a covid infection is a pre-existing condition ime - to any number of vasculopathies, emboli, diabetes, general immune suppression or autoimmune conditions. Less so since 2020 but in no way negligible

serenity now…or at least for 15 min in the early hours before I learn what politically driven medical fuckery has gone overnight

I HATE THOSE FUVKERS WITH EVERY FIBER OF MY BEING

Every day, a new level of terrible surrealism…

unless it's a meat pie...

sadly though it is absolutely no longer surprising

Agree not the same shoes seen in 2024

2019 the leaning forward stance. Now he has lifts in the front of his shoes that stabilize him.

Frontotemporal Dementia- his father had it he’s classic

He has Frontotemporal Dementia - inexorably progressive and on full public display DAILY

adults with intense HFM, 9 yo's with mono, kids with multi-lobar pneumonia in summer, so many PEs with none of the traditional risk factors...everything so far from the normal demographic of my first 20 years in medicine

The painful public progression of Frontotemporal Dementia on the daily

I think he's lining up to give this sitch to Ivanka next round

will there eventually be no docs left who remember that hand-foot-mouth does NOT usually move through the teenagers/parents in the family of a infected kindergarten kid? Lesions in these unusually older patients are at max - sixth case in the last week. Covid has truly changed immunity in general

I am super badly triggered when people use the word "research" inappropriately - have retrained entire family to use the "reading" instead! They actually self-correct at this point lol

clinical presentation? ID'd prior to death?

WHAT THE ABSOLUTE FUCK every day with these clowns

since 2020… and counting

PLEASE do it where you can... here in AL where I'm sure the rednecks will soon elect Turberville to governor I would surely appreciate something sane to watch...

Pay attention - Loomer got him ousted so what’s to follow is unlikely to be an improvement

If Loomer is behind his leaving, don’t expect anything better to come in behind him…

- local level, trying to emphasize to four Covid+ patients I saw yesterday, as well as to the staff refusing to mask, that Covid was and is AIRBORNE and that variants are in constant evolution because of global air travel sigh... pretty lonely out here in the sticks. The CDC failed us long ago

spent sunset cocktail with a friend

is there a hell hot enough for these fuckers??

Agree - that’s not his vocabulary and not his capitalization scheme - like he has an auto pen of sorts…

Hope you have a fantastic disconnect Dash I very much value your hard work

Every frigging morning, a new unimaginable low

document the convo, hold the door for him lol. Before I left my ED life I was asking to wear a body camera like the police cuz some of this stuff coming back as complaints was amaaaazzzing