once in a while
I feel like I’ve known you for a lifetime or two
but who’s to say it’s by chance
that I’m pushed towards you?
you make my hands unsteady
tremoring every step of the way we were going
you lay your fingerprints against my own
i took took took
my bike bike bike
at night night night night night
i was guided by some orange, orange lights
i took, took the train
train to the silo, silo
the lights turned blue now it’s time to go
ICU Pharmacology Secrets:
Dexmedetomidine (D) (Precedex in 🇺🇸) is one of my favorite ICU drugs. It is a highly selective α-2 adrenoreceptor agonist, w sedative/analgesic/ anxiolytic properties & minimal resp depression. Its main side effects are hypotension & bradycardia
#CPR is the cornerstone of survival for cardiac arrest, yet one crucial aspect of CPR quality is never discussed 🫀
Here's why we need to rethink a one-size fits all approach to CPR and why "push hard and fast with full recoil" isn't good enough in 2024.
A 🧵
#foamed #medtwitter
@OGdukeneurosurg In 33 years and with two diagnosed schizophrenic parents, one of whom was killed by the mental health system, I've never seen psychiatry that wasn't punitive ("prison-lite"). Usually for the crime of either perceiving corruption or being too intellectually intimidating w/o quals.
@OGdukeneurosurg Chronic Fatigue Syndrome is a ridiculous name for the complex neuro-immune “disease” that is better named Myalgic Encephalomyelitis #ME given the vast amount of evidence that governing bodies don’t invest funds in to understand further.
@OGdukeneurosurg I’m not knocking de novo scientific or medical research.
But a lot of what passes as alleged indisputable fact in medicine is a result of custom/orthodoxy belief systems, and/or debatable statistical belly-button gazing in medicine (aka meta-analyses)
https://t.co/lEytyVtoyq
@OGdukeneurosurg Things are rarely absolutely certain in medicine.
It is vital to be open to change your mind when new facts come to light
Agenda driven, cognitively rigid: politicians, media, one-eyed experts, AI programs & the public who firmly believe medicine is black and white are dangerous