Wizard_of_Obs's Avatar

Wizard_of_Obs

@brianhiestand.bsky.social

Emergency medicine, smoked and grilled meats, and martial arts. Coding and compliance work as well. Opinions are very much my own, do not represent my employer, etc etc.

673 Followers  |  455 Following  |  250 Posts  |  Joined: 14.11.2024  |  2.4923

Latest posts by brianhiestand.bsky.social on Bluesky

Video thumbnail

This is Archibald. He's been holding in a sneeze since last September. Finally let it loose. 13/10 bless you buddy

12.08.2025 22:05 โ€” ๐Ÿ‘ 11548    ๐Ÿ” 1116    ๐Ÿ’ฌ 201    ๐Ÿ“Œ 120
Video thumbnail

Lindsey is laser focused on safety in DC while SC ranks 46th in overall safety.

To be fair, he might not know how to use his GPS to find his way back here to SC. So I included instructions for him here.

13.08.2025 00:23 โ€” ๐Ÿ‘ 434    ๐Ÿ” 160    ๐Ÿ’ฌ 22    ๐Ÿ“Œ 10

I did see a good comment about it though, describing him as "the gyro we needed"

11.08.2025 23:22 โ€” ๐Ÿ‘ 752    ๐Ÿ” 32    ๐Ÿ’ฌ 13    ๐Ÿ“Œ 2

Then you can code by complexity of conditions managed, data reviewed. Time is only one option. ROS and PE counts are dead and gone, and won't contribute to the coding determination in the least.

11.08.2025 22:34 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

But, you don't have to do that anymore, and haven't had to do so since 2023. Earlier, for outpatient.a1

11.08.2025 22:21 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0
Video thumbnail

Lisa Kudrow nailed it! This was the best
Republican impersonation I have ever seen, I was even getting upset thinking this was real. Love it!

07.08.2025 22:03 โ€” ๐Ÿ‘ 2800    ๐Ÿ” 910    ๐Ÿ’ฌ 86    ๐Ÿ“Œ 78
Miniature Korean Bell

Miniature Korean Bell

10.08.2025 17:32 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Video thumbnail

RFK Jr is intentionally lying when he says mRNA vaccines arenโ€™t effective. The data arenโ€™t hard to understand, but he lies about them daily. The most parsimonious explanation for this behavior is that he wants people to die. To state the obvious, thatโ€™s disqualifying for the head of HHS.

09.08.2025 22:21 โ€” ๐Ÿ‘ 383    ๐Ÿ” 128    ๐Ÿ’ฌ 21    ๐Ÿ“Œ 10
Post image 10.08.2025 16:41 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Lotus

Lotus

Meadowlark Botanical Gardens

10.08.2025 16:28 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

I just keep going back to receiving the phone call on Christmas Eve 2020, not even 5 years ago, that my name had come up to get my first COVID vaccine. How that felt like a miracle, that effective vaccines had been developed in less than a year.

And he's decided all of that should go in the trash.

10.08.2025 12:24 โ€” ๐Ÿ‘ 9    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
Secret Views Things we might whisper to each other

In the course of an interesting critique of โ€œmerit,โ€ Jay Nordlinger observes:

โ€œPeople call for โ€œmeritโ€ in the immigration processโ€ฆ

Those immigrants wanted a better life for themselves and their family, and they sacrificed to get it.

That was their โ€˜merit.โ€™โ€

open.substack.com/pub/jaynordl...

10.08.2025 12:29 โ€” ๐Ÿ‘ 344    ๐Ÿ” 55    ๐Ÿ’ฌ 16    ๐Ÿ“Œ 2
Post image 09.08.2025 20:43 โ€” ๐Ÿ‘ 148    ๐Ÿ” 38    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Seems like that's RFKJr's approach...

09.08.2025 20:46 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Moomintrolls!

09.08.2025 16:03 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Listen, if youโ€™re wearing Trump merchandise, I have to assume youโ€™re a pedophile tooโ€ฆ

09.08.2025 12:24 โ€” ๐Ÿ‘ 2246    ๐Ÿ” 481    ๐Ÿ’ฌ 118    ๐Ÿ“Œ 37

An innocent President would simply release the Epstein Files and demand a full FBI investigation into every Epstein client.

