Academic decision algorithm v 7.0- a testament to #SocialMedia peer review, as all versions past 1.0 were improved upon by feedback from colleagues on @twitter. This edition improved by @JRandallCurtis1. There is a descriptive publication here somewhere. #MedEd #MedTwitter

The cruelty is the point.

Here's a crazy idea. How about the state just stop killing people.

I would say history will judge poorly those in power who stood by and allowed this to happen but there may be no humans to look back on this.

Fellowship application time. Your yearly reminder that the procedure for which you must be most adept in order to be a successful #PCCM physician is the difficult conversation. Developing skills in having hard conversations will make your life better in all of its facets.

“This isn’t my hand it’s just the meat hook that puts food in my face”.

Congress be like

Home teams are 15-4 in game 7 of @NBA finals

RT @BleacherReport: Pascal Siakam locked in for Game 6 👀

What is with all of the masked law enforcement people dragging other people on camera everywhere was there a memo I missed.

RT @michael_hoerger: 1) Here's a quick example of how the federal government is censoring the best scientific research. It's not just cuts….

I share the author’s opposition to the death penalty. But if this is what passes for critique—factually shaky, structurally questionable and philosophically muddled—then the @indystar opinion page needs a second opinion. fin/.

I’m genuinely puzzled why physicians were the hook for this piece. If @jstewartIndy plans to write about again about medicine, I’d urge a closer engagement with the facts. Especially now, our profession deserves accuracy, especially on issues this serious. 7/.

It seems like the "death can never be dignified" paragraph is the beginning of a poorly developed argument showing the author's pro-life bonafides (which is fine, and helpful to know for next time I read a piece of his). It just lands super awkwardly. 6/.

And then this paragraph is just mind bogglingly bad. We all die, and as a critical care physician I see a lot of dignified deaths (nearly all, to be honest). Writing that "death can never be dignified" is far from reality and leaves me sort of speechless. 5/

Even in the case of lethal injection (like the May execution of Benjamin Ritchie), a physician need not be involved. They may declare death, but that’s far from performing the execution. There’s no evidence physicians are required—or routinely involved—in Indiana executions. 3/.

First, the entire "hook" of the piece turns on physicians being involved in the execution process in Indiana. I can find no evidence that this is the case- the Indiana execution protocol is not publicly available (probably by design, TBH). 2/.

I'm trying to decode this piece by @jstewartIndy in the @indystar from yesterday. I am an opponent of state-sanctioned death as punishment but this piece had me scratching my head. A few thoughts in a quick 🧵. 1/.

Maybe I’m just a moron but I don’t understand the criteria for something to be a foul in the NBA. It seems subjective at best.

This is no longer a land that values free speech.

Live action How to Train Your Dragon. 10/10 recommend. Amazing and way better than I expected.