alanplotzker.bsky.social
Neurologist, pun enthusiast, die-hard Eagles fan. Husband of @mcknightwrites.bsky.social Opinions are my own
Philly area native now in Pittsburgh
#MedSky
1,720 posts
4,698 followers
3,044 following
Regular Contributor
Active Commenter
comment in response to
post
To be fair, Japan generally has a very low threshold for what they consider spicy
comment in response to
post
They’ve declared how horrible the conditions there are, and like…why not just fly them back?
comment in response to
post
It’s a well-known neurology tradition to chase shots of whiskey with a glass of corticosteroids
comment in response to
post
I mean, we (neurologists/rheum) commonly give people massive doses of steroids orders of magnitude higher than anything people’s bodies produce, and they do basically okay in the short term
If people can handle 1000 mg daily of solumedrol, they can handle whatever your puny adrenal glands make
comment in response to
post
Not the main point, but was this an argument that we should be using opioids for migraines in the ED instead of compazine (which is better) because they’re already on opioids? Because that’s probably going to part of my supervillain origin story one day
comment in response to
post
At least it has sharp edges for optimal injury/decapitation
comment in response to
post
“Experts” is also simply a lie
comment in response to
post
And Robert Malone! Dude who hasn’t done anything in medical research OR clinical work OR health policy in 35 years whose main claim to fame is falsely claiming to have invented mRNA vaccines
comment in response to
post
Treating Rufo as some bright new conservative “ideas guy” was practically a cottage industry for a while
Which like, I guess political reporters love hearing the “inside baseball” strategy/process stuff, but in Rufo’s case, it was “her is how I am going to lie and manipulate you”
comment in response to
post
When has Randazza launched SLAPP suits, exactly?
comment in response to
post
I’m not sure how on earth you got that from what I wrote
comment in response to
post
Is there some particular example you have in mind?
In any case, defending civil 1A cases is also important. See the numerous anti-speech suits by Trump, Musk, and co., for example
comment in response to
post
Some of the most important free speech protections we have are from cases involving defenses of absolutely loathsome people. Clarence Brandenburg was a literal KKK leader, for example
comment in response to
post
Are you not putting cilantro/onions on?
comment in response to
post
They all suck so so much
comment in response to
post
You realize you don’t have to publish whatever asinine crap these guys spew out, right?
comment in response to
post
Lived in STL for nearly a decade and will still never understand it
comment in response to
post
It would be much easier to just not undermine faith in vaccines in the first place
comment in response to
post
I’m still skeptical of distinguishing added sugars from other sugars in general. And differences between sugars and other carbs are relevant but not as relevant as people seem to think. It all ends up as sugar, just a question of how fast
comment in response to
post
Oh, there are definitely people who are wrong. The people cheering it on are wrong. I feel like it’s easy to lose sight of that on here where they’re a rarity, but they’re who I worry about, and there are a lot of them
There isn’t one right response, but there are definitely wrong ones
comment in response to
post
My random hill to die on is that this is nutritionally fine
comment in response to
post
And it’s just crazy random happenstance he specifically picked his birthday, huh? Or he really deeply cares about Flag Day? That’s what you’re going with?
comment in response to
post
Also, it seems like the list of people who know how to operate a tank is not super long and probably doesn’t include many ICE agents, so then you have to dip into the army and try to get the guys who can do it and are also fascist enough to be *willing* to do it, and it seems like a staffing problem
comment in response to
post
Oh no. That’s a seriously career-threatening injury
comment in response to
post
…but remain comatose and dying for another week and this prolongs suffering for the family (and possibly the patient, though that’s harder to say)
comment in response to
post
No, it really isn’t. It’s very low. Low enough that many people would regard it as not meaningful. That’s something important to convey. There are limits to our certainty, though, and I have absolutely seen patients like that survive CPR
Not surviving isn’t the risk. The risk is that they do…
comment in response to
post
Those are nuanced conversations to have. The approach should be to focus on expected outcomes, but it’s too often stuff about how CPR is “torture,” (experiences of survivors do not support that), broken ribs, etc., which is very much not the issue
comment in response to
post
It’s rarely if ever truly zero. The number the article cites is 2% survival at 6 months for those with severe progressive chronic illnesses, and you will note that 2% is also more than zero
The correct approach is to have a discussion with the patient/family about how it’s likely to play out
comment in response to
post
Tortilla presses don’t seem terribly expensive either 🤷♂️
comment in response to
post
I’ve never tried making them at home, but I may at some point if I’m feeling more ambitious
comment in response to
post
Never used one. The guy who taught our ENT classes hated them. Broader opinion seems more mixed
Important point if you do use it: only distilled/sterile water or boiled and cooled. Naegleria infections are the stuff of nightmares
comment in response to
post
Exactly
comment in response to
post
Nobody talks to young people with good odds about how terrible it is to experience CPR. That line of argument seems to be pretty much exclusively brought up where the outcomes aren’t likely to be good
comment in response to
post
I think there’s often a tendency to make people feel bad for wanting their loved one to be full code when we know there’s a very low chance of a good outcome, but I think that the outcomes should be the focus rather than the process itself
comment in response to
post
Potentially the family. “The patient is suffering,” “we break ribs” etc. have always seemed dubious as arguments because they presumes an experience at odds with what survivors report. Most don’t experience/remember anything, and those that do don’t report “it felt like I was being tortured”
comment in response to
post
Ooh, interesting. We just kept making more birria/quesabirria tacos for the next week
comment in response to
post
Because 100% of the people in cardiac arrest who DON’T get it die, and 100 is more than 85, and people often prefer some chance of survival to none?
It’s not always the best option for everyone, and that should be discussed with people in the hospital (and before!)
comment in response to
post
She looks like Amy!
comment in response to
post
Huge in the sense of “directly relevant to the case” or huge in the sense of “prosecution’s case may kinda flimsy” or huge in the sense of “Good Lord, look at these shitheads”?
comment in response to
post
This seems very confusing. What would be examples of things that are/aren’t “in furtherance of” their violation of the law?