SOI26 @ClimateArena along with so many other amazing athletes. Amber, I hope you know how much you are loved! ❤️

https://t.co/TbyrcppDlW

[Bob Lee MD MS @BobLeeMD]

Never in history has there been a cloud platform more wantonly disrespectful of its users' data integrity than @Microsoft @OneDrive. Crashes, sync errors, mass-deleting your stuff, updates that don't work -- it does it all!

[Neil Stone @DrNeilStone]

I worked in a hospital during Covid.

Right from the start.

I can confirm that that this is nonsense.

Weapon grade horse shit.

Not remotely true and frankly libellous.

Have I been clear enough?

[Bob Lee MD MS @BobLeeMD]

@GaltMD @NeilFlochMD Frequent teaching point for me on rounds is polling the residents what the mortality of the MICU (or even the Onc ICU) is. It's nearly always overestimated.

That patient with pyelo+shock who got better overnight on some pressors? That guy's doing great.

[Bob Lee MD MS @BobLeeMD]

@aclong111 Same is true of oncology, cystic fibrosis, sickle cell disease, neuro/rheum/whatnot...

There are a lot of people out there leading their best lives despite significant, even terminal chronic illness! As intensivists, we see but a tiny subset that is enriched for poor outcomes.

[Bob Lee MD MS @BobLeeMD]

Corollary #1: Beware of subspecialists' anecdotal experiences!

Corollary #2: If you don't have lung disease, raise your damn bird. 🐦😘

[Bob Lee MD MS @BobLeeMD]

💯. Health decisions should always be informed by DATA. Anecdotes are susceptible to all sorts of selection biases.

Lung doctors famously hate birds, which can cause truly *awful* lung disease! BUT, the vast majority of folks with pet birds do *not* develop lung disease. 🙂

[Neil Floch MD @NeilFlochMD]

As a trauma surgeon I have seen so many horror stories from elderly patients using anticoagulants such as Eloquis, Xarelto and others - I see brain bleeds, hemorrhagic stroke, retroperitoneal bleeding…. But I know that although I may see 10 of these patients every time I am on call…. There are millions of others where these medications have saved lives, prevented stroke, prevented embolization and infarcts and many other beneficial effects. As a physician any patients with a bariatric complication will contact you because you are their doctor- realize you are the front line and you see the complications- we must rely on data and studies that give a big picture that is more accurate than opinion.

[Neil Floch MD @NeilFlochMD]

As a trauma surgeon I have seen so many horror stories from elderly patients using anticoagulants such as Eloquis, Xarelto and others - I see brain bleeds, hemorrhagic stroke, retroperitoneal bleeding…. But I know that although I may see 10 of these patients every time I am on call…. There are millions of others where these medications have saved lives, prevented stroke, prevented embolization and infarcts and many other beneficial effects. As a physician any patients with a bariatric complication will contact you because you are their doctor- realize you are the front line and you see the complications- we must rely on data and studies that give a big picture that is more accurate than opinion.

[Bob Lee MD MS @BobLeeMD]

@RdrRunn @NeilFlochMD There is, in fact, data about the latter scenario—and the data has always come out in favor of anticoagulation for Afib in *most* elderly patients. Sadly, those at highest risk of falls are often also at highest risk of cardioembolic stroke.

https://t.co/CJxtFCfVeS

[Bob Lee MD MS @BobLeeMD]

@nickmmark What a crazy idea, Nick. Heresy!!

[Nick Mark MD @nickmmark]

26 passengers disembarked from the MV Hondius on April 24, including 7 Americans who returned to AZ, CA, GA, TX, and VA.

Fortunately none are showing symptoms of Hantavirus infection, yet.

This is why having a well funded and functioning public health system is so important.