@drcois.bsky.social
Emergency Physician | Climate change advocate | Human Centered Design | Dad of 2 | π¦πΊ in πΊπΈ
> Get yearly check upβs with your PCP to get support maintaining a healthy weight
Hard to make money off these simple messages I suppose.
β€οΈ
In a world of health related misinformation we can actually simplify and get 90% of the way to good health.
> Eat mostly plants
> Exercise (doesnβt matter what type) most if not all days of the week for about 60mins
> π
> Work on building social connections
20 month old. Previously well.
> Croup and hypoxia from COVID.
> Vaccines work and are important.
Tell me again why having an antivaxxer at the head of οhhsgov is a good idea?
Post night shift sleep starts before the shiftβ¦
Pre night shift routine:
> Hard workout
> 20min sauna
> Cold plunge (wakes me up!)
> Try to avoid snacks on shift
> Donβt eat within 4 hrs of bedtime
What do you do?
We have to reverse this immediately.
> To not, would mean unnecessary death of so many vulnerable people across our globe.
A true travisty.
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> If the funding cuts aren't reversed by 2030 there will be:
- 14 million additional all-age deaths
- 4.5 million additional deaths of children less than 5yo
> USAID spend represented just 0.24% of national income. Norway spent 1% of isn't national income on aid for comparison.
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So we can understand how cruel and idiotic the #USAID cuts from the current administration, here are some high points from a recent @thelancet.com analysis:
> In the last 21 years USAID interventions prevented:
- 91 million deaths in all-ages
- 30 million deaths in children less than 5yo
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> They can't get into another provider until halfway through the year.
> They see me in the ED because they have complications of their chronic condition. Hyperglycemia, infection, suicideβ¦
How are we ok with this?
There's something that happens in Americaβ¦
> A patient has a provider/therapist managing a chronic medical or psychiatric condition - it's stable
> January comes around, and their insurer no longer covers that provider.
I had 70 something year old patient.
No HTN, diabetes, non smoker.
Exercises daily, not overweight.
Non-HDL cholesterol 181, LDLc 124. She knew it was elevated but wasnβt on meds.
Had a NSTEMI - 2 vessel disease requiring stents.
Donβt ignore cholesterol, it is all you need to have an MI.
How worried about fluoride lowering your IQ should you be?
substack.com/@drcois/note...
It happened againβ¦
> Caring for a child that has incomplete vaccination status
> Had a discussion about getting back on track and vaccinated with parents
> They want to catch up now
> Reasons for not getting vaccinated, hearing BS on social media
Keep talking to your patients. Not all is lostβ¦
Wow. Caroline Kennedy breaks her silence on RFK Jr in a message to Senators: βWe grew up together. Itβs no surprise that he keeps birds of prey as pets because Bobby himself is a predator. He enjoyed showing off by putting baby chickens & mice in a blender to feed to his hawks.β
28.01.2025 19:22 β π 62725 π 17853 π¬ 2669 π 1605Totally!! Whenever you see something outrageous.
Ask - whatβs he really doing and this trying to distract fromβ¦ got to be smart.
After all of this malarky on outlawing DEI policies, I decided to write something down about it.
TLDR; I absolutely support it, our teams will be better as a result both for the patient and for the organisation.
open.substack.com/pub/drcois/p...
#DEI
The Whitehouse website is a nightmare fuel reading at the moment.
www.whitehouse.gov/presidential...
Doctor hereβ¦ βπ»
All I want for the next four years is for health and science to be left to the scientists and healthcare professionals.
Grifters and antivaxxers need to step aside. We got real work to doβ¦
#publichealth
My first sub stack!!
https://open.substack.com/pub/drcois/p/rfk-will-be-a-disaster?r=2yh5r&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true
Where the IMGs working in the US at?
My EM path.
> 4yrs undergrad (Exercise Science)
> 7yrs S&C coaching
> 4yrs medical school (Perth π¦πΊ)
> 5yrs working as a RMO/reg and advanced diplomate in OBGYN (Perth π¦πΊ)
> 3yrs EM residency (OR πΊπΈ)
> 2nd yr as Assistant Prof EM
Wild but rewarding journey!
You know how we wonβt just ban fossil fuels becuase it would put people out of work.
> We just banned #tiktok, and people rely on it for their income
> I havenβt seen a plan to help retrain tiktok creators so they arenβt out of work
Why is this not a scandal?
> He was draining $20/wk on an electrolyte supplement becuase he thought it would improve his health.
These WellnessThreads grifters need to be stoppedβ¦
I had an elderly patient who lived off his social security.
> Around $24,000 per YEAR
> He ate most meals for free at the seniors centre
> His younger sister paid his phone bill
He was worried about his electrolytes because he heard a podcaster tell him the importance of getting enough salt.
When I have a patient with a STEMIβ¦
> Commonly they tell me they overconsume #seedoils and they regret not having enough saturated fat in their diet.
> β¦
> Jokingβ¦
Was this post stupid enough for me to be a wellness grifter now?
The new administration will correct this wrongβ¦
Oh wait. They are a bunch of white billionairesβ¦
https://www.statnews.com/2025/01/09/medical-school-black-hispanic-enrollment-drops-after-supreme-court-affirmative-action-ruling/
Doctors just push pills on peopleβ¦
> Couldnβt be farther from the truth
> Most guidelines inc diet, exercise, weight loss, sleep BEFORE medications
> A cornerstone of medical education is to make these decisions WITH the patient
So please wellness grifters - stop making this false dichotomy
> Tell someone they have cancer
> Deal with primary care related complaints because the patients insurance no longer covers their regular PCP
But I love itβ¦
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Typical for an ER doc walking room to roomβ¦
> Receive thanks from worried parents for reassuring them about their sick child
> Get chastised by a patient for not prescribing them opiate pain medications without an indication
1/2
> I asked questions like - what questions do you have about vaccines that I could help answer for you?
It's amazing what you can achieve with honest conversations based in facts...
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