Cody Grace

Emergency Medicine Physician · Miami Dolphins #PhinsUp · Notre Dame Football #GoIrish · Phillies Baseball

[Cody Grace @CodyG_91]

@whitfieldlewis6 @AbdulRahmanLuk2 @MaryBowdenMD @DrLizaMD @noahkaufmanmd @DrKERMD @DrJDBaker Agreed, the main standard therapies plus some other stuff to sell.

I always say I wish I didn't have a conscience so I could still something like ground up grasshoppers as a "miracle natural vaccine detox" to make money like these people lol

[Cody Grace @CodyG_91]

@JaysonLavie So in many of these cases the scans aren't the driving decision maker and his example should/could have been treated as a stroke with lytics based on physical exam anyway

[Cody Grace @CodyG_91]

@JaysonLavie Ok I guess I missed that they had CTH but no CTA. But again, the whole point is even CTA can miss these posterior strokes and he seems to be hammering that point. And to your example, they were scanned with CTA neg.

[Cody Grace @CodyG_91]

@JaysonLavie Again, I understand that and often admit people with negative scans. I was trying to figure out why he was saying a patient was dead (presumably admitted for stroke) because they weren't scanned

[Cody Grace @CodyG_91]

@JaysonLavie Or got discharged with presumed vertigo but actually was a posterior stroke and they got worse at home, in which the scan most likely would have been still negative. So maybe if it was "dead because posterior stroke wasn't properly ruled out" and I would be less confused

[Cody Grace @CodyG_91]

@JaysonLavie I understand that and I clearly was not saying a negative CT/CTA rules out stroke.

I was asking why he was saying a patient was dead because they didnt get scanned. I don't get the backstory of the patient I assume was admitted for stroke eval but was dead because of no scan?

[Cody Grace @CodyG_91]

@whitfieldlewis6 And some of your replies like this. The patient is dead because they didn't get a scan for a possible posterior stroke, but then say scans don't diagnose them. So then a scam would have made no difference? Maybe I'm just confused if you're moving between different discussions?

[Cody Grace @CodyG_91]

@whitfieldlewis6 Ok I was confused by you talking about scans and ending the long tweet with "of there is any doubt scan them" and "scan them!"

Or were you talking about if the previously admitted dizzy patient for posterior stroke eval has an abrupt change in mental status?

[Cody Grace @CodyG_91]

@whitfieldlewis6 I agree and tend to scan a decent amount of these, but then on the other hand wouldn't a "negative" scan be potentially useless or even dangerously reassuring? Do we admit every dizzy patient with SBP of 160 that comes to the ED with a neuro consult? Hard to find a perfect medium

[Cody Grace @CodyG_91]

@whitfieldlewis6 1/2 Genuinely asking because I'm partly confused by your explanations. You advocate for scanning patients like this with fairly sudden onset dizziness but them also agree that initial scans (CT/CTA) can both have fairly low sensitivity.

[Cody Grace @CodyG_91]

@JoeRobbie_ CC was so nice to had to add him twice to my Dolphins GOATS collection

[Cody Grace @CodyG_91]

@johnnydallasB @Bemcguire @KrisPopsRoss @Brett_McMurphy JMU would have been out for Duke and Miami would have been out for ND being ranked top 12. Try your reading comprehensive again lol

[Cody Grace @CodyG_91]

Eleven fighting Vecna inside the mind flayer felt like this.

#StrangerThings5

[Cody Grace @CodyG_91]

Stranger Things Season 5

[Cody Grace @CodyG_91]

Notre Dame should create their own conference with Navy, Army, Air Force so they can get a conference champ spot instead of teams like JMU and Tulane

[Cody Grace @CodyG_91]

If losing a conference championship doesn't drop you in the rankings like for Bama, they should still have Ohio State ahead of Indiana and BYU still ahead of Miami

#CollegeFootball

[Cody Grace @CodyG_91]

@CommonCentz1111 @AlfredoABrown @AmpHaydar I mean I wouldn't be shocked if he plays well in Philly. But to call him a young star in his prime is a stretch with his production and two major injuries so far. I hope he does play well because he seems like a good guy

[Cody Grace @CodyG_91]

@CommonCentz1111 @AlfredoABrown @AmpHaydar He's 20th in pressure rate. But again routinely rushes wayy deep to get around the edge and blows contain. "Pressuring" the QB freely out of the pocket. That pressure didn't help when he whiffed Herbert at the end of the game

[Cody Grace @CodyG_91]

@hughart_michael Add Patrick Paul and that's the end of the list

[Cody Grace @CodyG_91]

@AlfredoABrown @AmpHaydar What qualifies him as a star? Multiple season ending injuries, low sack production, misses sacks, frequently blows contain. 26 career sacks in 55 games