Jonathan Reisman MD @jonreismanMD Twitter profile

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Jonathan Reisman MD

8 months

My book The Unseen Body is now out in paperback. With chapter titles like Brain, Heart, Mucus, Urine and Feces, there is truly something for everyone. Buy it at the link in my bio.

Macmillan Academic

@macmillanreads

8 months

✨ Happy paperback publication day to @jonreismanMD , @Laelaps , @Renee_Dudley and @DanLGolden , and all of our authors with new paperbacks out today! 📚✨

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Last Seen Profiles

@OneFreshPillow

@boc_night

@BakbakEnt

@sakelover3

@JGodung

@repj1969_

@BlogIrish

@EsnekP

@BiologiaDesde0

@TokkiCarotty

@Agatha_Brylee35

@SCastellanosR

@perfectskones

@IbtihalAlSaeed

@phoe_shobe

@insideloc

@QB_CoachColeman

@ItzVoiren

@callmefye

@MikeMinay

@myjp_

@sabrinazty

@SNARPY__

@GreatOakleyFC

@Seck___

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@ShelfordGrp

@StNicholasBds

@mikinard

@stw_pdg

@DiCustod

@thesecretstate

@DaniDoodles99

@lunlun93843285

@tigeraire

@TalipT65388

Jonathan Reisman MD

@jonreismanMD

1 year

@historyinmemes These glasses are just like squinting, which we naturally do with bright light, but without the eye muscle strain. Next time you’re in bright light, make a slit between two fingers and look through it to see how effective these glasses can be.

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Jonathan Reisman MD

@jonreismanMD

1 year

@Morbidful ER doctors cry in their cars after shifts more often than you think. Speaking from personal experience.

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Jonathan Reisman MD

@jonreismanMD

10 months

@Morbidful Still today doctors are terrible at predicting the need for amputation in frostbite. It’s very important to wait and let the dead tissue “declare itself” over days and weeks before cutting it off.

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Jonathan Reisman MD

@jonreismanMD

11 months

@fasc1nate They freed my grandmother and her sister from Dachau (the rest of the family had already been killed).

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Jonathan Reisman MD

@jonreismanMD

1 year

@Morbidful One day perhaps we’ll be able to deliver a more targeted trauma to the brain via catheter and create savants at will.

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Jonathan Reisman MD

@jonreismanMD

1 year

@historyinmemes Looks like quackery to me.

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Jonathan Reisman MD

@jonreismanMD

3 months

@Rainmaker1973 These Mongolian bows are made with animal tendon on one side (for stretch) and horn on the other (for compression). This allows them to be much shorter than most traditional bows, which makes them easier to use while on horseback.

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Jonathan Reisman MD

@jonreismanMD

1 year

@Morbidful Broken/dislocated spine, multiple broken ribs on both sides, crushed face, broken jaw, left femur crushed and the femur head driven into his pelvis…at least both his arms weren’t injured.

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Jonathan Reisman MD

@jonreismanMD

3 years

@colleenmfarrell @eemoin Doctors sometimes mistake medical knowledge for moral high ground.

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Jonathan Reisman MD

@jonreismanMD

11 months

@fasc1nate Beatles, White Album

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Jonathan Reisman MD

@jonreismanMD

1 year

@historyinmemes King Tut may have had clubfoot (what doctors call talipes equinovarus). His tomb had 130 walking sticks, and one was his favorite according to a hieroglyph. He was also buried with > 80 pairs of shoes - most had a distinct wear pattern on the left that might be due to clubfoot.

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Jonathan Reisman MD

@jonreismanMD

7 months

@CreepyOrg The clubbed appearance of his fingertips suggests he has chronic lung disease of some kind.

Nail clubbing - Wikipedia

en.wikipedia.org

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Jonathan Reisman MD

@jonreismanMD

4 months

@fasc1nate The garrote can kill you in 3 ways: by cutting off blood flow to the brain (by compressing arteries), by cutting off blood flow *from* the brain (by compressing veins), and by cutting off airflow (by compressing the trachea). The neck is a very busy anatomical isthmus.

