I was today years old when I learned that sea urchins naturally use shells as hats to make them feel safer and camouflaged so some aquarists had the genius idea to make them tiny hats

Waiting room #medicine. We do it. We hate it. But it’s an inevitable evil to “make do” while we address #boarding on a nat’l & interdisciplinary scale. What are some of the thing we can do to make it safer? 🧵 Full thoughts at 💻acepnow.com/article/pros-a… @ACEPNow Emergency Physicians

Of note: CMSGov includes some strong language reinforcing the Prudent Layperson Standard. Coverage of emergency care INCLUDES payment for those services. Payment cannot be retroactively denied due to a patient’s final diagnosis.

Cost of uncompensated care given by EM doctors yearly: >$4.2B So ER doctors provide > $4,200,000,000 unpaid care per year (per preprint study by Arvind Venkat)

Pros and Cons: Waiting Room Medicine acepnow.com/article/pros-a…

theonion.com/binge-drinking…

Here's a primer on night shift facebook.com/reel/308127054…

Emergency physicians at #LAC23 are advocating for Congressional action on three key issues facing our specialty: the boarding crisis, violence in the emergency department, and the Medicare reimbursement. Find out more and read our issue papers: emergencyphysicians.org/issues

In this cave once lived a truly vile and terrifying creature that put fear into the hearts of many a brave medieval knight. I dare not speak the monster's name, but if you know it, you know. ;)

Asim Any overconfident co-interns who act like they know everything are faking it, they are just as clueless on day 1. Don’t feel like an imposter, you aren’t supposed to know what you are doing. Come excited to learn, be open to feedback, and dont blink, it goes by really quick.

If you died today, the hospital/clinic where you work would replace you tomorrow. Spend time with the people in your life that love you, couldn’t replace you, and wouldn’t want to. And only do things that make you say Hell Yes and provide you purpose. #MedTwitter #MedX

I just drove past the most glorious sight- a man in a cowboy hat with a full on easel making an oil painting of the local Waffle House from the parking lot

I’m an emergency doctor, and I love it and am very grateful for the skills it’s given me and the experiences and insights I’ve gained over the years. But it’s a really hard job, and it takes a toll over time.

When you sign out right before the ED descends into chaos

Surgeons wouldn’t operate in a broom cupboard Dermatologists wouldn’t run clinic in the canteen ICU wouldn’t ventilate patients in the car park So why do we expect that Emergency care can be provided on corridors?

The healthcare system isn’t broken. It’s collapsing in real time. Primary care disappearing. Specialists unreachable. Millions w/ no access at all. And yet, every night, in every city, one place always keeps its doors open. One last line of defense. The emergency department.🧵

80% of the drugs that actually work for IBS… aren’t “GI meds.” They’re psych drugs—used at lower doses to rewire brain–gut signaling: – Pain → tricyclics, SNRIs – Anxiety → SSRIs – IBS-D → constipating TCA – IBS-C → SNRI/SSRI This AJG review nails the map. The future is

The ACA is the result of pathologic empathy and the idea that government can solve all problems. It put a few million people on medicaid, a program that is barely better than being uninsured. And in the process it completely destroyed the private insurance market, outlawed