Freedom of speech does not equate to freedom from employer consequences. Of course, laws and regulations vary between local governments and organizations, but in general employers have a right to choose who they employ, just as you have a right to choose who you work for. All of my opinions on my social media are my own and do not reflect that of my employer or any other organization.
Medical mystery time. Let’s see if you can guess the correct diagnosis before the end of the video.
An elderly patient with a history of heart failure comes to the ER experiencing an upset stomach, confusion, vision changes, and peaked T-waves on their EKG. It looks like a textbook case of hyperkalemia (high potassium), but there is a major catch. The patient accidentally took double doses of their heart failure medication. Labs reveal massive levels of digoxin.
Why is the medical student wrong for wanting to jump straight to hemodialysis here? Because digoxin has a huge volume of distribution and is not a small molecule, meaning dialysis won’t clear it. The definitive treatment requires digoxin-specific antibody fragments, which will naturally lower the serum potassium on their own.
To all the premeds, nursing students, residents, and RNs in the audience: did you nail this case study, or did the student catch you off guard? Let me know.
#CaseStudy #MedicalStudent #InternalMedicine #FOAMed
Every doctor makes mistakes. In anesthesia, we just have a giant plastic goose to prove it.
Meet the "Esophagoose." In our residency program, if you accidentally place an endotracheal tube down the esophagus instead of the trachea, you have to sign the goose. It even gets to live on your desk for a little while.
Medical training is tough, but pretending to be perfect is dangerous. Normalizing these common learning hurdles helps us stay honest, laugh at ourselves, and ultimately keep patients safe. If a provider says their name shouldn't be on this goose, they are probably lying.
Nurses, residents, and tech teams: what funny traditions does your unit have to look back on mistakes? Let me know in the comments.
#ResidencyLife #Anesthesia #MedicalHumor #DoctorLife #HospitalTraditions
Daily hantavirus update - May 16, 2026. Two consecutive days with zero new cases globally. The total case count has dropped from 11 to 10 after the American doctor was officially reclassified as negative. Six UK passengers cleared and sent home after negative PCR results. The ship arrives in the Netherlands tomorrow for full disinfection. Every trend line is moving in the right direction.
Sources:
ECDC May 16 Update: https://www.ecdc.europa.eu/en/infectious-disease-topics/hantavirus-infection/surveillance-and-updates/andes-hantavirus-outbreak
WHO Disease Outbreak News: https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON601
Hantavirus Live Tracker: https://hantavirus.one
ABC News Live Updates: /International/live-updates/hantavirus-live-updates-mv-hondius-canary-islands/?id=132746955
#HantavirusUpdate #MVHondius #DailyHealthUpdate #DoctorExplains #KnowTheFacts
STOP WATCHING NATURE. GO OUTSIDE.
Caught you scrolling.
We all love a beautiful nature timelapse, but watching a screen cannot replace the real thing. Science shows that spending actual time in nature is one of the quickest, most effective ways to improve your mental health, reduce anxiety, and clear your mind.
If you are looking for a sign to reset your day, this is it:
• Step away from the screen: Give your eyes and mind a break from the digital world.
• Move your body: Even a short walk outside can significantly lower cortisol levels.
• Soak in the real world: Actual green spaces provide psychological benefits that video clips simply cannot replicate.
Your mental health will thank you. Put the phone down after liking this video and go touch some grass.
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#MentalHealth #GoOutside #ScreenTime #DigitalDetox #Mindfulness
Can Chiropractic Adjustments Stop Bed-Wetting?
The research gives us a clear answer: not really, at least not based on current medical evidence. Before looking into alternative treatments, here is what the data actually says.
The Scientific Breakdown
• Flawed Methodology: A Cochrane systematic review found that while one small randomized controlled trial showed a modest signal for chiropractic adjustment over sham treatment, the methodology was too flawed to draw any reliable conclusions.
• No Significant Effect: A 2022 systematic scoping review echoed this, finding strong to very strong evidence for no significant effect of spinal manipulation on nocturnal enuresis in pediatric populations.
• The Natural Resolution Trap: One uncontrolled case series reported a 66.6% resolution rate; however, enuresis naturally resolves on its own in about 15% of children per year. Without a control group, that 66.6% number is hard to interpret.
The Bottom Line
Chiropractic care is not among the recommended treatments for bed-wetting, and the medical evidence does not support it as a first-line approach. Always consult a pediatrician for evidence-based care.
Want to read the full papers? Comment RESEARCH below and I will send the direct study links straight to your DMs. (Alternatively: Full links are available at the link in my bio).
Studies Cited
1. Glazener CM, et al. Complementary and Miscellaneous Interventions for Nocturnal Enuresis in Children. Cochrane Database of Systematic Reviews. 2005.
2. Reed WR, et al. Chiropractic Management of Primary Nocturnal Enuresis. JMPT. 1994.
3. Milne N, et al. Spinal Manipulation and Mobilisation in the Treatment of Infants, Children, and Adolescents: A Systematic Scoping Review. BMC Pediatrics. 2022.
4. van Poecke AJ, Cunliffe C. Chiropractic Treatment for Primary Nocturnal Enuresis: A Case Series of 33 Consecutive Patients. JMPT. 2009.
5. Lauters RA, et al. Enuresis in Children: Common Questions and Answers. American Family Physician. 2022.
#PediatricHealth #NocturnalEnuresis #EvidenceBasedMedicine #Bedwetting
Replying to @Big B Someone actually said patients who need more than 5 units of blood should just be left to die. As a doctor, I can’t let that go unanswered. Massive transfusion protocols exist for a reason — and they save lives every single day. Let me explain why that take is not just wrong, it’s dangerous. 🩸
#MassiveTransfusion #MedicalMyths #DoctorReacts #BloodTransfusion #SavedByScience
Not every patient can get a TEE — but “can’t” isn’t always absolute. There’s a critical difference between a contraindication that means never, and one that means not without careful consideration. Knowing that difference could change your clinical decision making. 🫀
#TEE #TransesophagealEcho #ClinicalDecisionMaking #MedicalEducation #DoctorExplains
The things we say when we’re hungry / hangry are not a direct reflection of who we really are. It’s a brief period of weakness that can simply be fixed with some Starbucks and SNICKERS