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Jonathan Reisman MD

@jonreismanMD

1 year

@Morbidful "Therapeutic hypothermia" is based on the principle that colder temps protect the brain. After cardiac arrest, some patients are purposely cooled for a day or two, though only to around 90 degrees F.

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Jonathan Reisman MD

@jonreismanMD

1 year

@FaisalGhani_ Are you sure it’s not because “rounds” are for going round and round and round on the hyponatremia differential?

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Jonathan Reisman MD

@jonreismanMD

1 year

@StixOButter @Morbidful Adding this quote to my bio.

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Jonathan Reisman MD

@jonreismanMD

3 months

@historyinmemes Typical patient I see in the ER. Very hard to function in life when your mind works like this. I always found religiosity and religious delusions the most fascinating part of schizophrenia.

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Jonathan Reisman MD

@jonreismanMD

2 months

@Rainmaker1973 The human body is made of two things: hard bone and jiggly bits.

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Jonathan Reisman MD

@jonreismanMD

3 years

@Thinkwert This is nothing to joke about. I have some cold and sweet plums on that ship, and now they’re delayed.

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Jonathan Reisman MD

@jonreismanMD

1 year

@Morbidful Worsley had a bowel perforation for unclear reasons. That’s what led to organ failure and death.

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Jonathan Reisman MD

@jonreismanMD

2 years

@MrsPA_C You’re not meant to mow the lawn, bathe yourself, or brush your teeth for the first two years of your child’s life.

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Jonathan Reisman MD

@jonreismanMD

1 year

@historyinmemes Diphtheria antitoxin is made by hacking a horse’s immune system. Inject diphtheria toxin into horses, wait until it starts producing antibodies to it, then harvest the serum and inject it into humans suffering from the disease. It is rarely used these days, but still available

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Jonathan Reisman MD

@jonreismanMD

7 months

@NoContextHumans Salvia divinorum?

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Jonathan Reisman MD

@jonreismanMD

11 months

@Morbidful The iron lung uses negative pressure to fill the lungs with air, unlike modern ventilators which push air into the lungs (positive pressure). So the iron lung is more similar to natural breathing.

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Jonathan Reisman MD

@jonreismanMD

1 year

@historyinmemes What are the cigarette-equivalents that doctors are smoking today?

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Jonathan Reisman MD

@jonreismanMD

11 months

@cctvidiots A tree is falling over and its roots are lifting the mud.

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Jonathan Reisman MD

@jonreismanMD

1 year

@fasc1nate The 3 tiny bones in our ears may have evolved from jaw bones for the same purpose of conducting vibrations. A snake places its jaw bone on the ground to feel the vibrations of approaching prey.

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Jonathan Reisman MD

@jonreismanMD

9 months

@archeohistories That’s Jim Carrey

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Jonathan Reisman MD

@jonreismanMD

6 months

@IDdocAdi I prefer vanc/zosyn for viral URIs, but I guess augmentin would do.

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Jonathan Reisman MD

@jonreismanMD

2 months

@EM_RESUS NSAIDs are safe and effective for most (but not all) causes of abdominal pain.

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Jonathan Reisman MD

@jonreismanMD

11 months

@fasc1nate Healthcare billing.

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Jonathan Reisman MD

@jonreismanMD

11 months

@Morbidful Aorta injury is among the most rapidly deadly injuries of all. These patients rarely even survive to make it to an ER.

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Jonathan Reisman MD

@jonreismanMD

2 months

@cremieuxrecueil @ATabarrok We are on the brink of a medical golden age.

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Jonathan Reisman MD

@jonreismanMD

11 months

@Morbidful This was an incredible rescue and a sad outcome for Gunan. To pull the kids out they sedated them with oral Xanax, then a shot of atropine, and then a shot of ketamine.

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Jonathan Reisman MD

@jonreismanMD

11 months

@fasc1nate The insulin that saved those kids was a life-saving cure extracted from the pancreas of cattle and pigs. Animal bodies can cure us.

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Jonathan Reisman MD

@jonreismanMD

1 year

@youngwerther123 Cortisol

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Jonathan Reisman MD

@jonreismanMD

2 years

It was a treat to sit down and have this great conversation with @lexfridman . Thanks for having me on!

