Brooksian Humanist, MD

he/him. EM PGY2. Left is best, with anarcho-commu-libsoc-demsoc-syndico-eco-inclusivist tendencies.

[Brooksian Humanist, MD @bluejohnnyd]

Holy shit I have a medical degree.

[Brooksian Humanist, MD @bluejohnnyd]

I may not have a medical degree, but I DO have institutional access to UpToDate and I'm NOT AFRAID TO USE IT.

[Brooksian Humanist, MD @bluejohnnyd]

@blikethecheese @AMPAdocs @jasumback @TschautscherMD @LawnerBen @laertezz Even then - if you're hoping to get ROSC, you're also hoping to restore cerebral perfusion. Highly doubt you're going to hurt even the coding patients by pushing a bit of ket or midaz alongside your paralytic.

[Brooksian Humanist, MD @bluejohnnyd]

@Pbrockman32 @DrChrisHingston @AMPAdocs @jasumback @TschautscherMD @LawnerBen @laertezz Ketamine. Versed. Push dose epi alongside your sedative/dissociative agent of choice. There's good options that don't risk aware paralysis.

[Brooksian Humanist, MD @bluejohnnyd]

@TheMikeIsenberg @RepMcGovern Cry about it.

[Brooksian Humanist, MD @bluejohnnyd]

@Commie_In_EMS Fundamentally, you cannot square the circle of being both a colonialist ethnostate as well as a liberal democracy. Either you abandon the agenda of colonial expansion and ethnic purity, or you fully commit to apartheid and genocide. Seems clear which way Israel is turning.

[Brooksian Humanist, MD @bluejohnnyd]

@Commie_In_EMS Moreover, there's no land connection between the two, meaning two hard borders would separate Palestine from itself.

The only solution is one state, with full legal rights for all, and reparations and reconciliation for displaced Palestinians.

[EVE 🐣 @dvsirenco]

@jeremycorbyn

[Brooksian Humanist, MD @bluejohnnyd]

@Duchess_Summer @karnid @peteramodio @yashar @amanpour You're talking about a civilian population with a median age of 18. How can you justify this kind of dehumanization?

[November @postoctobrist]

It’s easy to hear them in this situation going ‘well we’re going to kill all of them’ and mistake it for a reaction to the terror. You can go back months or years and find the exact same rhetoric irrespective of what was actually happening to provoke or not provoke it

[Brooksian Humanist, MD @bluejohnnyd]

@arsenault_judy @CanadianKayMD We definitely have NPs in the US. If anything, one of the biggest topics in healthcare labor politics right now is how much autonomy NPs and PAs should have, trying to balance the benefits of increased access vs the drawbacks of their less rigorous training.

[Brooksian Humanist, MD @bluejohnnyd]

@snackpack210 @gym_lab_rat @ShepardComrade @LadyMegSoprano @LauraRbnsn "blood pressure signs" lol

You don't know what you're talking about, buddy.

[Brooksian Humanist, MD @bluejohnnyd]

@snackpack210 @purrypurrydog @LadyMegSoprano @LauraRbnsn What makes you think ER doctors aren't real doctors?

[Brooksian Humanist, MD @bluejohnnyd]

@snackpack210 @LadyMegSoprano @LauraRbnsn Recurrent syncope/seizure-like episodes without a known cause are an emergency, bud.

[Brooksian Humanist, MD @bluejohnnyd]

@residentJihadi @snackpack210 @LadyMegSoprano @LauraRbnsn "basically everything" probably oversells our capacity in the ED lol. We can do a decent first past at *most* things.

[Brooksian Humanist, MD @bluejohnnyd]

@snackpack210 @megaforte84 @LadyMegSoprano @LauraRbnsn Most commonly when blood clots in the tube quickly, it's because it was being drawn off the poke site with too much back pressure. It's not usually related to anything wrong with the patient's blood. It also depends on which labs - different tubes are treated differently.

[Brooksian Humanist, MD @bluejohnnyd]

@snackpack210 @LadyMegSoprano @LauraRbnsn For this presentation, transient LOC (unknown other symptoms, unknown exam), just to consider a few: brain mass, toxic exposure, demyelinating disorder, intracranial AVM, Brugada, ARVD, afib, long QT, PE, atrial myxoma, cardiomyopathy, PRES, CVT, PNES ...

[Brooksian Humanist, MD @bluejohnnyd]

@snackpack210 @LadyMegSoprano @LauraRbnsn Like, sure there are super rare problems that a typical ED doc won't generate on their differential because they're extremely unlikely, but for someone presenting with transient LOC, a good ED doc could rattle off a list of possibilities that we can investigate in the ED.

[Brooksian Humanist, MD @bluejohnnyd]

@snackpack210 @subtleyfirey @LadyMegSoprano @LauraRbnsn People show up all the time who *had* symptoms which have since resolved - especially with syncopal/seizure events. We still should be doing the appropriate workup on those people, because there are life-threatening problems that only have intermittent symptoms.

[Brooksian Humanist, MD @bluejohnnyd]

@snackpack210 @ann_mcnitt @IttyBittyTayBae @LadyMegSoprano @LauraRbnsn Depends on the ultimate diagnosis, but often with the same tools every other doctor uses; a good history and physical and appropriate adjunctive tests. Just cuz we don't *always* find the ultimate diagnosis during one ED visit doesn't mean we don't do diagnosis.