Danny Willner

NYC - Chapel Hill - BOS - DEN - UNC. Tar Heel. EM/EMS Physician at @UNCEM. @SouthOrangeResq - @UNC_SOM - @UNCpublichealth - @BIDMCEM - @CUEmergency alum

[Danny Willner @dawillner]

@DrJeanLefebvre Yesss! Huge pet peeve that we check this on every awake, GCS 15 trauma patient. If you’re awake and can talk to me, we didn’t need to check your pupils to assess if you’re herniating. Other reasons to check but not for this!

[Danny Willner @dawillner]

@EM_phile Many feelings about the article. Want to assume it was written with good intent but wish they asked for EM input. I’d argue we’re now experts in work up of abd pain; probably shouldn’t quote studies that used meperidine; and I can’t get a surgeon to bedside until my CT is read.

[Danny Willner @dawillner]

@DrStevenTChen @EM_phile @VisualDx Really nice thread! Any insight into infectivity of cutaneous lesions in 2ndry? I’ve experienced inconsistency about when we need to prophylax after cutaneous occupational exposure to individual with 2ndry.

[Tom Knowles @tkbeynon]

This Hamilton version of Itsy Bitsy Spider has no right being this clever and good

[Adam Lucas @jadamlucas]

New column: As Eric undergoes cancer treatment, Montross family draws strength from variety of sources--including support from entire @UNC_Basketball family.

Plus how to order Eric-approved products that support his favorite cancer-fighting orgs.

https://t.co/h8OxsrpQll

[ProPublica @propublica]

Doctors at a major US insurance company deny tens of thousands of claims a month without even looking at patients’ files.

“We literally click & submit,” a former Cigna doctor told @ProPublica & @Capitol_Forum. “It takes all of 10 seconds to do 50 at a time.”

The inside story 🧵

[Danny Willner @dawillner]

@rob_cosentini @grepmeded @EMHighAK @drjgutt @SkylerLentz @kaynani32 @MikePallaci @davidcarr333 @MRamzyDO @PulmCrit @petrosoniak Re: NP scope - normal view may be falsely reassuring as this could be subglottic lesion given recent surgery with presumed ETI. Dex+rac epi & ideally anesthesia/gen surg/ENT for OR intubation/trach. If ED then downsize tube & prep neck.

[Durham Bulls @DurhamBulls]

Anyone want to be in the PNC Triangle Club for this evening's game?

Because we've got a pack of 4 PNC Triangle Club tickets to give away thanks to @PNCBank!

RT for a chance to win
(winner chosen & DMed at 2pm today)

[Danny Willner @dawillner]

@mdonnino @JakeHoyne @almoskow @EM_phile @NickJohnsonMD Huge teaching point for my EMS providers and even EM interns. There’s such a focus on “doing something” (often giving a nodal agent) rather than looking to address underlying cause. We’d never advocate “treating” sinus tach with nodal/electricity- should assess a fib the same way

[Dr Caitlin Bernard @drcaitbernard]

Thank you for the outpouring of courageous support. It has been a difficult week, but my colleagues and I will continue to provide healthcare ethically, lovingly, and bravely each and every day. 1/2

[Danny Willner @dawillner]

Excellent (and extremely unfortunate) descriptive thread of an individual’s monkeypox infection. Good read for frontline HCWs.

[Danny Willner @dawillner]

@EM_phile @bostonmedflight @BIDMCEM It’s so bittersweet to leave the people and place that has been a part of so many memories. But it’s also a time to be excited for the experiences to come. Congrats & good luck with the new job!

[Danny Willner @dawillner]

@EM_phile @jandersUF @reverendofdoubt @DRitterMD Anyone do steroid joint injections? Quick procedure and feel like some patients would benefit. Plus it’s hard to get specialty follow up for them sometimes.

[Danny Willner @dawillner]

@jandersUF @EM_phile @reverendofdoubt @DRitterMD Yup… or clinic realizes ED is easy “solution” to a outpatient/clinic problem. Same issue with neuro & large-volume LP. Never want to punish patient for system issues but need to “guard turf” or I fear we’ll become Everything Department as clinics become even more time-crunched

[Danny Willner @dawillner]

@EM_phile @jandersUF @reverendofdoubt @DRitterMD No. Too time consuming/disruptive to patient flow (and, I think, bad precedent to set for hep clinic). Coordinate outpatient para with IR or they can wait for inpatient team if admitted for other reason. At old job I could put put in ED obs and IM procedure team would do.

[Danny Willner @dawillner]

@hawkvox @NREMT @SOLOmedic Love this. I want to go back and renew my EMT but can’t find the time right now to sit for the whole class again.

[Ed Yong is not here @edyong209]

🚨I wrote about what this surge is doing to the healthcare system.
It's bad.
Though less severe, Omicron is spreading quickly enough to inundate hospitals, which can't handle the strain cos so many healthcare workers had quit or are now sick. 1/
https://t.co/1OmtMu1mw7

[Danny Willner @dawillner]

@NateSilver538 While the numbers show that overall omicron causes less severe disease, a smaller % of a much larger # is still crushing the healthcare system. Please talk to EM, IM, & ICU MDs and RNs. They’ll tell you that we’re in the midst of a slow motion collapse of the healthcare system.

[Danny Willner @dawillner]

@flanaonlyonce @jtrebach May not have access/ability to place IV in clinic, health department, or low resource setting.