“THESE VITAL SIGNS” is now available in stores and online, in hardcover, e-book, and audiobook formats. Click on this link for buying options: Or seek it out wherever you buy books. It makes a great gift for students, friends, family, anyone!. Thank you.

I’m gonna miss this place. Almost exactly a decade after I first arrived in San Antonio, I’m going to be moving this Fall. Down the road to Houston. I have lived in many places, many countries, but the warmth and kindness of this place will stay with me. #sanantonio #satx

Give me a dusty used bookstore and a few hours on an idle Tuesday afternoon. Bliss.

RT @Tennesseine: I own a medical billing company, so trust me when I tell you:. The United States is the only country on Earth that employs….

RT @samgarzamd: It is with heavy hearts that we share the passing of Dr. Samantha Garza. In honor of Sam's life, we invite you to donate in….

RT @Mistsandgrass: Excellent gift for the new med student or intern! Warm, humane, and a needed reminder of the intrinsic magic of healing….

RT @AnnaGaddy: @cbgitter These Vital Signs by @TheRealDoctorT is my favorite and can be picked up and put down (a series of small stories,)….

This tactic is part of the foundation of toxicity in modern medical practice. Physicians lack dedication, devotion, resiliency, you name it. The system is never at fault. The system must never change. Our problem is we just went to medical school to take the easy route…

Sometimes I almost forget how beautiful this place can be. Breathe. #texashillcountry #SanAntonio

RT @TheRealDoctorT: Michael Crichton’s novel “Jurassic Park” had a series of fractal iterations forming a “dragon curve.”. With each iterat….

When you’re trying to do some teaching but you’re also easily distracted…

I wrote the thread below during one of the many COVID surges that followed the initial tsunami. I talk to people about healing and moving on, but a part of me feels like it’ll always be in that ICU. The past is never far. “The Ghost on the Corner.” 1/6/22.

RT @googoodolls: "Iris" was released on the 'City of Angels' movie soundtrack on this day in 1998. 27 years & 2 BILLION+ streams later, and….

Of course X did very much give him a platform, and its political usage is undeniable, but I still think social media has always been intended to be a training ground (and R&D platform) for artificial intelligence.

I posted this thread about three years ago, before Grok existed or xAI “bought” X.

I remember the cystic fibrosis patients I took care of 20 years ago. I also remember the dedicated HIV wards in the hospitals, and that Princess Diana made headlines for shaking hands with AIDS patients. Progress has been incredible. Miracles are where you choose to see them.

Benjamin Franklin:

Someone’s gotta do it.

Now hollow fires burn out to black,.And lights are fluttering low:.Square your shoulders, lift your pack.And leave your friends and go. O never fear, lads, naught’s to dread,.Look not left nor right: .In all the endless road you tread.There’s nothing but the night. A.E. Housman.

RT @Farzad_MD: 1/ After residency at Mass General Hospital, I reported to Atlanta to meet my fellow CDC Epidemic Intelligence Service Offic….