Ivor Popovich

NZ Intensivist. Physiology geek. Book author, “A Dim Prognosis.”

[Ivor Popovich @InternSupp]

@justinmclachlan None of those conditions were ever considered psychosomatic

[Ivor Popovich @InternSupp]

@SeeFisch It is only with cephalosporins that share the same R side chain: first generation like cefaclor and cefalexin. Other commonly used cephalosporins have disimilar side chains

[Ivor Popovich @InternSupp]

@PulmCrit But i wouldn’t rely on a negative nare swab to not treat, for example, someone very unwell with secondary infection post flu, because the sensitivity of 86-88% is not good enough in that case.

[Ivor Popovich @InternSupp]

@aribindi @PulmCrit They don’t stay in sinus

[Ivor Popovich @InternSupp]

@MHReddell NZ has not submitted health spending data to OECD since 2018 so everything since has been estimates. We have also previously (and uniquely) included GST in the figures

[Ivor Popovich @InternSupp]

@DavidLBrownMD If that were to happen again today it is highly likely you would never get intubated as our management of asthma has improved. So the expectation to return to work would be higher. It easy to make pointless inter generational comparisons to suit any narrative

[Ivor Popovich @InternSupp]

@NephroP @alex1708ander @uh9o It occurs in diastole for the reasons you’ve mentioned

[Ivor Popovich @InternSupp]

@BradSpellberg @emedfocus @ABsteward Ok. It doesn’t seem your convictions are open to reassessment.
All the best and thanks for the discussion

[Ivor Popovich @InternSupp]

@BradSpellberg @emedfocus @ABsteward Because it’s a case of someone developing nosocomial septic shock from a urinary source? I agree with your latter point, but not the former

[Ivor Popovich @InternSupp]

@BradSpellberg @emedfocus @ABsteward They were previously anuric but had renal recovery that wasn’t recognised. Pus came out of the newly inserted urinary catheter.

[Ivor Popovich @InternSupp]

@BradSpellberg @emedfocus @ABsteward I mean it’s rare but it still sometimes happens. I recall a couple of cases where an “anuric” pts’ septic shock rapidly resolved once the unrecognised half litre of urine sitting in the bladder was drained

[Ivor Popovich @InternSupp]

@charlesmurray Number 2 can be empirically denied.

[Ivor Popovich @InternSupp]

@drjohnm Especially in the ICU!

[Ivor Popovich @InternSupp]

@TheECGMedic Safe for DC is not a question answered by ECG. Not a normal ECG but nothing warranting emergent cath lab

[Ivor Popovich @InternSupp]

@MAecocardio Did the old physicians hear it before or after they saw the echo?

[Ivor Popovich @InternSupp]

@AnilMakam Can be extended to many general cases of normalisation of abnormal values

[Ivor Popovich @InternSupp]

@inthehm01 @CoffeeBlackMD There has never been a trial of albumin vs no-albumin in HRS. I suspect in the ICU where we can give vasopressors easily it makes absolutely no difference

[Ivor Popovich @InternSupp]

@argulian Complete heart block