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emilyfri.bsky.social
Wife | Mom | Appalachian | MD | Pulmonary & Critical Care
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I was skeptical about percutaneous mechanical aspiration for tricuspid valve endocarditis, but it apparently can work. Look at this picture of a vegetation that was fished out of a patient I was involved with. Only after removal was he able to achieve negative blood cultures.👇 #EMIMCC

Berry patch update, first sugar snap pea flower, and coneflowers opening. 🌱

I worked 6 nights and went straight from the last shift to a day of scout camping. I felt like death. Last night I took a 2 hour nap, then slept 12 straight hours. I feel amazing.

Put incompetent people in charge of important things and bad outcomes will happen The vaccine is 97% effective 97% Nothing is this effective in medicine Nothing This is not a serious person

My son is really into board games and card games and as a result, “taking damage” is a normal phrase in our house. When a need comes up at work, I feel like I take damage points anytime I don’t pitch in. Anytime I do help with work, I feel like I’m taking damage points at home.

The hardest part of moderate sedation. Too awake, too awake, too awake, too awake, SNOWED. Start it way before you’re ready to go.

Green bean seedlings look so much like little monsters sprouting out of the ground.

cutting medicaid would be harmful for EVERYONE some hospitals & clinics would close lack of preventative care would cause unnecessary emergencies, worsening ED congestion surviving hospitals would be forced to cut services people are selfish so we need to explain how these cuts hurt EVERYONE

So a clip with me on Last Week Tonight with John Oliver talking about indirect costs

I had an accountant patient who was having NONE of this, we went through them together on the computer in detail.

Pregnant patient in your (non obstetric) ICU? Don't be scared. icuscenarios.com/episode-87-m... #medsky #emimcc

Me, explaining carpenter bees: Sounds like the males like to buzz around aggressively but can't actually sting, and the females can sting but only do so when necessary. Husband: Hmm...sounds like people life, too.

Jonathan Groff as King George III will never not make me feel better.

From the yard 💐

As an ACCP member, I’m proud to support CHEST’s subversive, anti-disease, pro-science mission. On the positive side, if CHEST is turning into a banned book, that makes me even more excited about reading the next issue. 😁 @accpchest.bsky.social

Morning garden rounds while listening to the turkeys gobble on the next hill. 🥰

A resident recently was shocked to find out that I do not get to make my own schedule, including deciding if I do nights or not. 😭 😭 😭

New executive order targets the organizations that accredit medical schools and residency programs. Will this be the end of the LCME and ACGME? www.whitehouse.gov/presidential...

Two headlines in the New York Times today.

Good morning! Just a reminder that DOGE is not a real department. It’s fake

I like to sleep and I'm not sorry about it. On days when I'm not on service, I don't set an alarm. On service days when I don't have to get there early, I don't get up early. You don't have to wake up at 5 to work hard and be a productive person.

Today I sat on my porch and the only sounds I heard were the bumblebees buzzing, the birds chirping, and the squirrels chattering and for me that’s worth more than most things in life.

When a resident asks me what they should do with the abx I like to give them options: 1. Be brave and stop them if you don’t think it’s an infection 2. Watch cultures for 48hrs and stop if negative 3. Find a source and commit to a course Any of the options can be reasonable in many ICU patients.

There in the ground His body lay, Light of the world by darkness slain. Then bursting forth in glorious day, up from the grave He rose again! And as He stands in victory, sin's curse has lost its grip on me! For I am His and He is mine, bought with the precious blood of Christ.

From a Hands Off our Farms rally in southern WV today.

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