Julian Galt, MD

Writing from inside the collapsing medical-industrial machine.

[Julian Galt, MD @GaltMD]

My hospital’s EMR now automatically diagnoses every patient with things like homelessness, obesity, and food insecurity. I didn’t enter these. I can’t remove them. This is what bureaucracy does to medicine.
My Latest: Diagnosed Before I Arrived
https://t.co/dBQcXz1PdF

[Julian Galt, MD @GaltMD]

@scandalmouth @thedimitri I agree you can’t cheat but also how do you not see that the wife is also ruining everything over sex

[Julian Galt, MD @GaltMD]

What do you suggest be done about the chronic d dimer elevation? I don’t really know what the utility of a positive dimer is, it’s a test that clinically has useful negative predictive value for venous thromboembolism but otherwise is nonspecific when positive. It’s not normal to have a dimer be chronically elevated but what is the workup for this case? TEG? Do you empirically anticoagulate and accept the risks and liability of blood thinners without a real indication for them?

[Julian Galt, MD @GaltMD]

@prieurdp You clearly have never owned a long wheelbase vehicle.

[Julian Galt, MD @GaltMD]

@Aella_Girl This is likely skewed by both genders’ honesty or lack thereof, in opposite directions. I would venture men would sleep with less attractive women than they admit in the survey, and women would go to bed with the attractive men at higher rates than they admit in the survey.

[Julian Galt, MD @GaltMD]

@DrDiGiorgio https://t.co/D5xV1oNl3G

I’ve shared mine with you before, but here it is again.

[Julian Galt, MD @GaltMD]

@DrDiGiorgio The statistic assumes that these people would have been better off if they stayed home instead of going to the hospital which is just plainly and obviously untrue

[Julian Galt, MD @GaltMD]

@shashj Let us keep our own money.

[Julian Galt, MD @GaltMD]

@MeghanEMurphy Do these women even like their husbands? Why did they get married?

[Julian Galt, MD @GaltMD]

@DrDiGiorgio @anish_koka It’s also just not optional. You can’t just expropriate other people your whole life.

[Julian Galt, MD @GaltMD]

Doctors all live in nice neighborhoods where they are made to feel poor by everyone else who lives there and does something a lot less stressful and that did not take their youths from them. That’s been my experience anyway. We tend to settle at the bottom of the high earner totem pole.

[Julian Galt, MD @GaltMD]

@GreatRober49687 @retweets_9ja @Vendorsrepost I don’t get the squatted crossover SUV sports car trend. The Porsche macan, there’s a BMW and an Audi that both look like it too but i can’t remember the model designators. To me they just look like distorted sedans or something. Really awkward and off putting proportions.

[Julian Galt, MD @GaltMD]

@SamSamiam45 @CoffeeBlackMD @anniodarone3 What other areas are you talking about?

[Julian Galt, MD @GaltMD]

@Tekeee Just get it. They are awesome.

[Julian Galt, MD @GaltMD]

@SamSamiam45 @CoffeeBlackMD @anniodarone3 Nobody wants the current system. What I would like is a free market.

[Julian Galt, MD @GaltMD]

@PulmCrit Cost conscious care run amok.

[Julian Galt, MD @GaltMD]

@AlexEdgerton @FredB69152786 Turning off the fucking auto spark plug destroyer, that’s always buried and you have to do it every time you get in the car.

[Julian Galt, MD @GaltMD]

@AlexEdgerton @FredB69152786 Heated or ventilated seats, driving mode, AC settings, skipping tracks or changing stations, etc. Literally the things in the photos.

[Julian Galt, MD @GaltMD]

@AlexEdgerton I like both of those and genuinely prefer them to a touch screen.

[Julian Galt, MD @GaltMD]

@SeanLangenfeld Yeah this is absurd, I directly save at least a couple lives every shift