Lex Fridman

@lexfridman

2 years

Here's my conversation with @jonreismanMD all about biology, anatomy, and physiology of the human body, from sex and sperm to hands, kidneys, liver and heart... all the strange and fascinating components that make the human biological machine work.

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Jonathan Reisman MD

@jonreismanMD

11 months

@fasc1nate The majority of medications I give my ER patients are available over-the-counter.

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Jonathan Reisman MD

@jonreismanMD

1 year

@ch1w33th3d0g Free protein

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Jonathan Reisman MD

@jonreismanMD

11 months

@waitbutwhy Fire was the all-time game changer for humans.

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Jonathan Reisman MD

@jonreismanMD

2 years

@elonmusk @waitbutwhy This is happening to our bodies constantly. All atoms are continuously replaced, all structural elements of the body are constantly recycled, broken down and replaced. The body isn’t the same (and so neither are we) at any two moments of our lives.

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Jonathan Reisman MD

@jonreismanMD

11 months

@fasc1nate Physics ftw

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Jonathan Reisman MD

@jonreismanMD

2 years

@waitbutwhy As an ER doctor, I can say that no substance brings more people to my ER than alcohol. (Tobacco might be a close second, in the form of COPD, heart attacks, and cancers.)

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Jonathan Reisman MD

@jonreismanMD

3 years

@EM_RESUS A patient "just doesn't look good." When a nurse says this, go see that patient now. It takes seeing hundreds of patients both sick and well to develop this gestalt sense of serious illness. Listen to it in yourself and in other HCWs.

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Jonathan Reisman MD

@jonreismanMD

1 year

@SithRebranded Worms living on a glacier are unlikely to find the human gut a hospitable place to live.

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Jonathan Reisman MD

@jonreismanMD

3 years

My book "The Unseen Body" is out Nov 9. @mary_roach called it "fascinating, lyrical ... Reisman's experiences in other cultures bring richness and depth. The way he thinks about the body and medicine ... is extraordinary!" Buy it:

The Unseen Body: A Doctor's Journey Through the Hidden Wonders of Human Anatomy

www.amazon.com

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Jonathan Reisman MD

@jonreismanMD

1 year

@FascinateFlix Come to my ER and I’ll order a CT scan for anyone who had a tumor dream (local rates may apply).

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Jonathan Reisman MD

@jonreismanMD

11 months

@Morbidful Marley has weakness on the left side of his face in this photo - notice the left corner of his mouth hasn’t moved as much as the right, and the crease next to his nose isn’t there. Probably caused by a melanoma metastasis on the right side of his brain.

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Jonathan Reisman MD

@jonreismanMD

2 months

@EM_RESUS The last time a nurse said this to me (a few weeks ago) I found a perforated ulcer in the patient’s abdomen.

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Jonathan Reisman MD

@jonreismanMD

1 year

@Morbidful One day doctors will use catheters for such targeted therapeutic brain trauma.

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Jonathan Reisman MD

@jonreismanMD

6 months

@DGlaucomflecken Complementary junior mints?

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Jonathan Reisman MD

@jonreismanMD

7 months

@Morbidful The urine of someone with rhabdo

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Jonathan Reisman MD

@jonreismanMD

11 months

@Rainmaker1973 Seals have an unusual bacteria in their mouths that most other mammals don’t. When treating seal bites with antibiotics, doctors should give doxycycline rather than the usual Augmentin given for most other bites (including human).

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Jonathan Reisman MD

@jonreismanMD

1 year

@SirBarefoot The correlation could also be mostly about the animal’s size. The same pattern is true of the heartbeat throughout the animal kingdom - larger animals have slower heartbeats. A blue whale’s heart can slow down to 2 beats per minute when it’s diving.

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Jonathan Reisman MD

@jonreismanMD

6 months

@SteamboatUSA Zofran should be available over-the-counter.

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Jonathan Reisman MD

@jonreismanMD

1 year

@fasc1nate Are you sure she wasn’t making up a story to cover for her abusive spouse?