Thatโ€™s it.

Thatโ€™s the whole ballgame summed up.

08.08.2025 20:38 โ€” ๐Ÿ‘ 6089    ๐Ÿ” 1631    ๐Ÿ’ฌ 177    ๐Ÿ“Œ 78
a lemon rosemary thyme focaccia

a lemon rosemary thyme focaccia

what if I baked you a lemon, rosemary, and thyme focaccia?

05.08.2025 18:57 โ€” ๐Ÿ‘ 508    ๐Ÿ” 18    ๐Ÿ’ฌ 72    ๐Ÿ“Œ 3

Breaking: The court just ruled that FEMA canโ€™t spend NCโ€™s $200m in disaster preparedness money elsewhere while our lawsuit against them plays out.

FEMA broke the law when it cut these funds for our water and sewer systems. Weโ€™re going to keep fighting to make sure this funding is restored.

05.08.2025 22:50 โ€” ๐Ÿ‘ 234    ๐Ÿ” 51    ๐Ÿ’ฌ 3    ๐Ÿ“Œ 6

....aaannnddd that wraps up today's broadcast of "Cooking with Morty." Please join us immediately after on Showtime for "Morty's Kitchen...After Dark." Where the rolls aren't the only thing rising.

05.08.2025 21:14 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Huh, even when I indent my focaccia, they mostly floof out during baking.

05.08.2025 19:38 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

How did you get those indents?

05.08.2025 18:59 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Everyone should know what an overdose looks like. Feel free to share:

31.07.2025 20:25 โ€” ๐Ÿ‘ 309    ๐Ÿ” 116    ๐Ÿ’ฌ 12    ๐Ÿ“Œ 5

When the FDA Commissioner goes on TV to elevate an unverified anecdote about a "friend's parent" dying from a COVID vaccineโ€”while ignoring safety data from 1M+ people published 48 hours earlierโ€”we have an institutional problem. This misleading rhetoric is deeply irresponsible. ๐Ÿงต

31.07.2025 03:32 โ€” ๐Ÿ‘ 875    ๐Ÿ” 244    ๐Ÿ’ฌ 37    ๐Ÿ“Œ 8

Wish 1: To get relief from dyspnea (achieved w/ narcotics)
Wish 2: To go outside (we brought many tanks bc his high O2 needs)
Wish 3: To eat good gluten-free pizza (ordered & donated by me).

Before he died, he said it was the best 48hrs he's had in a long time. I cried. @3wishesprogram.bsky.social

30.07.2025 23:38 โ€” ๐Ÿ‘ 221    ๐Ÿ” 19    ๐Ÿ’ฌ 15    ๐Ÿ“Œ 2
Video thumbnail

How Vaccines Work ๐Ÿงฌ๐Ÿงซ๐Ÿงช๐Ÿ”ฌ๐Ÿ’‰๐Ÿฅฝ

30.07.2025 16:00 โ€” ๐Ÿ‘ 3405    ๐Ÿ” 1265    ๐Ÿ’ฌ 39    ๐Ÿ“Œ 60
Post image

The 29 adverse outcomes tested, none of which provided a safety signal.

Despite te scare stories many antivaxxers and anti-vax organisations dump on social media, the COVID-19 vaccines are very safe.
3/3

30.07.2025 14:50 โ€” ๐Ÿ‘ 10    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Person posting a photo of a cow looking depressed on the beach and they say mood. 

Kyle plant emoji replies and says it probably did

Person posting a photo of a cow looking depressed on the beach and they say mood. Kyle plant emoji replies and says it probably did

This gets me every damn time lol

28.07.2025 18:11 โ€” ๐Ÿ‘ 446    ๐Ÿ” 77    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 5
Post image

When clutching our crystals and nervously consulting our horoscopes, our critical faculties in decline, unable to distinguish between what feels good and whatโ€™s true, we slide, almost without noticing, back into superstition and darkness.

- Carl Sagan, 1995

28.07.2025 11:58 โ€” ๐Ÿ‘ 325    ๐Ÿ” 73    ๐Ÿ’ฌ 29    ๐Ÿ“Œ 6

@brianhiestand is following 20 prominent accounts