Ok, I have to say something, especially as I keep getting pulled into in these posts. COVID-19 causes ARDS. I keep hearing the refrain that it is not ARDS because “the compliance is normal.”

This has to be satire, right?

In 1945, six women pulled off a computing miracle. They programmed the world’s first computer—with no manuals, no training. Then, a SINGLE assumption erased them from tech history for decades. The story of how ONE photo nearly deleted computing’s female founders: 🧵

The more certain someone is, the less they’ve seen. Wisdom doesn’t deal in absolutes—it holds contradiction, nuance, and the humility to be wrong.

PAC use in medical ICUs is a dying art form. Don’t always need them, but you still should be able to work with them in select situations. Even if you’re experienced, get all you can out of the data! It’s not about any 1 #. And context is everything.

From SCCM Congress 2025:

Still reading this myth that ventilators killed people with severe Covid. It's like going outside on a rainy day and blaming umbrellas for the rainfall

*Every single* cure for a disease ultimately flowed from basic exploratory research. Stopping basic research is like stopping the mountain rains and expecting rivers of cures to still flow. Examples: 1) studying saliva of Gila monster -> GLP1's 2) studying funghi -> first statins 3) mRNA biology -> gene therapy for spinal atrophy 4) studying bacterial genetics -> CRISPR gene therapies 5) studies of nuclear magnetic resonance -> MRI scans this list can go on and on. Not only in biology but all aspects of technology.... e.g. 6) curvature of spacetime -> GPS 7) quantum mechanics -> semiconductors 8) electromagnetism -> fiber optics -> internet ...

I'm a huge fan of ivermectin. Its a great drug. Safe and effective for parasites including scabies and strongyloides. (Does nothing for Covid though. Why you would use if for that I have no idea)

Don’t miss Dr. Onyinyechi Eke’s amazing, evidence-based session on TELE- Ultrasound! 🌟#WINFOCUS24! 📷@harvardsono @onyi_eke @on @mghedus @WINFOCUS @ViaWINFOCUS 📷 Tomorrow, Nov 23 📷 5AM-7 AM EST ( 11Am-13 ECT) #CriticalCare#Ultrasound

I love twitter bc where else can I, an person with two graduate degrees from Harvard in both infectious disease epidemiology and biostatistics, be assured I am wrong about infectious disease epi and statistics by a software engineer who has “read multiple FDA package inserts”

The best way to consume Whoppers #medtaste

“Was he in ICU?” “I doubt it he’s DNR why would icu take him?” WHY DO WE HAVE TO KEEP TALKING ABOUT THIS. DNR IS NOT DO NOT TREAT AND THEY CAN GO TO ICU

Truth.

The Bahamas? The Bahamas (and then Cuba and Haiti) is the beacon of freedom that is the United States? Guided by his strong faith in god? Or by his funding from Ferdinand and Isabella to profit in the spice trade? One of us is confused, and I don’t think it’s me.

As an emergency physician, I am mortified. As a feminist, I am not the least bit surprised. This is unacceptable. A man’s vital signs would never presumed to be related to issues with his girlfriend, and he would never be called a term of endearment by a random “professional”

I’m back. I’m back on Twitter (which is its only name). I have left AI in charge of the universe; you’ll notice the improvement. I’m back, with less respect for you than ever. And just like before, My nephew is my only follow. Spread the word, bastards.

Most of the AI hype folks on here talking about AI and medicine have never diagnosed a patient, have never given treatment, have never counseled a patient. I've practiced medicine and built/tested AI tools. We aren't anywhere close to "replacing doctors".

Women in medicine: - Earn less. - Are less likely to be in leadership. - Have fewer research opportunities. - Spend 8.5 hours more per week on domestic responsibilities. Yet, they spend more time with patients and provide better care. The double standard needs to END.

If you wouldn’t use bullying in school to excuse the actions of a gang member, then don’t use it to elicit sympathy for a school shooter.