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Jonathan Reisman MD

@jonreismanMD

1 year

When neurosurgeons remove part of a patient’s skull to relieve pressure inside the head, the piece of skull can be stored inside the patient’s abdomen. The bone remains healthy there until it’s replaced.

Oren Gottfried, MD

@OGdukeneurosurg

1 year

A hemi-craniectomy (part skull removal) is performed to treat elevated intracranial pressure and the skull bone can be stored in freezer or belly until replaced.

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Jonathan Reisman MD

@jonreismanMD

2 months

@Empty_America Trauma care in rural America has improved dramatically in recent decades. And quick evacuation to a trauma center is a big part of it.

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Jonathan Reisman MD

@jonreismanMD

10 months

@AaronGoodman33 Procalcitonin is just a crp with flashier marketing.

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Jonathan Reisman MD

@jonreismanMD

3 months

@MrsPA_C I poo-poo’ed it too, until I saw a full eclipse in Wyoming, 2017. It’s incredible.

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Jonathan Reisman MD

@jonreismanMD

11 months

@historyinmemes Snake antivenins are made by hacking an animal’s immune system. Inject small amounts of venom, wait for the animal to produce antibodies, then harvest the serum and inject it into snake-bitten humans.

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Jonathan Reisman MD

@jonreismanMD

1 year

@callmelongfell2 @Morbidful Yes, specifically from the head injury.

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Jonathan Reisman MD

@jonreismanMD

10 months

@historyinmemes Opioids of all kinds (including morphine or heroin) work great for pain, cough and diarrhea. They have other side effects of course…

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Jonathan Reisman MD

@jonreismanMD

4 months

@radRounds What’s the stethoscope for?

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Jonathan Reisman MD

@jonreismanMD

10 months

@wonderofscience Planetary peekaboo

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Jonathan Reisman MD

@jonreismanMD

11 months

@Morbidful Eating too much after prolonged starvation can kill a person (called “refeeding syndrome”). The reintroduction of normal amounts of food has to be strategic and gradual.

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Jonathan Reisman MD

@jonreismanMD

3 years

@EM_RESUS I think the phrase "just doesn't look good" refers to subtle, maybe even subconscious, hints of grey or green in a patient's skin tone. Or a look of illness/fatigue on their face. When a nurse uses this phrase, I often find the patient is septic or has an intestinal perforation.

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Jonathan Reisman MD

@jonreismanMD

1 year

@bariweiss @davidzweig But schools and institutions that imposed mandates didn’t get their orders from twitter. They got it from the CDC and gov officials. Twitter doesn’t seem like the main stage for this kind of audit.

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Jonathan Reisman MD

@jonreismanMD

4 months

@andersen @TheAtlantic The sperm whale will probably just want to talk about hunting. Find a human hunter to chat with them.

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Jonathan Reisman MD

@jonreismanMD

5 months

EKG is a 130-year-old technology that I use every single shift in the ER.

Sam Ghali, M.D.

@EM_RESUS

5 months

Here’s a video I made breaking down this very important #ECG case of a 40-year-old woman with chest pain and shortness of breath that woke her up from sleep #FOAMed

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Jonathan Reisman MD

@jonreismanMD

1 year

@UntoNuggan Other patients are often a way better source of medical information than doctors.

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Jonathan Reisman MD

@jonreismanMD

2 years

@elonmusk We’re all on twitter, so of course we’re hoping someone’s watching.

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Jonathan Reisman MD

@jonreismanMD

4 months

@bendreyfuss We take ibuprofen for granted, but it is honestly an amazing painkiller. It can even take the edge off of burns and broken bones. Thank god it’s over-the-counter and the public can buy it without a doctor’s OK (in the US at least).

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Jonathan Reisman MD

@jonreismanMD

1 year

@Rainmaker1973 Looks like a cure for everything to me.

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Jonathan Reisman MD

@jonreismanMD

11 months

@VPrasadMDMPH Is anyone currently raising alarms about COVID an ER or ICU doc? Because working in those places it couldn’t be more obvious that COVID is a completely different disease today than it was in early 2020.

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Jonathan Reisman MD

@jonreismanMD

4 months

@xruiztru Surprised Iceland isn’t near the top.

