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Night Shift MD

@nightshiftmd.bsky.social

Medicine,mindfulness, sailing, blue dot #MedSky #EMSky #PublicHealth #EMedSky

1,339 Followers  |  1,593 Following  |  106 Posts  |  Joined: 11.11.2024  |  2.2668

Latest posts by nightshiftmd.bsky.social on Bluesky

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Gutting Alzheimer's research.

First reported more than a week ago -- and as yet, this has not been undone. Republicans appear to have not said a word about it.

abcnews.go.com/Politics/tru...

See also...
newrepublic.com/article/1917...

See also...
www.msnbc.com/rachel-maddo...

27.02.2025 22:20 โ€” ๐Ÿ‘ 6385    ๐Ÿ” 2258    ๐Ÿ’ฌ 450    ๐Ÿ“Œ 135
Interim Infection Prevention and Control Recommendations for Measles in Healthcare Settings Interim Infection Prevention and Control Recommendations for Measles in Healthcare Settings

This comes up sometimes

Do fully vaccinated healthcare workers need a mask with measles patients?

YES. Health workers should wear a fit tested N95 respirator with suspected or known measles patients (or for 2 hours after the patient left a room)
www.cdc.gov/infection-co...

02.03.2025 12:56 โ€” ๐Ÿ‘ 51    ๐Ÿ” 19    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Weโ€™ve become a global attention economy wherein eyeballs are the currency.

27.01.2025 03:56 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

High quality blue light district found herein

Follow without fear ๐Ÿ’™

18.01.2025 01:58 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

one thing iโ€™m stuck on is this idea that โ€œmasculineโ€ energy means license to act like a chud in public, as opposed to more traditional notions of public masculinity, such as those that put a premium on the performance of integrity, honesty, honor and generosity.

16.01.2025 20:21 โ€” ๐Ÿ‘ 53871    ๐Ÿ” 8688    ๐Ÿ’ฌ 1617    ๐Ÿ“Œ 708
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My post on FB a couple hours ago:

"If you can manage it, live your life so the people who knew you best speak like this when you're gone. I have failed but at least remember my advice."

17.01.2025 00:40 โ€” ๐Ÿ‘ 169    ๐Ÿ” 19    ๐Ÿ’ฌ 3    ๐Ÿ“Œ 0

Thoughtful thread. There really are some head scratcher โ€˜normsโ€™ out there wrt IVFโ€™s

17.01.2025 04:33 โ€” ๐Ÿ‘ 4    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Opera clap ๐Ÿ‘

17.01.2025 04:28 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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a black background with a gold circle and a la logo ALT: a black background with a gold circle and a la logo

the echo/ECG pendulum has swung in a weird way

Iโ€™m seeing patients with multiple echo/POCUS exams & zero ECGs

any ICU patient with a heart should get an admit ECG

will be trying to emphasize ECGs a bit to balance this out

(IMHO the apex skill is bedside integration of POCUS + ECG + CXR) #EMIMCC

16.01.2025 15:59 โ€” ๐Ÿ‘ 43    ๐Ÿ” 5    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 1

1oo% agree. Quite difficult to see delta waves or hyperkalemia on POCUS

17.01.2025 04:25 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Privateย equity reduces patient care while enriching investors, Senate report finds The bipartisan investigation of hospital systems purchased by Apollo Global Management and Leonard Green & Partners reinforced the findings of past academic research.

To everyone's surprise, it turns out that attaching a money-sucking machine to a hospital system makes it worse.

08.01.2025 12:59 โ€” ๐Ÿ‘ 10011    ๐Ÿ” 3447    ๐Ÿ’ฌ 389    ๐Ÿ“Œ 358

Watched The Last Word - Lawrence Oโ€™Donnell got a fascinating and smart as hell final Presidential interview of Joe Biden. My expectations were limited but it was like sitting around the dinner table asking all the stuff youโ€™d actually want to talk about. Joe Biden has so much depth. Oโ€™Donnell too.

17.01.2025 04:02 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Birman? Here is Ripley who is a very good big brother. The pipsqueak is an Aby.

15.01.2025 04:54 โ€” ๐Ÿ‘ 4    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Glymphatics - glial network drainage system

This topic just made it to my โ€œgonna read everythingโ€ category

14.01.2025 04:34 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Abortion Pills Prescribed by Pharmacists Are Newest Effort in Abortion Fight Washington Stateโ€™s program is the first, but other states are expected to try allowing pharmacists to prescribe the pills to counter growing efforts to curtail abortion access.

Another important initiative to keep your eye on:

A pilot program in WA state allowing pharmacists to tele-prescribe mifepristone
๐Ÿฉบ๐Ÿ›Ÿ
www.nytimes.com/2025/01/07/h...

12.01.2025 22:34 โ€” ๐Ÿ‘ 117    ๐Ÿ” 32    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 1
A phone picture looking at an apartment building with a few palm trees in front of it, near dusk. The sky is still blue, but looming behind the building in the distance is an enormous cloud of smoke from the Palisades Fire near Los Angeles. The smoke is stained orange from the sun behind it.

