McNadoMD

Hunter, ER doc, believer in democracy. I’m here to rant, combat medical misinfo, and get social therapy. Posts aren’t medical advice. This is the only platform I am currently on. If you find “me” elsewhere, it isn’t me.  If you have COVID vaccine questions, I’m always happy to try to answer. Let’s all share good info, facts, and science, and keep ourselves and each other safe!

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Last Notes

2024-07-22 04:42:02

Every single time you mention Joe Manchin, it is obligatory to include that his daughter drove the cost of epinephrine autoinjectors (Epi Pens) up by 600% for no reason other than profit, which left children to die from completely treatable anaphylaxis.

2024-07-14 20:13:50

Biden pulling his ads down is fucking stupid. Does anyone for a second think Trump would stop his relentless campaign to undermine democracy if Biden were injured, ill, or dead? Fuck off.

2024-05-30 18:41:39

People living near the dog food plant here are suing it for smelling like dog food. Dudes, your house was cheap for a reason. That plant has been around longer than most Denver residents have lived in Colorado.

2024-05-27 20:00:44

Burning down a refugee camp is not a tragic mishap, especially if you first burned down the refugees original homes, their hospitals, their water pumps and treatment plants, and their fields. No, it is not a mishap. It is an intentional act of violence against people who have lost everything.

2024-05-25 21:26:53

I’m just gonna say it — this “Genocide Joe” thing is the dumbest fucking liberal shit I have seen in years.
Joe Biden can do more to *try* to rein in Israel, but Biden doesn’t run Israel. He isn’t CIC for IDF. He isn’t deciding what hospital to bomb. He isn’t deciding what border crossings to close.
You know who is pushing the Genocide Joe narrative? The fucking Russians and the Israelis. Why is that? Well, it’s an election year, and Trump is a hard right, pro-Israel puppet.

2024-03-08 03:53:35

My takeaway from the SOTU tonight is this: a guy with a speech impediment delivered an hour+ long speech with a handful of stumbles.
Y’all — I’m in my late 30s, scored in the top 2% on board exams, got my first choice in the competitive EM residency match, and make dozens of rapid-fire life and death decisions every day that I work, and I routinely mess up the order of words in common phrases, confuse names, or misspeak a word. Biden is ancient, but his cognition seems pretty damn intact.

2024-03-01 14:38:49

Jesus christ, if I had realized I could just not file or pay taxes for seve years…
IRS is going after 125,000 people in the US who make over $400,000/yr and haven’t filed or paid taxes since 2017.
Why did it take so long to find these accounts?
We know historically IRS audits have gone after lower income people, so probably this is reflective of that, but goddamn. Anyhow, glad they are finally focused on the right scofflaws. Maybe we can buy some healthcare with it.

2024-02-09 00:08:53

So, uh, folks, Biden is 4 years older than Trump. He bicycles regularly, and regularly jogs across the stage at events. Trump is obese, never exercises (by his own report), and isn’t known for his ability to walk steadily. If you’re voting for Trump because Biden is old, you’re an idiot.

2024-01-28 01:32:16

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@npub1kpw…xzz4 up to 30% of people who get COVID get some form of post-COVID syndrome. Estimates vary widely on the number who experience cardiovascular complications, but there are entire clinics dedicated the problem, so it isn’t exactly a rare presentation to healthcare. I agree that there is overhyping of some of the risk, but overall, I would argue that in fact the risks associated with infection have been downplayed quite a bit.
https://wwwnc.cdc.gov/eid/article/29/3/22-1522_article

2024-01-28 01:19:22

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@npub1kpw…xzz4 I said palpitations are common (10-20% of folks with post-COVID syndromes have them). A-fib is one of the many causes of this, and I would argue is not all that rare compared to many things we consider quite serious in Emergency Medicine, particularly since a-fib has a significant stroke risk associated with it. We can quibble over what exact cutoff makes something a concern I suppose, but to what end?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9959721/

2024-01-28 00:29:06

I saw a post today discussing palpitations after COVID. Folks, what I tell my patients is: if you get palpitations in the weeks to months after COVID, call your doc and get seen. Here’s why — palpitations after COVID are common, and one prevalent cause is atrial fibrillation. This is often detected by a wearable event recorder such as a Holter monitor, because a 1-time ECG (as if often done in the ER) is worthless if you aren’t in a-fib at the time. A-fib dramatically increases stroke risk.

