Glen O'Humeral
@HumeralO
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Emergency Medicine Physician | Father | Husband | Tweets ≠ medical advice
Charting
Joined June 2019
Patient: doc, I need something to help me stay awake Doctor: take two of these and call me in the morning Patient: but these...aren't these your kids? Doctor: trust me, I'm a doctor.
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Medical education: pulmonary embolism? Think S1Q3T3 Reality: S1Q3T3 is neither sensitive nor specific for PE. Sinus tachycardia is the most common EKG finding. T wave inversions in the inferior and right precordial leads are most specific for PE.
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Most pediatric foreign objects get lodged in the upper esophagus due to narrowing at the upper esophageal sphincter. Most adult esophageal foreign bodies occur at the lower esophageal sphincter. Bystander: “DO YOU OR DO YOU NOT KNOW THE HEIMLICH!?”
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1 year old Normal who just learned Pressure to walk, playing Hydrocephalus in a pool 🤝 Wet, wobbly, and wacky
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When preparing for a big exam, I like to start my day with a question bank. Then I take a break for lunch and do more questions. In the afternoon, I do another set of questions. Then, to relax after a long, hard day of doing questions, I do more questions.
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Remember SSSS by adding a few more letters: SSSSSSH • Staphylococcal • Scalded • Skin • Syndrome • Sloughing (+ Nikolsky sign) • Spreads Hematogenously • (Put it all together and you get “ssssssh”, like you’re shushing a child because it occurs mostly in children)
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Them: burnout is very common in Emergency Medicine Me: yeah, it’s totally awesome Them: …what? Me:
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[The ED in respiratory season] 55 FEVERS 38 COUGHS 44 MUSCLE ACHES 77 EAR ACHES 52 SORE THROATS 26 BACK PAINS 33 BLURRY VISIONS 65 HEADACHES 55 UTI’s
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Door Dasher: look, you don’t have to say “just what the doctor ordered” every time I show up here
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Returning to work after being off for several days, not sure if you remember how to do your job
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Do you provide IV fluids to your patients? If so, please read this article in its entirety. 🎩 tip to the author. https://t.co/Sfr6vCn6le
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Accidentally said “CT scanner” instead of “donut of truth” and had to re-do my EM rotation
Accidentally said “nosebleed” instead of “epistaxis” and had to re-do my ENT rotation
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Travis Tritt: 🎶 I got rice cooking in the microwave 🎶 Infectious disease docs:
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Do giraffes have 3 zones of the neck like humans or do they have more? Imagine being a giraffe in medical school studying for your giraffe anatomy exam and you gotta learn 12 zones of the neck
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What if there is a 4th, even more extravascular space for fluid to go
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