KevinMerrell

Well appearing 6 months old with fever without a source last week. Work up changed when I realized they were completely unvaccinated. Had to dig up old memories of workups from pre-pneumococcus/haemophilus era. Check Up to Date to confirm I was right. Wish blood work could have come from parents.

I got pneumovax, shingles, and second flu all on same day in April 2020. Figured the bump to my innate immune system might help me survive taking care of COVID patients every day.

Shingles shot even less fun than pneumovax but way better than shingles and all its life changing complications

Had a patient a few weeks ago who left chatgpt on while I talked to him just so it could summarize what I said and tell him if it agreed with me.

Friend of mine was her doc in ED. That's why we do this.

Bitten twice by a rattlesnake. Intubated. Given over 30 vials of antivenom. Her oxygen dropped to 25%. But 15-month-old Cara survived. Doctors are calling her a miracle.
fox8.com/news/shes-a-... #BlueSky #MedSky #EMSky #ToxSky #PedSky #NurseSky

It's always been that way. Read "Journal of the Plague Years" Sounds like it could have been written in 2020 instead of 1722. Was weird rereading it in 2020

The day I talked my dad out of a feeding tube for my obtunded 99 year old grandma he pointed and asked "If that were me what you do? I said "pillow over your face and hold it till you stop shaking" He said, "That's why you are my medpoa " Expect the same from my kids

What's in a vaccine?

If you’re curious how vaccines are developed, read this ⬇️
Stay informed and stick with science. #VaccinesWork!

www.who.int/news-room/fe...

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This has some of her work and a picture of me with the Seuss shoes that followed the Superman shoes. Those are about worn out and soon to be replaced with some dragons.

Instagram.com/shoes.by.syd/

Kswiss shoes hand painted with superman logo with PPE

Old shoes but hand painted by daughter during darkest days of pandemic. Wore them everyday to work until they fell apart

Used to pass through there everyday when I lived in Kaohsiung. Different look in B&W. Thanks

You think if methylene blue was called blue dye #13 he would stop drinking it?

MERS crossed over from bats through camels. No lab in the area. SARS crossed from bats through civets. No lab around. CCOV-HuPn-2018 crossed from dogs to people in Borneo. No labs there. HCoV-HuK1,NL63,OC43, 229E all look like they crossed from animals to people before we had virology labs.

And it had 6 fingers. Horrible

And you were right!!!

But holy crap that 6 fingered AI baby on the altitude broadcast is disturbing

Rewrite the history of Jan 6 all you want. We all know it was a violent insurrection and we all know the criminals who perpetrated it were traitors to the country and the Constitution.

Not the future. The present

Nontraumatic Internal Carotid Aneurysms in the Paranasal Sinuses Presenting with Epistaxis: A Case Report Epistaxis due to rupture of a nontraumatic internal carotid artery (ICA) aneurysm in the paranasal sinus has rarely been reported. Here, we report a case of double ICA aneurysms located within both th...

Seen this twice. 😬 pmc.ncbi.nlm.nih.gov/articles/PMC9177166/

Always been my least favorite and not even close. Prefer butt puss anyday

Their response time seems slightly better than the last pandemic...

Never mind. I see @kylec.bsky.social just posted it.

Could have sworn I saw a short clip of Kyle Clark in the stands around that same time. No?

It took me a few years to admit how much PTSD I had. Had 4 n95s I rotated every day while the others got uv irradiated on clothes line. Slept in basement for 6 months. Wore garbage bags. Saw a few colleagues nearly die. Cried when I got vaccine.

Happens to me all the time. The fact that yo and 我 sound so similar doesn't help.

Worked with her years ago at Centura. Great doc.

Back in the day I was present for a few meditech go lives and since then I've done at least 6 Epic go lives. Change, any change, is hard, especially the first 6 months. Eventually you will look back and say thank God we did it.

If you do, say hi as you pass through Twin Lakes

Me on top of Mt Huron

Introducing myself to #emedsky community. Done all kinds of things over the years in EM. Found I prefer just seeing patients. Now splitting time between rural critical access, inner city level 1, and locums.

View of beaver ponds below Mt Elbert

Trying to decide if social media adds anything to my life. Probably rather be hiking.