A phone picture looking at an apartment building with a few palm trees in front of it, near dusk. The sky is still blue, but looming behind the building in the distance is an enormous cloud of smoke from the Palisades Fire near Los Angeles. The smoke is stained orange from the sun behind it.

๐Ÿงต I live in Los Angeles. We have not had to evacuate and are safe, but like many people here, I have friends who have lost everything. I realize I can't combat the firehose (see what I did there?) of bullshit spewing about this disaster from internet and media sources, but I'll say this:

11.01.2025 19:07 โ€” ๐Ÿ‘ 8529    ๐Ÿ” 1838    ๐Ÿ’ฌ 297    ๐Ÿ“Œ 224
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Oralรจ Resister
LA Fires: who you going to call?
Mexico! #MexicanFireBusters
Mexican pilots, Mexican FireFighting Helicopters and Mexican Firefighters on the ground. All here to help Angelinos
Save lives and homes.
Thank you Mexico!
#LAFire #MexicoHelpsLA

11.01.2025 07:36 โ€” ๐Ÿ‘ 463    ๐Ÿ” 111    ๐Ÿ’ฌ 10    ๐Ÿ“Œ 5
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"After this week weโ€™ll likely see a rise in defensively designed homes. This is an interesting example of one of the few houses in LA that survived the fires thanks to smart passive design choices (and some luck)."

H/T Josh Rincon

11.01.2025 07:29 โ€” ๐Ÿ‘ 288    ๐Ÿ” 63    ๐Ÿ’ฌ 19    ๐Ÿ“Œ 3

Those tanker planes dropping water in LA are Canadian and being flown by Canadian pilots with balls bigger than Terrorist Trumps diapers. ๐Ÿซ„๐ŸŠ ๐Ÿ’ฉ โœˆ๏ธ ๐Ÿซก ๐Ÿ‡จ๐Ÿ‡ฆ

09.01.2025 07:19 โ€” ๐Ÿ‘ 1276    ๐Ÿ” 264    ๐Ÿ’ฌ 27    ๐Ÿ“Œ 17
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An interesting study of gaps between โ€œhealthspanโ€ (yrs of healthy life) & โ€œlifespanโ€ across the globe.

Takeaway: the US has amongst the largest gaps, despite relatively low lifespan.

And women in the US have even bigger gaps. ๐Ÿ›Ÿ๐Ÿฉบ๐Ÿงช๐Ÿ˜ท

jamanetwork.com/journals/jam...

16.12.2024 13:18 โ€” ๐Ÿ‘ 171    ๐Ÿ” 62    ๐Ÿ’ฌ 12    ๐Ÿ“Œ 8

Fascinating to see the internal conflict between profit and public health discussed so cogently on CNBC

At least they came up with some noon-odious conclusions

Heya. Thanks for the post Alyssa MacKenzie ๐Ÿ’œโ€ฌ โ€ช@alyssamackenzie.bsky.socialโ€ฌ

05.01.2025 15:39 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Thanks for clarifying. I canโ€™t think of a single pediatric Surgeon who would purposefully kill any living being for sport.

05.01.2025 15:09 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Why I'm quitting the Washington Post Democracy can't function without a free press

Why I'm quitting the Washington Post
open.substack.com/pub/anntelna...

04.01.2025 01:55 โ€” ๐Ÿ‘ 3    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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If Youโ€™re Pregnant, Hereโ€™s What You Should Know About the Medical Procedures That Could Save Your Life Women experiencing pregnancy loss in states with abortion bans told us they wished they had known what to expect and how to advocate for themselves. We created this guide for anyone who findsโ€ฆ

NEW: Women experiencing pregnancy loss in states with abortion bans told us they wished they had known what to expect and how to advocate for themselves.

We created this guide for anyone who finds themselves in the same position. โคต๏ธ

19.12.2024 12:00 โ€” ๐Ÿ‘ 10672    ๐Ÿ” 6745    ๐Ÿ’ฌ 259    ๐Ÿ“Œ 385
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The elephant in the middle of the room is that MAGA is an anti-education movement. Muscular, belligerent mediocrity is the MAGA brand. Tell Vivek the call is coming from inside the house. open.substack.com/pub/sherrily...

30.12.2024 14:46 โ€” ๐Ÿ‘ 1280    ๐Ÿ” 303    ๐Ÿ’ฌ 46    ๐Ÿ“Œ 25

Grand rounds smack down tour!
We could sell tix, pack the halls and raise funds for
community vaccine clinics.

30.12.2024 07:17 โ€” ๐Ÿ‘ 6    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Post image 27.12.2024 14:37 โ€” ๐Ÿ‘ 6    ๐Ÿ” 2    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Riveting and substantive discussion between two big thinkers. Each w the rare gift of boiling down complex observations to create real conversation.

Put it on as background for a long listen as you do a daily task.

27.12.2024 21:06 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Lololol

21.12.2024 20:56 โ€” ๐Ÿ‘ 14444    ๐Ÿ” 2202    ๐Ÿ’ฌ 600    ๐Ÿ“Œ 312

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