Glen O'Humeral

Father | Husband | Emergency Medicine Physician | Tweets ≠ medical advice

[Glen O'Humeral @HumeralO]

Patient: doc, I need something to help me stay awake

Doctor: take two of these and call me in the morning

Patient: but these...aren't these your kids?

Doctor: trust me, I'm a doctor.

[Glen O'Humeral @HumeralO]

@joshmcgoo You hate to see it

[Glen O'Humeral @HumeralO]

[consulting with ortho]

Ortho: so, this is a FOOSH injury?

Me: no, it’s more of a FOOSHBDQCTITATBTNATOABT injury
(fall on outstretched hand but didn’t quite catch themself in time and they bumped their noggin and they are on a blood thinner)

[Glen O'Humeral @HumeralO]

@Cris_Madar I call them yoinky sploinkies

[Glen O'Humeral @HumeralO]

Do you pronounce it yankauer or yankauer?

[Glen O'Humeral @HumeralO]

@W1ldMD Oof

[Glen O'Humeral @HumeralO]

What are your favorite colloquialisms to use in medicine?

Things like “ride the lightning” when describing electrical cardioversion/defibrillation

[Glen O'Humeral @HumeralO]

@JGuentherAuthor Idk, can we?

[Glen O'Humeral @HumeralO]

@fuqekgs The thumb of approval. Thanks

[Glen O'Humeral @HumeralO]

Saying, “oh goodness gracious” as I look at an EKG so the nursing staff knows to activate the cath lab immediately

[Glen O'Humeral @HumeralO]

@dtmcdevitt This has definitely been used in the OR toward some poor intern

[Glen O'Humeral @HumeralO]

@EnjoyingCrisis Oh my

[Glen O'Humeral @HumeralO]

@synapse2000 This is excellent

[Glen O'Humeral @HumeralO]

@jasonryanmd This is actually really really cool

[Glen O'Humeral @HumeralO]

Ok, this is fantastic.

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[Glen O'Humeral @HumeralO]

@EmergencyMedApp Also, the patient population I see is very comorbid — they usually have a multitude of reasons to have a high dimer.

[Glen O'Humeral @HumeralO]

“Goodness gracious” = STEMI
“Good heavens!” = pneumothorax
“Well butter my biscuit” = NSTEMI
“GREAT GOOGLY MOOGLY” = aortic dissection

[Glen O'Humeral @HumeralO]

Saying, “oh goodness gracious” as I look at an EKG so the nursing staff knows to activate the cath lab immediately

[Glen O'Humeral @HumeralO]

@EmergencyMedApp I’d say scan, personally. I do not feel the dimer is a sensitive enough test to reliably exclude dissection in that scenario. I’ve caught too many PE’s and even dissections with low dimers to be comfortably relying on it in the right clinical setting

[Glen O'Humeral @HumeralO]

BREAKING: CNN is predicting a landslide victory for influenza A this respiratory season

[Glen O'Humeral @HumeralO]

It’s actually hilariously cartoonish that your skin turns orange if you eat too many carrots.

[Glen O'Humeral @HumeralO]

@normalnorm7 And let me guess, it was a low-risk-for-PE-based-on-PERC-criteria candy bar, yet somehow the dimer was ordered and of course it’s elevated

[Glen O'Humeral @HumeralO]

Please check your kids’ Halloween candy. I just found a mixed respiratory and metabolic acidosis with a pH of 6.9 in mine