@maheshramanan @medevidenceblog @precordialthump @armycritcare @iceman_ex @iwashyna @fluidloading@bmj_latest You think I haven’t already? Shame on you for heaping opprobrium without knowing who I am. Assumption of ignorance based on ones own arrogance, like a true doctor. All I asked for was precision and a solution, not your idiocy.
@medevidenceblog @precordialthump @armycritcare @iceman_ex @iwashyna @maheshramanan@fluidloading@bmj_latest The simile is wrong. Lemmings do not have blind faith nor do they commit mass suicide. Also it is a ‘slice’ of lemmings not a bunch. Since you have highlighted a problem however, would you care to proffer a solution? If you are not part of the solution you are part of the problem
@SteveKingIA A heartbeat is detected at 6 weeks. A majority of pregnancies end in spontaneous abortion before 8 weeks. The complexities of pregnancy, carriage, birth and life go far beyond your pathetic aphorism. For the sake of so many I hope you fail miserably.
@GongGasGirl Pain is a symptom not a diagnosis. Pain is acceptable. Treat the cause while acutely treating severe pain or the world will end up like the USA, nowhere to turn apart from iv lignocaine infusions. Given CYP variance I stopped using both a long time ago.
@christifulli88@cliffreid So, if you think you can do something you are more likely to do it.....is that not just a given? I think the most important words are, ‘perceived efficacy’ remember x-factor and how many perceive they are good at singing.
Knowledge, wisdom (from experience) and understanding (from reflection) are three things I hold in highest regard. Over Christmas I had the wisdom to know a patient had a massive PE, the knowledge to give lytics post ECHO and the understanding to hold his hand so he wasn’t alone.
@GovMikeHuckabee@realDonaldTrump Both @realDonaldTrump and Mussolini were tub-thumping Fascist demagogues who admired brutal dictators. Both promised a fairyland based on the past while robbing the people to enrich themselves. Trump certainly deserves to end up swinging from a lampost 😂😂
@4hrEmergencyDoc@RCollEM Tenacity, veracity, alacrity, sagacity, put them all together and you’ll have an ED doc you see (modern major general tune). Seriously though, the most important quality is intellectual security, knowing when you don’t know and knowing it’s ok to say so.
@NZSepsisTrust @goodonuERdocNZ I’m beginning to see the benefit of the adage, ‘septic until proven otherwise’ for anyone with a potential source of infection with any abnormality in their vital signs. If treated late you will do nothing but chase altered physiology towards an inevitable and fixed end point.