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Alex

@db0255

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822
Following
2,413
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950
Statuses
10,835

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Joined April 2008
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@db0255
Alex
3 months
***TL;DR I'm looking for an open PGY-1 spot starting this year*** Hey guys, life is weird. About six months ago, two months into my EM residency, I started experiencing right arm weakness (biceps, deltoid). I couldn't flex my elbow or raise my arm above ~15 degrees. Now....(1/*)
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@db0255
Alex
2 years
@Kimbo_son @DrDrAbhiKole 40k gift baskets lol “Sir, that basket has a car in it.”
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@db0255
Alex
2 years
@ShawnteJamesMD @ColleenBrunetti Irish Twitter Irish Twitter Irish Twitter ::taps toes:: “Sinn Féin”
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@db0255
Alex
1 year
Whoa! This is unreal, even though I kind of had a suspicion. I will be going to St. Elizabeth Boardman in the sunny Mahoning Valley (ok maybe not sunny) for the next three years!!
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@db0255
Alex
2 years
@BaeBielle Man, these laws are bonkers. Are doctors now supposed to wait until every ectopic is an emergency before initiating treatment? I wonder if they’re going to prosecute doctors who treat an ectopic “too soon.”
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@db0255
Alex
2 years
@Mike24Hoosier @SpaldoBusiness This guy on Twitter thinks “I might get shot up at the mall so I better bring my gun” as sound reasoning and not reason to critically think about why we feel the need to have so many guns in the first place. Sounds about right.
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@db0255
Alex
2 years
Got two interview invites in the past week. Never give up guys!
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@db0255
Alex
2 years
Which is the best medical specialty and why is it Emergency Medicine? 👀
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@db0255
Alex
2 years
I've seen some whoppers in my day, but the criticism here is super odd. "I opened the windows in my house and masked to not spread it at home when a family member got it. It worked." Normal person: "Sounds sensible." These guys: "That is elitist, weird and creepy."
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@db0255
Alex
2 years
@HelloAashish @AnnaGHughes I know several Secretaries of State. Want me to put you in touch?
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@db0255
Alex
1 year
@bone00afide In fact, everyone who’s EVER died had mRNA in their system. The correlation is 1.
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@db0255
Alex
2 years
@Medstudentedu @davidjhwu Four half-lives is approximately how long a substance is in your body. 4x1.5=6. 🥸
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@db0255
Alex
2 years
@jamiattenberg I need to check in with the plane and how it is doing at all times. This involves looking out the window to confirm we are flying correctly. If we are nose-diving, my window seat can confirm this so I can go to the cockpit myself and talk to the pilot.
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@db0255
Alex
1 year
@awsumpowers Me: “Exam was normal.” Peds attending. ::pulls off kids mask:: Notes one-sided swelling. “This looks like parotitis.” Me, thinking: “Well, so I mean, I was just speaking in generalities. He’s not dying. Healthy boy. Normal exam.”🤣😂🤣🥴🥴 So much of doctoring is experienceeee
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@db0255
Alex
2 years
@JDHicksLaw @MattGertz Yeah, what an awful headline.
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@db0255
Alex
2 years
@RichardFHowes @Monika_Dutt Serious question. Why would you say “sad.” As if your interpretation is obviously the right one here. I’d challenge you to think a tad bit more about what role you just played and why it’s so similar to the point she was trying to make in her story about the EMT.
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@db0255
Alex
2 years
@BaeBielle Right, and the only treatment for an ectopic is an abortifacient or surgical removal. So it’s like…what? And you know they don’t understand. We don’t see certain presentations anymore because we DO treat before it gets bad. Sigh. This is just bad. Very, very bad.
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@db0255
Alex
2 years
Apparently having windows is now elitist?
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@db0255
Alex
2 years
@AfcAmr @EM_RESUS There’s a common variant of the vagus nerve that combines with the phrenic then splits off and terminates in the right knee. I’m surprised they don’t teach this pearl, anymore!