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Jonathan Reisman MD

@jonreismanMD

11 months

@fasc1nate The three tiny bones in our ears, which conduct sound, are believed to have evolved from jaw bones which also conduct sound well.

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Jonathan Reisman MD

@jonreismanMD

1 year

@historyinmemes If we developed better blood tests for appendicitis and pulmonary embolism, doctors would order DRAMATICALLY fewer CT scans.

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Jonathan Reisman MD

@jonreismanMD

1 year

@benwegmann Couch looks like staph aureus.

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Jonathan Reisman MD

@jonreismanMD

1 year

@VPrasadMDMPH I’ve had patients with swastika tattoos but never mentioned to them that the Nazis killed almost my entire family. Doesn’t seem like the appropriate time or place to discuss politics, even in the extreme. I think I was extra nice to those Nazis, in fact.

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Jonathan Reisman MD

@jonreismanMD

1 year

@engineers_feed Nurses

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Jonathan Reisman MD

@jonreismanMD

11 months

@Rainmaker1973 Is this technically the longest lived animal known to science?

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Jonathan Reisman MD

@jonreismanMD

1 year

Strangulation can kill you in 3 ways: by cutting off blood flow to the brain (by compressing arteries), by cutting off blood flow *from* the brain (by compressing veins), and by cutting off airflow (by compressing the trachea). The neck is a very busy isthmus.

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Jonathan Reisman MD

@jonreismanMD

6 months

@bryan_caplan @JonHaidt In the pediatric ER, electronics are basically a form of anesthesia.

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Jonathan Reisman MD

@jonreismanMD

1 year

@mythic_0 The Amish are a crucial source in eastern PA for all kinds of less common plants, seeds, etc. They’re a very useful sub-society in this way, a connection to the land and agricultural history that might otherwise be already lost.

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Jonathan Reisman MD

@jonreismanMD

1 year

@delicatelor How about female urologists?

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Jonathan Reisman MD

@jonreismanMD

1 year

@DGlaucomflecken “Alexa, summarize this patient’s voluminous medical chart in 4 sentences.”

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Jonathan Reisman MD

@jonreismanMD

3 years

@lexfridman The heart is the only internal organ whose primary function is self-serving - it pumps blood to itself, making it the Ouroboros of our internal organs. Another instance of such a loop occurs when the brain thinks about its own function.

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Jonathan Reisman MD

@jonreismanMD

1 year

@AaronGoodman33 Vodka kills both Pseudomonas and MRSA in a petri dish.

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Jonathan Reisman MD

@jonreismanMD

1 year

@Morbidful Human blood is high in iron

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Jonathan Reisman MD

@jonreismanMD

10 months

@ESYudkowsky This is better than most docs for info, but examining the human shoulder takes a lot of practice (took me at least 40-50 shoulder pain patients before I got the hang of it). And who will inject the steroid? Will chat gpt over- or under-order MRIs?

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Jonathan Reisman MD

@jonreismanMD

3 years

@EM_RESUS And btw, don't ask the nurse to give more specifics of what is exactly is wrong with the patient. The gestalt feeling that a patient "just doesn't look good" is sometimes hard to put your finger on.

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Jonathan Reisman MD

@jonreismanMD

4 months

@AlecStapp Patients with CF used to almost universally die under the care of a pediatric pulmonologist. Today pulmonologists that only treat adults also care for CF patients.

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Jonathan Reisman MD

@jonreismanMD

9 months

@MedGold_ Half of all doctors are below average.

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Jonathan Reisman MD

@jonreismanMD

10 months

@Morbidful This is up there in the hallowed annals of self-surgery with the doctor who removed his own appendix in Antarctica.

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Jonathan Reisman MD

@jonreismanMD

4 months

@eigenrobot One of the most terrifying aspects of working in the ER is knowing that some of your patients are trafficked and abused and you missed the chance to save them. That’s the reason for many of these surveys, though sometimes they are still ridiculous.

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Jonathan Reisman MD

@jonreismanMD

1 year

@PicturesFoIder Only those with a medical degree can decipher the sacred script.

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Jonathan Reisman MD

@jonreismanMD