Christian liberal geek saving the world literally+figuratively. Tech, medicine, Muppets, food, travel, random interesting stuff. She/her. @serti.bsky.social
"How to Terminate PAIN PATIENTS From Your Care":
NP "Dr" Wendy Wright" explains how to get rid of those pesky pain patients - document threats or violence by patient, and they're gone in 30 days. Wright states she's "terminated" more pain pts in last 5yrs than in her entire 18yrs of practice. And yes, it's about pain patients.
https://t.co/U5heSX0Jqf
@ABmrJutt Hey google, was a woman in Tennessee told by her doctor that she must abort or she will die and her state wouldn't let her?
Wow. Apparently Tennessee really IS that bad! ๐ฎ
@joe2boogaloo@wahlstedt007 So much for celebrating that pesky Constitutional free speech, which means people can speak their minds. If you don't like what he's asking, scroll on by.
@bitappend@wahlstedt007@txgermanbre I think the massive protests disprove this. Regular people are getting more engaged because they realize it is hitting them in the paycheck. Sad that it takes that to engage them, but at least they are learning.
When I was in the hospital, they ran a CT scan on my chest to look at the cracked rib. That scan found ground-glass opacities in my lungs. The pulmonologist didn't really know what to make of it, but I'm familiar enough with the literature on this that I recalled the exact papers: these have been found in otherwise healthy people years after a COVID infection.
It's not PEM. It's not fatigue. It's not a symptom on some checklist or survey dolled out by some academic who has been wasting funds for the last 15 years with nothing to show for it. It's organ damage. Try absorbing that into the IACC framework. Try staging it on a five-point ME/CFS severity scale. Try treating it with pacing and LDN. Try telling the doctor who put a tube in my chest that this is the same condition as post-EBV fatigue.
This is why the conflation matters. When Long COVID gets absorbed into a symptom-based chronic illness framework, the vascular damage disappears. The cardiac injury disappears. The lung fibrosis disappears. The strokes disappear. What remains is "fatigue and brain fog," vague symptoms that seemingly demand nothing from anyone in power.
Yesterday, a federal judge barred Elon Musk's lawyers from arguing that AI could threaten humanity in his lawsuit against OpenAI.
OpenAI was founded as a nonprofit focused on developing AI safely. But our recent @NewYorker investigation documented how some researchers at the company have raised concerns about safety being sidelined.
Speaking as a surgeon who witnessed the effects of SB8 including women with breast cancer unable to terminate pregnancies to save their own lives, banning access to the abortion pill does not eliminate abortions, it eliminates SAFE abortions.
Women deserve better.
I can't take it anymore.
This fear of chemicals is pitiful.
Your body is chemistry.
Every second of every day.
Food, medicine, air, water - all chemicals.
Stop pretending โchemicalโ means something alien. Itโs not.
Toxicity isnโt about the chemical.
Itโs about the dose.
A large trial found that increasing fluid intake did not significantly reduce kidney stone recurrence over two years, despite boosting urine volume. Personalized prevention strategies may be necessary, as consistent high fluid intake is challenging.
Prevention of urinary stones with hydration - PUSH trial, enrolled 1658 participants (median age, 44 years; 57% women) aged 12 years or older with a history of urinary stone disease and low 24-hour urine volumes.
I genuinely canโt wrap my head around this idea that doctors are getting rich off pharma by prescribing medications that cost $4. Likeโฆwhat exactly is the payout supposed to be for prescribing metformin or an albuterol inhaler?
We are not getting โrichโ off generics. Thereโs no secret check tied to writing a prescription for meds that have been around for decades and cost less than your morning coffee. And no, we donโt get a Venmo every time we prescribe a brand name medication either.
If anything, weโre prescribing generics, hunting down savings programs, and constantly arguing with insurance companies just to get medications covered for our patients. The narrative just doesnโt hold up.
THIS is how to discuss abortion and women's health!!!๐๐ป๐๐ป๐๐ป๐ฅ๐ฅ๐ฅ๐๐ป๐๐ป๐๐ป
"When you see Rep. Gillโs shit-eating grin, youโll know exactly who he is.
Since Rep. Gill is so interested in our favorite types of abortions, I thought Iโd share a few of mine.
My favorite type of abortion is the one that prevents a raped ten-year-old from breaking her pelvis in childbirth.
I also like abortions that keep women from carrying dead fetuses for weeks on end, which is what happened to Marlena Stell in Rep. Gillโs home state of Texas.
My favorite abortions are the kind that stop women from going septic, or prevent 28-year-olds from losing both of their fallopian tubes.
Another favorite? The abortion that means a Texas 21-year-old wonโt be forced to carry a fetus developing without a head.
I like the abortion that means a pregnant mother of five with cervical cancer doesnโt have to beg a hospital panel for chemotherapy.
I like the abortion that doesnโt force a woman to travel far from home when faced with a fatal fetal abnormality.
I like the abortion that doesnโt force a woman to travel far from home when faced with a fatal fetal abnormality.
I really like the abortion that stops patients from having to plead for help in videos made in hospital parking lots.
My favorite types of abortions are the ones that allow women to live. Maybe if Candi Miller, or Amber Nicole Thurman, or Tierra Walker had access to abortion, they would still be here.
My favorite types of abortions are the ones that allow women to go to college.
My favorite types of abortions are the ones that let women leave abusive relationships.
My favorite kinds of abortions are the ones that mean women get to choose their own life path, to decide what is best for them, and to figure out if and when they want to start a family.
My favorite types of abortions are the ones that allow us to meet the person that weโre supposed to be with.
My number one favorite abortion is probably the one that allowed me to meet my husband and for us to have our daughter, who is now 15 years old.
Actually, scratch thatโmy favorite is the abortion that saved my life when my daughter was three, and ensured that she didn't grow up without a mother.
So Rep. Gill, it is really hard to choose just one favorite type of abortion. There are so many, and theyโre all my favorites. Does that answer your question?"
My Favorite Abortion, by @JessicaValenti https://t.co/cPWTVSuPAw
@drkeithsiau Have you heard of or experienced issues with pts using semaglutide having to resort to 2-3 lax preps to completely clean colon? Do you think this will dissuade those pts to get colonoscopies? Maybe more of a US issue.
@scottisaacsmd So, arguably, they could discourage patient compliance with or usage of colonoscopies due to multi-day fasting/laxative prep, resulting in less polyps/cancer being detected and removed, and increases in untreated colon cancer. Wonder if this has been studied yet.
@scottisaacsmd Another problem with these drugs is apparently they make cleaning out your colon more difficult (due to slowed motility?). I spoke with a gastro doc doing colonoscopies and he mentioned they have had a number of patients have to do 2-3 rounds of flush prep to get everything out.
This NEJM Perspective highlights a growing problem with GLP-1 therapy: rising off-label, lifestyle use, little eating-disorder screening, and millions at risk of silent harm if we do not build safeguards now.
https://t.co/2qfJTwZM5Q