Michelle Hi

a little girl wearing sunglasses is standing in a doorway with the words `` you got this oh yeah '' . ALT: a little girl wearing sunglasses is standing in a doorway with the words `` you got this oh yeah '' .

next time you’re having imposter syndrome, just remember that you have more clinical experience than the HHS secretary plus the NIH director combined 🫣

Before the pandemic, my wife & I went on a date w/some lesbians. One of them happened to work for counter intelligence, but that is not important to this story

We decided to meet in Fells Point, because before all the random shootings, it was the place to go

This is an unintentional pun you’ll see

1. Aspirin - too many indications
2. Dextromethorphan - too useless
3. Simethicone - equally useless

A. ondansetron - popular choice
B. Nystatin - similar risk benefit profile to clotrimazole
C. Mupirocin - Neosporin is crap and the risk of developing resistance with topicals is low

If you listened to the podcast on Dr. Ana Judith Román Garcia, the 1st female neurologist in Puerto Rico: I just learned she received the honor of being represented as a “Cabezudo” - a giant papier-mâché head honoring important Puerto Rican heroes in the San Sebastian Street Festival.

Sick since mid-September, but also new to daycare exposures. I'm ready to be done with it.

Nor labs unless Antiepileptic levels are needed (and return quickly).

On day 5 of strike, Providence signals it's ready to negotiate at all hospitals Providence said Tuesday that it is "now ready to discuss resuming" negotiations at all Oregon hospitals, including Providence Portland and Providence St. Vincent.

5 days of 5,000 frontline caregivers picketing on sidewalks across Oregon & Providence finally decided to do the right thing & go back to the bargaining table. I hope they're ready to develop comprehensive solutions that will strengthen patient care. www.kgw.com/article/news...

Started //// going

(Democracy dies in capitalism)

Rotavirus can be lethal.
Before the vaccine, rotavirus killed 500,000 children each year across the world.

Post vaccine it still causes 200,000 deaths per year worldwide. In the United States, childhood deaths from rotavirus range from 20-40 per year.

This child looked like their pH was 6.9

It has been going around this area for at least a month now. Sorry it spread to your area too.

What's the best thing that happened to you today?

#BestThingOfTheDay

I got my infusion (feel so much better), ate my christmas meal with wine, and finally wrapped presents. Child has no idea what the date is, so we are doing christmas tomorrow.

let’s hear them out idk

$50. Depends on how picky the toddler is, though.

Anyone who works in healthcare knows this entire things REEKS of elder abuse and financial abuse counts as elder abuse under the law

Regarding the post about getting a library card even if you don't use it as it impacts funding: yes, and you also have to use it.

Managing pain in newborns: A multidimensional approach | Canadian Paediatric Society Preventing and managing an infant’s pain effectively is an essential component of newborn care. Experiencing untreated pain in early life has been associated with immediate negative effects and long-t...

Our updated CPS Position Statement on pain management in newborns is out!
Thank you Dr Marsha Campbell-Yeo for leading this very important work
@bcchresearch.bsky.social @canadianpreemies.bsky.social @ubcmedicine.bsky.social @nicumusings.bsky.social @ebneo.bsky.scps.ca
cps.ca/en/documents...

It’s going to be an interesting jury to be on, that’s for sure.

I DID NOT expect this to end at a McDonalds in Altoona, Pennsylvania.

Luigi Mangione is kinda the Roxie Hart of right now

The poster isn’t on bluesky so screenshotting but this is definitely one of the more evil UHC stories I’ve seen.

DV isnt just beating

Tracey Grissom was sentenced to 25 years for killing her ex in self-defense, who admitted to raping her so bad she needed a hysterectomy & a colostomy bag

Jury wasnt allowed to know. When they found out they BEGGED IN PERSON for leniency at sentencing saying theyd have acquit

Ok just found out about the Monopoly money and I—

Happy #friday and here is a #dadjoke for y’all. #sillyimperialsystem

I have a patient whose insurance has denied her vaginal estrogen about 9 months or so now. I have written multiple appeal letters. I have done peer to peer. They have said they’d cover it and then turned around and said they wouldn’t. They keep saying I’m using a different diagnosis code

hard cosign from a nicardipine stan 😁

in general the pathophysiology of most hypertensive emergencies is excess *vasoconstriction*

using a beta-blocker to treat vasoconstriction can precipitate hypoperfusion, because you’re not fixing the problem #EMIMCC

Hmm wonder what criticism they faced

Graph these by salary and you’ll get the same results. Pediatricians get paid less because our society doesn’t value children, and particularly sick disabled children. And as pediatricians we have accepted a system where we are devalued because we advocate for our patients instead of ourselves.

A doctor’s letter to United Healthcare for denying nausea meds for a child on chemo