Alnardo Lora, MD 🇩🇴

The illusion of perfection Thirteen years ago, only a few months after completing my residency in emergency medicine, I walked into a night shift ready for anything. One of the first patients I encountered was a young man with ...

Medicine isn’t a perfect science. It’s a probabilistic art form. High stakes jazz. And sometimes, even the best improvisers hit a wrong note.

Much appreciate @litfl.bsky.social sharing this in their newsletter today.

The illusion of perfection qualitysafety.bmj.com/content/29/4...

UK, Canada and 26 other countries say the war in Gaza ‘must end now’ A joint statement by 28 countries including Britain, Japan and Canada is calling for an immediate end to the war in Gaza. They say that the 21-month war “must end now."

Words without action are meaningless!

apnews.com/article/euro... 
UK, Canada and 26 other countries say the war in Gaza ‘must end now’

Brain Death in Pregnancy — Abortion, Advance-Directive, or End-of-Life Law? | NEJM When someone is declared brain-dead during pregnancy, state laws regarding abortion, advance directives, and end-of-life care may all come into play. What should the deciding factors be?

Interesting ethical debate. Women should not only be seen as vessels. We are committed to maintaining patients' dignity at the end of life, and this should be no different.

Brain Death in Pregnancy — Abortion, Advance-Directive, or End-of-Life Law? | NEJM www.nejm.org/doi/full/10....

It is time to start hoarding nuts, which I cannot live without.

wapo.st/4i1C4rb

CDC's Office of Smoking and Health Eliminated Move will 'put American lives at risk,' former CDC director says

CDC's Office of Smoking and Health Eliminated www.medpagetoday.com/primarycare/...

An example of real-world consequences of Trump's policies:

My patient finally quit smoking with the help of a smoking cessation coach. However, that same coach is now out of a job due to the sweeping mass layoffs in HHS.

We have yet to feel the full weight of the repercussions of his actions.

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┻┳| •.•) Unsuspecting
┳┻|⊂ﾉ intensivist
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How do you “accidentally” fire someone? Can the media stop pretending these aren’t just incredibly stupid people making stupid decisions that they aren’t qualified (or legally allowed) to make?

A Ventilated Three-Dimensional Artificial Lung System for Human Inhalation Exposure Studies - PubMed Traditional in vitro and in vivo models for inhalation toxicology studies often fail to replicate the anatomical and physiological conditions of the human lung. This limitation hinders our understandi...

New artificial lung developed as a more accurate model for studying human inhalation exposure, including the health effects of electronic cigarettes or vaping. go.nih.gov/WQ7I1tr

Study sections are the review panels that allocate NIH research grants. They bring in experts from around the country and have to be scheduled many months in advance; they provide the funds that keep the nation's biomedical research going.

It's hard to overstate the disruption this causes.

My NIH study section that was to meet tomorrow was one of those canceled. This represents many months of work by the applicants and by the NIH staff and reviewers. Devastating is the correct word.

yup, parents already avoiding bringing their medically fragile kids in for hospital care because they are worried about ICE 😭

A nurse, going through emotions

Accidentally checked the news

It really is heartbreaking when a Spanish speaking patient of mine has to go through hoops and hurdles to get appropriate medical care, and as soon as you start to make progress, to then be told I am no longer within network. This system needs fixing but I fear it will only get worse moving forward.

If you’re still cross-posting on twitter, now might be a good time to stop.


This isn’t an isolated slip-up, it’s an ongoing pattern.

Individual actions are tiny, but they can add up to collective force.

#Resist

Oligarchy (noun): A government of and by a few at the top, who exercise power for their own benefit. Their power and wealth increase as they make laws that favor themselves, manipulate financial markets, and create monopolies that put more wealth into their pockets.

I’m gonna go out on a limb and guess that their views are not representative of “broader disputes among experts”

AKA funeral home

Glad to be done with this one! Dreading having to give ABIM another $2500 for critical care boards

"Social media can be an incredible powerful tool for advocacy" @glaucomflecken.bsky.social #medsky

Very lucky indeed! @ejfloresmd.bsky.social is great!

Have been learning mandarin for about 6 months at this point and I am just figuring out that there is not a universal yes or no in the language. You actually have to repeat the “verb” for a yes or use “not ‘verb’” for a no. If they would’ve started with that, I would’ve given up on day one.

It's a good day to be a New Jerseyan.

PRINCETON, N.J. (AP) — New Jersey Democratic Gov. Phil Murphy signed a law Monday to prohibit public and school libraries from banning books in the state and to enshrine protections against civil and criminal charges for librarians who comply with the law.

Long-Term Oxygen Therapy for 24 or 15 Hours per Day | NEJM To the Editor: In a multicenter, randomized, controlled trial comparing duration of long-term oxygen therapy (24 hours vs. 15 hours) in patients who had severe hypoxemia at rest, Ekström et al. (Se...

Our letter to the editor is out in NEJM in response to this year's REDOX trial! www.nejm.org/doi/full/10....
Can we definitively state there is no disadvantage to 15h versus 24h at 1 year in terms of mortality when NOTT required 2 years and MRC required 5 years to demonstrate a mortality benefit?

Opinion | What Doctors Like Myself Know About Americans’ Health Care Anger (Gift Article) As a doctor, I’ve been on both sides of frustrating health care debacles.

"I told the man that he was going to be admitted to the hospital overnight...I thought he would ask if he was going to be OK or if he needed surgery — questions I’m comfortable fielding. But instead he asked, “Will my insurance cover my stay?” This is a question I can’t answer with certainty." ⚕️

Update: we win!

www.wfsb.com/2024/12/05/a...

YouTube video by Dr. Glaucomflecken No More General Anesthesia

A real, actual thing BCBS is doing youtube.com/shorts/vWA2a...

a man and a woman are jumping in the air in a hallway with their hands in the air . ALT: a man and a woman are jumping in the air in a hallway with their hands in the air .

🎉🏥 Huge congrats to all the future doctors who are officially matched! 🩺💙 Whether you're jumping for joy or feeling a little nervous, this is the start of an amazing journey. Keep pushing forward, the best is yet to come! #MatchDay2024 #FutureDoctors #ResidencyBound #ATS2025 #Medsky

Happy fellowship match day!

Obituary: Luciano Gattinoni - ESICM In Memory of Professor Luciano Gattinoni

Thank you and rest in peace, Dr. Gattinoni.
www.esicm.org/obituary-luc...