Myth-busting the nephrotoxicity of piperacillin-tazobactam plus vancomycin: 🪄Piptazo is a pseudo-nephrotoxin that increases Cr due to reduced secretion 🪄Piptazo doesn't ⬆️ hemodialysis or mortality 🪄New study: No effect on BUN or renal biomarker emcrit.org/pulmcrit/myth-…

Underrated trauma maneuver in a really sick patient is to shake them by the shoulders and shout "Damn it, stay with me!"

If you earn credentials then you can use them however you want and it's absolutely none of my business where you post them. Also, even though I don't have many letters after my name, I think it's cool when people do. Represents a lot of work and passion.

Positioning my pregnant wife like a thoracotomy patient to help her back pain.

Wife has an intense hatred of my weighted blanket because it "doesn't look like it should weight that much."

Good critical care is 10% performing dramatic interventions, 90% being aggressively persistent with the seemingly mundane details. - Fluid balance - Weaning sedation - Weaning the vent - BMs - Deescalation of lines and tubes - Deescalation of abx/other meds

There is too much thinking going on during rounds today. Let's just operate!

If you aren’t getting reconsulted on 10% of your patients then you’re not signing off soon enough!!

One of my favorite OR sayings is when they are doing closing count for needles and they say “one working”, I exclaim, yea it is! It cracks me up every time.

How many tater tots is too many for a 2 year old? Quick! She just keeps going!

The biggest secret of surgery is that operating actually isn't that hard.

i only ever liked one anime my whole life and it’s one punch man

Exxon Mobil made $19,660,0000,000 in 90 days by price gouging at the pump. Pass it on.

The verified brand situation is getting out of control. Quick thread of twitter blue brands, and brands who might be pissed off at Elon right about now.

Before my first kid "a nap" was assumed to be an hour in our house. After first kid it became 30 min. Now, after 2 kids, it means "15 min and don't you dare take a second longer"

It looks like Elon Musk has killed the account that was tracking the location of his jet (using publicly available information) ElonJet

If I was in a meeting about Elon's falling Twitter engagement, I would absolutely tell him the AI and algorithm seem to have somehow shadow banned him from his own platform. Only I and a hand-chosen team with nearly unlimited funding can get to the bottom of this mystery!

The American Hospital Association is opposing removal of non-compete clauses “on behalf of 270,000 affiliated physicians.” Something tells me they didn’t ask for physician input on this. Feel free to let the AHA know your thoughts. FTC

Plate early, plate often (for flail chest)! Thanks edgar b rodas, Stefan and VCU General Surgery Residency for helping so much with this project journals.lww.com/jtrauma/Abstra… #SoMe4Surgery