Here we go. 
www.instagram.com/operationone...
@lime.bsky.social
Practicing emergency medicine in rural hospitals, developing nations, and disasters. Reformed Cyclist. Coffee Enthusiast. Book Nerd. Travel junkie. Recovering Paramedic & ED Nurse. Still an 80s punk. Mistakes were made. Bitter to the end.
Here we go. 
www.instagram.com/operationone...
Photo of me in front of the AMTC logo.
Made it to the Air Medical Transport Conference in Omaha. It will be interesting to see how my presentation on the rise of vaccine preventable diseases and managing these patients in transport will be received.
27.10.2025 13:29 β π 2 π 0 π¬ 0 π 0Iβve only seen a few complete Simpsons episodes and none of the Treehouse of Terror ones. I just never got the appeal of the show.
06.10.2025 00:26 β π 1 π 0 π¬ 0 π 0Iβm gonna try Halloween Horror Nights for my poor mood and burnout.
06.10.2025 00:24 β π 1 π 0 π¬ 0 π 0Banner at the Emergency Nurse Association conference. It says βTenacity - emergency nursing 2025β with the ENA in tenacity highlighted.
Made the trek to New Orleans to participate in the legislative general assembly of ENA. Once again advocating that membership and classes are unaffordable for nurses in developing nations.
16.09.2025 22:01 β π 4 π 1 π¬ 0 π 0Well it happened. Yesterday a patient insisted on being admitted for URI symptoms because he was convinced he had the covid variant that kills you he read about on Facebook. He wouldnβt listen to my explanations and left AMA to go to another hospital that βisnβt a liberal shithole.β I canβt even.
08.09.2025 20:34 β π 3 π 0 π¬ 1 π 0And thereβs a comma in the troponin
25.08.2025 06:15 β π 3 π 0 π¬ 0 π 0Here's my full review of the cheapo Temu manikin. Spoiler: It's pretty good
youtu.be/1MwPOu0wG8M
Can confirm that the vast majority of Covid patients I am seeing in the ER complain of sore throat, either βrazorsβ or βground glassβ as the descriptor.
24.08.2025 19:20 β π 6 π 1 π¬ 0 π 2The classic βIβm in dangerβ Simpsons meme.
Over the last few days, the RN manager for the ED resigned and 1/3 of the staff ED nurses have also resigned. This is not good.
20.07.2025 16:28 β π 4 π 0 π¬ 1 π 0What my colleagues still in Haiti are facing. I wish we could get the operation fully back up and running so I could be there to help.
13.07.2025 18:22 β π 0 π 0 π¬ 0 π 0This is nuts. Send them back to what is basically a failed state where their lives will be at great risk.
27.06.2025 19:03 β π 4 π 1 π¬ 0 π 0π¬
23.06.2025 22:07 β π 1 π 0 π¬ 0 π 0We have to be in a simulation or alien reality tv show.
23.06.2025 22:06 β π 0 π 0 π¬ 0 π 0WTF?
23.06.2025 22:05 β π 2 π 0 π¬ 0 π 0Feel that. Iβve put that in Epic twice in the last week. Ridiculous.
23.06.2025 22:03 β π 3 π 0 π¬ 1 π 0When Black people told you that it is a normal occurrence for police to lie about protest and assaulting officers now you see ... the test run for the justification of authoritarianism always begins in communities of color
17.06.2025 20:28 β π 3183 π 1071 π¬ 49 π 61I submitted a proposal for a medical conference presentation on measles, diphtheria, and similar vaccine preventable diseases and it got accepted. I was warned to βnot get politicalβ. Weβre far past that and Iβll be sure to offend any anti-vax attendees with some blunt messages.
15.06.2025 19:19 β π 21 π 2 π¬ 5 π 0#TobRegSky #PedSky #MedSky #EpiSky #addictionsci #policysky #polisky #neuroskyence #CanSky @acscan.bsky.social π
"The health secretary, who wants Americans to make healthier choices, rarely mentions smoking."
Surprise! Why would that be ?
wtf is going on? The last three ER shifts, over half of my patients have been abdominal pain or N/V. Anyone else seeing a surge in abdominal complaints? #MedSky
29.05.2025 15:05 β π 2 π 1 π¬ 0 π 0Ugh. Every time I order a dimer, I feel a sense of dread.
26.05.2025 01:11 β π 1 π 0 π¬ 0 π 0Blah. I saw so many diffuse general abdominal pains yesterday and we didnβt have ultrasound coverage. I could hear the CT tech crying at one point.
26.05.2025 01:08 β π 7 π 0 π¬ 1 π 0I see so many dental patients in the ED in the south. So many of them are repeat visits that canβt afford or find dental care to fix it. So they keep coming back every so often for more antibiotics. Not all of them are from meth either.
04.05.2025 23:18 β π 3 π 0 π¬ 0 π 0Always take a RN with you when itβs time to have the hard conversations with family of patients. When they need to, few in healthcare can provide such a compassionate presence. Although look closely at which ER nurse you pick, they can fool you.
30.04.2025 19:51 β π 1 π 0 π¬ 0 π 0A portable xray machine that has had stick in googly eyes put on it just above the screen.
This is a war without heroes. My googly eye reign of terror continues, radiology is the newest victim.
28.04.2025 11:42 β π 2 π 0 π¬ 0 π 0Any day now i expect Iβll be making the same post.
28.04.2025 01:34 β π 7 π 1 π¬ 0 π 0lol.
27.04.2025 13:39 β π 0 π 0 π¬ 0 π 0Photos of a rosy beef sandwich, Reeseβs peanut butter pretzels and a diet Sunkist soda on an emergency room work station desk.
ED dinner tonight. Sandwich, pb pretzels, and a diet orange soda. π Iβm so far behind on charts it isnβt funny.
18.04.2025 01:24 β π 3 π 0 π¬ 1 π 0As someone who works at a hospital that cares for incarcerated patients, I can attest to the poor treatment many inmates receive behind bars. Many of them arenβt brought to the ER until their condition has progressed to serious or critical. Itβs not humane. #MedSky
17.04.2025 18:31 β π 21 π 7 π¬ 0 π 0Yeah if we get the holodeck, humanity will be gone within two generations.
17.04.2025 19:16 β π 1 π 0 π¬ 0 π 0