2023-11-22 04:44:35

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@npub1p0w…22r5 unless I’m completely misunderstanding this, they are asking for a giant hole in EMTALA so that the state can force women to die in ERs of preventable illness. The Biden admin has notified multiple states with stupid abortion bills that they cannot prevent ER docs from providing emergency care to all comers, and this seems to be an asinine response to that. The problem (other than the obvious) is that once you make a loophole, the whole of EMTALA starts to crumble.

2023-11-22 04:18:46

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@npub1p0w…22r5 oh for fuck’s sake!!!! “Let us carve out an EMTALA exemption, weakening the law for everyone everywhere, so some fuckwit religious extremists can force ER docs to let women die”. No. Hard fucking no. Nope. Nah.

2023-08-27 02:13:48

With zero surprise whatsoever, we find that the Jacksonville shooter is:
1. A nazi (literally. He had swastikas on his firearms).
2. Left a hate manifesto and targeted people of color.
3. Was a white guy in his 20s.
4. Used an AR-15 platform rifle (as well as a Glock sidearm).
Jackass couldn’t fit an American mass shooter stereotype better if he tried. We know who does this. We know what they use. Targeted prevention isn’t hard.

2023-08-14 20:36:32

Raped child forced to give birth to rapist’s baby. No really. Here. In the USA.
Think back to 7th grade. Then ask yourself if this is the country you want to live in. A vote for Republicans is a vote for this. A dollar in the collection plate on Sunday is a dollar for these laws. Choose accordingly.
https://www.thedailybeast.com/13-year-old-rape-victim-forced-to-give-birth-due-to-mississippis-abortion-ban

2023-08-13 03:35:05

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@npub1ht0…dyc3 lemme tell you how angry I was when I discovered I couldn’t just buy MS Office anymore. Did I spend an inordinate amount of time hunting down a CD? Yes I did.

2023-08-13 03:09:55

Y’all, if you can’t keep folks safe, you’ve no business transporting them. This is just human trafficking with a patina of fascist legitimacy.
https://www.bbc.com/news/world-us-canada-66486236

2023-08-11 01:49:44

It’s not like the other 8 members of SCOTUS were unaware of Thomas accepting gifts and schmoozing with political operatives. Yeah, it’s bad, but they’ve been tolerating it all along. Someone should probably ask Roberts why he never put a stop to it.

2023-07-03 04:47:29

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@npub1483…lv2w little green men kidnapping protestors in PDX into rented vans. Cops in body armor escorted by NG humvees, screaming “light ‘em up” as they shot gas cannisters at people sitting on their own porches. Watching cops here give water to chuds in body armor illegally open-carrying ARs and handguns, while the cops beat the everloving hell out of unarmed protestors. Watching cops nearly kill an elderly protestor on live TV. 2020.

2023-04-06 16:37:57

Oh man, the Justice Thomas story gets better — I figured there was no real issue because SCOTUS has no ethical rules with teeth. As it happens, SCOTUS justices are in fact legally required to report gifts of this size. A sitting justice, who by the way has ruled on cases about similar reporting laws, has been openly violating federal law for a decade.
Will Roberts do anything? No. Will the Senate do anything? No.

2023-03-30 16:47:22

Why is birth control, IUDs, and tubal ligation (“tying your tubes”) free with most insurance plans in the US? It is free because of a provision in the Affordable Care Act. Unfortunately, a GOP-appointed judge just told insurance companies that they don’t have to pay anymore.
Yep, that’s right — a conservative judge just took away free birth control.

2023-03-30 16:37:13

Are you an older American who gets your pneumonia vaccine and shingles vaccine? Do you get a flu shot? Well, all of those will no longer be covered by many insurance plans because of a court ruling by a GOP-appointed judge this week.
The Republicans never gave up on taking away your healthcare, they just had to do it in court instead of by legislating. Ask yourself — what’s next?

2023-03-28 02:09:28

Not sure how to say this politely, but please, for the sake of all of the other people seeking care in the ER, if you know you have COVID, wear a mask when you come in. I had multiple people who knew they had COVID come sit for hours in a crowded waiting room, while not wearing masks. We had babies, cancer patients, the elderly, and everyone else sitting there today getting exposed to COVID.