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nickgorton.bsky.social
Primary care & EM doc. Medical director at Lyon-Martin Community Health. Queer, poly, sarcastic nerd. He/him/ĂŠl. Don't take anything I say literally.
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All of my charts are finished and I have zero Epic inbox tasks... for both ED and clinic. There should be an adulting merit badge for this or something.

For the love of god... Unless a trans patient is having a VTE don't blame the hormones for everything. Trans Asthma is not actually a thing. Thank you for coming to my TED talk.

1000% they got an AI to write it. I've used AI to search for papers when Google Scholar wasn't cutting it. But then 𝘐 𝘢𝘤𝘵𝘶𝘢𝘭𝘭𝘺 𝘳𝘦𝘢𝘥 𝘵𝘩𝘦 𝘤𝘪𝘵𝘢𝘵𝘪𝘰𝘯𝘴. And AI does sometimes give fake ones. The 𝘰𝘯𝘭𝘺 way to screw this up is to not even read the abstract of the article you cite.

Under His 👁️

It doesn't seem fair that I had to manage two demonic possessions today in the ER Me: The power of Geodon compels you!

Total gutless crybaby move... But it does show that naming and shaming does work. We need to keep up the pressure.

This is a really important read for many people out there, as this has been erroneously reported. The spending bill DOES ban HRT from Medicaid, which is horrific. It does NOT ban ACA/Private plans from covering it, as Gillian Branstetter of the ACLU lays out in her thread here.

Same. And not just neighbors, family too And now they are surprised that the leopards are eating their faces Like I told you so, you numpties

I try to be a team player with consults. I get all the tests, try the 1,2,&3rd line treatments, get more tests, & only then refer to the specialist. However when their assessment/plan is basically "yeah, that sound good", it's really annoying for me an the patient. Like at least make something up.

Great now I have to send my hypocrisy meter to the shop again. Stupid thing keeps breaking.

Trans people: somehow too fragile to serve in the military, yet too powerful to compete in sports. Fascism thrives on contradiction.

I 𝘯𝘦𝘦𝘥 this

At a CA Assembly committee meeting to do my least favorite thing in the whole universe: making a public comment. Like literally I'd rather do a stool disimpaction than this. At least at the end I have a pile of tangible results for my efforts.

Anelise Feldman: "I don't feel like 1st place was taken from me. Instead, I feel like a happy day was turned ugly by a bully who is using children to make political points." Colleges: start scouting this kid. Made varsity as a freshman & embodies sportsmanship. www.commondreams.org/news/transge...

In the Dulles airport men's room before security: someone 𝘢𝘭𝘮𝘰𝘴𝘵 takes their pregame seriously.