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@db0255
Alex
2 years
@JsazMD @UKOkoji Real medicine: Surgeon: “You, med student…I forgot your name…yea, you. I need a little more traction on that Army-Navy. OK, that’s too much. OK, no, so we don’t want to hurt the patient. OK. OK. Just give it to me, one second. OK, when I grab something, you let go.”
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@db0255
Alex
2 years
@Wardatrigger @DogOnTheRoof @steinkobbe Yeah, I’m surprised that this is so bad. And he’s labeled a genius. Literally millions of things could go wrong here and it’s no better than existing tech.
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@db0255
Alex
2 years
@DrCasteelEM This is amazing. Holy cow. Perimortem C-section is like the holy grail of OB/GYN medical emergencies. I always was interested to learn that it’s done primarily for maternal resuscitation to increase venous return (among other stuff obviously).
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@db0255
Alex
2 years
@laurenboebert Nobody wants to disarm you. We want you to follow responsible rules so we don’t have to have this discussion where you think arming schoolteachers makes sense.
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@db0255
Alex
1 year
@williamlegate @LeeJohnson65 Definitely legit but no way this was written by him. 😂
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@db0255
Alex
2 years
@RyanMarino Toxicity levels: B- Is the toxin even trying? Could see more effort and a change in attitude here. 80% inorganic. LOL “Local woman’s breast milk found to be the second largest platinum and palladium reserve in the world.”
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@db0255
Alex
2 years
@EM_RESUS Most eerie one was a guy who was having a STEMI. All the nurses and techs buzzing around him. He looks off into the distance and says, “So this is how it feels.” Oof
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@db0255
Alex
1 year
@MikeDonio This is troubling, but not surprising. Do you know @MikeDonio , personally, of anyone that has suffered (in the last, say, 30-40 years) from measles, mumps, German measles, tetanus, or diphtheria, polio, or smallpox? You don’t. Because you have gotten vaccinations.
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@db0255
Alex
1 year
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@db0255
Alex
1 year
Breaking news on the MedTwitter rankings!!! Exclusive new rankings for the Week of February, 2023: 1. @DGlaucomflecken (Non-mover) 2. @jbcarmody (⬆️ 6 spots) 3. American Medical Assoc. (Sponsored) 4. @gamerEMDoc (New Entry) 5. @jtrebach (⬇️ 2 spots) 6. @RyanMarino (Non-mover)
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@db0255
Alex
2 years
Any advice on picking the right residency program? #Match2023 #EMBound #EmergencyMedicine
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@db0255
Alex
1 year
@DrCasteelEM “use a real life falcon to spear hunt wild boar in medieval garb”
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@db0255
Alex
2 years
Second time’s a charm. Yeah, MD! Finally! 🎊🎊🎊🎊🎉🥳 Onward to EM Residency! #savinglives 1 ibuprofen script at a time
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@db0255
Alex
2 years
@nisslbodies @katiedimartin “Casually,..” Prof: What do they mean…casually? Unbelievable! Unprofessional!
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@db0255
Alex
2 years
@HoneybgerHCook @BaeBielle He’s not doing that. The (mostly) men that are criminalizing the use of these medications in certain circumstances are doing that.
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@db0255
Alex
2 years
@KnowNothingTV @MarlowNYC Yeah, looks like TMZ also picked it up as well.
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@db0255
Alex
2 years
@Lozv1 @zurbo1984 The main reason a doctor is late (99% of the time) is because they are respectfully and dutifully answering questions of and spending time with patients. Not defending anyone but it boggles my mind this isn’t understood on some level. That and EMR, heh. Takes time.
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@db0255
Alex
2 years
@drquinngyn @KimiChernoby “I believe in essentially unlimited Zofran with infinity refills.” Spread the gospel please. Nausea, to me, can be just as unbearable as pain. As someone who went to about age 30 without a script for an antiemetic, I wonder why it isn’t offered regularly as an option.
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@db0255
Alex
2 years
@GI_Guy @davidjhwu @NBC_ER Something to make you feel old. That episode aired in 1997. Making it entirely possible a third-year med student was born after it was shown.
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@db0255
Alex
2 years
You get on to your flight and you see this. The copilot says they're "going somewhere tropical" with a somewhat discomfiting laugh. You think you remember your ticket saying your destination was Boise. You are pretty sure Boise isn't tropical this time of year. What do you do?
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@db0255
Alex
2 years
@DrPoorman @CatDocMD There’s no shame in playing it conservative the first time. Nobody got an award for not treating and being right, but they sure as hell will regret not treating and being wrong. That’s not to say there isn’t anything in over-treatment and appropriate use of resources.
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@db0255
Alex
2 years
@joshmcgoo The patient states he slipped on his ELIQUIS tablet.
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@db0255
Alex
2 years
@marklewismd @maximumcharacte @RadiologiaClub You believe it caused LUQ fullness? This is a stretch. 🤣😂🤣😎🥸
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@db0255
Alex
2 years
@averymariah17 @travisakers After the 2024 election? That’s patently ridiculous…you can’t serve the people and say inane stuff like this…
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@db0255
Alex
2 years
@DGlaucomflecken Can confirm the med student part is accurate. 🤣😂🤣
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@db0255
Alex
2 years
I'll be honest. I have nothing to do today, so Twitter drama will have to suffice. @RyanMarino @_bonewizard
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@db0255
Alex
2 years
@Caulimovirus The man was @jtrebach . The son was @billyjoel . The surgeon was @rodstewart . The man ate saxitoxin for the lols and for the tweets. Some say…it was a matter of trust.
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@db0255
Alex
2 years
@TanyaBones @RyanJBlack @OkapiPie @tylerblack32 @elonmusk @pmarca This is also a PERFECT example of why Elon not staying in his lane is dangerous. He says something that seems smart. Qualified person responds. Another qualified person counters him (but is very obviously wrong). A layperson comes along and is (rightfully) confused.
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@db0255
Alex
1 year
Where my EM-bound posse at?!? Represent!!!! #EMBound #Match2023
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@db0255
Alex
1 year
I am about 99.99% sure that the NY Post thinks his last name is actually Glaucomflecken. Either way, this all but seals Dr. G as #1 in the rankings for another 24 hours!
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@db0255
Alex
2 years
@22gthumb @jtrebach “Hello, this is ‘Poisons R’ Persons Too’ Poison Control. Amanita speaking…how may I help you? He drank all the Barbicide? OK, no reason to panic. Let me check…OK, so we recommend pairing that with a dry vermouth, preferably a Cinzano, and Peychaud’s Bitters.”
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@db0255
Alex
2 years
OOPS
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@db0255
Alex
2 years
@DogOnTheRoof @Wardatrigger @steinkobbe Yup. Pretty much, just wanted to adulterate my statement so the Musketeers don't single me out.
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@db0255
Alex
2 years
@TycunaTV @FouadChouairi This. There’s an order to adjectives and if he were a native English speaker…he would know that: number-opinion-size-age-shape-color-origin-material-purpose Noun. Unbelievable!
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@db0255
Alex
2 years
@AshleyGWinter "Office 365?" "No?" "Boomer? Boomer?....Boomer?"
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@db0255
Alex
2 months
@quality_nguyen Hair care insurance didn’t even cover me because they said I’m bald, I don’t have hair. Unbelievable.
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@db0255
Alex
1 year
@kiswanson So when two people love each other, and they go to a Cracker Barrel. There’s this pegboard with tees and you jump other tees. And you gotta leave only one behind. Here’s a young lady demonstrating.
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@db0255
Alex
1 year
@HKalodimos You think ophthalmologists would know about optics 😄😂🥴
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@db0255
Alex
2 years
@sleepyrn203 @EM_RESUS LOL^2: Little old Ladies Lying on Linoleum. Never a good thing.
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@db0255
Alex
2 years
@3_card_monet @unusual_whales Seriously. All this drama about the Twitter Files and it’s a huge nothingburger. Some people’s feelings got hurt that they were put on limited visibility.
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@db0255
Alex
2 years
@EMPAthy_atrophy Wait. So you’re saying it’s not that simple? @_amalki what do you have to say???
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@db0255
Alex
1 year
@subparOMS I don’t know what it means, but you need to leave lol.
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@db0255
Alex
2 years
@OsinskiReflex @quality_nguyen “Jobs” How you know it’s fake: he’d never pay someone. This is clearly a volunteer experience.
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@db0255
Alex
2 years
@quality_nguyen It LOOKS like that but in reality it turns out Hochul is the ortho surgeon and Fetterman is a peds doc.
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@db0255
Alex
2 years
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@db0255
Alex
2 years
@amybarnhorst Urushiol-induced contact dermatitis.
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@db0255
Alex
2 years
@DogOnTheRoof @Wardatrigger @steinkobbe A tradition unlike any other. The Muskers. ⛳️
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@db0255
Alex
2 years
@YandryVarela Pretty much. I’m not first gen college, but would be the first doctor as far as I know. You get into med school and it’s like wild how many Dr. John Constance Proctor the 15ths there are.
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@db0255
Alex
3 months
250s Step 1&2 scores. MD Cum Laude. Mostly ER experience. References on request. Like I said, my residency is sympathetic, but I'll be unable to go down the EM route as things are unfortunately.
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@db0255
Alex
2 months
@awsumpowers but u don’t understand, im gonna marry her bro
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@db0255
Alex
2 years
@Thaad1 @WillieHandler Also, keep one hand on your beer and one on the butterfly knife in your pocket. You never know when a brawl will start. Never break a beer bottle as a weapon: glass is sharp on you, too. If the brawl is really big, head to the till, clear your tab first, then leave.
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@db0255
Alex
9 months
@ClementLeeMD It’s my right as an American to get chlamydial conjunctivitis.
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@db0255
Alex
2 years
@Dr_Forza @DrLongissimus “Patient arrives to urgent care with complaints of knee pain.”
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@db0255
Alex
2 years
@ArtieVandelay1 @FoxNews There’s a Pope in Venice? Thought the THE Pope was in the Vatican City?!!1
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@db0255
Alex
2 years
@laurenncarterr @mominmedicine No, but there was one from Harvard-Cook County General.👀
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@db0255
Alex
2 years
@_bonewizard @RyanMarino Woke up from my custom aerosolized fentanyl container closet, and walked out to this.
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@db0255
Alex
2 years
@orneryscientist W22.02 - Walked into lamppost V91 and W55 are gold mines. W56.0 - Contact with dolphin W61.22 - Struck by other psittacines Y36.52 - War operations involving indirect blast effect of nuclear weapon X97 - Assault by smoke, fire and flames Z73.0 - Burn-out
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@db0255
Alex
1 year
Hey all. I’m really worried. I found this piece of paraphernalia in my family member’s office cabinets. What is it? It looks super strange and possibly dangerous. 🥸😢😢
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@db0255
Alex
3 months
I'm looking to find a specialty/program that's open to accepting me as a PGY-1 transfer...I'm open to FM, IM, Psych, Rads, Path, etc.; any residency programs that are not procedure-heavy, essentially. SO...if you know of any programs that have an open spot...
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@db0255
Alex
2 years
@GinaAvondo @ZTPetrizzo Because their country is being taken over by immigrants who are smarter, less lazy, and different from them. This is horribly unfair to their way of life as a white person.
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@db0255
Alex
2 years
This is not about COVID. This is not about public health. This is about HM Vinay Prasad. @VpwndF He seems to think someone cannot have a normal life if they are wearing a mask. This just in. You can.
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@db0255
Alex
2 years
@randy_grinspan @lisa_iannattone Right? Protocol for rash in ER: 1. Informal consult with peds ER doc. 2. 🤷‍♂️ 🤣😂🤣
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@db0255
Alex
2 years
@RyanMarino @fuzzymittens @TuckerCarlson I had a friend who overdosed on two pills of marijuana he snorted. It combined with the oxycodone he injected and made his insides turn to jelly. True story.
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@db0255
Alex
2 years
@quality_nguyen Well they’re not pregnant.
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@db0255
Alex
2 years
@Daya4india @medictests vs aortic transection vs ventricular laceration. Breath sounds are absent because he is apneic. Pulseless probably means no heart sounds. This is not really a survivable injury unless he’s either a) very lucky, or b) on the OR table already.
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@db0255
Alex
2 years
1st interview down. 61 more to go (jk).
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@db0255
Alex
2 years
@RyanMarino My fav part of this whole thing. You were doing you. Never once saw you name call or be disrespectful. Meanwhile, they hurl insults, name call, tell u to go f*** yourself, claim to be the victim. Like…multiple times. All of them. She and her friends wanted valisation.
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@db0255
Alex
1 year
@RyanMarino @atrupar Right? “Kill who you want. Let them eat cake. But hell if you’ll tweet something dEePlY OfFenSiVe!”
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@db0255
Alex
3 months
or any PGY-1 that wants to swap their spot. Or a lead to someone else who knows a guy that heard something. I WOULD BE ETERNALLY GRATEFUL to hear from you!!! This injury has put me in a difficult spot, but I think I'm a pretty competitive applicant all things considered...
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@db0255
Alex
2 years
@RyanMarino Nah, I’ve read the literature. There’s a popular method out there if you have 50+ hens in their prime. I won’t go into detail, but suffice it to say, it doesn’t always suck to suck.
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@db0255
Alex
1 year
@BAshbyMD Yeah, this looked like commotio cordis, but can’t rule out HOCM.
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@db0255
Alex
2 years
@okaysato @craigfutterman @abovethecarina “Why are they all named John and Jane?!”
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@db0255
Alex
2 years
@jtrebach “No d-sticks? Sweet pokes? Huh. No sugar pricks? Any carb-ob skewers? Hm..honey jabs? Insulin impalations? Huh…K.” ::walks away::
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@db0255
Alex
1 year
@Doctor_Eric_B “blood plasma ultrafiltrate” Ah, when you read some words in a medical textbook, but don’t know what you’re talking about. Oof.
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@db0255
Alex
2 years
@NutinButLuv4U @jtrebach You’re in a helicopter w/ Lil Uzi Vert when suddenly you realize there’s no pilot. The helicopter crashes in a barren, snow-covered field 50 clicks NNW of Thunder Bay, ON. You took off from Dakar, Senegal 3 weeks ago. The acid is starting to hit you now. Do you eat this plant?
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@db0255
Alex
2 years
@OGdukeneurosurg Raisin scone. Needs to be microwaved for at least 20 seconds. Better with cream cheese.
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@db0255
Alex
2 years
@bruceradmacher @joshmcgoo That’s laughable. After bombing my chemistry undergrad, I couldn’t believe the amount of humanities grads who got in, and weren’t overwhelmed. Also after doing med school, I realized how a science major, even a pre-med curriculum in general, is so unnecessary to do well.
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@db0255
Alex
3 months
To be clear. If you don’t accept me into your residency, I will join an insurance company on the dark side FOREVER. Please don’t let this happen. 😂😂😂
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@db0255
Alex
2 years
@DruvBhagavan @jtrebach Anesthesiologist #4 : My puns roc.
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@db0255
Alex
2 years
@CatDocMD $500k. “That’s preposterous!” Well ask dumb questions!
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@db0255
Alex
2 years
@Mauro_Madariaga @EM_RESUS Where do you see the tension? The trachea appears midline.
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